310751_HISTORICAL_20171231

NUH I H UAHULINA
Department of Environmental Qual

ivision of Water Resources
Facility Number - % Division of Soil and Water Conservation
Q Other Agency
Type of Visit: ompliance 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 0 Denied Access
Date of Visit: Arrival Time: Departure Time: �v County: _,I-L--Region:(�
Farm Name: Owner Email:
Owner Name: I Phone:
Mailing Address: ✓ ��"'���`�� `7%Ov~�
Physical Address:
Facility Contact: 6 ✓ ✓ Title:
Onsite Representative: _5'1= � Integrator:
Phone:
Certified Operator: lQ -r! Certification Number: '2 &e__5_37_ 5�
Back-up Operator: Certification Number:
Location of Farm: Latitude:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Wet Poultry
Layer
Design
Capacity
Current
Pop.
Design Current
Cattle Capacity Pap.
Da Cow
We to Feeder
Non -La er
Ell
Da' Calf
Feeder to Finish / Qp
-- v
DairyHeifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Dr, $oult >
Layers
Design
C►_a aci
Current
Pao -
D Cow
Non-Dairy
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Turke s
Turke Points
Other
Beef Brood Cow
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes © No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ® No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: - / Date of Ins ection:
Waste Collection & Treatment
,t 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 0 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):_
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Ea 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 8 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
[3 No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[Z 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
NJ 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 A/reaf
12. Crop Type(s):i't3tKdc�/OUG`3`0* �l��r��y�7/r"�- /J11~/�!`f `
13. Soil Type(s): C=j U !fit) /-D v
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [K No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? [:]Yes E No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 0 No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
® No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
® No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[:]Yes
® No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[—]Yes
allo
❑ 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
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ® N
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0 N
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
o ❑NA ❑NE
o ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ® No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes R( 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? ❑ Yes [A No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [Z No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
Co No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
[:]Yes
allo
❑ 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
® 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 [R No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes S 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.
Use drawings of facility to better explain situations,(use'additional pages. as necessary).
Reviewer/inspector Name:
Reviewer/Inspector Signatm
Phone-,
Date: --ji::�/ z
21412015
Page 3 of 3

--0 Division of Water Quality
Facility Number Q Division of Soil and Water Conservation
O Other Agency
lType of Visit 0-Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ReasonforVisit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: J % Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:Pi
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow, to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:(
Latitude: = e = { Longitude: = ° = ' 0
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population.
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes PTo ❑ NA ❑ NE
❑ Yes 2rNo
❑ NA
❑ NE
❑ Yes 0�Io
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes EfNo
❑ Yes (
❑ NA
❑ NE
❑ Yes 7No
❑ NA
❑ NE
12128104 Continued

I,,
e
Facili Number: 724 - Date of Ins ection:
Waste Collection & Treatment
4. 17 storaid'capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes P No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes [Z No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?:
r
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 L;I'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 ;�j No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes P No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application I
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 �JkNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 tbs. ❑ 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
E5'No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ETNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
ENo
❑ 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
-EnNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
J;3-No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
12-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 ❑'Rio
❑ 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 e No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 5ff No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3
21412014 Continued

Facili Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes z No ❑ NA ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ZNo ❑ 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 ff 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?
TT
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes �jj No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
T
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 E)^o
❑ 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 �lo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes T�ZrNo
❑ NA
❑ NE
Comments-{refer.to question##): Explain any YES answers and/or any additional recommendations or any other comments.
,....
_ s.,....
Use drawings'of facility.A better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature:
Date:
Page 3 of 3 121412015

type of Visit: Compliance Inspection 0 Operation Review Q Structure Evaluation p Technical Assistance
Reason for Visit: i2rifoutine Q Complaint O Follow-up Q Referral O Emergency Q Other O Denied Access
Date of Visit: Z Arrival Time: Departure Time: County:_'�Region
Farm Name: Owner Email: "`�
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone:
Onsite Representative: �T �fAW-2
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator: r _.
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Design Current
Capacity Pop.
I
Wet Poultry
I Layer
Design
Capacity
I
Current
Pop.
Design Current
C►attle Capacity Pop.
Dairy Cow
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
I
INon-Layer
I
Dairy Calf
ig Co
Dairy Heifer
Dg Cow
Non -Dairy
Beef Stocker
Dry P,oultr.
I Layers
Design
Ca aci
Current
Ro ,
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
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 ONo ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes jEfNo ❑ NA ❑ NE
❑ Yes ONO
❑ Yes ff No
❑ Yes aNO
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412014 Continued

Facili Number: 31 - 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes lo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.) T
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes J�J'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 �o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [2rNo ❑ 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 ZNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [;Kio ❑ NA ❑ NE
maintenance or improvement? T
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes AffNo ❑ 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 [2 No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes P'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes ,I No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes E2-No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ;2-No
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ,ENo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes j��do ❑ NA ❑ NE
the appropriate box. 7
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �lo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute inspections ❑ Monthly and l " Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes J�TNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [—J>o ❑ NA ❑ NE
Page 2 of 3 T 21412014 Continued

Facility Number: - Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes .E] No ❑ NA ❑ NE
25' Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E]"Ro ❑ 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 _[:I No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ,ZrNo ❑ 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 ❑ NA ❑ NE
❑ Yes _P�No ❑ NA ❑ NE
❑ Yes 5Vo ❑ NA ❑ NE
[:]Yes EfNo ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes X 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 [-LIDF6 ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additi©nal rec©mmendations:or,any;other." comments;,
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
N
G -'0d-
C% L-5 C�
1.411
MRIMIN."'AS
ieCorJS
I0,k 5ooS ,
Phone: qa f� / J_:q3
Date: p?
/6//5--
2/4/2014

Type of Visit: QrCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: g' Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: 'A * '1K County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Phone:
Integrator:
Phone:
Region: hbL
Certified Operator: 74We5 Ripk &2!m Certification Number: 2 55r
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Swine
Wean to Finish
Design Current
Capacity Pop.
Wet Po51try
Layer
I INon-Layer
Design
Capacity
I
Current
Pop.
Design Current
C•attie Capacity A.
Dairy Cow
Dairy Calf
Wean to Feeder
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
D , P,oultl.
Layers
Design
C•_aPUB
Current
P,o ,
Dry Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
OtherI
Other
Turke s
Turkey Poults
10ther
I
=
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 Ca'Jo ❑ NA ❑ NE
❑ Yes No
❑ Yes No
❑ Yes 4�fr No
❑ Yes fD"No
❑ Yes ;2 IN
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412011 Continued

lFa6lity 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 ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: i
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):_
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
O 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
Vj 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
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? 1f yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus D 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 Vf No DNA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes EfNo ❑ NA ❑ NE
acres determination?
IT Does the facility lack adequate acreage for land application?
❑ Yes
2T No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
2] No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
ZI 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 0 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 0 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 71 No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

1FAlfity Dumber: - Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Z No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ZNo ❑ 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 PI No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Vf No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
P No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
[—]Yes
V3 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
eNo
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
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.
Use drawings of facility to better explain situations (use additional pages as necessarv).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 0Q_52aL11
Date: 3' '�') 4
21412011

Type of i Vsit: O>7Routine
liance Inspection U Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Il d Departure Time: Uz�= County: ��J Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
Phone:
Title: Phone:
Onsite Representative: £E1Z Y r 6® Integrator:
Certified Operator:
Certification Number: S
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current Design Current
inepacity Pop. Wet Paultry Capacity Pop.Caop. Finish La er
Design Current
Dai Cow
Dai Calf
17FFed
Feeder
o Finish
Non -La er
Dai Heifer
o Wean
o Feeder
Farrow to Finish
Design Current
D , P,oultr. Ca aci_ Pao qBee
La ers
Non -La ers
Pullets
Teske s
Turke Poults
Other
Cow
on-Dai
fStocker
Gilts
eef Feeder
Boars
eef Brood Cow
Other.
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: _
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify 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 /No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page I of 3 21412011 Continued

FaciliNumber: Date of Ins ection:
Wfiste 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �j Y
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 �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 environment 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 allo ❑ 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 1 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
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ICJ o
❑ 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
ff y
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
Required Records & Documents
<No
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
C1
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
to
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design [] Maps [:]Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ 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

Facili Number: 211, -
24: Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes rNo ❑ 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 &jNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:)Yes E(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)
3 L 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
0 No
❑ NA
❑ NE
❑ Yes
2/No
❑ NA
❑ NE
[:]Yes
[Z/No
❑ NA
❑ NE
[:]Yes
WNo
❑ NA
❑ NE
❑ Yes
Ez�lo
❑ NA
❑ NE
Yes
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).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: A %
Date: Z
2/4/2011

Type of Visit: �,.�omApliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 6xoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Mijim Arrival Time: Departure Time: County: IN Region:
Farm Name: V OGK-IAI ►� �i4 i M S Owner Email:
41io-51Q-c44493CH�
Owner Name: a M E S r M� Phone: 910- 3 g s-,3 -t g 5[ h,>
Mailing Address: j�-L3 • Ji J J �^i AQ�Ef� S NC agvgq
Physical Address:
Facility Contact: Title: Phone:
J�
eey
Onsite Representative: 9c- � V 1i>C:3(Lc-- Integrator:
Certified Operator: '�4M � &A-y-E jMooeE Certification Number: IX �555
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design Current�JtCapadt
n Current
Design Current
Swine Capacity Pop.
t Pop.
Cattle Capacity Pap.
Wean to Finish
La er
Dairy Cow
Wean to Feeder
Non -La er I
Dairy Calf
Feeder to Finish LOUDairy
Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
D . P,oultr� C_a aci_ P,o ,
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pultets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
0 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 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
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facility Number: - 5 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 !!l❑���D No ❑ NA ❑ NE
Structure i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Lac--coiV
Spillway?:
Designed Freeboard (in): ,
Observed Freeboard (in): �tQ
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes V, 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 No ❑ NA ❑ NE
waste management or closure plan? A
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 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 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 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): ?Egg.tr y i it L[ ETT �C-�- 1 S G, Ce&&PZ- 104A1 SG _
13. Soil Type(s): iA5
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 ONO ❑ NA ❑ NE
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.
Q WUP ❑Checklists Q Design ❑ Maps ❑ Lease Agreements
❑ Yes 10 No
❑ Yes ONO
❑ Yes No
❑ Yes 9No
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 0 No
Q Waste Application Q Weekly Freeboard Q Waste Analysis Q Soil Analysis ❑ VXste Transfers
0 Rainfall [:]Stocking ❑ C# Yield 0120 Minute Inspections Q Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �4 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes (V No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Q Weather Code
0 Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3
21412011 Continued

Facility dumber: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes tf No ❑ NA ❑ NE
the appropriate box(es) below. �C
❑ 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 X No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [:]No )A 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?
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 the drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
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
�K`
❑ 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
KNo
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any otheir com.me'nts::'�., *.
Use drawings of facility to better explain situations (use additional pages as necessary).;
c4U(?'aAT)CW N---ti�t aC31
W A
1 y111 1 - Co
; UC �� rGo n� � f3 /�rC
c�o,L S�}n�pc.�s s�vr Qu �� � �tcuO� c�.�
mom sAMps N/qV& `SCE �r �_° P
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: J 16 051
Date: 3 f � k o�
21412011

a
t � Division of Water Quality
Facility Numbers ` O Division of Soil and Water Conservation
F
O Other Agency
Type of Visit ACompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: 4O Departure Time: County: TL Region:
Farm Name: �ZOGKaIU t"` Y_�QmS Owner Email:
rn S rG , �0_ggR3t
Owner Name: �A _ �pr_E 1 ' Phone:y SS-539,S64) _
Mailing Address: 1 �3 b t2 1R- -�-5 / +QU ` L/
Physical Address:
Facility Contact: (}�} Title:
Onsite Representative:
Certified Operator: _�$Anr)F_ r`r�1CF (�Oc�Q E
Phone No:
Integr tor:
Ope ator Certification Number:
Cass s
Back-up Operator: Back-up Certification Number:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Other
❑ Other
Latitude: [=]' =' [—] Longitude: [= o =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
,IJ I❑ La er
E] Non -La ei
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current,'::..;
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Co
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures: I
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes �No ❑ NA ❑ NE
❑ Yes ❑ No
❑ NA ❑ NE
❑ Yes ❑ No
❑ NA ❑ NE
❑ Yes ❑ No
❑ NA ❑ NE
❑ Yes *o
❑ NA ❑ NE
❑ Yes *No
❑ NA ❑ NE
12128104 Continued

Facility Number: 1 — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes IgNo ❑ 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: �AE cr_w
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [ No ElNA ❑ NE
(iel 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 IgNo ❑ 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 N No [:]NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA El
(Not applicable to roofed pits, dry stacks and/or wet stacks)
0
9. Does any part of the waste management system other than the waste structures require El Yes No ❑ NA ❑ NE
maintenance or improvement? ' \
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Ycs] No ❑ NA ❑ NE
maintenance/improvement?
1 L Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > t 0% or l0 lbs ❑ Totai Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift Application{ Outside of Area
12.
r�,❑
Crop types) ECZ-�A�- f ry pE �- 1d' i t LLC-'7 } a Gi
1jCQ-(—P)
13.
Soil type(s) C OLjSDAf
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
19 No
❑ NA ❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
N No
❑ NA ❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
14 No
❑ NA ❑ NE
18.
Is there a lack of properly operating waste application equipment?
❑ Yes
tNo
❑ NA ❑ NE
Comments (refer to question #): Explain an YES ansers and/or a y. w_ ny recommendat,ons or any other comments
Use drawings of facility to better'explain situations. (use additional�pages.as necessary) '
AL
Reviewer/Inspector Name
=-. Phone: 210 J&403.
Reviewer/Inspector Signature:
Date: o� `I
Page 2 of 3 12128104 Continued

Facility Number: -151 Date of Inspection
Reauired 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 ❑ Checklists [] Design El Maps El Other XEl
21. Does record keeping need improvement? If yes, check the appropriate box below. ElYes No ❑ NA ❑ NE
0 Waste Application ElWeekly Freeboard 0 Waste Analysis 0 Soil Analysis ❑Waste Transfersnual Certification
0 Rainfall ❑ Stocking ❑ Crop Yield El 120 Minute Inspections 0 Monthly and 1" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ic/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes
^p No
❑ NA
❑ NE
❑ Yes
D<No
❑ NA
❑ NE
❑ Yes
o
to
El NA
❑ NE
El Yes
❑ NA
ElNE
El,j..� Yes
LYl No
❑ NA
❑ NE
❑ Yes ❑ No [X NA ❑ NE
❑ Yes �No
❑ NA
❑ NE
❑ Yes _gNo
❑ NA
❑ NE
❑ Yes DO No
❑ NA
❑ NE
❑ Yes
RNo
❑ NA
❑ NE
❑ Yes
10 No
❑ NA
❑ NE
❑ Yes
ONo
❑ NA
❑ NE
Additio al Comments and/or Drawings:
of 1r/rJ - b
SIli 1/0 1.2-
Page 3 of 3 I2/28104

" Division of Water Qualtty�, ; - e
FFacili"ty
Number ��� i Q Dtvtsion of Sod and Water Conservati
Q OtherAger<cy .
IType of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit ,Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: rJ Arrival Time: ® Departure Time: County: L ! Region:
Farm Name: �/
< 1N I ' I'"ARm S Owner Email:
1qt0-54µ
3 .'j93
Owner Name: JOmss L KF Phone:
Mailing Address: ` . o . Sox 2' � 1-a t_L S _ 6 a-C-A/
Physical Address:
Facility Contact: _ Title:
Onsite Representative: � zeE� 4 A `� n zQ-(i�'z Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = & Longitude: = ° ❑ ,
:Current
-Swine - �Capactty`_ Populatign :.Wet Pitilt�
❑ Wean to Finish IMP —Layer
❑ Wean to Feeder ❑ Non -Layer
Feeder to Finish ]go
❑ Farrow to Wean "'"
�.Dry..Poulfr
nN ❑ Farrow to Feeder
❑ Farrow to Finish ❑ Layers
r-� ..,. ❑ Non -Laver
AIL Boars
El Turke
Other . : ❑ Turke
❑ Other ❑ Other
7'
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?
Cy ow
C�—
Heifer
Cow
Beef Stocker
Beef Feeder
Beef Brood C
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes �No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
No
[INA
❑ NE
ElYes
No
❑ NA
❑ NE
12128104 Continued

t
Facility Number: 5 j -S J Date of Inspection S 0
Waste Collection & 'Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 9No ❑ 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: odA1
Spillway?:
Designed Freeboard (in): M .
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes [�No El NA El 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 ElNE
(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 KNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below
❑ Yes 9No
❑ Yes ANO
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
El NA El NE
❑NA ONE
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
[:]Outside of Acceptable Crop Window ❑nEviidence of Wind Drift El Application Outside of Area
12. Crop type(s)�`-'1 �L�� X� 1 �P� �71tq t 7�T Q G QEgac M,"' ►1
13.
Soil type(s)L:�Si
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
o
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ YesT�No
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
12(No
❑ NA
❑ NE
l 8.
Is there a lack of properly operating waste application equipment?
❑ Yes
_D(No
❑ NA
❑ NE
Comments (refer to question°#): Explain aay"YES answers'anil/or any recomiiiendattons or.anv otlter_comments:s Y.F.' "
;.
Use drawings of facility to better explain situations (use:additional pages as necessary),
_. ,F . n ,e , �
7- LDwET V��, 'qLEC-0J
�r rd)vT4A76'►rL�
/G'4C ► uE - [-,(I CvCi aC]10 2a �XA1 '-j r—o,2l '
Reviewer/Inspector Name D� A� /N - -]Phone:
Reviewer/Inspector Signature:C'joj�Date:
12128104 Continued

v
Facility Number: j Date of Inspection I-?!�
Required Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
�j No
[]NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
XNo
El NA
El NE
the appropriate box. 0 WUP 0 Checklists El Design 0 Maps El Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
XNo
El NA
El NE
❑ Waste Application ❑ Weekly Freeboard 0 Waste Analysis ❑ Soil Analysis ElVYaste Transfersff, �\❑\ Xnual Certification
0 Rainfall ❑ Stocking ❑/op Yield 0 120 Minute Inspections 0 Monthly and V
Rain Inspections 0
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
gNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
0 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
'*o
❑ NA
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
✓✓✓✓✓✓❑ No
0NA
El NE
Other Issues
��,��,111111
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
4 No
❑ NA
ElNE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
El'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
P<No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
,(No
❑ NA
❑ NE
General Permit? (ief discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
WNo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
_04blop
❑ NA
❑ NE
Afddrtional'Commentsnd7or1] a rugs: �Y
w� n • i
l2/28/04

Type of Visit 0 Compliance Inspection operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outlne 0 Complaint Follow up Referral Emergency Other [I Denied Access
I)aleofNISH, Arrivai'rime: I - 1 0 Departure'rime: dam•. Cottntv: Region: 1 G
—cj-1 v
Farm Name: �'� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility- Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Harm:
Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: ❑o �❑u Longitude: a°
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
Wean to Feeder
eeder to Finish 1 NO 1 O
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ La er
❑ Non -Layer
Dry Poultry
Non-L
Pullets
Poults
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Capacity Population
❑ Dairy Cow
❑ Daig Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes No ❑ NA ❑ NE
❑ Yes No [I NA ❑ NE
12128104 Continued

Facility Number: 3 1— rl$f
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:
Spillway?:
Designed Freeboard (in): 2
Observed Freeboard (in): ,7
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 ❑ YesYNO
No
Structure 5
❑ NA ❑ NE
El NA El NE
Structure 6
❑ Yes o ❑ NA ❑ NE
❑ Yes X'W'O ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment 1 threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes o ❑ NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes 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
maintenance or improvement? ;(No El NA ❑ NE
Waste Auplication
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. ElYes
)(No
❑ NA
❑ NE
Excessive Ponding [IHydraulic Overload ElFrozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into
Bare Soil
f
❑ Outside of Acceptable Crop Window ❑ Evident f Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s) ara
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
X No
ElNA
ElNE
15. Does the receiving crop and/or land application site need improvement? ElYes
No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
0No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
No
❑ NA
❑ NE
Comments (refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situatiorm (use additional pages as necessary):
Reviewer/Inspector Name Phone: 6�/d'
Reviewer/Inspector Signature: Date: C7— - /t

Facility Number: 31 — ry51 Date of Inspection
Rewired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes yNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design!!! ��`
❑Maps ❑ Other -
21.
Does record keeping need improvement? If yes, check the appropriate box below.
El Yes
YNo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No
ElNA
ElNE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
ElYes
No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑Yes
1
❑ NA
El NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑Yes
1
El NA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes
No
El NA
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No
❑ NA
El NE
Otbrr Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
"���
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
(� No
❑ NA
❑ NE
❑ Yes
( No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
lNo
ElNA
ElNE
ElYes
❑ NA
❑ NE
Ff_FK.«1rA

Type of Visit Wcompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit WBoutine O Complaint Q Follow up O Referral O Emergency Q Other ❑ Denied Access
Date of Visit: 3ni� Arrival Time:
Departure Time: County: N Region:
Farm Name: _ K\-C�C_K I N ! "[L� fLM S Owner Email:
Owner Name: �{aMEs 1JLA�E ft)OGiZF x} Phone: 9/rC�-`�90-b18(�u� Qt?05�oi'4493�h�
Mailing Address: P• O • SOX 33 � V4PaeF_ -5 /►tom' D!RgqU
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator: _ I, ML5 . &A%CE gpp F
Back-up Operator:
Location of Farm:
Phone No:
Integrator-
Operator Certification Number: P&S-5s
Back-up Certification Number:
- Latitude: [= 0 0 g = Longitude: = ° = 6
Design Current
Swine Capacity Population
Design Current Design Current
Wet Poultry Capacity Population Cattle C►apacity Population
❑ Wean to Finish
❑ La er
❑ Dai Cow
❑ Wean to Feeder
❑ Non -La er
❑ DairyCalf
Feeder to Finish
jt3
❑ DairyHeifer
El Farrow to Wean
❑ Farrow to Feeder
DrJ Poultry ❑ D Cow
❑ La ers
❑Non -Dairy
❑ Beef Stocker
❑ Farrow to Finish
❑Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Points
❑Other INumlaer
❑ Beef Feeder
❑ Beef Brood Cowl
of Structures:
❑ Gilts
❑ Boars
Other
❑ Other
Dischar8es & 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 JkNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
1KNo
❑ NA
❑ NE
❑ Yes
§tNo
❑ NA
❑ NE
Page I of 3 12128104 Continued

Facility Nuitber: J —:?5 1 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: Cdarvw
Spillway?:
Designed Freeboard (in): 19.S
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
VLNo
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
t .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 b�No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes I§qNo ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes D No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑YesNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes KNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen,Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window
p ❑ Evidence of Wind D[riift ❑ Application Outside of Area %[}
12. Crop type(s) �-1� e P L-1Amew, a .: _ E (4,a q � �f �1U2.[- ! � , Lt.-F-7 r 0477WtEz � U •4'5n ea
13.
Soil type(s)S�Q�
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
;kNo
❑ NA-
-ONE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
gNo
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
KNo
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
❑ Yes
J��_
❑ NA
❑ NE
Comments (refer to quest�o�m#) �Expla�n anyYES�answers and/or any recommendations oranyotheracomments.
°Use di^awm �s;of f cilig ttenex lam ,situan::adonadsasnto tietiosuseiti ecessa rT) ,�
woRAc oA[ri_ j9i-FAQ ti wct& + NS • CO,Apt.f-r(-,L!� ��p�+� n iVr w
fLuSo TANKS+ I..ECr-ACLE c1N6S ` CV�'fNlACI GCLAM�
spa"- Goo l:�5
Reviewer/Inspector Name ' S Phone: q16 �
Reviewer/Inspector Signature: Date: S1 %� Q
Page 2 of 3 12128104 Continued

Facility Number: 3Sf Date of Inspection
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 appropirate box. Q WUP ❑ Checklists ❑ Desig
n gn ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes X'04No [INA ❑ NE
0 Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ElSoil Analysis ❑/aste Transfers❑nual Certification
Rainfall El Stocking El Crop Yield ❑ 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
X No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
O No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
0 No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
XNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
XNA
ElNE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
0No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
56No
❑ 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
0,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
9No
❑ 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
0No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
[INo
❑ NA
❑ NE
Additional Comments,<andlor Drawings:'.`
Page 3 of 3 12128104

Facility Number
0 Division of Water Quality
O Division of Soil and Water Conservation
O Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other [I Denied Access
Date of Visit: I SNEEArrival Time: jQ Departure Time: County: U/V Region:
Farm Name:
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator: Rms--s zaN G
Back-up Operator:
Location of Farm:
Latitude: I--] o
Phone No:
Integrator• Operator Certification Number: rr95S
Back-up Certification Number:
« Longitude: [� ° = 0
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
❑ Wean to Feeder
® Feeder to Finish J.Q 100 1O
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
Other
❑ Other - -
❑ La er
❑ Non -La ei
Dry Poultry
❑
La ers
❑
Non -Layers
❑
Pullets
❑
Turke s
❑
Turkey Poults
❑
Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Capacity Population.
❑ DaiCL Cow
❑ Dairy Calf
❑ Dai Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 1� No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
NNo
❑ NA
❑ NE
❑ Yes
�rNo
❑ NA
❑ NE
12128104 Continued

