710008_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qua

Type of Visit
pliance Inspection
0 Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason for Visit
7Routine0 Complaint
0 Follow up 0 Referral 0 Emergency
0 Other ❑ Denied Access
Date of Visit: Arrival Time: ri dl) Departure Time: County: 'f' FNDCQ— Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative: Integrator:
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 No:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o [=] ' = Longitude: = o ='
=
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ 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
❑ Daity Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
BIN,
El NA
❑ NE
El Yes
No
❑ NA
❑ NE
12128104 Continued

Facility Number: f — Date of Inspection
Waste Collection & Treatment
,�[
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
/Ll No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier: p6A)
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ?j Z
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
ZNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
eat, notify DWQ
environmenta7No
7. Do any of the structures need maintenance or improvement?
El Ye!
❑ NA ❑ NE
S. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
L/J 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
L" I No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
dNo ❑ NA ❑ NE
maintenance/improvement?
I. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
LJ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) �E��nyiJF► (-G) 660 C0S
13. Soil type(s) i.,7:t;D DGt- _ G'f U M Y3 O!3
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
L7 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
E2�fes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
El Yes
E24o
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
�
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
15.E C,oa j sJc- LJr- ev oe.1
c A 4u► t:Ars"&- G A t_ . NS 7 E.�t A c-rr� ►� ri z 5EPc2a1� !3`ti �§1t�J
AND Js E W k TTtl' AC it_C5
U ? V N-tCG O Oo fL C.bI E GtL =T,
�r ws-r►� 7�a-ITLGQAT�ct.. �6 � Ito cs� rr.�G rrat�.w.,
Reviewer/Inspector Name --r r:It.�tJ s'`'' �'"r ; ,; a Phone: ^iio��_']74t
Reviewer/Inspector Signature: Date: I i► bs-
12/28/04 Continued

Facility Number: 1 — $ Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes u1 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes d No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21.
Do record keeping need improvement? If yes, check the appropriate box below.
L Yes
El No
El NA
❑ NE
[Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ l20 Minute Inspections ❑ Monthly and l"
Rain Inspections,(❑
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
E 1 No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[1 No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
6NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
El No
Ed NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
Ed No
❑
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
[ NA
❑ NE
Other Issues
29.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ZNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
Z No
❑ NA
❑ NE
30.
and report the mortality rates that were higher than normal?
At the time the inspection did the facility -an odor or air concern?
/
of pose quality
❑ Yes
o
El NA
El NE
If yes, contact a regional Air Quality representative immediately
7No
31.
Did the facility fail to notify the regional office of emergency situations as required by
El Yes
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewerlinspector fail to discuss review/inspection with an on -site representative?
El Yes
24o
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
U No
❑ NA
❑ NE
f�lddiriOnal Cnmment5 and/Or Dra*ings s 'k� , , y. a s ? �4 7 h r 1'
12128104