Facilify 1Gumber: Date of Inspection 1Z%
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes t�No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structure t Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:�DOJirr
Spillway?:
Q
Designed Freeboard (in): 1 1. S
Observed Freeboard (in): eg y
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes 14 No ❑ NA ❑ NE
(iel large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes �i 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 04 No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes RTNo ❑ 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 rR No ElNA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
0 No
❑ NA ❑ NE
maintenance/improvement?
11.
Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
qNo
❑ 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 Cl Evidence of Wind Drift ❑ Application Outside of Area
12.
Crop type(s)
13.
Soil type(s)
14.
Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
RNo
❑ NA ❑ NE
15.
Does the receiving crop and/or land application site need improvement? El Yes
�No
❑ NA ❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
J�No
❑ NA ❑ NE
17.
Does the facility lack adequate acreage for land application? ❑ Yes
L"No
❑ NA ❑ NE
18.
Is there a lack of properly operating waste application equipment? ❑ Yes
Da -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):
AL
I
rr11 :
Reviewer/Inspector Name Phone: Q {J S0
Reviewer/Inspector Signature: Date: L]
12128104 Continued

1'... -�
Facility Number: Date of Inspection y a
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. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
ElYes
INo
❑ NA
❑ NE
❑ Yes
KNo
❑ NA
❑ NE
❑ Yes
VNo
❑ NA
❑ NE
❑ Yes
RfNo
❑ NA
❑ NE
❑ Yes
D No
❑ NA
❑ NE
❑ Yes
No
4NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
�No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
El Yes
No
El NA
El NE
Page 3 of 3 12128104

ODivision of Water Quality
Facility Number 0 Division of Soil and Water Conservation
O Other Agency
Type of Visit Q'Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit/6Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Z Arrival Time: II G Departure Time: 'County: Region: 'O
Farm Name: o a M Owner Email:
Owner Name: r-1 A Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:�J"�cei� _
Certified - rra" ttSFcs ��9 >f: F _ _ Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Latitude: = o
Back-up Certification Number:
= « Longitude: = 0 0 4 r1 AS
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
❑ Non -La et
❑ Wean to Finish
❑ Wean to Feeder
Feeder to Finish
Q 0
1Z
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other _
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure . ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cowl
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures:
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No
[--]'NA
❑ NE
❑ Yes ❑ No
❑ NA
[IN E
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

Facility Number:, s 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? El Yes ❑ No ❑ NA ❑ NE
S ture 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 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 X No ElNA [INE
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 IQ 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? X'.
11. Is there evidence of incorrect application? If yes, check the appropriate box below, ❑ Yes X
NoElNA ElNE
ElExcessive Ponding ❑ Hydraulic Overload ElFrozen 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 ❑ Evidence of Wind Dri ❑ Application
Out ' e of Ar a
12. Crop type(s) �l�Q/!'%!� xLT Z `� "�/ l O
zw�
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes No
El NA
El NE
15. Does the receiving crop and/or land application site need improvement?
El Yes �o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[:] Yes No
El NA
El NE
17. Does the facility lack adequate acreage for land application?
❑ Ye No
El NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
El Yes jNo
❑ 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):
'GzC�+-izan�S Cr%✓ �4��e2//Scur��e�
Reviewer/Inspector Name Phone: Jz�
Reviewer/Inspector Signature: Date:
12128104 Continued

Facility Number: b Date of Inspection 15 2l/A�LJ
Required Records & Documents T
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 Y
No ElNA ElNE
the appropiEl❑ Design ❑Maps ❑Otherate box. ❑ WUp Checklists
21.
Does record keeping need improvement? If yes, check the appropriate box below.
No
❑ Yes X
❑ NA
ElNE
ElWaste Application ElWeekly Freeboard ElWaste Analysis ElSoil Analysis ElWaste Transfers' Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
No
❑ Yes /ff
❑ NA
ElNE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El Yes 1
Cl NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
El No
El NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
Yes No
[I NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes �No
❑ NA
[I 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
/Z
ElNA
ElNE
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 o
❑ 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? (iel discharge, freeboard problems, over application)
32.
33.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Does facility require a follow-up visit by same agency?
o
❑ Yes X�N
❑ Yeso
El NA
❑ NA
❑ NE
❑ NE
Comments and/or Drawings:
12128104

Facility Number
K
Division of Water Quality
Division of Soil and Water Conservation
O Other Agency
Type of Visit 9rCompliance Inspection 0 Operation Review 0 structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: O Arrival Time: 3a Departure Time: County: �P Region: Zlel�;OQ
Farm Name: /'7 ��fl���l /!/ �./Yts _ Owner Email:
Owner Name: z_ /' �Of>ll.� _ Phone:
Mailing Address:
Physical Address:
Facility Contact: M Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Integrator: ZRa LCJiy
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = I = Longitude: = ° = 6
Design Current Design Current'Design Curren
_ U ..
Swine, Capacity Population Wet Poultry Capacity Population Cattle ''Capacity populAH6641
❑ Wean to Finish
i ❑ Layer
❑ Wean to Feeder
10 Non -Layer
Feeder to Finish
Dry Poultry
El Farrow to Wean
❑ Farrow to Feeder
❑ Layers
❑ Farrow to Finish
ElBoars '
— —
-'Other'
❑ Other — — --- --
El Non -Layers
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Coyd
Number of Structures ;fZ1i
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 No ❑ NA ❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes []No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes fNo
❑ Yes �No
❑ NA
El NE
ElYeNo
❑ NA
❑ NE
12128104
Continued

r •t
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?
El NA [3 NE
❑NA [I NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �f%p
❑ Yes [No
❑ Yes ❑ No
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes XNo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes XNo ❑ 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? ❑ YesNo ❑ 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 No [-I NA El NE
maintenance or improvement?
Waste ADDlication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes P No El NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ YeXNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or ] 0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑lEvidence of Wind Drift [IApplication Outside
/lo'fArea
5-a
12. Crop type(s) �C/ /1lUD� f �Zf 1 1 ©vi2-5�_F�17� e&214.fi g 6,9-T
13. Soil type(s) 60
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No [I NA El NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [ o ❑ NA ❑ NE
11
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes No El NA El NE
17. Does the facility lack adequate acreage for land application? El Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes RNo ❑ NA ❑ NE
Comments (refer to question #f): 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):
o �Drcl ,jornG
������
Reviewer/Inspector Name ����5����,�Q�� � Phone:
Reviewer/Inspector Signature: Date: $
Page 2 of 3 12128104 Continued

Facility Number: — Date of Inspection
Reauired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists El Design El Maps El Other
❑ Yes No ❑ NA ❑ NE
❑ Yes )zNo ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �9 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes 2fNo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[--]No
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
ONo
JVNA
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
PNo
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
)21No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No XNA ❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes z No
ElNA
ElNE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
ElYes 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
ElNA
ElNE
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 ReviewerAnspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
IgNo
❑ Yes XNo
❑ NA
❑ NE
Additional Comments and/or Drawings:
2-1) A�6440
A/ G
Page 3 of 3 12128104

c
IType of Visit ()Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit Q Routine O Complaint 0 Follow up 0 Referral O Emergency 0 Other ❑ Denied Access Ij
Date of Visit: Arrival Time: ?✓ Departure Time: County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: C
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
❑ Wean to Finish
❑ Wean to Feeder
Feeder to Finish
Z4DU
I t oo
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other _..
Phone:
Phone No:
Integrator:
Operator Certification Number:
Region:
Back-up Certification Number:
Latitude: = o = ' = is Longitude: 0 0 = i 0 is
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -Layer
Dry Poultry
Non-L
Pullets
Ulurkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes [No ❑ NA ❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ NA
El NE
❑ Yes ❑ o
El YesWNo
El NA
❑ NE
❑ Yes o
❑ NA
❑ NE
12128104 Continued

IL
i'
Facility Number: — 7SJ
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?
Structu e I Structure 2 Structure 3
Identifier: t4 Goa 1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ;-,j
Structure 4
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA [INE
(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 puhlic health or environmental tthh at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes VNq
ElNA ElNE
8. Do any of the stuctures lack adequate markets as required by the permit? ❑ Yes❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
4. 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 ONo NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Hare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Appli)cation Outside of Area
12. Crop type(s) GWS G SGd �•�CoN
13. Soil type(s) to S t3 a
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
L{ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
lzl No
❑ NA
❑ NE
�No
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination: ❑ Yes
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
ElYes
el
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�J No
❑ NA
❑ NE
(pAtJD (24-C"an.03 LA It— 600D,
134 ar, Dec& rJ � Cb6A ,(L0__r4 &V
Reviiewer/Inspeetor Name li�% 5 Phone: �1'1� �"f 6 7 0� s
Reviewerllnspector Signature: Date: /'. L, o `
12128104 Continued

Ay
Facility Number: ' — Date of Inspection I o
Required Records & Documents �,/
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes El NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes /No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections Weather Code
22. Did the facility fail to install and maintain a rain gauge? El Yes7NO
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes FNA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? El El No❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? El Yes El El NE
26. Did the facility fail to have an actively certified operator in charge? El Yes No 2NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ElYes ElNo ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes N ❑ 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 kNo 0
NA [-INE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes N ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes No ❑ NA ❑ NE
Addtho Comments and/o"r Drawings
s
12128104

13 Permitted 0 Hp
[] C(�ondiitionally Certified 13 Registered Date Last Operated or Above Threshold: ......... ............_..
Farm Name: ...... tl?REL........1✓..7......flf1-111.._.......... County: ...v.N ..W........ .. ...W ...».....
OwnerName:.._...................................................................................................... Phone No: .... .............. ....... ........... ........ ..................... ... ..............
Mailing Address:
Facility Contact: .............................................................................. Title:....... _ Phone No:
OnsiteRepresentative:.... . ....rA-..................................................Integrator:......f3fLnW .....F...................... i1R�4�T.... ........
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ I•Iorse Latitude ' ` " Longitude ' ° «
$tying
� . - ' Curirent Design Current `w - �Cnrrent
=
Dmgn
- r
ty ;Populaboni ".'l?oWtrj', _-.-Caoacity i'opf"fon, TCattle Cape«ty Population
Wean to Feeder
JZ Feeder to Finish
El Farrow to Wean
El Farrow to Feeder
Farrow to Finish
Gilts
Boars
Discharges & Stream Imparts
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 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?
❑ Yes PNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes Al�vo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 0 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: ................
Freeboard (inches): 2
12112103 Continued

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 application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type 13ERMilJiN Cry rffMr1 CS
❑ Yes ONO
❑ Yes JZINo
jrYes ❑ No
❑ Yes [R'No
❑ Yes ^O
❑ Yes ONO
❑ Yes 16No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes C;�'ko
14. a) Does the facility lack adequate acreage for land application? ❑ Yes Pio
b) Does the facility need a wettable acre determination? ❑ Yes J"No
c) This facility is pended for a wettable acre determination? ❑ Yes ;; No
15. Does the receiving crop need improvement? ❑ Yes ONO
16, Is there a lack of adequate waste application equipment? ❑ Yes'WNo
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [-]Yes ;;jrNo
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ONO
19. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ;;M
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 J AM
Air Quality representative immediately.
., �,
:Comments (refer to quesiian.#)Eaplam any YES aasyvers andfor any i=ecomm_endabons oranyiother comments:
:Use drawrngs,of facshty to betterexpiam situatzo s (use additaonal es as necessary): Co
TES El Field ❑ Notes
w
7 } SACK -STYE OF LA oaW W Ri -4- s N 64 D Ta BE W►&TtJrAr/0 E0 ,
bJ(TTA4Lr. AcrIcs D&JE
'ri-ELZ. S 2 J- 3 1> ganwip PAP.r oc �'Aqt r^ Now e 6a
�Ecm2,�S Atu � �C
Reviewer/InspectorNamep1.1�.}�{,
.,- ;Fr
Reviewer/Inspector Signature: Date: 31
12112103 Continued

`, Facility Number: 31 — SI Date of Inspection 131 it 10
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ONO
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ONO
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ;2rNo
❑ 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 ONO
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes J_Z" 'INo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ONO
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes O No
28. Does facility require a follow-up visit by same agency? ❑ Yes �KNo
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes fflNo
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes R(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

Facility Number hate of visit: dZ- Time:rO %
31
Not Operational 0 Below Threshold
©Permitted 0 Certtified 0 Conditionally Certified ©Registered Date Last Operated or Above Threshold:
Farm Name:-��rvC�i F� County:
X-"' 131.�c+�
Owner Name: or r ve r q �f Phone No:
Mailing Address:
Facility Contact: -� Title: Phone No:
Onsite Representative: ✓ "�"� Moo V P I ntegrator: KY0w It .s d f �a ✓ o l + ��
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' �• oK Longitude • 1
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation?
❑Yes Z'No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If ves, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes 2f4o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes _0No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes--dNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: I
Freeboard (inches): 2-8
05103101 Continued

a
t Facility Number: 31 — 751
Date of Inspection O d Z
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 -ffNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes 12'Flo
11. Is there evidence of over application?? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes J7Jo
12. Crop type 5e e ^^ u4r, l' r'Gr e GYM ZC', Fesc,
--
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes _2'f'10
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 -,PTNo
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 �TNo
19. Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports) [I Yes -JR]"No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes -,ZfNo
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 Jallo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes eNo
24. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? Yes ❑ No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Coinients{refer#o_ uestzaii -
q .E plau apy YES answers andlor,aAy recommenons or any ather:commenti
� w
Uie drawings of racihty to bet#er eiplam sifuattoas: (use addttwaal pages;as necessary) ❑Field Conv [] Final Notes
� 4 rj reey e ler-rL eke q �'?O e i4w-f S'Ax r The Z}Cre5
4rid yw4r;v14 fbim ma4ck a,,o r,1
Ae proCFSS ae 6e>,� wok-ert -e oli ld oraoh be co m p f-e,1i=d .
�S• A nek/ levtse a eeer,ei� it "eed4d 4.- N Wields z coKd 3
1TfaC-�
nd T,oL (_4 13 �.eld 6; 4be oU QyrPPWICyjT eXp)I^Ep� l Z/3l/aD .
r
Reviewer/Inspector Name one
Reviewer/Inspector Signature: Date: S O Z
05103101 Continued

41
Facility \umber: Date of Inspection 20 lSZ
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
24. 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 _j2rNo
❑ Yes -ffNo
❑ Yes 10No
❑ Yes Z�No
❑ Yes —8'NO
❑ Yes ❑ No
Additional Comments and/or'Drawings:,
19. -P1e4s.e nz4e 4 4 e GarreG� lea)"a'I Gr0/-? 0`7 4Ae so;1 ,fa��Je
sv�7rl�ss►'or,. .1-� air .�1i�-� �f•N,:,dg Lvaf �,;s�cd GIJ �P
e rer. . -ale -(e56 Liz el"; eld f omo.3� oerl-� �o:l sa•�,�le
,repo i� .
-PJO&4SP 1'),olk -40
0li a 9 feat 4e► - level e ir r'- fe bo4''Of 05
1a-n
ca � �r-� �'a� a11pt../ 1� a � c,v��,�ce w�'�l, -�� w^sfe p
15. Theee appears 41 be e e A S)" utH 1-4e a�
�e5cue ;v) �v A'elr des)'yYia4ed >�ey �erGt/c . se¢,�,t 7 Y)L'
4h.5 �^;e 1d is V�Qble 7D ma,.t�� D 4 Q1-r6 , ,P
�r o eti' o *, b�f, .s kIMS
) `1 �
ee d s 4,o be eve %va)e d b, q
a b.1 �"� �o s vjopar AeS-6 ve . 1V s de f cd
;s sv �'�xb1� -�t,cn 4�,e Aeld need S �d ✓e�ee�ed w►��t �es�vt
� Lv4 n LO `'! 7 4 s Gt ►'?pit 411 e Ae, s e v e Needs -�o
!
S 4 �1 Shed Q� d y�r," i�c, n ed . �� a ��'�c rtrl C.�d� ,s
�'la°Gessa�7 a not can
added -)-,O f 4D 1i z4A.'
lam -j�,en '4 skeO4 b, added -)d P14-n '"A aC�;ons - r�en
VO
�], ,�r; a�s� 1'oN►�c,- ✓'ceS G�-•G� 4AC., woody
6e �'emDve?�j 1� oon � ban��'�t e►t� �� �1,e loe
s y
Ws- ;.r es fec,'g-,i ritn&I �e 7�4e &ek D,4 411c layo6h .
r!ISD) 9,-Asj Lo.ie✓ Simi,ld �--es�,rf e,n illey-?b-,xkrrnPrq geeevs,
/"r, / c,&,rdr says ^9e�� is vsvcd/ j fhr1bbe e in Goole,- .�
/Vo}e;: ✓707ted obavet 4bte
61 c df nr. , Q nd lee-o Q re h/eI Iv?

Facility Number
`c3 ! Date of Visit: —O t Time:
Q Not O erational Q Below Threshold
,Permitted [3Certified [3 Conditionally Certified [3Registered Date Last Operated or Above Threshold: --------
Farm Name: County: .... .„................ „...„........
OwnerName: ................................................... ........................................................................ Phone No:.................„.............................„............„..................
FacilityContact: .............................................................................. Title:................................................................ Phone No:
Mailing Address:
Onsite Representative:... "SA—ls..... ......................................................... Integrator .. :L'
Certified Operator: ...... Operator Certification Number:.,„
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �� �� �« Longitude
Design , ..:Current'.
ie..._' Capacity Pnnulation
❑ Wean to Feeder
Feeder to Finish
iuo
❑ Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
❑ Boars
Design .Current ;, Desigri- -1
Poultry' Ca ac Po iilladoin Cattle
.. ❑Layer ❑Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW C
N
�.���� -
'.� ,..< ❑Subsurface Drains Present 110LagoonArea . ❑Spray Field Area
Holduig Ponds /Solid Traps ❑ No Liquid Waste Management System j
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes kNo
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 gallmin?
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 ZNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes O(No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes N No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................................................... .................................... ........................... ........
................................................................. ..........
Freeboard (inches): 3 L
5100 Continued on hack

Facility Number: t �- !� Date of Inspection r�
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal
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?
aste Management Plan (CAWMP)?
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/ irrigat n, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable ack criteria in effect at the time of design?
21. Did the facility fail to have a actively certified o rator 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?
9- . iolaji¢t!js"or. dgficjenc{e wire potted• 046hg thjs'vjsit; • Yojt w j•tre0iye 4o u t gr
coriespondence abaat this visit.
r..tti questic►n #):' . Eirplain any=YES answers: an or any recomn
❑ Yes
[, (No
❑ Yes
[�(No
❑ Yes
bNo
,ryes
❑ Yes
WNo
❑ Yes
gNo
❑ Yes
9 No
❑ Yes KNo
❑ Yes ONo
X Yes ❑ No
❑ Yes ❑ No
JR(Yes ❑ No
❑ Yes 9No
❑ Yes WNo
❑ Yes XNo
Yes ❑ No
❑ Yes ONo
Yes ❑ No
❑ Yes eNo
❑ Yes M No
❑ Yes ONo
❑ Yes IM No
ILO CA- LAX-�Q k.4� c `Aft A�� Ly ZOL-k.
lsi Kpe4 j% �N\\ 0. �_\ Q%. e'4. �cg' jt �
j 1 !�;y
Reviewer/Inspector Name, t a
Reviewer/Inspector Signature: Date: �'01" ��/^�� ` 5/00

k-
Facility Number- Date of liLspection
Odor Issues t'-
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
IS 0
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
N0
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
o
rN
31.
Do the animals feed storage bins fail to have appropriate cover?
ElYeso
32.
Do the flush tanks lack a submerged fill pipe or a permanenVtemporary cover?
❑ Yes
PNo
itiona , -omments an or' raw�ngs:
,..,.. .... -- �... � .. .'
lam. L.� +��2►'�Q� � �� C ��S s1�
�Q its
--- Ngd Ste\
CSC Q; 5�
S� t\'SW 'LAIJL"
w

Drvision of Water Quality
0,Dh isinn of Soil and Water Conservation
O Other Agency
r _
Type of Visit OCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit WRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: I
sr
A Permitted [3 Certified 0 Conditionally Certified 13 Registered
Farm Name: f�6.rvell gk
............•.......................1......................................
OwnerName:...........��D.. ..... r4r -nf .......................................................... .......... .............
FacilityContact: .............................................................................. Title:.................
Mailing Address:..._.
l2 / A5 Time: �s - Printed on: 10/26/2000
0 Not Operational O Below Threshold
Date Last Operated or Above Threshold: .........................
County:....!+ 1........................................................
Phone No:
Phone No:........
Onsite Representative:. U..!.�''.Vny...t.'L.d.�..r . .............. . Integrator:.46"6 Jn.3....`iu' ... e4v'6 n .................
Certified Operator:
Location of Farm:
Operator Certification Number:
AL
_ I'r
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 ��°� Longitude �' �� �44
Design Current
Swine Capacity PODulation
❑ Wean to Feeder
eeder to Finish
Bd
❑ 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 1 Subsurface Drains Present 110 Lagoon Area JUSPray 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 -jjdNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes V No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes E'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 XNo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes $1 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? []Yes J'No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes )9 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................................................................
..... ................................... .................................... .................................... ....................................
Freeboard (inches):
5100 Continued on back

Facility Number: 3 j 95 Date of Inspection (# 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?
❑ Yes
B 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?
19Yes
❑ 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
NfNo
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 germydA 05rg6e &oZe , 3 'e-S&ita 6ea to Cp- pry
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
0 No
16, Is there a lack of adequate waste application equipment?
❑ Yes
fig No
Required 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
OrNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
-OYes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
ja No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
jil No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
,g
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
ONo
Ko.yii►lafi96s;ei- deficiencies were p6tea• d&irid this;visit; • Y;otl 'Will -f-eceiye Rio further
icoriesporidence: about this :visit.
Comments (refer to question #): Explain any -YES -answers and/or any recommendations or: any other canimeats..r_
Use drawings
uoffa��cilityto better expllaainsituations.1use additional pages as necessary):, f'
(• 1ir1v��'`�Wt W�s G p%d41rceS ArOr%o% qg4&N �►'�s�i�kME/!� and L-jo✓/c Ao
grdls COVty- ph e"4:fL Pyraftkme, n4.
. ► 194 trf PWfA fe4T Qh hpk<er.
i U.tc a AP%QIy sjr e44)M LV;Jh;.1,j 60 dt_4 r.veotpp1,'cA�'o�, ar
1,�tllr�-�Pos1S ah tf tr�c�� tend - �r. L-,.^ �a.�►�jas
eve ry 3 V01,0 ' . nn �.s4e avia11si s -Frog 7/zo;l is u-90 on 4 e
SU+* MCVI M� ��/��'ZiJ� LG4ylTrrlVei{� —
Reviewer/Inspector Name et'ftll 01444
Reviewer/Inspector Signature: Date: 5100

Facikity Number: Tl -- J7SJ I Date of Inspection Printed on: 7/21/2000
. Odom issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge At/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building 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?
k
M-Yes ❑ No
r
❑ Yes JWNo
❑ Yes X No
❑ Yes XNo
❑ Yes Wo
❑ Yes S'No
ETYes ❑ No
Additional Comments and/orDrawings;
re.sc vk? 4 e 37CC-Z's add Ao , 9 a tare t 4P76/ wk le
{,Ax4e ShIW1 14aG{LSD TIie,C-Z's SA,*L41, A.lr"ee i.✓�4A way-4e
f l,A1I . Ure 41-,e proper 17e);�,.;.,�
e h -R-0 :roe- zi-r e/"ele e'ence WA ST&
a�a��SiJ iS ►1te.4ed do n4 �!rfay ¢h rye av�r.se� gn�rtare
l 1G�-
WA- e q" y r r .s ; f try C2 t �!e - Lr 6e) p ro f ew
Gfo1P o&i Ss;1 saMrle tvher /Dih5 sar'I 4es4 svyl ►"P,
e _ 4f, -1 � � at��rt�;� fo sor? 4S�' reCOP,.-,�r�ifrt
s/00

Facility Number Date of Inspection 2 OO
Time of Inspection $3 24 hr. (hh:mm)
0 Permitted © Certified E3 Conditionally Certified 0 Registered 113 Not O erational I Date Last Operated:
Farm Name: q Y' C i Oct - U h ...I ..................
........ ........................................................................... County...-.........�..l .--.....-...........-..............
Owner Name: J--b K 'FG''-^-%r
Facility Contact: ......................................-........................................Title:
MailingAddress: .....................................................................................................................
Onsite Representative: �`o a fir°
Certified Operator:-.-...................................................
Location of Farm:
Phone No:
Phone No:
.................................................................................. ..........................
Integrator: , R rows?. � r �7:......L°±rJ .hS........
Operator Certification Number:
Latitude `` Longitude • 4 4z
Design Current Design Current Design Current
Swine - Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer I 1 ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder I[] Other
[:]Farrow to Finish �: -_ Total Design Capacity
❑ Gilts
❑ Boars - _ . Total SSLW
>_ �Nunibet .of Lagoons { ❑Subsurface Drains Present ❑ La- Area ❑ Spray Field Area
Holding Ponds / SoIid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Dlsehar-C 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 die estimated flow in aalhnin?
d. Docs discharge bypass a lagoon system.? (If yes, notify DWQ)
J►
T
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge from any pan of the operation'? ❑ Yes ❑ No
3. Were there anv 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 S No
Structure I Structurc 3 Structure 3 Structure 4 Strticturt 5 Structure 6
Identifier: 1
Freeboard(inches): .........Z. '3........... ............................................................................................................................................ ..................................
5. Are there any immediate threats to the integrity of any of the structures observed' (ie/ trees, se%ere erosion, []Yes ❑ No
Seepage. C!' .1
3/23/99 Continued im back

Facility Number: 3 l — r]`j Date of Inspection
;. -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 maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ® Excessive Ponding ❑ PAN
12. 'Crop type
13. Do the receiving crops differ 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 Coverave & 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?
(ic/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0' No •yiolations'oi- deficiencies -were pq(ed• during 4bis'visit. • Yoi.t witl -receive Rio: �urtitetr
corres otidence abOuf this visit
❑ Yes ❑ No
❑ Yes []No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Er 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 jX No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question 1#): -Explain a'ny YES answers and/or any recommendations or any other catnments
Use drawings of facilityto better esplain situations_ (use additional pages as necessary): z
w' P 40 a Prv&- o C 4 LX
7 r� S c � � o t1 G O►'l v [: G� j rl rG S O � SL
01. Eieees. Par<d,ti) a6.sceVoet �'-1 {GJGVe F,clet a4 S-J-a+e Road r'esul*M
runoff O.C. t%14q-j e_ 46'✓or+ ecdiaGc+i-t 6o4X4-dq'1 , 0VeY ctppt;ca}co),� rcro)4ed
-4 -40y%A Ga+tiSe av+ive ej�v t 1G4 � +ians Pc,^Forvhco� %'cit'1. e4.�'e.a 40 16wce- -file
(c,50e,K level •-Fre>� j��v►;,\e-hcan) eb CurfeV1 23
Ot"Iey-} [llrcc, i'+'tG4-e pvallide ot bae,ev( CuI4;o-n ForI^cS�aGklr O�
L1ae)S. T1.e F'aGt):�� 1vc,� be; �r� re.r¢acke-4 w ,+I , t,a ys G! !1f �n� -�LtG J
ins e(rT�o+1. Adv;jea(, -floe oos;4-e r'epre.xen404,ve 4k,,+4ke exe,ess,vC �o►1d.�)
i,,a ir4eperr:,r}e an,(4kq-1- Spry;�� s-Le Jd reiiSG 0*14 1 mare Aw,, t�1e cond;jjahs jjOWej,1
Reviewer/Inspector Name
Reviewer/Inspector Signature: �j /Aa Date: L' S-00
3/23/99

Facility Number Date of Visit 2/4/2000 Printed on: 4/5/2000
p Not Oprr—ationalp Below Threshold
0 Permitted a Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: .........................
Farm Name: Marx,ell..Bay..Earm.................. .. County: Junpun.........................................-----.. W..II1O........
OwnerName: ................................................... J&K.FArm ............................................. Phone No: 9111:532=4.T29..........................................................
FacilityContact: ...............................................................................Title:............................................................... Phone No:
MailingAddress: F.0.33ax.1................................................................................................ Harrells..NlC.......................................................... 28.44.4 ..............
Onsite Representative: A mmy3ftore............................................................................ Integrator: Bxovva'.s.,a[.Caralin a...........................................
Certified Operator: Nathaa.Hank..................... Gad ..................................................... Operator Certification Number: l8745.............................
Location of Farm:
N Swine 13 Poultry p Cattle p Horse Latitude ®• ®4 ©u Longitude ®• ®4 ©u
Design Current Destgtturrent'=�De�sign• ` Current
Swine C pac�ty Pnpulat�on PouItr3'� "" Capacity Population Cattle Cap3tc Po ulatton
prY
N ,.
p Wean to Feeder pLayerI Ip airy
m:
®Feeder to Finish
MIE3 Non -Layer
1
jbI[3
on- auy
p Farrow to W ean
v -
p Farrow to Feeder
Other —
z esignF. 2100
o Farrow to Finish
❑Gilts
p Boars
_
To txISSLW 283,500
...
�W
Number of Lagoons ,, p u sur ace rains resen agoon rea p pray ie rea
Holdttig Ponds % Solid, Traps o �qm as a -Managementys em
-
Lisenarges az nrream tmpacrs
1. Is any discharge observed from any part of the operation?
Discharge originated at: p Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made?
p Yes p No
p Yes p No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) 0 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) p Yes p No
2. Is there evidence of past discharge from any part of the operation? p Yes p No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? 13 Yes p No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway, p Yes ® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ....I.......................................................................................------------...........................-----............................
................................................. .
Freeboard (inches): ...............21...............

Number: 31_751 Date of Inspection ® Printed on: 4/5/2000
aci of
,o
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
0 Yes
p No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
p Yes
p 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
p 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?
p Yes
p No
Waste Application
10. Are there any buffers that need maintenance/improvement?
p Yes
p No
11. Is there evidence of over application? N Excessive Ponding p PAN
M Yes
p No
12. Crop type
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?
p Yes
p No
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
p No
15. Does the receiving crop need improvement?
p Yes
p No
16. Is there a lack of adequate waste application equipment?
p 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
p 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
0 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
N No
24. Does facility require a follow-up visit by same agency?
p Yes
rl No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
Li • No.viotations,or �Irficiencxes•were »oted.during.this visit. .Yoa-will veeeive n6 farther.'
- .CkT6066deaci abouf this :visit: •:.....................::..:::.:::: :
:cessive,
1(twenl
aspectid.
Reviewer/Inspector Name
S/zz5aa

9
1?1
LAGOON FREEBOARD AND AVAILABLE STORAGE CAPACITY LOG
Permit number: Farm name:
Owner: Number of lagoons at facility:
Operator in Responsible Charge: Certificate Number:
If more than one lagoon at this facilty, please describe in words or by drawing, which lagoon is identified as
lagoon number 1, lagoons number 2, etc, and note (astenk *) which lagoons, it any, have designed spillways.
necora ireeaoaru plus avaname storage capacity in rect.
� .`
�. 1 -
�_ Ems:-•.:
J -
'` _;`
V -�
`
'1:
: :So. a,
^"Y.L.��r
-�.Llii.!}:1 La,•�P-�
{ _
-.r...
1'
e
L a -i .Y'
- -
,+{? - ',f'�l.p •'[
f
`_ -,.
r �..-!5 {_•._��'^J
-cY Y-M �.•�
53.v. r, n
:S'-�si'd 7.• }*
.S4 ,y x °-�
.1�Y �"Y�i+if-'y
! �T _
CY'
�" rPL'.
--4.?.i
L4 LbRl
- _ASS'?
b�•-
j';�w-.
1�`:t J�LH'
! P
=fy`•--
rL• �4. �'. _ 'n a:�•.
-
p���' f
i
� u
r-_._s..F,�
sY.:'+4 f
_ •i5. r. �-1r1�'.`S
p ti�,l�.
�"'�. .in'a"
f.a —..r
- £ �
! - - ., --
z � .°�
Y� ♦t y..
�h�
$s„,.G�
rs4- - �- zip-
_ � � :� a
9k.. b,
1 F:i' �
•C A'L i,
r'.'�
w3 �S, sF
is +- � ,•'•s.
C
�
i.�
1. Freeboard plus available storage capacity.- -is -the difference between the lowest point of a lagoon
embankment and the level of liquid.
For lagoons with spillways, the difference between the level of liquid and the bottom of the spillway should
be recorded.
2. Freeboard plus available storage capacity must be recorded weekly.
3/20/97

FORM IRR-2 Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract a
Field Size (acres} _ (A)
Farm Owner
Owner's Address
Owner's Phone #
r 1 t r Field q I I—D
z.
Facility Number I 3
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization'Plan
Cron Type `` Recommended PAN Loading d
sr� 1 (� 'sJ (1blacre) , (8) S
111 121 151 141 r51 (61 171 rat I'M I11711 it n
Cate
mmltla! �
y
Irrigation
waste Analysis PAN.
(1bl7000 gal)
PAN Applied
polacre )
e. { )l - M
1000
. Mtrogen Balance'
(lblaue)
.' (e) - 00o
Stan Time
End Time
Total
Minutes
a t 5 rinklen
o p
Operating
Flow Rate
(gaUmin)
Total Volume
(gallons)
Volume
per Aare
(gallacre)
A
s a�
tail
�, +�
n}
�a
7� �-::
hb
,3
►S.•
3 r D
z o�I
5
rL.4
s Y3a—
,ti
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
NCDA Waste Anaylysis or Equivalent or NRCS Estimate, Technical Guide Section 633. ••
: Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2 Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
-I-L Field # r$
Z . `tf
� A
Facility Number f qS
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Croo Type 5 Reoommended PAN Loading
l ' iiJ (tbMcre) _ (S) S3 0
n s 12} r31 (a) l51 r61 f7t lat 191 (1o1 rill
Dale
mmlddlyr
Irrigation
Waste Analysis PAN'
(lb/1000 gall
PAN Applied
(Iblacrel
a_t_.l_ t$t_
1000
. Nitrogen Balance'
0blacre)
.. (8) • (10)
Stan Time
End Time
Total
Minutes
(3) • (2)
M o1 Sprinkles
Operating
Flow Rate
(gallmin)
Total Volume
(gallons)
(6) x 15) x (4)
Volume
per Acre
(gavacre)
—ML
A
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operators Certification No.
NCDA Waste Anaylysi5 or Equivalent or NRCS Estimate, Technical Guide Section 633. *�
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2 Lagoon irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract 0
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone a
Field # Z`
r �
Facility Number 31
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plant
Crop Type Recommended PAN Loading Z7
C (lb/acre) - (H)
(11 (21 (% 141 r9 rRt r71 (A% rat rr m n „
Dale
tnigation
waste Analysis PAN'
(Iblt040 gal)mmlddlyr
PAN Applied
(lb/acre)
_(8) . {9)
1000
. Nitrogen Balance'
(lb/acre)
,' (B) , I t0)
Start Time
End Time -
Total
Minutes
17} f2)
M of Sprinklers
Operating
Flow Rate
(gaVmin)
Total Volume
(gallons)
(g) x (5) x (4)
Volume
per Acre
(gaVaere)
M
A
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
( NCDA Waste Anaylysis or Equivalent or NRCS Estimate, Technical Guide Section 633. `+
7 Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone 1t
Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
1 Field p z-•D
�} A
Facility Number I I t - 1 r -5
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone a
From Waste Utilization Plan
Crop Type Rawmmended PAN Loading
Vi. c-L•.IL- Mara) _ (e) Z�
(1) (2) (3) (4) (5) (6) (7) (a) f9) It61 ftt)
Gate
mmlddlyr
Irrigation � •
Waste Analysis PAN `
(Ib11000 gal}
PAN Applied
llblacre)
(81 x (94
1000
Nitrogen Balance'
(Iblacre)
(8} • {101
Start T;me
End Time
Total
Minutes
13) • 121
k of Sprinklers
Operating
p
Flow Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) a (a)
Volume
per Acre
{gaVacra)
A
ss•
S1—
S
Z a,
3a
•
Crop Cycle Totals
Owner's Signature -
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
NCDA Waste Anaylysis or Equivalent or NRCS Estimate. Technical Guide Section 633. *"
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2 y Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract 4 Ir rz-- Field # Facility Number
Field Size (acres) = (A) / 4
Farm Owner SIrrigation Operator
Owner's Address Irrigation Operator's
Address
Owner's Phone Operator's Phone #
From Waste Utilization Plan
Crop Type Recommended PAN Loading
rr`k8. (Iblacre) - (B)
Ill M (3) (a) (5) (6) (7) (L)) (9l 04) [>>I
Date
mmlddl t
y
Irrigation
Waste Analysis PAN'
(1bl1444 gal)
PAN Applied
(iblacrel
8 x 9
-1000
1044
. Nitrogen Balance'
fiblacre)
IBI i101
5ian Time
End Time
Total
Minule5
(3) • (2)
s o1 sprinklers
Operating
p g
Flow Rate
(gaVmin)
Total Volume
(gallons)
(6) ■ 15) x (4)
Volume
per Acre
(gatlasre)
M
A
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
' NCDA Waste Anaylysis or Equivalent or NRCS Estimate, Technical Guide Section 633. `%
7 Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2 +
'tract 4
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
Facility Number I rill
Irrigation Operator 44 0.1,4 1K Q A
Irrigation Operator's
Address
Operator's Phone # i o --S L ^4n"�--
From Waste Utilization Plan
Crop Type Recommended PAN Loading
(- �TLA'Z�[„ (lb/acre) - {B) SO,p
ON 01 111 141 ISI W 171 (A1 fQ1 tins fits
TIL Field r`,f
T
a
V u. lZ 0 I
AMLE N.C. Z�?
Date
mmlddlyr
Irrigation
Waste Analysis PAN'
[Ib15400 gal]
PAN Applied
x g
Nitrogen Balance'
(Iblacre)
(B) - (10)
Scan Time
End Time
Total
Minutes
(0) (2)
a of Sprinklers
Operating
Flow Rate
Flow
(gal/min)
Total Volume
[gallons)
M x (5) x (4)
Volume
per Acre
(gal/acre)5004
(7)
A
!r
1
10:o1D
o
Y
�.
/ L
/ !ZG
.1—
!3A
r
Z
11
5-..
-L
/s -
�n:
Cr_�
'Lj
r t
/.
Crop Cycle Totals l
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
t NCDA Waste Anaylysis or Equivalent or NRCS Estimate, Technical Guide Section 633. .
z Enter the value received by subtracting column (10) from (6). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
•
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
T17— Field # 2.
kAZP%S
AtttlE l� fi1.C, z'?
91b - 3Z.- n
Facility Number 1 '13
Irrigation Operator 44 +W
Irrigation Operator's
Address (' rJ'C-'
Operator's Phone # 9 10 - S -► —i4n'1-
From Waste Utilization Plan
Crop Type 1 Recommended PAN Loading
(Iblacre) = (B) 6n.9
nt 171 r1t rat [st 191 rn IRI I'M Will re„
Date
mmlddlyr
Irrigation
Waste Analysis PAN '
(lbI1000 gal)
PAN Applied
(Iblacre)
_(8) x lgl
1000
Nitrogen Balance '
(Ib/acre)
(B) - (10)
Start Time
End Time
Total
Minutes
(3) • (2)
# of Sprinklers
Operating
Flow Rate
(gal/min)
Total Volume
(gallons)
(S) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)._
A
L
+
y
KZ� y
1
1, .
-r
U
a
jl
Sa.
�G.Z�
LZ o
1•3
ZL 7
rti
l rr -
C D Z�
2'2tcvca
r .3
Z51 D
i�
Crop Cycle Totals I J
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
1 NCDA Waste Anaylysis or Equivalent or NRCS Estimate, Technical Guide Section 633.
z Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRA-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
Facility Number I! r 5
Irrigation Operator 4r4n
Irrigation Operator's
Address
Operator's Phone # I o -S JL — qn 2=
From Waste Utilization Plan
Crop Type Recommended PAN Loading
AIs— (Iblacre) = (B) rp 6 • o
114 [2i csi 14l ISI tM r7l rai fm foni rill
TlZ Field #
I.
AX5
Po ,3 o�c I
ARnE fi1.C, Zti?
916 3%- q n
Date
mmlddlyr
Irrigation
Waste Analysis PAN '
{Ib11000 gal)
PAN Applied
(Iblacre)
(8)- (9)
1000
Nitrogen Balance
(lb/acre)
(8) - (10)
Start Time
End Time
Total
Minutes
(3) - (2)
# of Sprinklers
Operating
Flow Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(77)_
R
11
it, Do
10 ; o D
1
'i l—
G
4-4om-' ,L
lot,
31. o
IL-D
1.%--
a
/4.
r7
--L`�
6 +�
. re rl
l3,
Z -L.o
-
5
/Z�
z
S YA
r
'b
G
gar. "a
-V%6a
,Sn
7-ikz�, a
r.l
' 0
TU, Y
1 3 G-LVI.%z
Z.6
0
44,
M
,�
is
c z°
>✓z6
32M.
0? 4
11 Anj
I
<8e$—
a(. Tst
J, N
b� '-
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
NCDA Waste Anaylysis or Equivalent or NRCS Estimate, Technical Guide Section 633.
x Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FoRM IRR-2 Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Facility Number I I - IrI$
Irrigation Operator 44 41 1K C.Aj
Irrigation Operator's
Address
Operators Phone # 9 to -S -L — 4n a:
From Waste Utilization Plan
Crop Type Recommended PAN Loading
2 C,5- A Z)L- I (lblacre) = (B) So.
ill 191 rnt rat Ml tat nt i'M Ml rim riri
1,17— Field #1 ZL
1.
ti kAZsv�-S
P
Aat�E1 -N Z9
91d - 3 L - qF1M
Date
mmlddlyr
Irrigation
Waste Analysis PAN '
(lb11000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen Balance'
lib/acre)
- (B) - (10)
Start Time
End Time
Total
Minutes
(3) - (2)
# of Sprinklers
Operating
Flow Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
— ,
A
119rZD
1.7i
g
3
o
'�, v
�p,►y.
I
r o
SD
3 -0
z(Ah
-
O
Z `g 6
1 �l
G- zf-
aAr\
r1
/3�
ZLG
3
9 3
5 k
Ipn
3 J
v
--( A
3
-
3Ar-.
nAr\
rp
9
Crop Cycle Totals l , _ 1
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator's Certification No.
1 NCDA Waste Anaylysis or Equivalent or MRCS Estimate, Technical Guide Section 633.
2 Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

of Visit O• Compliance Inspection O Operation Review O Lagoon Evaluation O Other
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification 0. Other ❑ Denied Access
Facility Number 31 751
Date of Visit �1i00 Printed on: U2312000
0 Not Operational 0 Below Thresho[d
Permitted 0 Certified 13 Conditionally Certified Q Registered Date Last Operated or Above Threshold: .........................
Farm Name: Da,r::cll.Bsy.F�arm........................................................................................ County: Dmplk ............................................... W..IRfI.........
Owner Name: .............................................. Phone No: 9.19. 532-A722..........................................................
FacilityContact: ............................•--•-............................................. Title:................................................................ Phone No:...................................................
MailingAddress: RO...B-Qxl ................................................................................................ Hattlls..N.C........------............................................ 2S444 .............
Onsite Representative: ........................................................................................................... Integrator.J..&KF.alt7its.............................................................
Certified Operator. Naatha&Hank..................... ray..................................................... Operator Certification Number:U745 .............................
Location of Farm:
........................................................................................................................................................................................................................................................................ +
S[.!«taxmar.Qt DWrtito�.Ga,..l�aaslt.aide.SR.� t�.t.ae�ig�tam.Haal.Br)�..Q.i�iv1�a.>!IQ�r�tft.Q Ali .1Q.L>tatl Taxi Rr�?..............................
.................................................................................................................................................................................................. .. ........ .
® Swine ❑ Poultry ❑ Cattle Latitude 34 '" 45 12 Longitude 78 • 10 12 u
❑ Wean to Feeder
® Feeder to Finish
2100
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field a 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 galhnin?
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
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
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): ...............22...................................................................................................................................................................................................

Fac' ' �Numl%r: 31-751 1 Date of Inspection 3I312000 Printed on: 3/23/2000
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 4fi 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/unprovement?
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 maintenancelimprovement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Reggired 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 PIan 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?
(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?
14 -N& Yi,olatians: ar*ckfrdi 'ciei•'were:lioie:d:duiing this -viiii:: V-6u •irK receivi ao fiirttier
. • .f`A!`t'P�'l�lflp flPA Sl11fSllf •�R iZ'.{7JCit . . . . . . . . . . . . . . . . . . . . . . . . .
Hank Gay was on site at time of freeboard check.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Reviewer/Inspector Name
�i

,O s m
Division of Soil and.- i r Conservation Operation Review
ni 0 Division of Soil and_ Water=ConServahon ,Com_plianee inspection
® Division of Water Qua ity-`Comp$ance.Inspectkion
F o-7
Other Agency` Operatiaiii Review
40 Routine Q Complaint O Follow-up of DW2 inspection Q Follow -tip ofDSWC review Q Other
Facility Number � 1 '-_l5 s �
Date of Inspection
Time of Inspection 13 : 1$ 24 hr. (hh:mm)
® Permitted © Certified (3 Conditionally Certified 13 Registered 113 Not Operational Date Last Operated:
Farm Name: 14 YY o► r-�e I) B�, ..Ke.'`................. Cuunty:...... ..V ..1.i n.............._......................................
OwnerName: ................b....�5 ms.........._........._......................._....._.._........... Phone No:
................................ ............................................ ..........
FacilitvContact: .................... Title: ................................................................ Phone No: ...................................................
Flailing Address: .............. ..... ..... .....
Onsite Representative: ...... f1..9.''4.k.....17G�............................................................. Integrator: ...... ��+'a4'"'S a�'....Car'gh!�A .................
Certified Operator: ••...........•....•. ..,,. Operator Certification Number:
Location of Farm:
�... ...,N.... ...iZI.......................................................................................
................................................................................................................................................................................................................................................................... V
Latitude • 6 Longitude ' 6 64
Design Current Design Current Design Current
4-5wine Ca acity Po elation ,Poultry` : _Capacity . Population Cattle Capacity Population
[]Wean to Feeder
® Feeder to Finish
Z) o o
Z t 00
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
-Ntimbeir of -Lagoons ❑ Subsurface Drains Present ❑Lagoon Area ID Spray Field Area
Holding Ponds /Solid Traps ❑ No Liquid Waste Management System
Dischar es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance inan-made? ❑ Yes ® No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes E] No
c. If discharge is observed, what is the estimated flow in gal/min? 01 %a
d. Dues discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes j 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
Identifier:
Freeboard (inches): 24
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
Structure 6
❑ Yes 9 No
Continued on back
3/23/99

Facility Number: 31 — 7S] Date of Inspection JZ 94
6_ Are there structures on -site which are not properly addressed and/or managed through a waste management or,
closure plan? ❑ Yes 93 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? K 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 Annlication
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
I?] No
11.
Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
® No
12.
Crop type 0e_.1V V4e-- braze R e 4m-z-e F—es-eve Grq-Zc t✓ on
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?
10 Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
® No
15.
Does the receiving crop need improvement?
(8 Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
21 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)
CK 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
IRI No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
M No
yiolaiioris:or def eiencies were noted during tbis:visit: • Yoi} :wiii•reeeiye tio: fuirther • ,
correspondence. a�anit this .visit .. .. • •
Comments (refer to question #): -Explain any':Y.ES answers and/orany recommendations or.any,other comments:
Use.drawings of facilityto'better explaid situations. (use additional pages as necessary)
A.
?. '�emn.�e t�,�e ds-�`�o�'• bac.�,sid� of Ic�yoa�t a►�G( wcY 1� -�-o es.���l r.x� q
S. -Xn 4t c I^Oooh Volume 6/ e[.-k 4)►,Z MiveiMv•n �Y`t/t}�tn�` �a%untC'�/ /
e_jeV�-4�ot1 iJT � �fo �;t' Whde - iyc .T op F prrtq is-
1
Si"op .Pur+pi►1p1 eleV-, Shot.�pi be gjjvS4,-Of fo 46 P, SA A5 no4 -ice
in-irlude aA m.;n-rnum 4"-Ia rvlen �1Volilme. T1tc, 4,,r e� +)n-- A'ke if et4
51 P_. T1i✓f, rower Gqh—S�r-�� A44-n vt q4 r-OS4 66 rne,4es 0� -''reeboaM.
Reviewer/Inspector Name_
Reviewer/Inspector Signature:
°S-tone%1� µmy-1Q� 3 10� max:
Date: /L /.1 /`
3/23/99

Faer ity Number- 3f — Date of Inspection 12
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes $j 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? X Yes ❑ No
Additional- Comments an or awrngs: a.
Z7 l l C 0;4-4)
�
o5,ro5--os, O-r' s,orr, eiveGi bekwa-t )a.�oan nm bermt)6(a 1'1-elc{ Aotd,j4
be r-era;red ahA a gf ss Go}/¢r SJ-�pLtIGI bd+ ��a�j1iSI7C�
C�r�ss i S ctYo:.Ji✓t�jJ 11p 4lrouhd-�rce�oRf�( t^►Ar�crj ��"•aV� grass -}-o
rll[or.✓ -Car AGGUra-k -fleicebeard read; 'I.gs.
N. 7-kc faG; 1jf iqeads q LvAeible, acres C�e�cr.r►;no�►oh.
i5. W-je k -fie e-Oeibl i-6, resL u- ;P, OlreaS &Uv C re 4 has had es44tbh-S 6d
Ake q nclj w-t4e ,s^v1y)e; t,aAS4,9 ct► etl -<"g are 9,od for- ;rriyci4 dm everr#s
occvr"yl 6 et -S r;er 40 Oy- 64 44�!1 of4er Ac 4a4e oki
has
GroLver 0;11 A - cw days Leff 4o je+ a Sed an���s�s for
-F6e ]`Ili Calehdgp ycap.
3123/99