I
Type of Visit P Compliance Inspection 0 Operation Review O Lagoon Evaluation
Reason for Visit 0 Routine O Complaint O Fallow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of visit: (A Tune: d�
10 Not O erational O Below Threshold
Permitted 13 Certified j] Cond:id 7,1
ertified 0 Registered Date -Last Opera r Above Threshold:
Farm Name: _[L.l�! �1��_ �a��'K_ County:.. �� ��_ .. »» .».... » ..____».....
OwnerName:. » » » ».».».».».» . _.W_..» »» .»..... .._ W. W. 'Phone No:
Mailing Address:
Facility Contact: ___.».... » » ..__.......... __._..__.» Title: .......... »»»». »__ . ».»».» »_... » . Phone No:
Onsite Representative:.... (,r�.»,W!J .......»..». „ »».. Integrator:1...
Certified Operator:
Location of Farm:
Operator Certification Number:......._....._» .....»...»......
10 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 ` " Longitude • d «
Discharges A Stream Imparts
1. Is any discharge observed from any part of the operation? ❑ Yes JgNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes Z No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes A No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes pilio
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): ?i[. __.._.»_.._.»•�»»»».»
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 4-5 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 maintenancelimprovement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN Hydraulic verload ❑ Frozen Ground ❑ Co er and/or Zi
12. Crop type Fi'/li>7Ll6"4' !J 5 `-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Pllan ( WMP)?
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?
Odor Issues
17. 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?
18. Are there any dead animals not disposed of properly within 24 hours?
19. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
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
Air Quality representative immediately.
❑ Yes eNo
❑ Yes 0 No
❑ Yes jZf No
❑ Yes No
❑ Yes VNo
❑ Yes ZNo
❑ Yes 2�No
❑ Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 10 No
❑ Yes 9No
❑ Yes ;� No
❑ Yes XNo
[]Yes XNo
❑ Yes )dNo
❑ Field Copy ❑ Final Notes
� f 0 0 F_ `T"-a RF, r , c Kc��. �� Fes. TK01 G��oop
` �2LL r� I�Of F t,3t�F,xE_ .u►Clc7 P � �jLO�n �-�lo— �•�pc�sF
4 ND b�sctJ CL.F-t,�Fs-) OLT
16 ApP�,-* S
W i( _xD Corivo(- Z"o'
O 6DF_4
Q.V,..) P�' r&
YrAx_ A�b
,bq = ':O S % wcJ -
F_C
Reviewer/Inspector Name " 1
Reviewer/Inspector Signature:
Date:
12112103 Continued

Fault Number: -- Date of Inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes .9rNo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ VV P, checklists, design, maps, etc.) ❑ Yes R5
No
23. Does record keeping need improvement? If yes, check the appropriate box below. © Yes XNo
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ;�No
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes A No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes P(No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes A No
28. Does facility require a follow-up visit by same agency? ❑ Yes UNo
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes/'No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Type of Visit PLCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit �LRoutine O Complaint Q Follow up 0 Emergency Notification O Other ❑ Denied Access
Facility Number Dute of Visit: Time:
Not O erational Below Threshold
aPermitted M Certified ©Conditionally Certified [] Registered Date Last Operated r Above Threshold:
Farm Name: l ,G(DW &ee k- County: i t�
Owner Name: ��R;t��7 (�,�ItS T.,d. Phone No:
Mailing Address:
Facility Contact: ` Title: ,�Pihone No:
Onsite Representative: %itt/P�____t /lW ��! Integrator: __//1f d4X
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 44 Longitude a 6 66
Design Current
awine capacity. YO utanon
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
® Farrow to Feeder
❑ Farrow to Finish
Boars
Design. Current
P ultry Ca aci Population Cattle
❑ Layer I ❑ Dairy
❑ Non -Layer ❑ Non-Dai
❑ Other
Total Design Capacity
Total SSLW
Discharges & tream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in 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?
beslgn Current
Capacity Population
i
i
�a ❑ Spray Field Area
�°
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Stnicture 4 Structure 5
Identifier:
Freeboard (inches):
05103101
❑ Yes KC No
❑ Yes MNo
❑ Yes CF-No
Stnicture 6
Continued

Facility Number: 7 — 4Date 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?
❑ Yes No
❑ Yes Z] No
❑ Yes [Q No
❑ Yes K No
❑ Yes 9 No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes � No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes L&No
12. Crop type yrU 4217t
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes JRNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes YZNo
b) Does the facility need a wettable acre determination? ❑ Yes allo
c) This facility is pended for a wettable acre determination? ❑ Yes PNo
15. Does the receiving crop need improvement? ❑ Yes C.No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
XLNo
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ 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.)
❑ Yes
No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
11� No
22,
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
[:1 Yes
�D No
23.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Fg] No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
© No
�] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments�(ee&r to question #): Explain any YES answers, apdlorfiny'recomme6datidis or.any ?t_i er,.comaients. r: �
Usetdrawmgs.nof:faeility to better explain situations. (use additiMonal pages as necessary) : 5 ❑ Field Copy ❑ Final Notes
%llr L1/• /�j' 11��j,tK'f Id,*t2 d` l�Je 4he, &Alot G4ta- . M-114.
/ fly/1 1I3*, f �C[77 ✓� LOV � 1. g✓G g11 %h5Affte4bet . 046WF T" Ga
!✓N�-1`%���•t� �Oi'v�/Pin . �vr,R- t���K� �r��/mot r��/°
Reviewer/Inspector Name � 42
Reviewer/inspector Signature: Date: 7
05103101 Y Continued