Division of Soil and Water Conservation ❑ Other Agency
® Division of Water Quality
IMoutine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
■�I�I�IIAAAI��I�I r�l III i w^A �
Date of Inspection 0
Facility Number Time of Inspection G(6G 24 hr. (hh:mm)
D Registered I \ Certified r [3 Applied for Permit ©Permitted JE3 Not Operational I Date Last Operated
r rG� ��\ Count [�
FarmName:.. .... .........`' j`......................................................................I..... y:..Q...' J�-- .`.+�..............................
OwnerName:... ......................... ' .:......................................................... Phone No: �0.- ..1. .O:C�.........................
Facility Contact: ........................................................ . Title. Phone No: .................
j mot. 4 I w
MailingAddress: 96 9�...f.....................................cf....................................................................................................................................... ................------
....................
Onsite Representative:.... G � .. lntegrator:..��.,�C`
.........................................................................................................................
Certified Operator:............................................................................................................... Operator Certification Number, ...................
......................
ocati n o arrn•
............
it �7
rk''4.... G.` ..� ...] .4� ...... Q.. 1.. V � ..... _4. " .. B.30... ......
Latitude 0 6 " Longitude • 1 "
❑ Wean to Feeder
Feeder to Finish
ej--\GU
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
ONo
2. Is any discharge observed from any part of the operation?
❑ Yes
C4 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
12(No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
16 No
R/&
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes
9No
3. is there evidence of past discharge from any part of the operation?
❑ Yes
El No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
[XNo
5. Does any part of the waste management system (other than lagoons/holding ponds) -require
❑ Yes
[KNo
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
dNo
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
irN0
7/25/97

ky
EF�cflity Number:
s
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.H,oldi�, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Identifier:
Freeboard (ft):
Structure 1
................
❑ Yes RNo
❑ Yes ® No
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ... rl.......................................................................................................................•..............................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted., Facilities Onl
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0- No.violations or deficiencies were•noted-&iing this -.visit - You,wiI) recei've,no,furth.er
: correspi)]W ce about this:visit: : .
❑ Yes NNo
,Yes [J(N�
Yes ❑ No
❑ Yes I) No
❑ Yes 01 No
❑ Yes 0 No
❑ Yes [g No
9Yes ❑ No
❑ Yes IN No
❑ Yes ®No
❑ Yes ® No
U Yes ❑ No
❑ Yes IANo
❑ Yes I(No
❑ Yes ZNo
'"� p P� ` ` ❑ � �� . �.e►�cve. [,may-e d:LAr (� �►f-�—.
V_j �c� v$ 1`�
(k j
�-y
C�'�► d� Cry' �`�^'1i�(�
7/25/97 _

DSWC .....
_❑ Animal Feedlot Operation Review
DWQ Animal Feedlot Operation Site Inspection tnA�z µ4
Routine 0 Complaint 0 Follow-up of DWO i
Facility Number
Registered 0 Certified 0 Applied for Permit © Permitted
Follow-up of I?:SWC review 0 Other
Date of Inspection 1 7
Time of Inspection 1 =G� 24 hr. (hh:mm)
Not Operation Date Last Operated: .
....... ....... Farm llama• r,r.e.�1....�. �t'.�................. .....-. County: B9]�.i�,.......................... ............ .......................
OwnerName: ...............�.+X....I...rA.Y.-ms.........................................I........................... Phone No: ,�.��t'2�...�� Z.-.�.7��............ ... ......... ...................
Facility Contact: ..... tl. Title: Phone No:.,q(.q.],,L-,
1........................................... ...� jMVr.....................`................. , I
MailingAddress:... ....�........... �..................................................................................... ..1.4arr-dis" 11�+C................................................. .. ..!�.......
�...
Onsite Representative:-..-....--..--�,� .................. ......... Integrator :....... J `r .......
.............
Certified Operator. .......... oijLv.....-..0.0�1.............................................."",""....I— Operator Certification Number..................------................
Location of Farm:
.........4...... 1.....sat.........affi... WmllaTC'.....T.(- t'.L....lurn.....TL .-A_Jr.4
a+ .....R..t.13.1. afrr•.......7...:.. :3...-tn . ....a, ....-ItLo o 4-...s►�be.......0 t h .............................. .
Latitude • C '� Longitude • 4 .9
Design Current
:Swine Capacity Population
❑ Wean to Feeder
® Feeder to Finish
Z�pp
❑ 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 1E] Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
'Number of Lagoons I Holding Ponds ❑ Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
❑ No Liquid R'aste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
2. Is any discharge observed from any part of the operation'? ❑ Yes [ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed. was the conveyance man-made? ❑ Yes EA No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes R No
c. Ifdischarae is observed, what is the estimated flow in pl/min? N I jX
cl. Does discharge bypass a lagoon system`? (If yes, notify DWQ) ❑ Yes (Z No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ® No
maintenance/improvement?
6. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes B No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes $d No
7125/97
Continued on back

r
Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ® No
Structures (La oons Holdin 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(fty.............. 3.................. ......................................................................................•............................................................................................
10. Is seepage observed from any of the structures? ❑ Yes ®,No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
N Yes
❑ No
12.
Do any of the structures need maintenance/improvement?
1Z 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?
aYes
❑ No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type t'k........................ ............................................................. ................. C, .41!-----Vr�lh-.. ..............
...
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
® No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
R No
18.
Does the receiving crop need improvement?
® Yes
❑ No
19,
Is there a lack of available waste application equipment?
❑ Yes
l9 No
20.
Does facility require a follow-up visit by same agency?
'iM Yes
❑ No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
22-
Does record keeping need improvement'?
RYes
❑ 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
allo
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
91 No
0 No.violations or deficiencies. weren6te-d-during this, visit. -. You will receive n' o- further
. correspondence about this'visit:..
mments (refer to guesti4n #j: Explain any YES answers and/or any, reeommenda[tons,or, any,i
1)411. Mnief evosior, arta5 an � iir%KremJ w4r- wdig 4 4L t0,Ym. �44st &vtaS 5kAd
043 W,� rd" &A �tt��e�,`Irt►tt{1cGttQiy. & �s Skula �� reseeJed, , inru,,a a 0411
sl,o�lJ hp- mat ,, (.3 VAJ fiefs rtrnoved,
6A marVtr -st.auld b-eins l[P�.
IT. per;^��a CM Yu. ix fr�ps evem44.
r-
LI, ell A0,6et� in SPI f'tcAl skoolj cacrnpottj VA, wask AtZAal flan.
7/25/97
Reviewer/Inspector Name ; `tn i,Lab A_
Reviewer/Inspector Signature: 1.I;.- /1-1 A.41, Date:

31-�1s1
I,�,,,�(� 6�7 -Sty

NUHTH CAHULINA
DeparbmM of Environmental Qual

o�oF warF9 pG
Cp ram..
O `C
James Blake Moore
Rockin M Farms
Post Office Box 338
Harrells, NC 28444
Dear James Blake Moore:
MAC 2 4 Z005
North Carolina
May 20, 2005
Michael F. Easley, Governor
William G. Ross Jr., Secretary
of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Certificate of Coverage No. AWS310751
Rockin M Farms
Swine Waste Collection, Treatment, Storage and
Application System
Duplin County
In accordance with your Notification of Change of Ownership received on May 17, 2005, we are hereby
forwarding to you this Certificate of Coverage (COC) issued to James Blake Moore, authorizing the
operation of the subject animal waste collection, treatment, storage and land application system in
accordance with General Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from Rockin M Farms, located in Duplin County, with an animal capacity of no greater
than an annual average of 2100 Feeder to Finish swine and the application to land as specified in the
facility's Certified Animal Waste Management PIan (CAWMP). If this is a Farrow to Wean or Farrow to
Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary, they may
be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a rate of 4
gilts for every 3 sows.
The COC shall be effective from the date of issuance until September 30, 2009, and shall hereby void
Certificate of Coverage Number AWS310751 dated October 1, 2004, and shall be subject to the
conditions and limitations as specified therein. Pursuant to this COC, you are authorized and required to
operate the system in conformity with the conditions and limitations as specified in the General Permit, -
the facility's CAWMP, and this COC. An adequate system for collecting and maintaining the required
monitoring data and operational information must be established for this facility. Any increase in waste
production greater than the certified design capacity or increase in number of animals authorized by this
COC (as provided above) will require a modification to the CAWMP and this COC and must be
completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Since this is a revised State
General Permit, it contains new requirements in addition to most of the conditions contained in the
previous State ,General Permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay careful attention to the record keeping
and monitoring conditions in this permit.
If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
N�am�`nCarolina
Agimra!!y
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: ht1pWh2o_enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone].623-0748
Fax [phone]
An Equal Opportun4lAffirmative Action Employer— 50% Recyded110% Post Consumer Paper

i1 -
j '
/ The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per MRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Wilmington Regional Office. The Regional Office
Aquifer Protection Staff may be reached at [phone]. - If you need additional information
concerning this COC or the General Permit, please contact J R Joshi at [phone].
Sincerely,
for Alan W. Klimek, P-E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Wilmington Regional Office, Aquifer Protection Section
Duplin County Health Department
Duplin County Soil and Water Conservation District
APS Central Files (Permit No. AWS310751)
AFO Files

i
oC'O� WA T�9pt;
co 7
o �
Black River Farms, LLC
Harvell Bay Farm
PO Box 1
Harrells NC 28444
Dear Black River Farms, LLC:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
May 1, 2003
Subject: Certificate of Coverage No_ AWS310751
Harvell Bay Farm
Swine Waste Collection, Treatment,
Storage and Application System
Duplin County
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration date of the Swine Waste Operation General
Permit AWG 100000. Therefore, the General Permit has been re -issued by ' the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on January 24, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Black
River Farms, LLC, authorizing the operation of the subject animal waste collection, treatment, storage
and land application system in accordance with General Permit AWGI00000. The issuance of this COC
supercedes and terminates your previous COC Number AWS310751 which expired on April 30, 2003.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Harvell Bay Farm, located in Duplin County, with an animal capacity of no
greater than an annual average of 2100 Feeder to Finish swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until October 1, 2004. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
-of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed:
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property. WIW
N CD E_NR
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Customer Service Center
An Equal Opportunity Action Employer
Internet http:l/h2o.enr.state.ne.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled110% post -consumer paper

N.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be fled at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, _you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Wilmington Regional Office. The Regional Office
Water Quality Staff may be reached at [phone]. If you need additional information concerning
this COC or the General Permit, please contact Sue Homewood at [phone] ext. 502.
Sincerely,
U
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Wilmington Regional Office, Water Quality Section
Duplin County Health Department
Duplin County Soil and Water Conservation District
Permit File AWS310751
NDPU Files

Producer: AA-C'a 11 14y
L
Location: f44,.acf s
Telephone: q i o — 53 t- f-m r
Type Operation:
r
Number of Animals: z4 as
(Design capacity)
The waste from your animal facility must be Iand applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant nutrients in the animal waste should
be used to reduce the amount of commercial fertilizer required for the crops in the fields
where the waste is to be applied. This waste utilization plan uses nitrogen as the limiting
nutrient. Waste should be analyzed before each application cycle. Annual soil tests are
strongly encouraged so that all plant nutrients can be balanced for realistic yields of the
crop to be grown.
Several factors are important in implementing your waste utilization plan in order to
maximize the fertilizer value of the waste and to ensure that it is applied in an
environmentally safe manner. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply more nitrogen than the crop
can utilize. Soil types are important as they have different infiltration rates, Ieaching
potentials, cation exchange capacities, and available water holding capacities.. Normally
waste shall not be applied to land eroding at greater than 5 tons per acre per year. With
special precautions, waste may be applied to Land eroding at up to 10 tons per acre per
year. Do not apply waste on saturated soils, when it is raining, or when the surface is
frozen. Either of these conditions may result in runoff to surface waters which is not
allowed under DEM regulations. Wind conditions should also be considered to avoid drift
and downwind odor problems. To maximize the value of nutrients for crop production
and to reduce the potential for pollution, the waste should be applied to a growing crop or
applied to bare ground not more than 30 days prior to planting. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. Acreage requirements should be based on the waste analysis
report from your waste management facility. Attached you will find information on
proper sampling techniques, preparation, and transfer of waste samples to the lab for
analysis.
'Mis waste utilization plan, if carried out, meets the requirements for compliance with 1 SA
AIf`Ar•'Ir-r n-)1-7 +A—I,A by II.P Y-n%r;rnnrnrnfnl Mnn70/'I111`ni rnmmicSlntl

Amount of Waste Produced Per Year(gallons, f13. tors, etc.
L l o a i.a
animals X" (imf) waste/animal/year = 3y9a ( waste/year.
Amount of Plant Available Nitrogen (PAN) Produced Per Year
7,11:Aa' animals X73 lbs. PAN/animal/year = 3b_lbs. PAN/year. (PAN from N. C. Tech.
Guide-Std. 633)
Applying the above amount of waste is a big job. You should plan time and have
appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown
and aLrface application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field Soil_ Crop Lbs. N Acres Lbs. N Month of
11 This N is from animal waste only. If nutrients front other sources such as commercial
fertilizer are applied, they must be accounted for. N must be based on realistic yield
expectation.
` NOTE: The applicator is cautioned that P and K rrta), he over applied while nteelittg the N
requirements. Beginning in 1996 the Coas(al Zone Management Act will require farmers in
sorne eastern counties of North Carolina, to have a nutrient nianagement plan that addresses
all nutrients, This plat, only addresses Nitrogen -

ze. `� ��� �r.[_� 1� �iLhi:i��l�J t�' �1' l�•i.�t � ..tt^iasaxx:. "�
Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own `
adequate land [see Required Specification 21)
Trao* Field Soil Crop Lbs. N Acres Lbs. N Month of
• See footnote for Table 1.
Totals from above Tables
Acres
Lbs. N
Utilized
Table I
�i,o
3� -sh. a
Table 2
18.0
4S9.o
Total
oft. o
Amount of oduced
3..a
Surplus r Defici
,a
NOTE: The Waste Utilization Plait must contain provisions for periodic land
application of sludge at agronomic rates. Pie sludge will be nutrient rich and will
require precarationary measures to prevent over application of nutrients or other
elements.

�a
.
See attached map.sh owing the fields to be usedfor the utilization of waste water.
Application of Waste by Irrigation
Field Soil Type Crop Application Application
TMS TABLE IS NOT NEEDED IF WASTE IS NOT BEING APPLE BY IRRIGATION. HOWEVER A SUMAR TABLE WILL
BE N=ED FOR DRY LMER OR SLURRY.
Your facility is designed fordays of temporary storage and the temporary storage
must be removed on the average of once every MONTHS. In no instance should
the volume of waste being stored in your structure exceed Elevation /5 ' co-- l ,..i
Call the local Natural Resources Conservation Service (formerly Soil Conservation
Service) or Soil and Water Conservation District office after you receive the waste
analysis report for assistance in determining the amount per acre to apply and the proper
application rate prior to- applying the waste.

i
REQUMED SPECIFICATIONS
1. AnimaI waste shall not reach surface waters ofthe state by nuiof� drift, manmade
conveyances, direct application, or direct discharge during operation or land
application. Any discharge of waste which reaches surface water is prohibited. Illegal
discharges are subject to the assessment of civil penalties of$10,000 per day by the
DMsion of Environmental Management for every day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land on which to properly apply the waste.
If the producer does not own adequate land to properly dispose of waste, he shall
provide MRCS with a copy of a written agreement (sample enclosed) with a Iandowner
who is within a reasonable proximity, allowing him/her the use of the land for waste
application for the life expectancy of the production facility. It is the responsibility of
the owner of the facility to secure an update of the Waste Utilization Plan when there
is a change in the operation, increase in the number of animals, method of utilization,
or available land.
3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic
crop yields based on soil type, available moisture, historical data, climate conditions,
and level of management, unless there are regulations that restrict the rate of
application for -other nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RMS)
or an Alternative Conservation System (ACS).* If an ACS is used the soil loss shall be
no greater than 10 tons per acre per year and appropriate filter strips will be used
where runoff leaves the field. These filter strips will be in addition to "Buffers"
required by DEM. [See FOTG Standard 393 - Filter Strips and Standard 390
(Interim) - Riparian Forest Buffers.]
5. Odors can be reduced by injecting the waste or disldng after waste application. Waste
should not be applied when the wind is blowing.
6. When animal waste is to be applied on acres subject to flooding, it will be soil
incorporated on conventionally tilled cropland. When applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not
occur during a -season prone to flooding. (See "Weather and Climate in North
Carolina" in the Technical Reference - Environment file for guidance.)

.ems_
'i. r " y �S :_a e � pb
t-�..-�rY:. r..
REQUIRED SPECIFICATIONS
(continued) _
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that
runoffdoes not occur offsite or to surface witers and in a method which does not
cause drill from the site during application. No ponding should occur in order to
control conditions conducive to odor or flies and provide uniformity of application..
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when
the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that no
more than 20 to 25 percent of the leaf area is covered.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils
with a high potential for leaching. Waste nutrient Ioading rates on these.soils should
be held to a minimum and a suitable winter cover crop planted to take up released
nutrients. Waste shall not be applied more than 30 days prior to planting of the crop
on bare soil
11. Animal waste shall not be applied closer than 25 feet to surface water. This distance
may be reduced for waters that are not perennial provided adequate vegetative filter
strips are present. (See Standard 393 - Filter Strips)
12. Animal waste shall not be applied closer than I00 feet to wells.
13. Minimal waste thall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and public right-of-
ways.
15. Animal waste shall not be discharged into surface waters, drainageways or wetlands by
a discharge or by over -spraying. Animal waste may be applied to prior converted
wetlands provided they have been approved as a land application site by a "technical
specialist". Animal waste should not be applied on grassed waterways that discharge
directly into water courses, and only then at agronomic rates provided the application
causes no runoff or drift from the site.

a
IMP
MQMED SPECIFICATIONS:
(continued)
16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc.,
shall not be discharged into the animal waste management system
M
17. Lagoons and other uncovered waste containment strictures mtist maintain a ma�dmuzn
operating level to provide adequate storage for a 25-year, 24-hour storm event in.
addition to the one (1) foot mandatory freeboard.
18. A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). If needed, special vegetation shall be
provided for these areas and shall be fenced, as necessary, to protect the vegetation.
Vegetation such as trees, shrubs, and other woody species, etc. are limited to areas
where considered appropriate. Lagoon areas should be kept mowed and accessible.
Lagoon berms and structures should be inspected regularly for evidence of erosion,
Ieakage, or discharge.
19. If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
20. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, Ieaks, and spills. A regular maintenance checklist should
be kept on site.

WASTE UMVATTON PLAN AGREEMENT
Name ofFarm:_j4_,v ILI V R614,
Owner/Manager Agreement
I (we) understand 'and will follow and implement the specification and the operation And
maintenance procedures established in the approved animal waste utilization plan for the
farm named above.- I (we) know that any expansion to the e)dsting design capacity of the
waste treatment and storage system or construction of new facilities will require a new
certification to be submitted to the Division of Environment Management (DEM) before
the new animals are stocked. I (we) also understand that there must be no discharge of
animal waste from this system to surface wasters of the state from a storm event less
severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the
farm office and at the office of the Iocal Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner. .03. - - A S
(Please print)
Signature: Date: -
Name of Manager(If different from owner):
Signature: _ Date:
-2. - -:.- i - T 7
Name of Technical Specialist: (Please print)
r I /
Affiliation: ` j,[l,��,•-�5
Address (Agency):
28 `r«f
Signature: Date:
WL ~
7 - -L ( --f
J..

cc
r-Y
61
W

EXHIBIT B
Waste Utilization Agreement
(Needed only if additional land has to be leased, etc.)
I, J� hereby give � '��,. IPA 714- mission
to apply waste froM their Waste Utilization System on approximately S3 acres of
my land for the duration of the time shown below. The field(s) on which waste can be
applied are shown on the attached map.
I understand that this waste contains nitrogen, phosphorus, potassium and trace elements,
and when properly applied should not harm my land or crops. I also understand that the
use of animal manure will reduce my need for commercial fertilizer.
Landowner(s): 4,12-A/ hkM IL4 ate:
Term of Agreement: &Z% 3/ 2 to /Z
(Minimum T n Years on Cost -Shared Items)
Notmry 1s�-{• ,ai
NRCS, NC
3UNE, 1996

ANIMAL WASTE Ul'ILIZATION, AGREEMENT
(Needed only if additional land has to.be -leased. etc.)
hereby giveAR� _ Perrrussion to "
a' .animalz5: waste from ]us .Waste Utilization System on c acres of my landf for -
the duration of time shown below.
I�understand that this waste contains nitrogen, phosphorous, potassium, and other trace .
elements and when properly applied should not harm myland or crops. I also understand . .
that the use of waste will reduce my need for commercial fertilizer-
-Ad
jacent'2-
Landowner: Date:
Waste Producer: Date:
Technical Representative: Date: •' `� `�
SWCD Representative: Date:
Term of Agreement: 19 to .l - 5 t 20 a J
(Mi iniun of Ten Years on Casl Shared l ins) .
(See Required Specification No. 2_)

Waste Management Plan Changes
Facility 3- T 5 1 Farm- 9 4" rf l( SA2=1 F r AA_
This farms Waste Management Plan has made the following changes:
❑ Crop changes
Wetted Acres
❑ Increased Acreage
❑ Decreased Acreage
❑ Changed Irrigation Design
❑ Change in Farm type
❑ Plan based on 3 Years On Farm Records
❑ Other
Comments:
Date

Murphy -Brown, LLC 03/31/2003 P.O. Box 856
Q Warsaw, NC 28398
NUTRIENT UTILIZATION PLAN
Grower(s):
Farm Name:
Black River Farms, LLC
Harvell Bay 1� ,=
County: Du lin
Farm Capacity:
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Wean to Feeder
Feeder to Finish 2100
Storage Structure:
Storage Period:
Application Method:
Anaerobic
>180 days
Irrigation
APR -78 2003
The waste from your animal facility must be land applied at a specified rate to prevent pollution
of surface water and/or groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops in the fields where the waste
is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed
before each application cycle. Annual soil tests are strongly encouraged so that all plant
nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration rates, leaching potentials,
cation exchange capacities, and available water holding capacities.
3. Normally waste shall be applied to land eroding at less than 5 tons per acre per
year. Waste may be applied to land eroding at 5 or more tons per acre annually, but
less than 10 tons per acre per year providing that adequate filter strips are established.
4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen.
Either of these conditions may result in runoff to surface waters which is not allowed
under DWQ regulations.
5. Wind conditions should also be considered to avoid drift and downwind odor
problems.
6. To maximize the value of the nutrients for crop production and to reduce the potential
for pollution, the waste should be applied to a growing crop or applied not more than
30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
1 of 8

This plan is based on the waste application method shown above. If you choose to change
methods in the future, you need to revise this plan. Nutrient levels for different application
methods are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. In some cases you may want to have plant analysis made, which could
allow additional waste to be applied. Provisions shall be made for the area receiving waste to
be flexible so as to accommodate changing waste analysis content and crop type. Lime must
be applied to maintain pH in the optimum range for specific crop production.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H .0217 adopted by the Environmental Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR ( gallons, tj tons, etc.):
Ca aci Type Waste Produced per Animal Total
Farrow to Wean
3212 gaUyr
gaUyr
Farrow to Feeder
4015 gaUyr
galtyr
Farrow to Finish
10585 gaUyr
gaUyr
Wean to Feeder
223 gaUyr
gal/yr
2100
Feeder to Finish
986 galtff
2,070,600 al/ r
Total 2,070,600 gal r
AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (Ibs
Capacity Type Nitr2gen Produced per Animal Total
Farrow to Wean
5.4 Ibs/yr
Ibs/yr
Farrow to Feeder
6.5 lbs/yr
Ibs/yr
Farrow to Finish
26 lbs/yr
Ibs/yr
Wean to Feeder
0.48 Ibs/yr
Ibs/yr
2100
Feeder to Finish
2.3 Ibsl r
4,830 Ibs/ r
Total 4,830 Ibs/yr
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
LAND UTILIZATION SUMMARN
The following table describes the nutrient balance and land utilization rate for this facility
Note that the Nitrogen Balance for Crops indicates the ratio of the amount of nitrogen produced
on this facility to the amount of nitrogen that the crops under irrigation may uptake and utilize
in the normal growing season.
Total Irrigated Acreage: 19.67
Total N Required 1st Year: 4934.7
Total N Required 2nd Year: 0
Average Annual Nitrogen Requirement of Crops 4,934.70
Total Nitrogen Produced by Farm 4,830.00
Nitrogen Balance for Crops: (104.70)
The following table describes the specifications of the hydrants and fields that contain the crops
designated for utilization of the nitrogen produced on this facility. This chart describes the size,
soil characteristics, and uptake rate for each crop in the specified crop rotation schedule for this
facility.
2 of 8

This plan does not include commercial fertilizer. The farm should produce adequate plant
available nitrogen to satisfy the requirements of the crops listed above.
The applicator is cautioned that P and K may be over applied while meeting the N requirements.
In the future, regulations may require farmers in some parts of North Carolina to have a nutrient
management plan that addresses all nutrients. This plan only addresses nitrogen.
In interplanted fields ( i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will definately interfere
with stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just before heading as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late September or early October. Drilling is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
about two inches before drilling for best results.
CROP CODE LEGEND
Crop Code Crop
Lbs N utilized 1 unit yield
A Barley
1.6 Ibs N 1 bushel
B Hybrid Bermudagrass - Grazed
50 Ibs N 1 ton
C Hybrid Bermudagrass - Hay
50 Ibs N 1 ton
D Corn - Grain
1.25 Ibs N / bushel
E Corn - Silage
12 Ibs N 1 ton
F Cotton
0.12 Ibs N / Ibs lint
G Fescue- Grazed
50 Ibs N 1 ton
H Fescue- Hay
50 Ibs N / ton
I Oats
1.3 Ibs N / bushel
J Rye
2.4 Ibs N / bushel
K Small Grain - Grazed
50 Ibs N 1 acre
L Small Grain - Hay
50 Ibs N 1 acre
M Grain Sorghum
2.5 Ibs N 1 cwt
N Wheat
2.4 Ibs N 1 bushel
O Soybean
4.0 Ibs N 1 bushel
P Pine Trees
40 Ibs N 1 acre / yr
Acres shown in the preceding table are considered to be the usable acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas
not receiving full application rates due to equipment limitations. Actual total acres in the fields
listed may, and most likely will be, more than the acres shown in the tables.
See attached map showing the fields to be used for the utilization of animal waste.
4of8

SLUDGE APPLICATION:
The following table describes the annual nitrogen accumulation rate per animal
in the lagoon sludge
Farm Specifications PAN r/animal Farm Tota r
Farrow to Wean 0.84
Farrow to Feeder 1
Farrow to Finish 4.1
Wean to Feeder 0.072
2100 Feeder to Finish 0.36 756
The waste utilization plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient rich and will require precautionary measures to
prevent over application of nutrients or other elements. Your production facility will produce
approximately 756 pounds of plant available nitrogen per year will accumulate in the lagoon
sludge based on the rates of accumulation listed above.
If you remove the sludge every 5 years, you will have approximately 3780 pounds of plans
available nitrogen to utilize. Assuming you apply this PAN to hybrid bermuda grass hayland at the
rate of 300 pounds of nitrogen per acre, you will need 12 acreas of land. If you apply the sludge
to corn at a rate of 125 pounds per acre, you will need 30.24 acres of land. Please note that these
are only estimates of the PAN produced and the land required to utilize that PAN. Actual values
may only be determined by sampling the sludge for plant available nitrogen content prior to application
Actual utilization rates will vary with soil type, crop, and realistic yield expectations for the specific
application fields designated for sludge application at time of removal.
APPLICATION OF WASTE BY IRRIGATION:
The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation
such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil
structure, soil texture, water droplet size, and organic solids. The application amount should not
exceed the available water holding capacity of the soil at the time of irrigation nor should the
plant available nitrogen applied exceed the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan, it is the responsibility of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in the preceding table. Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invalid.
*This is the maximum application amount allowed for the soil assuming the amount
of nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Your facility is designed for >180 days of temporary storage and the temporary storage must
be removed on the average of once every 6 months. In no instance should the volume of the
waste stored in your structure be within the 25 year 24 hour storm storage or one foot of
freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to ensure that the spreader equipment
is operated properly to apply the correct rates to the acres shown in the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid.
Call your technical specialist after you receive the waste analysis report for assistance in
determining the amount of waste per acre and the proper application prior to applying the waste.
5 of 8

Application Rate Guide
The following is provided as a guide for establishing application rates and amounts.
Soil Application Rate Application Amount
Tract Hydrant ape Crop inlhr * inches
13 3A-F Goldsboro B 0.4 �1
4 Goldsboro F 0.4 1
Also see
rotation in optional
comments additional
section.
#REF!
6 of 8

Additional Comments:
Field 4 (6.05 Acres) in this plan may also be planted in a
Corn/BeanMheat rotation. The nitrogen requirements for
the additional crops are as follows:
Crop Lbs/Acre App. Window
Corn 136.25 Mar -Jun
Wheat 144 Sept -Apr
Soybeans 140 Jun -Aug
The PAN application amounts above reflect a three year rotation with residual
N subtracted and a double cropped soybean yield.
7 of 8

NUTRIENT UTILIZATION PLAN CERTIFICATION
Name of Farm: Harvell Bay
Owner: Black River Farms, LLC
Manager:
Owner/Manager Agreement:
I/we understand and will follow and implement the specifications and the operation and
maintenance procedures established in the approved animal waste nutrient management
plan for the farm named above. I/we know that any expansion to the existing design capacity
of the waste treatment and/or storage system, or construction of new facilities, will require a
new nutrient management plan and a new certification to be submitted to DWQ before the new
animals are stocked.
Itwe understand that I must own or have access to equipment, primarily irrigation equipment,
to land apply the animal waste described in this nutrient management plan. This equipment
must be available at the appropriate pumping time such that no discharge occurs from the lagoon
in the event of a 25 year 24 hour storm. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates which produce no runoff.
This plan will be filed on site at the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDWQ upon request.
Name of Facility Owner: Black River Farms, LLC
Signature: 7
Date
Name of Manager (if different from owner):
Signature:
Date
Name of Technical Specialist:
Dawn Williamson
Affiliation: _
_ Murphy -Brown, LLC _
Address:
2822 Hwy 24 West, PO Drawer 856
Warsaw, NC 28398
Telephone:
(9191293-3434
t`
Signature:
Date
8 of 8

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application.
Any discharge of waste which reaches surface water is prohibited.
2 There must be documentation in the design folder that the producer either owns or has an
agreement for use of adequate land on which to properly apply the waste. If the producer
does not own adequate land to properly dispose of the waste, he/she shall provide
evidence of an agreement with a landowner, who is within a reasonable proximity,
allowing him/her the use of the land for waste application. it is the responsibility of the
owner of the waste production facility to secure an update of the Nutrient Utilization Plan
when there is a change in the operation, increase in the number of animals, method of
application, recieving crop type, or available land.
3 Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop
yields based upon soil type, available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict the rate of applications for
other nutrients.
4 Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste
may be applied to land eroding at more than 5 tons per acre per year but less than 10 tons
per acre per year provided grass filter strips are installed where runoff leaves the field (See
USDA, NRCS Field Office Technical Guide Standard 393 - Filter Strips).
5 Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the land application field.
6 When animal waste is to be applied on acres subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to flooding (See 'Weather and Climate in North Carolina" for
guidance).
7 Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control odor and flies.
8 Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
1 of 3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
9 Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 Nutrients from waste shall not be applied in fall or winter for spring planted crops on soils
with a high potential for leaching. Wastetnutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of the crop or forages
breaking dormancy.
11 Any new swine facility sited on or after October 1, 1995 shall comply with the following:
The outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary
and canal. Animal waste, other than swine waste from facilities sited on or after October 1,
1995, shall not be applied closer than 25 feet to perennial waters.
12 Animal waste shall not be applied closer than 100 feet to wells.
13 Animal waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14 Waste shall be applied in a manner not to reach other property and public right-of-ways.
15 Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted cropland
provided the fields have been approved as a land application site by a "technical
specialist". Animal waste shall not be applied on grassed waterways that discharge
directly into water courses, and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from the site.
16 Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall
not be discharged into the animal waste management system.
2of3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc.,
are limited to areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Berms and structures should be inspected regularly for evidence of
erosion, leakage, or discharge.
18 If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills. A regular maintenance checklist should be
kept on site.
20 Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied pre -plant with no further applications of animal
waste during the crop season.
21 Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be
managed to maintain the liquid level between the markers. A marker will be required to
mark the maximum storage volume for waste storage ponds.
22 Waste shall be tested within 60 days of utilization and soil shall be tested at least annually
at crop sites where waste products are applied. Nitrogen shall be the rate -determining
nutrient, unless other restrictions require waste to be applied based on other nutrients,
resulting in a lower application rate than a nitrogen based rate. Zinc and copper levels in
the soil shall be monitored and alternative crop sites shall be used when these metals
approach excessive levels. pH shall be adjusted and maintained for optimum crop
production. Soil and waste analysis records shall be kept for a minimum of five years.
Poultry dry waste application records shall be maintained for a minimum of three years.
Waste application records for all other waste shall be maintained for a minimum of five
years.
23 Dead animals will be disposed of in a manner that meets North Carolina regulations.
3 of 3

Harvel Bay
Scale: 1"=400' '
f
I

3 Michael F. Easley, Governor
s r William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
January 9, 2003
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
Black River Farms, LLC
Harvell Bay Farm
PO Box 1
Harrells NC 28444 ----------------------------
Subject: Application for Renewal of Coverage under the State Non -Discharge General Permit
Dear Permtttee:
Your facility is currently approved for operation under one of the Animal Waste Operation General Permits. These permits
expire on April30, 2003. The Division of Water Quality (Division) staff is currently in the process of renewing these
permits and is scheduled to have the permit reissued by early April 2003. Once the permit is reissued, your facility would be
eligible for continued coverage under the reissued permit.
The Division has published a public notice regarding these renewed general permits. A copy of the draft animal
waste operation general permits and fact sheets are available at the website http://h2o.enr.state.nc.us/ndpu/
or by writing or calling:
Non -Discharge Permitting Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-16 i 7
Telephone number: [phone], ext. 574
In order to assure your continued coverage under the general_nermit, vou must apply to the Division for renewal. Enclosed
vou will find a Permit Coverage Renewal_ Application Form. The application form must be completed and returned within 60
days from receipt of this letter. You must include a coRy of your most recent Waste Utilization Plan with the application
form.
Failure to request renewal of your coverage under a general permit within.the time period specified may result in a civil
penalty. Operation of your facility without coverage under a valid general permit would constitute a violation ofNCGS 143-
215.1 and could result in assessments of civil penalties of up to $25,000 per day.
If you have any questions about the draft general permits, the enclosed application, or any related matter please feel free to
contact Sue Homewood at 919-733-5083 extension 502.
Sincerely,
U
Kim H. Colson, P.E.
Cc: Duplin Soil and Water Conservation District
r-Wilmington-Regional-Office,-Division:of.Water Quality
Permit File AWS310751 RA
NCDEIR
Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc,us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
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Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This request
shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual non -discharge permit by contacting the engineer listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
The subject farm is located in the Wilmington Regional Office. The Regional Office Water Quality Staff
may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Michelle Barnett [phone] ext. 544.
Y,
Gregory J. Thorpe, Ph.D.
cc: (Certificate of Coverage only for all cc's)
Duplin County Health Department
Wilmington Regional Office, Water Quality Section
Duplin County Soil and Water Conservation District
Water Quality Central Files
NDPU Files

F WAtF
�O 9p I" PEP— Michael F. Easley, Governor
�O GyWilliam G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
APR 0 8 2.002 Gregory Thorpe, g
Gre o J. Tho e, Ph.D., Actin Direct
Division of Water Quality
April 1, 2002
Black River Farms, LLC
Harvell Bay Farm
PO Box 1
Harrells NC 28444
Attn: James C. Moore
Subject: Certificate of Coverage No. AWS310751
Harvell Bay Farm
Swine Waste Collection, Treatment,
Storage and Application System
Duplin County
Dear James C. Moore:
In accordance with your Notification of Change of Ownership received on March 7, 2002, we are
acknowledging the farm name change and are forwarding this Certificate of Coverage (COC) issued to
Black River Farms, LLC, authorizing the operation of the subject animal waste collection, treatment,
storage and land application system in accordance with General Permit AWG100000. This approval
shall consist of the operation of this system including, but not limited to, the management of animal
waste from the Harvell Bay Farm, located in Duplin County, with- an animal capacity of no greater than
2100 Feeder to Finish and the application to land as specified in the Certified Animal Waste
Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003 and shall hereby void COC
Number AWS310751 dated March 29,1999. Pursuant to this COC, you are authorized and required to
operate the system in conformity with the conditions and limitations as specified in the General Permit,
the facility's CAWMP, and this COC, with no discharge of wastes to surface waters_ An adequate
system for collecting and maintaining the required monitoring data and operational information must be
established for this farm. Any increase in waste production greater than the certified design capacity or
increase in number of stocked animals above the number authorized by this COC will require a
modification to the CAWMP and this COC and shall be completed prior to actual increase in either
wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, crinunal penalties, and injunctive relief.
The facility's CAWMP meets all requirements in place at the time of certification. However, it appears
that the irrigation system on site may not adequately cover all acreage listed in the Waste Utilization Plan.
The owner should begin to address this inconsistency as soon as possible.
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet httpJ/h2o.enr.nc.state.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
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• , rr`� lac tiI L(
k �vG E NG
_c
- otification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not requi a si;�nature)
In accordance with the requirements of 15A NCAC2H .0217(a)(I)(i?)(zii) this form i5 official notifica ore 10 t1le Division of
Watcr Quality (DWQ) of the transfer of ownership of an Animal Wastc Mangzmcnt Facility. This form must be submitted to
DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farm: r V C l � Ot" Facility No:
Previous Owner(s) Name.- r m, Phone No:_Cj_ 3 - 9-7 z q
Now Owner(s) Namc:'TA 6L k V.: y e r- �_ar ti.S LL C-. _ Phone No: f 1 5 32 - 1/ 72rj
MaiiingAddress: a. Q - .2fs44
Farm Locarinn: Latitude and Longitude: _ILI __!ts / 11- j 7 1 6 _ C- County:
Please attach a COPY of a county road map with location identified and dmsxribe below (Be specific: road names, directions.
Milepost. ctc. ): f Z f L I -- lA o-, l A �f { D ►w; l
v` f T ti^ANSk�e H Yr` [t-/� e v7 I - (!r,n I P-
r
_ Lt t�I, Fr�-L 1 �.iii. fl--,�_ .3 r�t.�r: r�T-� g tx�,.ncc
Oper9tion Qereri¢tinn:
7:ypeofSwine No. rfAnjr wls
Wcan to Feeder
;"fi<Fr_der to Finish 2 100
_1 marrow to Wean
J :'a.TOw to Feeder
D Farrow to Finish
3 Guts _
rj Boars
Typo of Poultry No, of Animals
u Iavt.
J Pion -Layer
Type of Beef No. of Animal-
❑ Brood
O Fetdcrs
D $tocktrs
Other Tipe of Livestock:
Tvpt of Dairy- No. of Animals
ci Mil)c ng
D Dry
:i Heifers
7 Calves
Number ofAnintals.•__!
Acrcaee Available for Application- � �" 5 Required Ac:rcasc:_�iCS_
Number of Lagoons ! Storage Ponds Total Capnc:ry: Cubic Feet (ft')
irtRriyyiiiy yR}�RTlii/iir►R�11[ r......siiits....... A....... siiiai. Aiy,s.yisiisiin LReJIIR•
Owner / Manater Arretment
I (we) verify L' at ali" the above information is correct and will be updated upon zhansing. I (we) understand the occreticn and
rnaintcnancc procedures established in the approved animal wastc management plan for tic farm named ahove and will
implement tr.-se procedures. i (we) know that any expansion tot .e tz:stin_ d:si;n capacity of the waste t:catmcnt and storage
system or construction of new facilities will require a new eenification to he submiacd to tit-- DWQ bcRtrc the new animals a:e
stocked. I (w_) understand that t. cr= must be no discharsc of animal wasm iron the stora_e or aopiication syste:n to surfacs:
waters of the state cith_r directly through a man-made com-cvancc or from a storm event less severe char. the 2;-yea:. ?a -hour
starts and there m tc; not b-- n:n-ate front the application of annual w,stt. I (we) and~stand that run-off of pull:ttani_s from
lounei:t^- and heavy usz ar=t must be minimized usin^ itchnica standards, deveioped by tnc Natural Resources Corse:va[ior:
5ervict_Trz eppraved plan will b` filed a-, the farm and at the office of tha local Soil and Water Conservation District. I (w--)
Iwo- that any modification musi be approved by a tccnni=zl specialist and subrn;rced to tht Soil and Water Conservation
District nrior io implementation. A change in. land Ownership requires w iticn notiricattar to DWQ or :w ccr-i[icadon (if
the approved pl_r. is changed) wt•0 days of a tiilt L-ansfcr. _
Name of Naw an caner- \�\A C L e . -C'i t'�^-+C LL-C
Signature:
Narne of M a n a ierent froin
Signature:
Date: ,- � `'CZ
Date: 1` l B- U Z
Picase sibn and retu'x�Zjtis forra tu: NC Division of Water Quah"'
Non-DiccbarFe Compliance S& Enforcement Unit
16i7 i+."Service Center
RAci-pb. NC 27699-1617
jul% is, 2000
cd WdES: Tip TOOE rE '+op EeTc9GE316 : Ir-4 kttd : WOdd

State of North Carolina
Department of Environs
and Natural Resources
James B. Hunt, Jr., Govei
Bill Holman, Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
J&KEFarms
Harvell Bay Farm
PO Box 1
Harrells NC 28444
Dear J&KEFarms:
"V V _r
ECEIVED J•
N O V 0 5 2000
CDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
November 6, 2000
Subject: Notification for Wettable Acre Determination
Animal Waste Management System
Harvell Bay Farm
Facility Number 31-751
Duplin County
A letter dated January 15, 1999 was sent to advise you about concerns associated with Certified Animal
Waste Management Plans and the method by which the irrigated acres within the plans were calculated. Only
the acres that are wetted can be credited in the waste management plan as receiving waste application. Any
acreage within the plan that can not be reached by waste application equipment can not be used as part of your
plan.
An evaluation by Patrick Fussell on 4/12/99 was made to review the actual number of acres at your
facility that receive animal waste during land application. The evaluation of your facility has yielded one of
the following two results as indicated by the box marked with an "X".
Category 1:
❑ The evaluation of your facility could not be completed due to a lack of information. Please
contact your Technical Specialist to assist in providing Patrick Fussell the necessary
information to potentially exempt your facility from undergoing a complete wettable acre
determination. Please submit this information to Patrick Fussell; at 127 Cardinal Drive
Extension, Wilmington, NC 28405-3845, within in 90 days of the receipt of this letter. if you
have any questions please contact Patrick Fussell at [phone]. If within 90 days
you are unable to provide Patrick Fussell with the information you are automatically
required to complete a Wettable Acre Determination as described by Category 2
below, within 180 days of receipt of this letter.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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Notification for Wettable Acre Determination
Animal Waste Management System
Page 2
W
Category 2:
Your facility has been identified by the Department of Environment and Natural Resources
as a facility that may have overestimated the number of acres actually receiving animal
waste. Therefore, some or all of your fields may be exceeding the allowable loading rates
set in your Certified Animal Waste Management Plan.
In order to resolve this issue, please contact a designated Technical'Specialist to have him
or her conduct a Wettable Acre Determination for your facility. The Technical Specialist must
be one that has been approved by the Soil and Water Conservation Commission to conduct
Wettable Acre Determinations. Many Technical Specialist with the N.C. Cooperative Extension
Service, the Soil and Water Conservation Districts, the Natural Resources Conservation
Service, and the Division of Soil and Water Conservation have received this special
designation. You may also contact a private Technical Specialist who has received this
designation, or a Professional Engineer.
All needed modifications to your Animal Waste Management System must be made and
the Wettable Acres Determination Certification must be returned to DWO within the next
180 days. If the needed modifications are not made and if the form is not returned within the
required time, DWQ will be forced to take appropriate enforcement actions to bring this facility
into compliance. These actions may include civil penalty assessments, permit revocation,
and/or injunctive relief.
Once a Wettable Acre Determination has been completed, a copy of the attached Wettable
Acre Determination Certification must be submitted to the address listed on the form. Please
note that both the owner and the Technical Specialist must sign the certification. A copy of all
the Wettable Acre Determination documentation that applies to your Waste Utilization Plan
must be kept at your facility. DWQ and the Division of Soil & Water Conservation Staff will
review all documentation during their annual visit of your facility. An additional copy must by
kept on file at the local Soil & Water Conservation District Office. Please note that if you install
or modify your irrigation system, a designated Irrigation Specialist or a Professional Engineer
must also sign the Wettable Acre Determination Certification.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Sonya Avant of our
Central Office staff at [phone] ext. 571.
Sincerely,
Kerr T. Stevens
cc: Wilmington Regional Office
Duplin County Soil and Water Conservation District
Facility File
J&K Farms

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
J&KEFarms
Harvell Bay Farm
PO Box 1
Harrells NC 28444
Dear J&KEFarms:
i � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 31-751
Duplin County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludgestresiduals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRR1, IRR2, DRY], DRY2, DRY3, SLURI, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincerely,
Kerr T. Stevens, Director
Division of Water Quality
cc: Wilmington Regional Office
Duplin County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number '3 ! —J/peration is flagged for a wettable
Farm Name:. 1� % ar n2 acre determination due to failure of
On -Site Representative 4- k. Part 11 eligibility item(s) Ff F® F3 F4
Inspector/Reviewer's Name: Operation not required to secure WA
determination at this time based on
Date of site visit: .7 �� exemption El E2 E3 E4
Date of most recent WUP: a! Annual farm PAN deficit: — r pounds
Irrigation System(s) - circle # 1. har - er; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanen pipe; . stationary sprinkler system w/portable pipe;
6. stationary gun system w/permanent pipe;. 7. stationary gun system w/portable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part II, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE..
E2 Adequate D, and D2/D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part III. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part II - F1 F2 F3, before completing computational table in Part 111).
PART II. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
✓ F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part III.
Facility Number 3 t - 15l

Revised January 22, 1999
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD COMMENTS3
NUMBER NUMBER'.2 IRRIGATION ACRES ACRES %
SYSTEM
FIELD NUMBER' - hydrant_ null_ zone_ nr noint numbers may be used in place of field numbers denendinn nn CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspectorfreviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governo
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
J&K Farms
Harvell Bay Farm
PO Box 1
Harrells NC 28444
Attn: James C. Moore
Dear James C. Moore:
J�ft g 3 01999
March 29, 1999
,TkW,A
IT
A • •
A4009MON00"
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATuRAL RESOURGE5
Subject: Certificate of Coverage No. AWS310751
Harvell Bay Farm
Swine Waste Collection, Treatment,
Storage and Application System
Duplin County
In accordance with your application received on March 12, 1999, we are forwarding this Certificate of
Coverage (COC) issued to J&K Farms, authorizing the operation of the subject animal waste collection,
treatment, storage and land application system in accordance with General Permit AWG 100000. This
approval shall consist of the operation of this system including, but not limited to, the management of
animal waste from the Harvell Bay Farm, located in Duplin County, with an animal capacity of no
greater than 2100 Feeder to Finish and the application to land as specified in the Certified Animal Waste
Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This request
shall be made within 30 days of notification by the Division.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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Certificate of Coverage AWS310751
Harvell Bay Farm
Page 2
This COC is not automatically transferable. A name/ownership change application must be submitted to
the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual non -discharge permit by contacting the engineer listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
The subject farm is located in the Wilmington Regional Office. The Regional Office Water Quality Staff
may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Susan Cauley at [phone] ext. 546.
Sincerely,
r'rt
-� Kerr T. Stevens
cc: (Certificate of. Coverage only for all cc's)
Duplin County Health Department
Wilmington Regional Office, Water Quality Section
Duplin County Soil and Water Conservation District
Permit File
NDPU Files

eFJ fiLI3[�Lr rVat- '
,F-D
>�o N S � lot,
*OtWATProducer: Ja �999
Location: ff�aa>trr�s NotrDischat9e pB�itl�n9
Telephone: lit - 5 3 2- f -7z r
Type Operation:�:5�`. nl�
..
Number of Animals: 21 ee
(Design Capacity)
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant nutrients in the animal waste should
be used to reduce the amount of commercial fertilizer required for the crops in the fields
where the waste is to be applied. This waste utilization plan uses nitrogen as the limiting
nutrient. Waste should be analyzed before each application cycle. Annual soil tests are
strongly encouraged so that all plant nutrients can be balanced for realistic yields of the
crop to be grown.
Several factors are important in implementing your waste utilization plan in order to
maximize the fertilizer value of the waste and to ensure that it is applied in an
environmentally safe manner. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply more nitrogen than the crop
can utilize. Soil types are important as they have different infiltration rates, leaching
potentials, cation exchange capacities, and available water holding capacities.. Normally
waste shall not be applied to land eroding at greater than 5 tons per acre per year. With
special precautions, waste may be applied to land eroding at up to 10 tons per acre per
year. Do not apply waste on saturated soils, when it is raining, or when the surface is
frozen. Either of these conditions may result in runoff to surface waters which is not
allowed under DEM regulations. Wind conditions should also be considered to avoid drift
and downwind odor problems. To mare the value of nutrients for crop production
and to reduce the potential for pollution, the waste should be applied to a growing crop or
applied to bare ground not more than 30 days prior to planting. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. Acreage requirements should be based on the waste analysis
report from your waste management facility. Attached you will find information on
proper sampling techniques, preparation, and transfer of waste samples to the lab for
analysis.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A
NCAC 211.0217 adopted by the Environmental Management Commission.

a -
Amount of Waste Produced Per�'ear(gallons, _ 13, tons, etc.
.1S ,iS
L! nO
animal X_? (mot.) waste/animal/year=mod {*ff" waste/year.
Amount of Plant Available Nitrogen (PAN) Produced Per Year
animals X';3 lbs. PAN/an-imal/year = i6b& lbs. PAN/year. (PAN from N. C, Tech.
Guido-Std. 633 )
Applying the above amount of waste is a big job. You should plan time and have
appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown
and surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
" This N is from aninral waste only. If nutrients from other sources such as commercial
fertilizer are applied, their must be accounfed for. N must be based on realistic yield
C- relation.
NOT':: The applicator rs cautioned that P and K may be over applied while nreeting the N
requirements. Beginning in 1996 the Coastal Zone hlarragenrent Act will require farmers in
some eastern cottnfies of North Carolina to have a nietrrent rrranagerrrent plan that addresses
all marren(s. 7-his plan ont-V addresses Nitroj; en_

t[
A N
y 1 e 1
Table 2. ACRES VWTM AGREEMENT OR LONG TERM LEASE
(A&reement with adjacent landowner must be attkli"ed)
(Required only if operator does not own
adequate land [see Required Specification 21)
Trao� Field Soil Crop Us. N Acres Lbs. N Month of
.. .. ... r. . : r F"T' - - 1 .
' See footnote for Table 1.
Totals from above Tables
Acres Lbs. N
Utilized
Table I /y,,, 343A.D
Table 2 l$.o l S$.c
Total 01n. o
Amotant of roduced
Surplus r Deficit , n
NOTE: The Waste Utilization flan trust contain provisions for periodic land
application of sludge at agronotnic roles. The studge will he nutrient rich and will
require precautionary measures to prevetit over application of nutrients or other
elements.