Facility Number: 71 — t I Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of property within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes Jallo
❑ Yes A No
❑ Yes KLNo
❑ Yes K.No
❑ Yes ® No
❑ Yes MNo
❑ Yes ZNo
Additional Comments and/or Drawings:
05103101
05103101

r . -I—,' -4
A":'r is�� - iiv Mar
,. a 9r r xh` , o.nNvision.of Soil;and Water CflnservatiflII -.', ' p x *�
b Other
`Agency
3
of Visit - 19 Compliance Inspection Q Operation Review p Lagoon Evaluation
(Reason for Visit J6 Routine O Complaint Q Follow up Q Emergency Notification Q Other ❑ Denied Access
Facility Number Date or Visit: 6 i-V i Time: I� OS
Q Not Operational Below Threshold
Permitted 0 Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .........................
Farm Name: ..+ r,t7 w G,/'ee k County:.. PIr. e,r.........................................................
..
and..,:;.n 'r�..: Tr, c ..............................................................................................................
Owner Name: ......................................................�.................'......................... Phone No:
Facility Contact:
MailingAddress: ..................................................
Onsite Representative: „S1 t ±,.....�pd,!`!',✓!,
Certified Operator:
Location'of Farm:
Title: ................................................................ Phone No:...................................................
.....................................................................................................................................
1[ntegrator: „��? v I:.ti r�A.rm.y.� .........
Operator Certification Number: ..........................................
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 66 Longitude ' 4 4d
O wine
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
Design Current
� �r
Design' Ctlr'rent Design
Poultry Capacity Population Cattle Ca ace '
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
Other
Total Design Capacity C
Total SSLW
rent'!
Number of Lagoons ❑Subsurface Drains Present ❑Lagoon Area ❑Spray kel&Ana
I it
Holding Ponds / Solid Traps` . ❑ No Liquid Waste Management System , f`:
Discharges & Stream Imuact5
1. Is any discharge observed from any part of the operation? ❑ Yes 9No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes 29 No
h. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes KNo
c. II' discharge is observed, what is the estimated flow in gal/min? h 10,
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes 0No
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 j$No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .....................................................................................................................................................................................................................
Freeboard (inches): 30
5100 Continued on back

l'acil�ll Number: 1-71 — $ Date of inspection 20 Al Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
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 Appiication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Ser�,Ac► 6 rat ze I 1__&r4,'111, � G a",". , In%he'.4. G beg1,-►3
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. 1s there a lack of adequate waste application equipment?
Required Records _& Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
iq yialaiic}ris;or drjriencips were paten ¢wring this;visit.
: Yort will reeiye Rio furthOf.
,
• icorrespondence. about. this .visit. '
RrYes ❑ No
❑ Yes ONO
❑ Yes P1 No
❑ Yes 4 No
❑ Yes
J{ No
AIVA OS
❑ Yes
KNo
❑ Yes
❑ No
Yes
❑ No
❑ Yes
❑ No
❑ Yes
2rNo
❑ Yes IS No
XYes ❑ No
❑ Yes
-STNo
PzYes
❑ No
❑ Yes
16No
❑ Yes
X No
Comments (refer to question #): Explain any YES answers and/or any recommendations or any.other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
1. thaw 10,50on +tia+l ro%A4;ne 11 4o keen dewkx fold veoe4ad,,-,
rikci �y needs q t-ve etW Acres deferm;$%Aj iah .
f �rl. IU,ed /6 k,,,< 6ene''al Pe Jr ;���f WIA recar�i Q�j!l
1`jWl. e a L✓4as4 a P�►IA S"'.J ow C WA, 60 01,%i X � e der
C�le-v1A41&v. J n" 'A 7tLle- 2'S.
❑ Yes X No
❑ Yes '0 No
[]Yes No
❑ Yes] No
lJ
Reviewer/inspector Name S'WPtiJi-0 1 r " ft 4,-i
Reviewer/Inspector Signature: yyttVL Date: 24za to! g/Qp