See attached map_showing the fields to be used for the utilization of waste water.
Application of Waste by Irrigation
Field Soil Type Crop Application
Application
THIS TABU; IS NOT H=ED IF WASTE IS NOT BEING APPY BY IRRIGATION, HOWEVER A SD-ULAR TABLE WILL
BE NFF1)ED FOR DRY LIFTER OR SLURRY.
Your facility is designed for-ap_days of temporary storage and the temporary storage
must be removed on the average of once every �t MONTHS. In no instance should
the volume of waste being stored in your structure exceed Elevation /5 pca�- /!.5 ..j
Call the local Natural Resources Conservation Service (formerly Soil Conservation
Service) or Soil and Water Conservation District office after you receive the waste
analysis report for assistance in determining the amount per acre to apply and theproper
application rate prior to- applying the waste.
I

REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runbf� drift, manmade
conveyances, direct application, or direct discharge during operation or land
application. Any discharge of waste which reaches surface water is prohibited. Illegal
discharges are subject to the assessment of civil penalties of $10,000 per day by the
Division of Environmental Management for every day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land on which to properly apply the waste.
If the producer does not own adequate land to properly dispose of waste, he shall
provide NRCS with a copy of a written agreement (sample enclosed) with a landowner
who is within a reasonable proximity, allowing him/her the use of the land for waste
application for the life expectancy of the production facility. It is the responsibility of
the owner of the facility to secure an update of the Waste Utilization Plan when there
is a change in the operation, increase in the number of animals, method of wilization,
or available land.
3. AnimaI waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic
crop yields based on soil type, available moisture, historical data, climate conditions,
and level of management, unless there are regulations that restrict the rate of
application for -other nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RMS)
or an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be
no greater than 10 tons per acre per year and appropriate filter strips will be used
where runoff leaves the field. These filter strips will be in addition to 'Buffers"
required by DEM. [See FOTG Standard 393 - Filter Strips and Standard 390
(Interim) - Riparian Forest Buffers.J
5. Odors can be reduced by injecting the waste or disldng after waste application. Waste
should aot be applied when the wind is blowing.
6_ When animal waste is to be applied on acres subject to flooding, it will be soil
incorporated on conventionally tilled cropland. When applied to conservation tilled
crops or grassland, the waste niay be broadcast provided the application does not
occur during a -season prone to flooding. (See "Weather and Climate in North
Carolina" in the Technical Reference - Environment file for guidance.)

REQUIRED SPECIFICATIONS
(oontinu4
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that
nmoff does not occur offsite or to surface waters and in a method which does not
cause drift from the site during application No ponding should occur in order to
control conditions conducive to odor or flies and provide uniformity of application..
B. Animal waste shall not be applied to saturated soils, during rainfall events, or when
the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that no
more than 20 to 25 percent of the leaf area is covered.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils
with a high potential for leaching. Waste nutrient loading rates on these.soils should
be held to a minimum and a suitable winter cover crop planted to take up released
nutrients. Waste shall not be applied more than 30 days prior to planting of the crop
on bare soil.
11. Animal waste shall not be applied closer than 25 feet to surface water. This distance
may be reduced for waters that are not perennial provided adequate vegetative filter
strips are present. (See Standard 393 - Filter Strips)
12. Animal waste shah not be applied closer than 100 feet to wells.
13. Animal waste Shall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and public right-of-
ways.
15. Animal waste shall not be discharged into surface waters, drainageways. or wetlands by
a discharge or by over -spraying. Animal waste may be applied to prior converted
wetlands provided they have been approved as a land application site by a "tecluiical
specialist". Animal waste should not be applied on grassed waterways that discharge
directly into water courses, and only then at agronomic rates provided the application
causes no runoff or drifl from the site.

X... � X._.� ....r.rs+r .o, „^-s. rr•y�,,, ^�sr
REQUIRED SPECIFICATIONS
(continued)
�r
16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc.,
shall not be discharged into the animal waste management system
17. Lagoons and other uncovered waste containment structures must maintain a maximum
operating level to provide adequate storage for a 25-year, 24-hour storm event in
addition to the one (1) foot mandatory freeboard.
18. A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). If needed, special vegetation shall be
provided for these areas and shall be fenced, as necessary, to protect the vegetation.
Vegetation such as trees, shrubs, and other woody species, etc. are limited to areas
where considered appropriate. Lagoon areas should be kept mowed and accessible.
Lagoon berms _and structures should be inspected regularly for evidence of erosion,
leakage, or discharge.
19. If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
20. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should
be kept on site.

mTIn...
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: —A v R
OwnerlManager Agreement
I (we) understand and will follow and implement the specification and the operation and
maintenance procedures established in the approved animal waste utilization plan for the
farm named above. I (we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a new
certification to be submitted to the Division of Environment Management (DEM) before
the new animals are stocked. I (we) also understand that there must be no discharge of
animal waste from this system to surface wasters of the state from a storm event less
severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the
farm office and at the office of the local Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner: _ '�S ? 7
(Please pant)
Signature: Date:
Name of Manager(If different from owner):
Signature:
Date:
Z - -s-. e - 3 '7
Name of Technical Specialist: (Please print)_" A-
Affiliation:
Address (Agency):,,IG 1 `
1 .0
Signature: Date:
7-2.I�f

I
Zn-M-11MI,
MEJEEMw WAUI=7'IQI PLAN::
ANIMAL WASTE UTILIZATION AGREEMENT
(Needed only if additional land has to be leased, etc.)
hereby give } k f7AtLr, permission to
apply arurnal waste from I s Waste Utilization System on 2-5 % acres of my land for
the duration of time drown below.
I understand that this waste contains nitrogen, phosphorous, potassium, and other trace
elements and when properly applied should not harm my land or crops. I also understand
that the use of waste will reduce my need for commercial fertilizer.
Adjacent Landoi
Waste Producer:
Technical Repro
SWCD Representative:
Date: — L
Date: /47
Date:
Date:
Term of Agreement: 1 19—t�- to 1 20 a,,)
(Mi imum of Ten Years on Cost Shared I msJ
(See Required Specification No. 2.)

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r State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
December 15, 1998
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
J&K Farms
Harvell Bay Farm
PO Box 1
Harrells NC 28444
Farm Number: 31 - 751
Dear J&K Farms:
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that Harvell Bay Farm, in accordance with G.S. 143-215.10C, must
apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your
farm has sixty (60) days to submit the attached application and all supporting documentation. In
accordance with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any
owner or operator who fails to submit an application by the date specified by the Department
SHALL NOT OPERATE the animal waste system after the specified date. Your application must
be returned within sixty (60) days of receipt of this letter. Failure to submit the application as required
may also subject your facility to a civil penalty and other enforcement actions for each day the facility is
operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Sue Homewood at [phone]
extension 502 or Dave Holsinger with the Wilmington Regional Office at [phone].
SincerelXreston'
for ward, Jr., P.E.
cc: Permit File (w/o encl.)
Wilmington Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

' State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality RECEIVEj)
Non -Discharge Permit Application Form WATPPOUALI YSECTION
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Existing Liquid Animal Waste OperNfi-6 " so 1999
The following questions have been completed utilizing information on file wl'i14•t�rehl?i, isk , . ease
review the information for completeness and make any corrections which are appropriatelf a
question has not been completed by the Division, please complete as best as possible. Do not leave
any question unanswered.
1. GENERAL INFORMATION:
1.1 Facility Name: Harvell Bay Farm
1.2 Print Land Owner's name: J&K Farms
1.3 Mailing address: PO Box l
City, State: Harrells NC
Telephone Number (include area code): 910-532-4729
Zip: 28444
1.4 County where facility is located: Duman
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a
copy of a county road map with the location of the farm identified): From 421 turn east on Hwy. 41 go 1 mile turn left on
Marshbum Rd. go 1.6 miles turn left on Leighton Hall Rd. go 0.3 miles turn right on dirt path.
1.6 Print Farm Manager's name (if different from Land Owner): Kenny Moore
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): J&K Farms
1.8 Date Facility Originally Began Operation: 01/01/88
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: _31(county number); _751 (facility number).
2.2 Operation Description_: Swine operation
Fir to Finish
2100- Certified Design Capacity
Is the above information correct? yes; no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum num er or which the waste management structures were designed.
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-G-E 5/28/98 Page 1 of 4 31 - 751

3.
2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 18 ; Required Acreage (as listed in the AWMP): 16
2.4 Number f lago storage ponds (circle which is applicable): I
2.5 Are subsurface drains present within 100' of any of the application fields? YES o lease circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES o a lease circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, N ndards, etc.) (Swine Only)
YES NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? 1 t
What was the date that this facility's land application areas were sited? -3a
REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit
application for animal waste operations.
The CAWMP must include the following components:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications.
3.3.10 A site schematic.
3.3.11 Emergency Action Plan.
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/28/98 Page 2 of 4 31 - 751
Applicants Initials
r
MA

Facility Number: 31 - 751
Facility Name: Harvell Bay Farm
4. APPLICANT'S CERTIFICATION:
I
this application for
has been reviewed by me
application are not comp]
package will be re;Wed
Signature
(Land Owner's name listed in question 12), attest that
iAAP_0 r..1k k)A�j tm-( (Facility name listed in question 1.1)
and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
eted and that if all required supporting information and attachments are not included, this application
to me as incomplete.
Date --� ` q — Cr !
5. MANAGLR'S CERTIFICATION: (complete only if different from the Land Owner)
(Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING 1NFORMATIONAND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
RECEIVED
WATER ()UR3 ITY SFCT10N
Non -Discharge Permitting
FORM: AWO-G-E 5/28/98 Page 3 of 4 31 - 751

.:."
DIVISION OF WATER QUALITY REGIONAL OFFICES (1/98)
Asheville Regional WQ Supervisor
59 Woodfin Place
Asheville, NC 28801
[phone]
Fax [phone]
Avery Macon
Buncombe Madison
Burke
McDowell
Caldwell
Mitcbell
Cherokee
Polk
ol¢y
nnthmfnrd
Graham
Swain
Haywood
Transylvania
Henson
Yancey
Jack
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
[phone]
Fax (9I0) 486-0707
Anson
Moore
Bladen
Richmond
Cumberland
Robeson
Harnett
Sampson
Hoke
Scotland
Montgomery
Winston-Salem Regional WQ Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
(910) 7714600
Fax [phone]
Alamance Rockingham
Allegbany Randolph
Asbe
Stokes
Caswell.
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
Washington Regional WQ Supervisor
943 Washington Square Mall
Washington, NC 27889
[phone]
Fax [phone]
Beaufort Jones
Bertie Lenoir
Chowan
Pamlico
Craven
Pawotank
Currituck
PervAmans
Dare
Pitt
Gates
Tyrell
Greene
Washington
Hertford
Wayne
Hyde
MooresvWe Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
(704) 663-I699
Fax [phone]
Alexander
Lincoln
Cabarrus
Mecklenburg
Catawba
Rowan
Cleveland
Stanly
Gaston
IredeH
Union
Raleigb Regional WQ Supervisor
3800 Barrett Dr.
Raleigh, NC 27611
(919) 5714700
Fax [phone]
Chatham
Nash
Durham
Northampton
Fdgecambe
Orange
Franklin
Person
Granville
Vance
Halifax
Wake
Jobnston
Warren
Loe
Wilson
Wilmington Region. WQ Supervisor
127 Cardinal Drive Extension.
WWWngton, NC 28405-3845
[phone]
Fax [phone]
Brunswick New Hanover
Caneret Onslow
Columbus Fender
Duplin
FORM: AWO-G-E 5/29t98 Page 4 of 4

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State of North Carolina
Department of Environment
and Natural Resources
Wilmington Regional Office
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Division of Water Quality
October 12, 1998
Certified Mail # Z 153 116 024
Return Receipt Requested
Mr. Hank Gay
Harvell Bay Farm
PO Box 1
Harrells, NC 28444
tom•
RCDENR
NORTH CAROuHA DEPARTMENT of
ENMRONMENT AHD N.YuRAL RESOURCES
Subject: NOTICE OF DEFICIENCY
Harvell Bay Farm
Facility Number: 31-751
Duplin County
Dear Mr. Gay:
On October 8, 1998, 1 inspected your animal operation and the lagoon serving this
operation. During the inspection it was observed that the front field listed in your certified
waste plan as Bermuda pasture has very little of the designated crop_ In addition, the lagoon
has areas eroded by the inlet pipes that may threaten the integrity of the clay liner.
The Bermuda field will require sprigging in the early spring (March -May) or changed to
another cover crop. The short inlet pipes of the lagoon must be extended to protect the clay
liner from further damage. Eroded areas will have to be filled and packed with_a suitable clay
material and vegetated. Furthermore, weeds need to be removed from the inner wall and
revegetated with grass along with bare areas on top of the dike wall. Trees noted during the
inspection must to be removed from the dike wall as well.
You must notify this office in writing within fourteen (14) days of the receipt of this
notice, what actions are being taken to correct these deficiencies. Failure to do so may result in
the facility losing its deemed permitted status and being required to obtain an individual non
discharge permit.
127 North Cardinal Dr., Wilmington, North Carolina 29405 'telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

`N A
Hank Gay
October 12, 1998
Page 2
Please be aware it is a violation of North Carolina General Statutes to discharge wastewater
to the surface waters of the State without a permit. The Department of Environment and Natural
Resources has the authority to levy a civil penalty of not more than $10,000 per day per violation.
If you have any questions concerning this matter, please call Dean Hunkele, David
Holsinger or Brian Wrenn at 910-395-3900.
Sincerely,
Dean A. Hunkele
Environmental Specialist
cc: Harold Jones, Duplin County Soil and Water Conservation
Sandra Weitzel, NC Division of Soil and Water Conservation
Operations Branch
�Wt g -IF#S�
S:1WQSL4IVIMALSIDUPL M31-751.DEF

J & K Farms, I jj��
■ ''. Post mice Box 1 'iFarms,Inc. Harrelis, North Carolina 28444 rms, Inc.
Phone; [phone] • Fax: (910) 5$$8
October 28, 1998
Dean A Hunkele
NCDENR
127 North Cardinal Dr.
Wilmington, N.C. 28405
Subject: Harvell Bay Farm
Facility # 31-751
Duplin Co.
Dear Mr. Hunkele:
Since your visit on -October 8, 1998, the outlet pipe
has been extended, the eroded area compacted with clay and
vegetated. Also, the inner wall was mowed and the small tree
removed.
The bermuda field was overseeded with rye and will be
evaluated this spring by Duplin Co. Soil & Water or county
extension for alternatives or suggestions.
Sincerely,
4'�4
Hank Gay

t;'j)a ,
Z 153 116 024
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided,
Do not use for international Mail See reverse
Sam t
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Post ZIP
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Postage
$ 3 Z
Certified Fee
1
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iiestrided Delivery Fee
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Return Receipt Showing to
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Whom S Date
Return Receipt
Date, 6 Aftessads Address
mTOTAL
Postage S
77
M
9
Postmark or Date
Wilmington, K �1S
USPS
co
tl

LState of North Carolina
Department of Environment,
Health -and Natural Resources A'41*
Wilmington Regional Office r
Division of Water Quality dM
.James B. Hunt, Jr., Govemor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
October 3, 1997
Nathan Gay
J and K Farms
Harvell Bay Farm
PO Box 1
Harrells, NC 28"4
Subject: Notice of Violation
Harvell Bay Farm
Farm Number: 31-751
Duplin County
Dear Mr. Gay:
You are hereby notified that Harvell Bay Farm, which has been deemed permitted to have a
nondischarge permit for an animal waste disposal system pursuant to 15A NCAC 2H .0217, has been
found to be in violation of its 2H .0217 Permit.
On October 1, 1997, Staff from the Wilmington Office of the Division of Water Quality,
inspected your animal operation and the lagoon(s) serving this operation. It was observed that major
erosion of the clay liner has occurred on the lagoon. Large cuts were observed in various sections of
the inner and outer dike wall of the lagoon. It is our concern that some of these gullies may become
deep enough to cut through the liner material and sacrifice the integrity of the structure.
As was discussed at the time of the inspection, the erosion areas should be filled with a
suitable clay material, compacted and reseded with an appropriate vegetative cover. In addition, all
bare areas should be reseeded with an appropriate vegetative cover, and the inner and outer walls of
the lagoon should be mowed and all trees removed. Animal mortalities should be disposed of in a
manner acceptable to the N.C. State Veterinarian -Department of Agriculture. We suggest that you
contact your service company, local NRCS or Soil and Water District office for any assistance they
may be able to provide to correct the situation.
127 Cardinal Drive Extension, Wilmington, N.C. 28405-3845 0 Telephone [phone] Fax [phone]

4a Z 312 636 558 1ADr
US Postal Service
Receipt for Certified Mai!
No Insurance Coverage Provided.
Do not use for International Mall (See reverse
Postage 1
Certified Fee 11, z Y— I 1
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8 ToTALP"�. P6 +-'$� I
!7 PoslmaAcof,Data� �� \��� E
L +

Harwell Bay Farms
October 3, 1997
Page 2
The Division of Water Quality will proceed to revoke Harvell Bay Farm's permit unless the
following conditions are completed:
1. Immediately eliminate the discharge of wastewater and/or list actions to correct the noted
violation.
2. Make any modifications needed to ensure there will be no future discharges.
To remain a deemed permitted facility, you must notify this office in writing within fourteen
(14) days of the receipt of this notice, what actions will be taken to comply with your waste management
plan.
Failure to comply with the above conditions will cause the existing animal waste management
system serving your animal operation to be considered in operation without a permit as required by
North Carolina General Statute 143-215.1.
Please be advised that this assessment does not prevent the Division of Water Quality from
taking enforcement actions for this violation or any past or future violations.
When the required corrective actions are complete, please notify this office in writing. If you
have any questions concerning this matter please do not hesitate to contact either Mr. Brian Wrenn, of
our Wilmington Office at (910)-395-3900 or Mr. Shannon Langley at [phone], ext. 581.
Sincerely,
Rick Shiver, P.G.
Regional Supervisor
attachments
cc: Billy Houston, County Soil and Water Conservation
Sandra Weitzel, Regional Coordinator, NC DSWC
Dr. Andy Mixson, N.C. State Vetednarian-Department of Animal Health
DWQ Operations Branch File
Wilmington Files

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.B., Director
April 3, 1997
,f &K Farms Inc
Harrell Bay Farm
PO Box I
Harrells NC 28444
SUBJECT:
Dear Mr. J&K Farms Inc:
A',T?r*WA
1DEHNR
Notice of Violation
Designation of Operator in Charge
Harrell Bay Farm .
Facility Number 31--751
Duplin County
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. Please 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, ry�
for Steve W. Tedder, Chief
Water Quality Section
bb/awdeslet 1
cc. Wilmington Regional Office
Facility File
Enclosure
P.O. Box 29535. N�� FAX [phone]
Raleigh, North Carolina 27626-0535 �� An Equal FAX
Action Employer
Telephone [phone]k 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 12, 1996
J&K Farms Inc
Harrell Bay Farm
PO Box 1
Harrells NC 28444
SUBJECT: Operator In Charge Designation
Facility: Harrell Bay Farm
Facility ID#: 31-751
Duplin County
Dear Farm Owner:
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 919n33-0026.
Sincerely,
A. Preston Howard, Jr., irector
Division of Water Quality
Enclosure
cc: Wilmington Regional Office
Water Quality Files
P.O. Box 27687, w FAX [phone]
Raleigh, North Carolina 27611-7687 4. An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% recycled/10% post -consumer paper

0 K
Oct 3 '97 13:23
8-9197332277
State of north Carolina
Department of Environment, and Natural Resources
Wilmington Regional�ealth
Office
James B. Hunt Governor
FAX
pate: Ipj.jjj2
To:
C 0:
RENURKIS
Wayne McDevitt, Secretary
SHEET
No. Of Pages:, -a
From -
coot
FAX#: 910-35Q-20 C
I
127 : Cardinal Drivo Extcnsio . n. Wilmington, N.C. 28 053945 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer

i�
State of North Carolina
Department of Environment, Health and Natural Resources
Wilmington Regional Office
James B. Hunt, Governor
FAX COVER SHEET
Date: r
TO: x
CO: N 5.
FAX #: qiA - 73-t-Zz_-77 _
5E 3
Wayne McDevitt, Secretary
No. Of Pages: ?-
From: Rr,av: L.Ore+fir
CO: BEN R - D1&) a- W � ;!A 6r\
FAX#:[phone]
127 Cardinal Drive Extension, Wilmington, N.C. 28405-3845 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer

RECORD OF COMMUNICATION WITH NC DOA -STATE VETERINARIAN
i'
Division of Water Quality ❑ Division Of Soil and Water Conservation
.� Notification of Improper Disposal of Animal Carcasses
Farm Name: �Lr&rir, Facility ID: 31- 151 --County: _ p, _
Location:,,TAV,%_ au,_41 fb Jk, rt.,—U on sK 112.7. Turn l of L on
5R j �._ �r� .,_ ram., SQ_ 1i -1 • re.rw. _ i 0. 3_ mdfts or, n6-A
Responsible Party / Owner's Name: _ c i °� 1( _t7&rm1 _
Contact Name:
niL (2Gnj
Address:�4
Phone #:
City:
Zip:
On Site Representative Notified of Improper Disposal:
Name: _ %6un4, rgnr _Phone #: C�i �D)53Z-?2 T Zvi Date I Time:. to &`i -1 (4
Response to notification: _ "VLt
Regional / District Office: LJkQ0
Date/Time Carcasses Discovered:__. WI/4-1
14: GS
Inspector's / Reviewer's Name: Rr ar,
L • _[,,�rtir►v, Phone #:
No) j
iS' 3 ob
Carcasses discovered as a result of:
Complaint: Inspection: ✓ 'Operational Review: Other:
Animal Type: ko. Number of Carcasses: 1 Condition: �c[omooz�nc
Location(s) of Disposal Site: _ _�&Q66 r%
Comments: Lja6v, Ga,,t guj 7, &SCA. ,ea kouse_S QJ.A 41iJ
�ri � 'E-o ,remavc �ou� �� 1� .ram �1tY-1�� !wlYtCmn-.� _��yPw,nv��• .
NC State Veterinarian Contact (Name):
Title: Phone:— Date/Time:
Other agencies involved/contacted: Name appropriate agency, give contact name, date and time of contact.
Please send form to:
NC State Veterinarian -Department of Agriculture
Dr. Andy Mixson, Director of Animal Health
Agricultural Building
1 W. Edenton Street
P.O. Box 26026
Raleigh, NC 27611
phone: [phone] fax: [phone]
cc: Facilities Assessment Group
File

J & K Farms,. Inc. M A
i I.. . ..
i AIL 4 Post Office Box 1 FIASIL 14
Farms, Inc. Harrelis, North Carolina 28444 Farms, Inc.
Phone: [phone] • Fax: [phone]
RECEIVED OCT 2 3 199t
Rick Shiver
DEHNR
127 Cardinal Drive Extension
Wilmington, N.C. 28405-3845
Subject: Notice of Violation
Harvell Bay Farm
Farm Number: 31-751
Duplin County
All erosive areas have been filled with suitable clay
material, compacted, reseeded with proper vegetation, and
mulched. In addition, all bare areas have been reseeded with
the appropriate cover, and the inner and outer walls of the
lagoon have been mowed and all trees removed. Animal
mortalities have always been disposed of in a manner
acceptable to the N.C. State Veterinarian Dept. of Ag. and
will continue to be done so in an acceptable manner.
Sincerely,
Hank Gay
J&K Farms

,-wtor:Harvell Bay County:
Duplin
Date:
04/21/97
'ance to nearest residence (other
than
owner):
1200-0
feet
!VERAGE LIVE WEIGHT ( ALW)
l ,,' grows ( farrow Lo finish)
x
1417
lbs. --
0
lbs
0 sows (farrow to feeder)
x
522
lbs. _
0
lbs
a1.00 head (finishing only)
x
13S
lbs. -
283500
.lbs
0 sows ( farrow to wean)
x
A33
lbs. =
0
lbs
0 head ( wean to feeder)
x
30
lbs. =
0
lbs
Describe ether
0
Total Average Live Weight =
283500 lbs
M FNIMUM REQUIRED TREATMENT VOLUME OF LAGOON
volume - 283500 lbs. ALW x Treatment Volume(CF)/lb. ALW
Treatment. Volume( CF )/lb . ALW = 1 CF/lb - ALW
volume = 283500 cubic feet.
bTORAGE VOLUME FOR :SLUDGE ACCUMULATION
volume = 0.0 cubic feet
OTAL DESIGNED VOLUME
inside top length (feet) --------------------- 565.0
Inside top width (feet)----------------------- 162.0
Top of dike elevation (feet) ----------------- 51.0
Bottom of lagoon elevation (feet) ------------ 40.0
Freeboard t_ feet )--------------------__-------- 1.0
side slopes ( inside lagoon)------------------ 2.5 ].
TQLal design volume using prismoidal formuia
SS/E=ND1 SS/END2 SS/SIDE1 SS/SIDE2 LENGTH WTDTH DEPTH
2.s 2.S 2.5 2.5 S60.0 157.0 10-0
AREA OF TOP
LENGTH * WIDTH =
560.0 157.0
AREA OF BOTTOM
LENGTH Y WIDTH =
S10.0 107.0
AREA OF MIDSECTION
LENGTH A WIDTH * 4
87920 ( AREA OF TOP)
54570 ( AREA OF BOTTOM)
282480 ( AREA OF MIDSECTION * 4 )
CU . F r . W (AREA TOP + (4*AREA MIDSECT:IUN) + AREA A E'OTTOMI DEPTH/6
91920.0 252480.0 54570 .0 1.7
Total Designed Volume Available = 708283 CU _ FT.