Fac►lity mber: Date of Inspection Z 2p A I Printed on: 1/9/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ONo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes JWNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes M No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ 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 Z No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes OrNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? prYes ❑ No
" Additional Comments and/or rawin&s:
5/00

Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of inspection —0a
Time of Inspection 34 24 hr. (hh:mm)
`Permitted [] Certified 0 Conditionally Certified 13 Registered Not Operational I Date Last Operated:
FarmName: ....4.............................................................................. County: ........ ...`r......................... .......................
Owner Name:
Facility Contact:
Phone No:
Title: ................................................................ Phone No:...................................................
Mailing Address:.................................................
................. ]� J( ......
Onsite Representative:..... �Y,�F.1......... ���'1.................................... Integrator:.......1..\'.`:v`lr..............................................
....................... .
Certified Operator: .................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
i
....... ......... .. ........
Latitude ' 4 " Longitude • 6 «
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes �fNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If"dischargc is observed, did it reach Water of the State? (If yes, notify DWQ) ❑Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes gNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes bi'No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 9No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):„
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [] Yesio
seepage, etc.)
3/23/99 Continued on back

Facility Ntimber:'7I — Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes gNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ENo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ('No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes M No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONO
11. is there evidence of over application?
j r ❑ Excessive Ponding ❑ PAN ❑ Yes ONO
12. Crop type b y r .ram i C! W f Sd`1
13. Do the receiving crops differ with those desigi(ated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes kNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
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?
Renuired Records & Document.~
❑ Yes ❑ No
Z Yes ❑ No
MYes ❑ No
❑ Yes %No
17.. Fail to have Certificate of Coverage & General Permit readily available? lWYes ❑ 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) 4Yes ❑ No
20-- Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes Wo
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes MNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes j�fNc,
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes tR No
24. Does facility require a follow-up visit by same agency? ❑ Yes (9No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes M�No
yIQlaiigtiS'Pr• dtrejep�ie vt�re )IOCIDd• d0rift ��)s:v)sat. • Yoti will ee lye 4o Mu4'tbgr:. .
corres�o deiice: about; this visit:
'V 4.� , ti Ff1'. !. 3..C.'F.r 1 a 44 1 F!£ i 1 I:. N °
Comments `refer to question #) Explain any,YES answers and/or anyrecommendak�ons onanyrathertcomments.'
t��S i t o v t:....a[
Use dirawrngs of,facihty to�better explidn.situahonsR (use,addihonal;pages asinecessary) y
'el A d' ... ;Cf °;. I a^," ..5 r ✓� °.it IF €> f€ ri • Npi. L s�E .t6:€D ,F9,1;.'....tb'ad.'. t..i' - F s,e3,U, 3 Lixr 1,L ..,r . [ t. , . f� � ". 6itf�t
r "1 G ''y`-� `�S �'^d� 1/��. O`C✓ Q.T L►iY-- � Gar �'� �W � �
o`�'-- ��►"��--� d.j-�Q��s O� p�ew�A �(� 5�(►.c.�- `� +� 2�r� �l �7 �d� `c� 1� � `�
' ?�4C'
4 Reviewer/Inspector Name i,I�.a"4 _41 F LiReviewer/Inspector Signature: Date: -- Qd