i EMPORAfRY STORAGE SEOUIRED
{DRAINAGE AREA:
L
Lagoon (Lop o I1dike)
Length * width
565 _ 0 16 .O 91530.0 square feet
tau i. ldiNgs (roof and lot water)
0.0 square feet Describe this area.
TOTAL DA 91530.0 :square tenet
We'sign temporary storage period to bW 180 days.
Volume of wash produced
Feces u urine production in gal./day per 135 lb. AL.W 1.37
volume = 283500 lbs_ ALW/135 lbs. ALW * 1.37 gal/day 180 days
Volume = 517860 gals. or 69232.6 cubic feet
Volume of wash water
This is the amount of fresh water used for washing floors or volume
of fresh water used for a flush system. Flush systems that recirculate
the lagoon water are accounted for in SA.
volume = 1890.0 gallons/,Mazy 180 days storage/748 gallons
per CF
Volume - 45481.3 cubic feet
vo.wme of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amount.
180 days excess rainfall - 7.5 inches
volume = 7.5 in * DA / 12 inches per fort
` OLUMa = S7206.3 cubic _feet

'volume of 25 year - 24 four storm
Volume = ? . �, inches / 12 inches per foot * DA
Voiume = cubic feet
rO TAL REQUIRED TEMPORARY STORAGE
5A .
6922.:'
cubic
feet
5-9-
45481
cubic
feet
5i .
57206
cubic
feet
��U ,
57206
cubic
fret
TOTAL 229126 cubic feet
`A MMAPY
Temporary storage reriod____________________;
180
days
Rainfall in excess of evaporation===========>
7.5
inches
2S vear - 24 hour r`aiofall=====____ __==-__=>
7.5
inches
1.0
feet
side
Inside top
565.0
feet
Inside top width____________________________>
162.G
feet
Top of dike c.levation=====-------=---==-----;
51.0
feet
Bottom of lagoon elevation=w==--=-=== --====>
40.0
feet
Total required volume_______________________>
512626
cu. ft.
Act11.31 dam. >..i<trt volumew______________________>
708283
cu . ft .
Seasonal h�ia,� water table elevation (SHWT }___:
44.0
feet
I.t.op pump i na ..le.t, . __===___________________`.
44.6
feat
Must be ; or = to the SHWT eIev.==========>
44-0
feet
Must be > or = to min, req. treatment el.=>
46.0
feet
Requii-ed minimum treatment volume== -_==_==_>
283.500
cu . ft .
VOI Lfine ..Ft stop pumping elevation===_____==__>
284472
cu _ ft .
-tart pump.i n elm,; -_===_______=_____-_ _ ==>
49-3
feet a:
htu: i. Lc- at-, L,,oi:.Lorri of fr...- board t4 25 yr. rainfall
ACtual volurfie less 25 yr .- 24 hr. . rainfall==>
651OZ7
cu . fr .
VoIUMe at :-:tart_ PLJfPpiVIIJ
664770
cu. ft.
Require„ vo Lume to ;De plImpecJ====____=_=======)
171920
cu . f t . �=
,ct.ua] volume_- planned to be pumped==========>
380--198
cu. ft . :k
s when required==>
M,i r,. t,h.i._~ ,F soil .Liner
L .6
feet-
feet
,. �(j
fj
M*tTE : SEE r)TTACHc= WASTE urTL I7ATzori PLAN

SHEET 1 OF 2
OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is desigried for waste treatment ( permanent storage) and
1.-0 dayJ of temporary storage. Ti:: time required for the planned
fll_,ic:, IA.E ve.l (permanent and temporary storage) to be reached [nay vary
a t: o s i. t. c:ond.i t.ions: , weather , f lu.shi ng op- ra Li ons , a1-ld t.h. amount
a t t" r ew,t-, wa ( yid Jed to the system.
t erilPOT+~.�ry u;tol-age cof"1si_ t s of 180 days storage for
1 ) waste: fr'orn animals and (?') excess rainfall after evaporation. Also
.nclude(al is <stor��ge for t!}e 25 year - 24 hour storm for the location.
1-he Volume of waC.te '.)enerated from a given number of animals will be
1 airly constant throughoutthe year and from year to year, but excess
r,,infdll. will vary frorfi ,ear to year. The 25 year rainfall will not
'b-e a tac too- to cons.i-der in :-.in wzrrnual pumping cycle, but this storage
vc:.,lume mu-=�t always be available.
rnl::irnufn 1. vF:t.i _)n is determined in each design to begin
r.lin 'in 3 andthis is usually the outlet invart of pipe(,-) from
+iilriinct',-'. if the outlet ;ripe is not installed at the elevation to
begin pumping, a permanent marker must be installed at this elevation
to indicate wh%n pumping should begin- An elevation must be established
to stop pumping to maintain lagoon treatment depth.
t'urnpi.ng can be started or stopped at any time between these two
°leva.tiorls for operating convenience as site conditions permit, such as
weather, soils, crop, and equipment in order to apply waste without
runoff or leaching-
t_and application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
C:---:nt".• •r pi.vot:., _,urls, and traveling gun irrigation. Care should be
i-a ken when ;applying waste to prevent damage to crops.
i.t-grns arri-. to be car-riad out.:
is tr-crigly recommended that the treatment lagoon be pre-
ct'i .d '-tom:,: ta,� l.�.Y' to pf . Til_ excessive odors during
i -u. I:'i ._- ilci'i 15'I�s r c'duc&e t11 (-oncentrat-ion of the in'ti.a.1
}.i1+-1 Lh-e lags}tJSI t-1 er-r L:)y G(71r)rr501j.dS ShIjUld be
1,1­:) ..r:; w i. ti', at ail tiwll s - Wi`eii pT"?_char gi ng Ls complete
ii bu i. I.:'r rl<=1':; vJrt.11 r c.;y_ ]. ;c# lagoon l iga.i.d. Frash water should rI�it
b,-. u'-;e':; f;.,r- flushing a.tt.e-i- initial filling-
-th, , at-tached wa.=t'a utilization plan shall be followed. This
i- -i rr'~':7rnm« rl3=is `jrt(rS l.r.r-1��-in�d t-O��ting of waste (-`ee attr'3- :�)fflefit;_)
}, tares land ap,p,li,cait-i n.
t ^clS.ri `...�ri1rGT- iC �tO}-<.1�1 t-ump-out, of i.h I-c�goon when fluid
t"h'e elevati,or'. as fnarkec+ i)y permanent marker, StQp PLll`np--
_7i Jf'i•f.'11 f"1•:r fll.!1'd .6v i, Ie:=Ci}e �lc"�'1.3.tiCIr1 44.E This temporary
•�t.- i)r i-i :te , 1!='�::-� 7c yi-- 4 hr :J;tc:iT rfl contains 1t r c0 Cal i].L %J feet cat Or"

SHEET 2 OF 2
The recommended maximum amount to apply per irrigation is
orle (1 j inch and t.tla recommended maximum application rate is 0.3
irrch per hoi.ir. Refer to the waste utilization plan for further- details.
Keel vege"ation wn the embankment and areas adjacent to the
It roor! rrlcar-jed 1nnLIP,11 . Vegetation should be fertilized as needed
i_o maintain a vigorous stand.
' ' parr Tiny erode:., arE as e.�r areas carnage+., by rodents any
,t ai-:�1 ish S. n vegetation .
surface (unoff is to be diverted from the lagoon to stable
{. =-p rrrLillrl7l�I�! of 25 1=eet of c_i7-ass vecrotar_ d buffer �crnunri
e Li r i.1 i -Zat ion fields adjacent to perennial streams- Waste will
<i ,pig t ied i_ i!! open ditches. Do riot- pump within 00 feet of a
r ...icicr-! e or within i0o feet cf a well. Wa-ste shall be applied in a
r!lci ll ii_-i- i7 C)I'. to 'r" c";Cil other property and public right -of -ways-
-I - n-,e ciea, Water Act of 1977 prohibits the discharge of
c)l lutants into waters of the United States. The Department of
E rr .. r csnrnent , Health, and Natural Resources, Division of Environ-
rn.-! t, 1. M-anagement, has the responsibility for enforcing this law.

SHEET 1 OF 2
SPEC IFICATICIN`a FOR CONSTRuc.TION OF WASTE TREATMENT LAGOONS,
-----------------------------------------------------------
FOUNDf:�T ION PREPARATION:
The foundation area of the lagoon embankment and building pad shall be
clear: d of trees, logs, stumps, roots, brush, Boulders ,sod and rubbish.
Satisfactory disposition will be made of all debris. The topsoil from
the lagoon and pad area should be stripped and stockpiled for- use on
,'.he dike and pad areas. After stripping, the foundation area of the
I.a<fr,,.,n embankment. and building pad shall be thoroughly loosened prior
l:irst Lift of fill material to get a clr,od band,
ION AND EARTHF IL L PLACEMENT:
excr Vat 01� r; M-'i a)-thfit .shall, c4:7nrorm t ) lines,
;r .;d..._ rl(-,! t i o n s " h a w n on the plans. Ewarthfi.11 mat ri.al shall
-)e 1-1-ems' ()i— rrlat er ia.l such as sod, )-oats tiro _ell soil, stoi-ies -ve,
inc s ire r_ii-imetar , and other object ionab1- material . To the extent
t_"hr:y are suitable, excavated materials can be used as fill. The fill
-hall. be b-f-ought up in approximately horizontal layers not to exceed 9
i 11^h-s in thickness when loose and Prior to compaction. Each layer
;kill bre compacted by completes, coverage with the hauling and spreading
Ucfl_,is�rrlent_ of stand��rd tamping c-ol,ler or other e-auiva.lent method.
vompaction will be considered adequate when fill material is observed
t consc lidate to the point that settlement is not readily detectible.
r!r_rT"E. THL- SPECIAL REQUIREMENTS FOR PLACEMENT OF LINERS IN THE LINER
�J--CiUN OF THIS SPECIFICATION. The embankment of the lagoon shall be
installed lasing the more impervious materials from the required
exca�:�ations" Construction of fill heights shall .include 5 percent for
cttic-'ment.. Dikes over 15 feet in height and with an impoundment
cit y of 10 Acre-feet of more fall under the jurisdiction of the NC
Garr, S.af�t.y Law. The heis�iht is defined as the difference in elevation
7 T' c',rfl � h-? i:i?n tS 1.1C t✓<=i hei 7ht. to the dOWnstream toe of the dike.
shall be t-al: n Juring const.rl.c+ J.ori to prevent, exc2 sivnv
ai-i Ci s e d i ri-se nt-at: J. of -i
LIi',4ER THE m]'N1i',JUM REQU]:RLD THICF.NE�SS SHALL BE }..�� I`f:.
(I-'61RT tail_. OR FUL.I..) ARE RFOUTRED WHEN THE r"11'T ACHED SCII_S
-1" WHEN UNSUITABLE r�ATFRTAL Is FT()'.a i,E-PAO
i__11=:1rUNTFIRILC:, CIURING CONc; (RUCTION . A TYPICAL_ C:ROS-S SECT EON OF THE LINER
r' 7"r�c:i._'..�C)T_:t IN "i"TE 0ES,.IG:,N WHEN LINERS AR` REQUIRED BY 1"ti- .Q rLS l:EP'(7RF
T1 t"e�i _ {7f I_In'SUit;?'ill.& rflat:el-j.`il_ r-;r aienuntered, i.hc j' w.il.l i?(�; over-"
;.1V t.eCi i�E!='IL'i finish ��irade to the spe ifled depth rf. fll� �:�U1 Sri
'Lo i h; i 1.IZJ s-h Cjrade . The t oundat.l.on shall be backf i l led
p,:-:.ifie� r. arade with a SCS approved maLL-rial. (ie - Cl_,SC,CH).
TO THE SOiLS INVESTIGATION INFORMATION IN THE PLANS, FOR SPECIAL
°�, C_'r•=

SHEET 2 OF 2
Sail liner" material .shall come from an approved borrow area. The
minimum water content of the liner material shall be optimum moisture
cont,ent_. which relates to that moisture content when the soft is kneaded
in the hand it will form a ball which does not readily separate. Water
shall be added to borrow as necessary to insure proper moisture content
during plac,-'ruti;nt of the liner. The moisture content, of the liner
m t:.,_:v ial shall not, be less than optimum water content during placement.
the maxifrilJm water content relates to the soil material being too wet
for efficient use of hauling equipment and proper compaction. proper
compaction o the liner includes placement in 9 inch lifts and
uampaMed to at least 90 percent of the maximum ASTM D698 Dry Unit
Weight of the liner material. When smooth or hard, the previous lift
shall be scarified and moistened a1' needed before placement of the next
lift. -
Me singia most important factor affecting the overall compacted perme-
abil&y of a clay liner, other than the type of clay used for the
liner. is the efficient construction processing of the compacted liner.
the sequence of equipment use and the routing of equipment in can estab--
i.' h d Pattern helps assure uniformity in the whole placement and
compaction process. For most clay soils, a tamping or sheepsfoot
roll. r is the preferable type of compaction equipment_
the soil liner shall be protected from the discharge of waste outlet
pipes. Fhis can be done by using some type of energy d.i,ssipator( rocks )
or us ino flexible outlets on waste pipes.
Alternatives to soil liner are synthetic liners and bentonite sealant.
When these are 'pec..ified, additional construction specifications are
Nc,luded with this Construction Specification.
:: UT UFt= TRENCH:
:
--------------
r utof f: trench shall be constructed under the embankment area when
shown an :± typical cross section lr7 t118 plans. The final depth of the
-unofV trench shall be determined by observation of the foundation
&at• ri.. lw.
All . :t_',c ej embankment nt: and other bare constructed areas shall be seeded
1± 1r. planned -lpe of vegetation as soon as possible te: t 41 uonstr E.1 ice_
ion . coordino to the seeding specifications. Topsoil should be placed
it %ai eas of Lh ' dike and pad to be seeded. Temporary seeding or mulch
M I L be used if the recommended permanent vegetation is out of Season
dates _ for seeding. Permanent vegetation should be established %a':.: soon
Possible during the next_ period of approved seeding dates.
------------------------
•;1hen tile
drains are encountered. the tile will to
removed to a minimum
,f ..
� � beyond i„ hl e outside
t. a e of slope of t:, h, G
dike. T h e tile
trench
shall be backfille d and
compacted with _good
material such as
C GI_,
or CH-

SEEDING SPECIFICATIONS
----------------------
AREA TO BE SEEDED; 2-0 ACRES
USE I'HE SEED rS[XTURE'. IrdDI::AT` f A;- FOI_k._ows
1- 0 -0 L..GS . FESCL.!E GRA-SS AT C 0 LBS, . %ACRE
( BE`•T SUTTED ON CLAYEY OR WET SOIL CONDTTTONS )
SEEDING OATES= SEPTEMBER 1 TO NOVEMBER 30
FEBRUARY 1 TO MARCH 30
0.0 LBS- RYE GRAIN AT 30 LBS-/ACRE (NURSERY FOR FESCUE)
0-0 LBS. 'PENSACOLA' BAHIA GRASS AT 60 LBS./ACRE
( SEE FOOTNOTE NO- 1 )
SEEDING DATES: MARCH 15 TO JUNE 15
C1 _0 LBS . HULLED COMMON BERMUDA GRASS AT 8 LBS ./ACRE
( SUITED FOR MOST COIL CONDITIONS)
SEEDING DATES: APRIL 1 TO ?ULY 31
0.0 LBS- UNHULLED COMMON BERMUDA GRASS AT 10 LBS./ACRE
SEEDING DATES: JANUARY 1 TO MARCH 30
0.0 LB''- RYE GRASS AT 40 LBS./ACRE ( TEMPORARY VEGETATION)
EEDTNG DATES: DECEMBE=R 1 TO MARCH 30
L
APPLY THE FOLLOW-, L•,!r;
LBS - OF 10-10-"-10 FERTILIZER (1000 LBS./ACRE )
Al.0 TONE OF DOLOMITIC LIME (2 TONS/ACRE)
200 .t} BALES OF SMALL GRAIN STRAW ( IOC BALES/ACRE)
ALL `7,UR ACE '=,HOOL D BE INSTALLED PRIOR TO SEEDING. SHAPE
1L!. ��I`=I"11;;EE.L? P-REI`+ fMMFDIAr7EL_Y AFTER EARTH MOVING IS COMPLETED.
LIME AND FEPTTL [LER DISIK' TO PREPS')Rc A TO 4 INCH
^it:.Cll"EA EEDi-3ED - Al=PL`r" SEED o�sNfD FIRM SEEDBED WITH A CULTIPACKER
i)Lt:S].M11-4"R ECu�UTpr c--Nl, . APPLY MULCH AND SECURE. WITH A MULCH
ANCHORING TOOL OR NETTING -
1. PENSACOLA BAHrAGRASS IS SLOWER TO ESTABLISH THAN COMMON
pEI^,MUDA G R AS• . WHEN USING BAHIA , IT IS RECOMMENDED THAT R
LBS . /ACRE OF COMMON BERMUDA BE INCLUDED TO PROVIDE COVED
UrdTTL SAHIAGR,i-S`: TS CcTAt'L_].='•FIF_j) -

tA
e
ay

Animal Waste Management Plan Ccrtiiicatityn
(Please type or print at] in(onnation that does not rcgnirc a signawrc)
Exis�i.a,v", or New or Expanded (Please circle one)
Name of Farm- Facility No: 3 f - r
Owner(s) Name: J t AMP-(* Phone No:1/o -,; 3"i
Mailing Address: ..i. 130L44rMKJ1S LZ•
Faun Location: County Farm is located M.- J3, Ri., I.Ij
Fourteen Digit Hydrologic Unit: D 301� DOD b
Latitude and Lcutgitu(le..: -yz p q5� 0--LI/ / r15, /off / o i� Integrator: j f k
Please attach a copy of a county road mal) with location identified and describe below (Be specific:
road nanies, directions, milepost, etc-): iza..._ 44—v -�.rttj tcgS� n,,i flat, ge
Type of Sivine
() Wean Fci;cier
Ad [o Finish
O Farrow to'Wean
() Farrow to Feeder
O Farrow to Finish
O Gilts
{) Boars
No ofAniinaIs
2jbV
Type of Poultry
()Layer
()Pullets
Other'rvpc of Livestock:
No of Animalti Type of Caute No of Animals
()Dairy
()Beef
Number of Animals:
Expanding Operation Oni '
Previous Design Capacity: Additional Design Capacity: . ` Total Design Capacity. -
Acreage Available for Application: 4.0 Required Acreage:
Number of Lagoons/Storage Ponds: Total Capacity: 40"(0p fog ,a Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or N (please circle one)
If YES: are subsurface drains present in the area of the LA OON or SPRAY FIELD (please circle one)
Owner/Manager Agreement
I(we) veri(v that all the above information is correct and will lie updated upon changing- I (wc) understand the operation and maintenance
procedures established in the apl>roced animal waste management plan for the farm named above and will implement these procedures. I (wc)
know that any expansion to the existing design capacity of the waste treatment and storage system or construction of new fac ilitics will require a
new certification to be sut>ntittcd to the Division of Environmental Management before the new animals are stocked. 1 (we) understand that there
must be no discharge of anima waste from the storage or application system to surface walcrs of the state either directly thnxlgh a man-made
conveyance or from a storm cvcnt Icss severe than the 25-year, 24-hour storm and there must not be runt -off from the application of anim:0
waste. I (%ve) understand that run-off of pollutants from lounging and heavy use areas must be minimized using technical standards developed by
the Natural rtcsourccs Conscnalion Service. The approved plan will be filed at the farm and at the office of the local Soil and Watcr
Conservatimi District. I (we) know that ulodifncalinn must be approved by a technical specialist :utd submilted to the Soil and conscrvalion
District prior to impleincntation. A change in land us+'nrrshiP requires written notification to DEM or a new certification (if the approved Plan is
changed) within 60 days of a till- transfer.
Name of Land Own
Signature:
Name of Manager (if (111T
Signature:
AWC -- Augu.al I, 1991
T�l Fib rL V J
from owner):
Date:_/ zt4 `I
Date:

Technical Specialist Certification
1, As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to ISA
NCAC $F .0005, I certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management (DEM) as
specified in 15A NCAC 2H,0217 and the USDA -Natural Resources Conservation Service (NRCS) and/or the North Carolina
Soil and Water Conservation Commission pursuant to 15A NCAC 214.0217 and 15A NCAC bF .0001-.0005. The following
elements are included in. the plan as applicable. While each category designates a technical specialist who may sign each
certification (SD, Sl, WUP, RC,l) the technical specialist should only certify parts for which they are technically competent.
II. Certification of Design
A) Collection, Storage, Treatment System
Chec ' the appropriate box
Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization requirements.
O New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds, have
been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print) �
r G 6
Affiliation:
�ftYi^ 5 Dat Work Completed: r -, 9rj
Address(Agency) J, Rt�rt 1�L ,�Z$x� Phone No: 5J, . 53 L- -Li
Signature: l Date:
B) Land A lication Site
The plan provides for 'nimum separation (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): Mok�
Affiliation:
armS. lit-n—work Completed: / G
Address (Agency): P7,), Baj- /�. x, Phone No:
Signature. Date: -fie
C) Runoff_ Controls from Elterior Lots
Che he appropriate box
,41 Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
O Facility with exterior lots (RC)
Methods to ntininuze the run off of pollutants from lounging and heavy use areas have been designed in accordance
with technical standards developed by NRCS.
Name of Technical Specialist (Please Print):
Affiliation. F�. gp rgkC 15 C 7294�T D e Work Completed: 3�
Address (Agency): �D Z°�y Phone No.: '17A-5St —�hL
Signature: Pate:`
VW! 17
AWC -- August 1, 1997

D) A lication and Handlinr Equiament
Check the Appropriate. box
Existing or exVanding facility with existing waste -application ui ment (WUP or 1)
10 Animal waste application equipment specified in the plan has been either field calibrated or evaluated in accordance
with existing design charts and tables and is able to apply waste as necessary to accommodate the waste management
plan: (existing application equipment can cover the area required by the plan at rates not to exceed either the
specified hydraulic or nutrient loading rates, a schedule for timing of application has been established; required buffers
can be maintained and calibration and adjustment guidance are contained as part of the plan).
O New, expanded, or existing facility without existinp, waste application Nuipment forspray irrigation (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the plan at
rates not to exceed either the specified hydraulic or nutrient loading rates: a schedule for timing of applications has
been established; required buffers can be maintained; calibration and adjustment guidance are contained as part of the
plan).
New•exnarided.or existine facility without existine waste application equipment for land spreadini not usini sora
irrigation. (WUP or I)
Animal waste application equipment specified in the plan has been, selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the plan at
rates not to exceed either the specified hydraulic or nutrient loading rates;'a schedule for timing of applicaions has
been established: required buffers can be maintained; calibration and adjustment guidance are contained as part of the
plan). ,
Name of Technical Specialist (Please Print): 4A,".4 V 8::;
Affiliation: CA r-S Date ork Completed: 7/ '
Address (Agency):, �� R �� �.� -� a one No: cllJ _ S3 Z 1
Signature: /�J 1,4
Date: / 36_�Jrl
E)
The waste managem nt plan for this facility includes a Waste Management Odor Control Checklist, an Insect Control
Checklist, a Mortaility Management Checklist and an Emergency Action Plan. Sources of both odors and insects have
been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best Management
Practices to Control Insects have been selected and included in the waste management plan. Both the Mortality
Manangement Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): 41
LC
Affiliation: r, D +�
Date Work Completed: 3a
Address (Agency): La
�/ Phone No.: Iv„ 573 L— Z-
R21 .�
Signature:
Date:
F) Written Notice of New or fxpanding Swine Farm `
The following signatu a block is only to be used for new or expanding swine farms that begin construction after June
21, 1996. If the facile ty was built before June21, 1996, when was it constructed or last expanded . I(we)
certify that I(we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street or highway from this new or expanding swine farm. The notice
was in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners
notified is attached.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997

III. Certification of Installation
A) Collection Storage. Treatment IrLStallation
New, expanded or retrofitted fa alit (SI)
Animal waste storage and treatment structures such as but not limited to lagoons and ponds, have been installed in
accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification -is necessary.
Name of Technical Specialist (Please Print):
Affiliation: Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
B) Land Application Site (WUP)
Check the appropriate box
The cropping system is in place on all land as specified in the animal waste management plan.
!!!{) Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system as
specified in the waste utilization plan has not been established and the owner has committed to established the
vegetation as specified in the plan by (month/day/year); the proposed cover crop is appropriate for
compliance with the waste utilization plan.
O Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 days of
this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print): 14AJ
I< C-4�-.
Affiliation: .115 r
1)
D e Work Completed:
k r4- mo-ls �&
Address (Agency): P,). �( Z� Phone No.: 9Gb --5 3 ti _ rl L
Signature: 44A A Dater -i
r
This following signature bloc is only to be used when the box for conditional approval in M.B above has been checked.
i (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan, and if
appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion from a
Technical Specialist within 15 calendar days following the date specifed in the conditional certification. I (we) realize that
failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement action
from DEM.
Name of Land Owner:
Signature: Date:
Name of Manger (if different from owner):
Signature: Date:
A W C -- August 1, 1997

• ' ' G7 Rur— 9� trot. from Exterior hots (RC)
Facility with exterior lots
Methods to minimize the run off of pollutants from lounging and heavy use area have been installed as specified in
the plan.
For facilities without exterior lots. no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation: Date Work Completed:
Address(Agency): Phone No.:
Signature: Date: .
D) Application and Handling Equipment Installation (WUP or n
Check the appropriate block
Animal waste application and handling equipment specified in the plan is on site and ready for use; calibration and
adjustment materials have been provided to the owners and are contained as part of the plan.
() Animal waste application and handling equipment specified in the plan has not been installed but the owner has
proposed leasing or third party application and has provided a signed contract; equipment specified in the contract
agrees with the requirements of the plan; required buffers can be maintained, calibration and adjustment guidance have
been provided to the owners and are contained as part of the plan.
{) Conditional approval: Animal waste application and handling equipment specified in the plan has been purchased
and will be on site and installed by . (month/day/year); there is adequate storage to
hold the waste until the equipment is installed and until the waste can be land applied in accordance with cropping
system contained in the plan; and calibration and adjustment guidance have been provided to the owners and are
contained as part of the plan.
Name of Technical Specialist (Please Print): ha
Affiliation: rJ 105 ate Work Completed: ��T:2
Address(Agency): pp` hone No.: cya S3 t -}lrj Z
Signature. Date: / -L/3
The following signature block only to be used when the box for conditional approval `in III D above has been checked.
I (we) certify that I (we) have ct9unitted to purchase the animal waste application and handling equipment as specified in my
(our) waste management plan and will submit to DEM a verification of delivery and installation from a Technical Specialist
within 15 calendar days following the date specified in the conditional'certification. i (we) realize that failure to submit this
verification is a violation of the waste management plan and will subject me (us) to an enforcement action from DEM.
Name of -Land Owner:
Signature: Date:
Name of Manager(if different from owner):
Signature: Date:
E) Odor Control, Insect Control and Mortality Manazement (SD.SI.WUP,RC orI)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The mortality
management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): 14A#13
Affiliation: t �•. Date Work Completed: A Y31/5
Address {Agency) P y. . Z% Phone No.: 53 L-
Signature:
Date: 3-
AWC — August 1, 1997 5

EMERGENCY ACTION PLAN
PHONE NUMBERS
DIVISION OF WATER QUALITY (DWQ) 1710- ypra- /5Sy(
EMERGENCY MANAGEMNET SERVICES (EMS) 1
SOIL AND WATER CONSERVATION DISTRICT (SWCD) 51-L _ nyc,Z
NATURAL RESOURCES CONSERVATION SERVICE (NRCS) r
COOPERATIVE EXTERSION SERVICE (CES)
This plan will be implemented in the event that wastes from your operation are leaking,
overflowing or running off site. You should not wait until wastes reach surface waters
or leave you property to consider that you have a problem. You should make every
effort to ensure that this does not happen. This plan should be posted in an accessible
location for all employees at the facility. The following are some action items you should
take.
1. Stop the release of wastes. Depending on the situation, this may ore may not be
possible. Suggested responses to some possible problems are listed belwo.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B. Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that cause the runoff.
e. Evaluate the application rates for the fields where runoff occurred.
C. Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
D. Leakage from flush systems, houses, solid separators -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators.
E. Leakage from base or sidewall of lagoon. Often this is seepage as opposed
to flowing leaks -possible action:
a. Dig a small sump or ditch from the embankment to catch all
seepage, put in a submersible pump, and pump back to lagoon.
b. If holes are caused txy b.urrawing animals, trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as soon as possible.
1

2
3
0
5.
A
Assess the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters?
b. Approximately how much was released and for what duration?
c. Any damage notes, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off the property)?
h. How much reached surface waters?
Contact appropriate agencies.
a. During normal business hours call your DWQ regional office; Phone - -. After
hours, emergency number: 919-733-3942. Your phone call should include: your
name, facility number, telephone number, the details of the incident from item 2
above, the exact location of the facility, the location or direction of movement of
the spill, weather and wind conditions. The corrective measures that have been
under taken, and the seriousness of the sitution.
b. If spill leaves property or enters surface waters, call local EMS phone number.
c. Instruct EMS to contact local Helath Department.
d. Contact CEs, phone number - , local SWCD office phone number - -, and local
NRCS office for advice/technical assistance phone number - -.
If none of the above works call 911 or the Sheriff's Department and explain you
problem to them and ask the person to contact the proper agencies for you.
Contact the contractor of your choice to begin repair or problem to minimize off -
site damage.
a. Contractors Name: Ji -fi4Rs.s
b. Contractors Address: l ks
c. Contractors Phone: `)m -sit- SFtiti
Contact the technical specialist who certified the lagoon (NRCS, Consulting
Engineer, etc.) ,
a. Name:
b. Phone:
7. Implement procedures as advised by DWQ and technical assistance agencies to
rectify the damage, repair the system, and reassess the waste managment plan to
keep problems with release of wastes from happening again.
2

INSECT CONTROL CHECKLIST FOR ANIMAL OPERATIONS
Source Cause BMP's to Minimize Odor Site Specific Practices
(Liquid Systems)
Flush Gutters Accumulation of solids /(-f Flush system is designed and operated
sufficiently to remove accumulated
s Ids from gutters as designed.
Remove bridging of accumulated solids at
disc arge
Lagoons and Pits Crusted Solids yj Maintain lagoons, eettfing basins and
pits where pest breeding is apparent to
minirnize the crusting of solids to a depth
of no more than 6-8 inches over more than
30�o�/f surface.
Excessive Vegetative Decaying vegetation �1'Maintain vegetative control along banks of
Growth / lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along water's edge on impoundment's perimeter.
(Dry
Feeders Feed Spillage Design, operate and maintain feed systems (e.g.,
bunkers and troughs) to minimize the accumulation
of aging wastage.
Zplean up spillage on a routine basis (e.g. 7-10 day
int al during summer; 15-30 day interval during winter).
ad Storage Accumulations of feed residues Reduce moisture accumulation within and around
immediate perimeter of feed storage areas by
insuring drainage away from site and/or providing
adequate containment (e.g., covered bin for
brewer's grain and similar high moisture grain
produ ).
(} pact for and remove or break up accumulated
solids in filter strips around food storage as needed.
Animal holding Areas Accumulations of animal wastes-tTEliminate low area that trap moisture along fences
and food wastage and other locations where waste accumulates and
and d turbence by animals is minimal.
amtarn fence rows and filter strips around animal
holding areas to minimize accumulations of wastes
(i.e. inspect for and remove or break up accumulated
solids as needed).
X-Novomber 1 1. 1996

Ory Manure handling Accumulations of animal wastes Remove spillage on a routine basis (e.g. 7-10 day
,systems interval during summer; 15-30 days interval during
winte 1 where manure is loaded for lend application
disp sal.
Pr de For adequate drainage around manure stockpiles.
Inspect for and remove or break up accumulated wastes
in filter stripes around stockpiles and manure handling
areas as needed.
The issues checked ( ) pertain to this operation. The landowner/integrator agrees to use sound judgment in applying
insect control measures as practical.
I certify the aforementioned insect control Best Management Practices have been reviewed with me.
CvVA 7SICSI-1—
(Landowner Signature)
For more information contact the Cooperative Extension Service, Department of Entomology. Box 7613, North Carolina State University, Raleigh, NC
27695-7613,
AMIC--November 11. 1996

SWINE FARM WASTE MANAGEMENT ODOR CONTROL CHECKLIST
Source Cause BMP's to Minimize Odor Site Specific Practices
Farmstead Swine production I Vegetative or wooded buffers;
,krRecommended best management
pr faces;
Good judgment and common senaa
Animal body surfaces Dirty manure -covered animals [ } Dry floors
Floor surfaces
Wet manure -covered floors
�f ] SI fed floors;
Waterers located over slotted floors;
f) Feyidere at high and of solid floors;
,, Sc pe manure buildup from floors;
Underfloor ventilation for drying
Manure collection pits
Urine
req ant manure removal by flush,pit
rec argo,or scrape
Parital micorbial decomposition
Underfloor ventilation
Ventilation exhaust fans
Volatile gases;
intenanco;
Dust
ficient air movement
Indoor surfaces
Dust
Washdown between groups of animals
f j Feed additives;
[ 1 Feeder covers;
{ I Feed delivery downspout extenders to
feeder covers
Flush tanks
Agitation of recycled lagoon
f I Flush tank covers
liquid whiles tanks are filling
( I Extend fill lines to near bottom of
tank ith anti -siphon vents
Flush alleys
Agitation during wastewater
Underfloor flush with underfloor
conveyanance
ventilation
Pit recharge points
Agitation of recycled lagoon
[ I Extend rechard lines to near bottomof
liquid while pits are filling
pits with anti -siphon vents
Lift stations
Agitation during sump tank filling
{ I Sump tank covers
and drawdown
Outside drain collection Agitation during wastewater f I fox covers
or junction boxes conveyance
End of drainpipes at lagoon Agitation during wastewater f 1 Extend discharge point of pipes
underneath lagoon liquid level
Lagoon surfaces Volatile gas emissions ( opar lagoon liquid capacity
Biological mixing err et lagoon startup procedures
Agitation aMi'nimurn
um surface area -to -volume ratio agitation when pumping
(► Mechanical aeration
f 1 Proven biological additives
Irrigation sprinkler nozzles High pressure agitation Irn e on dry days with little or no wind
Wind draft Miniminimum recommended operation pressure
{' 1 Pumpintake near lagoon liquid surface
g q
f 1 Pump from second stage lagoon
AOC--Novembor 11, 1996

Storage lank or basin Partial microbial decomposition t I Bottom or midlevel loading
surface Mixing while filling f 1 Tank covers
Agitation when emptying [ 1 Basin surface mate of solids
(1 Proven biological additives or oxidants
Settling basin surface Partial micobial decomposition [ 1 Extend drainpipe outlets underneath liquid
Mixing while filling level
Agitation when emptying { j Remove settled solids regularly
Manure, slurry or sludge Agitation when spreading
spreader outlets Volatile gas emissions
[ I Soil injection of slurry/sludges
f I Wash residual manure from spreader after use
f 1 Proven biological additives or oxidants
Uncovered manure, slurry Volatile gas emissions while drying ( ) Soil infection of slurry/sludges
or sludga on field surfaces [ I Soil incorporation within 48 hours
[ 1 Spread in thin uniform layers for rapid drying
{ j Proven biological additives or oxidants
Dead animals Carcass decomposition ,*fProper disposition of carcasses
Dead animal disposal Carcass decomposition f 1 Complete covering of carcasses in burial pits
pits f ] Proper location/construction of disposal pits
Incinerators Incomplete combustion { 1 Secondary stack burners
Standing water around Improper drainage yl'�fade and landscape such that water drains
facilities Microbial decomposition of ".way f�facilities
organic matter
Manure tracked onto public Poorly maintained access roads
roads from farm access
rm access road maintenance
Additional Information: Available From:
Swine Manure Management; 0200 Rule/BMP Packet
NCSU-County Extension Center
Swine Production Farm Potential Odor Sources and Remedies, EBAE Fact Sheet
NCSU-BAE
Swine Production Facility Manure Management: Pit Recharge --Lagoon Treatment; EBAE 128•88
NCSU-BAE
Swine Production Facility Manure Management: Underfloor Flusa--Lagoon Treatment; EBAE 129-88
NCSU-BAE
Lagoon Desig and Management for Livestock Manure Treatment and Storage; EBAE 103-83
NCSU-BAE
Calibration of Manure and Wastewater Application Equipment; E13AE Fact Sheet
NCSU-BAE
Controlling Odors from Swine Buildings; PIN-33
NCSU-Swine Extension
Environmental Assuranc Program: NPPC Manuel
NC Pork Produces Assoc
Options for Managing Odor; a report from the Swine Odor Task Force
NCSU Agri Communications
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings
Florida Cooperative Extension
The issues checked ( ) pertain to this operation. The landowner/integrator agrees to use sound judgment in applying
odor control measures as practical.
I certify the aforementioned odor control Best Managment Practices have been reviewed with me-
(LandownerSignature)
MOC--November 11. 1996

MORTALITY MANAGEMENT METHODS
(check which method(s) are being implemented)
( ) Burial three feet beneath the surface of the ground within 24 hours
after knowledge of the death. The burial be at least 300 feet from
any flowing steam or public body of water.
Rendering at a rendering plant licensed under G. S. 106- 168.7
( ) Complete incineration
( ) In the case of dead poultry only, placing in a disposal pit of a size and
design approved by the Department of Agriculture.
( ) Any method which in the professional opinion of the State
Veterinarian would make possible the salvage of part of a dead
animal's value without endangering human or animal health. (Written
approval of the State Veterinarian must be attached)

System Calibration
Information presented in manufacturer's charts are based on average operation
conditions with relatively new equipment. Discharge rates and application rates
change over time as equipment gets older and components wear. In particular,
pump wear tends to reduce operating pressure and flow. With continued use,
nozzle wear results in an increase in the nozzle opening which will increase the
discharge rate while decreasing the wetted diameter.
You should be aware that operating the system differently than assumed in the
design will alter the application rate, diameter of coverage, and subsequently the
application uniformity. For example, operating the system with excessive pressure
results in smaller droplets, greater potential for drift, and accelerates wear of the
sprinkler nozzle. Clogging of nozzles can result in pressure increase. Plugged
intakes or crystallization of mainlines will reduce operating pressure. Operating
below design pressure greatly reduces the coverage diameter and application
uniformity.
For the above reason, you should calibrate your equipment on a regular basis to
ensure proper application rates and uniformity. Calibration at least once every
three years is recommended. Calibration involves collecting and measuring flow at
several locations in the application area. Any number of containers can be used to
collect flow and determine the application rate. Rain gauges work best because
they already have a graduated scale from which to read the application amount
without having to perform additional calculations. However, pans, plastic buckets,
jars, or anything with a uniform opening and cross-section can be used provided
the liquid collected can be easily transferred to a scaled container for measuring.
For stationary sprinklers, collection containers should be located randomly
throughout the application area at several distances from sprinklers. For traveling
guns, sprinklers should be located along a transect perpendicular to the direction
of pull. Set out collection containers 25 feet apart along the transect on both
sides of the gun cart. You should compute the average application rate for all
nonuniformity of the application. On a windless day, variation between containers
of more than 30 percent is cause for concern. You should contact your irrigation
dealer or technical specialist for assistance.
'Reprinted for Certification Training for Operations of Animal Waste Management Systems Manual

OPERATION & MAINTENANCE PLAN
Proper lagoon liquid management should be a year-round priority. It is especially
important to manage levels so that you do not have problems during extended rainy and
wet periods.
Maximum storage capacity should be available in the lagoon for periods when the
receiving crop is dormant (such as wintertime for bermudagrass) or when there are
extended rainy spells such as the thunderstorm season in the summertime. This means
that at the first signs of plant growth in the later winter/early spring, irrigation according to
a farm waste management plan should be done whenever the land is dry enough to
receive lagoon liquid. This .will make storage space available in the lagoon for future wet
periods. In the late summer/early fall the lagoon should be pumped down to the low
marker (see Figure 2-1) to allow for winter storage. Every effort should be made to
maintain the lagoon close to the minimum liquid level as long as the weather and waste
utilization plan will allow it.
Waiting until the lagoon has reached its maximum storage capacity before starting to
irrigate does not leave room for storing excess water during extended wet periods.
Overflow from the lagoon for any reason except a 25-year, 24-hour storm is a violation of
state law and subject to penalty action.
The routine maintenance of a lagoon involves the following:
Maintenance of a vegetative cover for the dam.
Fescue or common bermudagrass are the most common vegetative
covers. The vegetation should be fertilized each year, if needed, to
maintain a vigorous stand. The amount of fertilizer applied should be
based on a soils test, but in the event that it is not practical to obtain
a soils test each year, the Iagoon embankment and surrounding areas
should be fertilized with 800 pounds per acre of 10-10-10, or
equivalent.
Brush and trees on the embankment must be controlled. This may be
done by mowing, spraying, grazing, chopping, or a combination of
these practices. This should be done at least once a year and
possibly twice in years that weather conditions are favorable for
heavy vegetative growth.
NOTE: If vegetation is controlled by spraying, the herbicide must not be allowed to enter
the lagoon water. Such chemicals could harm the bacteria in the lagoon that are treating
the waste.
Maintenance inspections of the entire lagoon should be made during the initial filling of
the lagoon and at least monthly and after major rainfall and storm events. Items to be
checked should include, as a minimum, the following:
Waste Inlet Pipes, Recycling Pipes, and Overflow Pipes ---look for:
I . separation of joints
2. cracks or breaks
3. accumulation of salts or minerals
4. overall condition of pipes

Lagoon surface ---look for:
1. undesirable vegetative growth
2. floating or lodged debris
Embankment ---look for:
1. settlement, cracking, or "jug" holes
2. side slope stability ---slumps or bulges
3. wet or damp areas on the back slope
4. erosion due to lack of vegetation or as a result of wave action
5, rodent damage
Larger lagoons may be subject to liner damage due to wave action caused by strong
winds. These waves can erode the lagoon sidewalls, thereby weakening the lagoon dam.
A good stand of vegetation will reduce the potential damage caused by wave action. If
wave action causes serious damage to a lagoon sidewall, baffles in the lagoon may be
used to reduce the wave impacts.
Any of these features could lead to erosion and weakening of the dam. If your lagoon has
any of these features, you should call an appropriate expert familiar with design and
construction of waste lagoons. You may need to provide a temporary fix if there is a threat
of a waste discharge. However, a permanent solution should be reviewed by the
technical expert. Any digging into a lagoon dam with heavy equipment is a serious
undertaking with potentially serious consequences and should not be conducted unless
recommended by an appropriate technical expert.
Transfer Pumps ---check for proper operation of:
1. recycling pumps
2. irrigation pumps
Check for leaks, loose fittings, and overall pump operation. An unusually loud or grinding
noise, or a large amount of vibration, may indicate that the pump is in need or repair or
replacement.
NOTE: Pumping systems should be inspected and operated frequently enough so that you
are not completely "surprised" by equipment failure. You should perform your pumping
system maintenance at a time when your lagoon is at its low level. This will allow some
safety time should major repairs be required. Having a nearly full lagoon is not the time
to think about switching, repairing , or borrowing pumps. Probably, if your lagoon is full,
your neighbor's lagoon is full also. You should consider maintaining an inventory of spare
parts or pumps.
Surface water diversion features are designed to carry all surface
drainage waters (such as rainfall runoff, roof drainage, gutter outlets,
and parking lot runoff) away from your lagoon and other waste
treatment or storage structures. The only water that should be
coming from your lagoon is that which comes from your flushing
(washing) system pipes and the rainfall that hits the lagoon directly.
You should inspect your diversion system for the following:
. adequate vegetation
2. diversion capacity
3. ridge berm height

Identified problems should be corrected promptly. It is advisable to inspect your system
during or immediately following a heavy rain. If technical assistance is needed to
determine proper solutions, consult with appropriate experts.
You should record the level of the lagoon just prior to when rain is predicted, and then
record the level again 4 to 6 hours after the rain (assumes there is no pumping). This will
give you an idea of how much your lagoon level will rise with a certain rainfall amount
(you must also be recording your rainfall for this to work). Knowing this should help in
planning irrigation applications and storage. If your lagoon rises excessively, you may
have an inflow problem from a surface water diversion or there may be seepage into the
lagoon from the surrounding land.
Lagoon Operation
Startup:
1. Immediately after construction establish a complete sod cover on bare soil
surfaces to avoid erosion.
2. Fill new lagoon design treatment volume at least half full of water before
waste loading begins, taking care not to erode lining or bank slopes.
Drainpipes into the lagoon should have a flexible pipe extender on the
end of the pipe to discharge near the bottom of the lagoon during initial
filling or another means of slowing the incoming water to avoid erosion of
the lining.
4. When possible, begin loading new lagoons in the spring to maximize
bacterial establishment (due to warmer weather).
it is recommended that a new lagoon be seeded with sludge from a healthy
working swine lagoon in the amount of 0.25 percent of the full lagoon
liquid volume. This seeding should occour at least two weeks prior to the
addition of wastewater.
6. Maintain a periodic check on the lagoon liquid pH. If the pH falls below
7.0, add agricultural lime at the rate of 1 pound per 1000 cubic feet of
lagoon liquid volume until the pH rises above 7.0. Optimum lagoon liquid
pH is between 7.5 and 8.0.
7. A dark color, lack of bubbling, and excessive odor signals inadequate
biological activity. Consultation with a technical specialist is recommended
if these conditions occur for prolonged periods, especially during the warm
season.
Loading:
The more frequently and regularly that wastewater is added to a lagoon, the better the
lagoon will function. Flush systems that wash waste into the lagoon several times daily are
optimum for treatment. Pit recharge systems, in which one or more buildings are drained
and recharged each day, also work well.

Practice water conservation ---minimize building water usage and
spillage from leaking waterers, broken pipes and washdown through
proper maintenance and water conservation.
Minimize feed wastage and spillage by keeping feeders adjusted. This
will reduce the amount of solids entenng the lagoon
Management:
Maintain lagoon Iiquid level between the permanent storage level and
the full temporary storage level.
Place visible markers or stakes on the Iagoon bank to show the
minimum liquid level and the maximum liquid ]ever (Figure 2-1).
Start irrigating at the earliest possible date in the spring based on
nutrient requirements and soil moisture so that temporary storage
will be maximized for the summer thunderstorm season. Similarly,
irrigate in the late summer/early fall to provide maximum lagoon
storage for the winter.
The lagoon liquid level should never be closer than 1 foot to the lowest
point of the dam or embankment.
Do not pump the lagoon liquid level lower that the permanent storage
level unless you are removing sludge.
Locate float pump intakes approximately I8 inches underneath the liquid
surface and as far away from the drainpipe inlets as possible.
Prevent additions of bedding materials, long-stemmed forage or vegetation,
molded feed, plastic syringes, or other foreign materials into the lagoon.
Frequently remove solids from catch basins at end of confinement houses or
wherever they are installed.
Maintain strict vegetation, rodent, and varmint control near lagoon edges.
Do not allow trees or large bushes to grow on lagoon dam or embankment.
Remove sludge from the lagoon either when the sludge storage capacity is
full or before it fills 50 percent of the permanent storage volume.
If animal production is to be terminated, the owner is responsible for
obtaining and implementing a closure plan to eliminate the possibility of a
pollutant discharge.
Sludge ReIlloval:
Rate of lagoon sludge buildup can be reduced by:

proper lagoon sizing,
mechanical solids separation of flushed waste,
gravity settling of flushed waste solids in an appropriately designed basin, or
minimizing feed wastage and spillage.
Lagoon sludge that is removed annually rather than stored long term will:
have more nutrients,
have more odor, and
require more land to properly use the nutrients.
Removal techniques:
Hire a custom applicator.
Mix the sludge and lagoon liquid with a chopper -agitator impeller
pump through large -bore sprinkler irrigation system onto nearby cropland;
and soil incorporate.
Dewater the upper part of lagoon by irrigation onto nearby cropland or
forageland; mix remaining sludge; pump into liquid sludge applicator; haul
and spread onto cropland or forageland; and soil incorporate.
Dewater the upper part of lagoon by irrigation onto nearby cropland or
forageland; dredge sludge from lagoon with dragline or sludge barge; berm
an area beside Iagoon to receive the sludge so that liquids can drain back
into lagoon; allow sludge to dewater; haul and spread with manure spreader
onto cropland or forageland; and soil incorporate.
Regardless of the method, you must have the sludge material analyzed for waste
constituents just as you would your lagoon water. The sludge will contain different
nutrient and metal values from the liquid. The application of the sludge to fields will be
limited by these nutrients as well as any previous waste applications to that field and crop
requirement. Waste application rates will be discussed in detail in Chapter 3.
When removing sludge, you must also pay attention to the liner to prevent damage. Close
attention by the pumper or drag -line operator will ensure that the lagoon liner remains
intact. If you see soil material or the synthetic liner material being disturbed, you should
stop the activity immediately and not resume until you are sure that the sludge can be
removed without liner injury. If the liner is damaged it must be repaired as soon as
possible.
Sludge removed from the lagoon has a much higher phosphorus and heavy metal content
than liquid_ Because of this it should probably be applied to land with low phosphorus
and metal levels, as indicated by a soil test, and incorporated to reduce the chance of
erosion. Note that if the sludge is applied to fields with very high soil -test phosphores, it
should be applied only at rates equal to the crop removal of phosphorus. As with other
wastes, always have your lagoon sludge analyzed for its nutrient value.
The application of sludge will increase the amount of odor at the waste application site.
Extra precaution should be used to observe the wind direction and other conditions which
could increase the concern of neighbors.

Possible Causes of Lagoon Failure
Lagoon failures result in the unplanned discharge of wastewater from the structure. Types
of failures include leakage through the bottom or sides, overtopping, and breach of the
dam. Assuming proper design and construction, the owner has the responsibility for
ensuring structure safety. Items which may lead to lagoon failures include:
Modification of the Iagoon structure ---an example is the placement of a pipe
in the dam without proper design and construction. (Consult an expert in
lagoon design before placing any pipes in dams.)
Lagoon liquid levels ---high levels are a safety risk.
Failure to inspect and maintain the dam.
Excess surface water flowing into the Iagoon.
Liner integrity ---protect from inlet pipe scouring, damage during sludge
removal, or rupture from lowering lagoon liquid level below groundwater
table.
NOTE: If Iagoon water is allowed to overtop the dam, the moving water will soon cause
gullies to form in the dam. Once this damage starts, it can quickly cause a large discharge
of wastewater and possible dam failure.

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