y Facility htumber: — g Date of Inspection !] /
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ''No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ONO
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 ONo
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 [4No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes P No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Oyes ❑ No
011a Ori1mCiltS'8II OL" 1 aVnitl d k 3 �u� "rN
...G - • .P,77. i'7 yLk"i'` 4; ;�: f xi".:.n-Till a.�d' '�I
zi
��- � �q — �7 33 --Sa S3 �-�; Ste. v-���ei,� ► � ��-e�.e�,
L �
� 1
-, A 00A 4
L.c � Gv4 ba`
��..-� � �t� �' Glp � it X , �c7-es CGv�r-Qd,_• e�r,.��y� ���c_a"� l �
het-. al-.�g CC j
oR� e►�s�-�p A- GV c c��� l.•�ow �►-►ems. �� ►�`1'
Nip.

Division
ion of Soil and Water Gonse'rvahon Operation Review
a
s,
�] ivision of Soil and Water Conservation Compliance Iinspection , aI ;
I I ,q, eF ' i'
I
i i
t l�atac ' I " ' " I f 1� [ 3 Et E{ {
ry� pyy p �p pf�{y
ivisop of Water alit Cn ��t
''Quality 1? P I
{ 3E
I.tE EL E I. EE t '.'E� S E
'(t� flE E(fE ' 3
tt
�s; ; ,
�'Oth'er Agency OperahonReview l i�
t
- ,
Routine Q Complaint Q Follow-up of DWQ inspection Q Follow -tip of DSWC review Q Other
Facility Number Date of Inspection
Time of Inspection 10: Op 24 hr. (hh:mm)
Permitted Certified [3 Conditionally Certified © Registered 0 Not Operational I Date Last Operated:
i
Farm Nlime: ........ Q.C...�L.....C.� .���....!r'7--(.............................................................. C.ounty:......L.�`�'` ............ ,........................ "4�.i.�.�....
Owner Name: .......4.v1- ��
L+1-h......1,-1-......i e............`-"�' ......................................... Phone No: ..... ��.1.t%....2 -5.......16
.�. 5
FacilityContact: .......... �e,.r-.e................................................Title:.... ...{.................................. Phone No:............................... ...............
Mailing Address: ......... ..... }0 W i {„t��..G.................................... ..........................
......................................................................
Onsite Representative: ��+.�2� �ra S[!� . Integrator: M r...................................................................
Certified Operator: ....... ✓..rn2,p.......... ..............................................
Operator Certification Number:,...,.....,...............................
Location of Farm:
.....................................................................................:.:.:..............................................................................................................................................................................
................................................................. ... ..............
Latitude ' ' " Longitude 0 6 44
'Design Current Design Current _ Design , Current
Swine Poult g' Cattle
„ , , Ca acit Pa ulation , iy,: , Ga achy .Po elation; ,, Ca achy Eo elation
s
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder
17-06
1 ZbD
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer ❑ Dairy ��`,'
❑ Non -Layer ❑ Non -Dairy
❑ Other
!'t
Design{Capacity t.
4i S 'r f -
_: TotaUSSLW
�Holdin T Pon
4l�lumber�of Lagoons ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Arae
' ds /Solid Traps ' ❑ No Liquid Waste Management System ,
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ElSpray 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/tnin?
d. Docs discharge bypass a lagoon system? (If ycs, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes Aio
❑ Yes 7V
❑ Yes�No
Structure 6
identifier,
Freeboard(inches): ..........3. � ............. ........................................................................................................... ........,....... .......................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes
seepage, etc.)?CNo
3/23/99 Continued on back

FacjTQy Number: — Date of inspection
b. Are there structures on -site which are not properly addressed and/or managed through a waste management or P40
closure plan? ❑Yes(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? ❑ YesNo
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 )eNo
_Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes >610
11. Is there evidence ;off over application? ❑ Excessive Ponding ❑ PAN ` C El Yes )dNo
12. Crop type I.J�:rw-vd "1vcZ�.P� meld-,,.•e1:� C�y4^�aJ Lien _%Vti4d�,�
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes 1"No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes ); iKo
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 ONO
16,
Is there a lack of adequate waste application equipment?
❑ Yes �<O
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?
❑ Yes tmo
(ie/ WUP, checklists, design, maps, etc.)
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
Afflyes ❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes 9No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes WNo
22,
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
(ie/ discharge, freeboard problems, over application)
,�eNo
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 ONO
25,
Were any additional problems noted which cause noncompliance of the Certified AWMP?
[]Yes AINo
IQ viola�igtris'oi- d�Cciencies were jngte� cl>�xring �t>tis:visit; Ybu witl tieegiyeo; fat�t�tgr
correspondence. about. this visit.'
Comments (refer to `question-#): °Explain any YES answers andlor.`any recomimendations or'iany other comments "p rt + • r
Use drawings of facility to,better explain situations (use..additional pages as necessw€
!�f111
4r, i y G Cn,
_ -
Reviewer/Ins
ector Name
p
Reviewer/Inspector Signature: Date: _ (�
3/23/99

Facil;2ty'+Nun1ber: • — Date of Inspection —(0
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes Y
0
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 12<0
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes >r-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 �10
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/No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes �No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes
.&t
3/23/99

0 Division of Soil and Water Conservation [3 Other Agency
Division of Water Quality
FG Routine 0 Complaint 0 Follow-up of DWO inspection 0 Follow-up of DSWC review 0 Other I
Date of Inspection
Facility Number I qLj�a
I Time of Inspect ion �241hr. (hh:mm)
[3Registered IpCertified [3 Applied for Permit PaPermitted 10 Not Operational I Date Last Operated: ..........................
FarmName: .......... �.wA ala�.+Ahf . ........................................................................ County: ...... i.r ......................................... ....... I ................
Owner Name-..,...:44AN ................................ N.6s:M .................................................. Phone No-. Sao) ... �.Ie5... ... I ..........................
Facility Contact: .........3rWS ....... �C& X.W. (.\ ....................... Title: ............ I...'... ............................................ Phone No: ...................................................
Maiting Address:...7- ............................................... .z.Fq.7f .......
........................ ....... ......................... ...........
Onsite Representative: ........ ...... Ninon .......................... I ........................... Integrator . ..... Aiwf� . .................................. ................
Certified Operator .................................................. .............................................. ............ Operator Certification Number....j..k..e .... q .............................
Location of Farm:
54xv . ..... i's ... at . ........ sa�. 447 ........ A ..... af ....... 6Uy..I.Lf .... L-S XKZUS . ...... UV..*WA5i ... ................................................ . &
............. . . . ... . ... . ...... . ................................................................. ............ I ............ . . . . . . . ... . ...........................................................................................
Latitude 0 4 49 Longitude 0 6 64
General
1. Are there any buffers that need maintenance/improvement? [1 Yes M No
2. Is any discharge observed from any part of the operation?
Discharge originated at: [3 Lagoon [I Spray Field [3 Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoonstholding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
0Yes [B No
D Yes 1P No
❑ Yes j No
C1 Yes � No
U Yes
No
0 Yes
No
0 Yes
No
09 Yes
0 No
0 Yes
M No
Continued on back

_.
Facility Nuntber:
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures_(LaLoons,HoldinL fonds, Flush Pits, etc:l
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I
Identifier:
................................... ......
Freeboard (ft): ........... ./rr.'f.......
......... .......
❑ Yes ;9 No
❑ Yes N No
Structure. 2 Structure 3 Structure 4 StrnCture 5 Structure 6
10. Is seepage observed from any of the structures'?
............... I ... I......... ... 11........... I ........ I—.............................,........................................
...................................................................................................................................
(] Yes N No
11. Is erosion, or any ether threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/iml•ruvement'? %
(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) f
15. Crop type ........ t~.O.Y:71........ W q'........ 5�`.Y.�?.&... ....................... 1?er.l?11J�.P..................,..�i! J �...�Y?s4��'......
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 ReviewerAnspector fail to discuss review/inspection with on -site representative?
r
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit'!
❑ Yes W No
j� Yes ❑ No
❑ Yes %] N'o
❑ Yes] No
.........................`..............................
❑ Yes
Da
❑ Yes
CZ No
XYes
❑ No
❑ Yes
00 No
PYes
n No
❑ Yes
'7" No
g} Yes
❑ No
0 No, vio'la' dons or deficiencies were no' te'd-during this -visit.- Xou.Will receive no further
. coerespotidence alioUt this'.visit.
❑ Yes IN No
50 Yes ❑ No
0 Yes ❑ No
Comme'nts�(refer'to.'question #): Explain any YES' answers and/or any reconimendations.or any, other coiritnents'
Use drawings of facility to better explatn`Situations. (use' additional pages as nc�ccssary)..'
its � S V ., ('X .S a { 00 {, %(VU10 toe dor-%r 00--s 0- : Cat A. `
a trot' 0 % I c kw) J be, "W tJ . j Y . tct" i � S � n 10, 00A s hallo 6- ex �v, d - j
kltr4c S�•o It) too,( becth\p'+Icj �or,. (oXjcoylI�1 �7a Ott dtK� wvq ihovlo {�� 5ered�-
t� be far. s•sgQ4��� � qcis )Z&1�w t�
Im �� liske�
nhetr t)si cotrx�`E'
VtOA% sJ►W ��e 14 it laj r1l nv"'-r a" ��� 1vw t t
R� r+ �DS �iC 11ok4c✓ S%�� 6 JSe�1 ;r� cfXOs for
�ae�n cvo �- �a�i,. t�it�c� `[ icld t4vt+•�jWs �� +4 S( Vvl r_(As. 'z ►s t�k' u�t --
4, 0 U 7/25/97 _
Reviewer/Inspector Name
Reviewer/Inspector Signature: A1ij .� . Dater q�'

Facility .Nti I rqber: ..... -.1.1 .. . ............. ..... 1 Date of Inspection-.1 iTI3
Addition'al C6m'm'er�ts and/or', Dra-w'ings:
SWuktl tra -Ih i n Aldo s � C-Oyncf I b 5/4 C,
�t ()Icj e"CR CvW T ack atf , r
4/30/97

. . . .......
D 0n Rey16W�;-'­`."-'
n
,-..:-VTou tine 0 Com2laint 0 Follow-up of DWO inspection 0 Follow-up of DSWC review 0 Other
Date of Inspection
Facility Number
Time of Inspection f L30 Use 24 hr. time
Farm Status -
Total Time (in hours) Spent oaReNiew
or Inspection (includes travel and processing)
Farm Name: -- kaLL4 ---- — -- County: ...... 1411c ... . . . ....... . ................. . . .......................
Owner Name: � r�_Pe_
Phone . . ....... . .... .
1%,fallin- Address: —Po S, r
2JD (Q. �Vjc . . ....
Onsite Representative: _LA, Integrator:
Certified Operator.-- Operator Certification Number:
Location of Farm:
.... 0.1-A . . ..... . .....
Latitude & FT_71 I Q 0 Longitude a 9G 4C
-JE3 Not 0 77 peratio 7al 7 Date Last Operated: . ...... . .......
rype of Operation and Design Capacity
-."OV0, tw,�g�
4A
$
M
umbejr'r�L,Number
E] Wean to Feeder JE1 Dairy AS ❑ .7
Feeder to Finish
AME) Non Laver 10 Beef I
i�a
N*
0 Farrow to Wean
4 R�arrow to Feeder -Te
­10 Farrow to Finish �the Or Type of Livestock O
0
Subsurface Drains Present
Lagoon Area ray Field Area
—J03
general
1. Are there any buffers that need maintenance/improvemcht?
2. Is any discharge observed from any part of the operation?
a- If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify, DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
Is there evidence of past discharge from any part of the operation?
4. Was there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/hoiding ponds) require
maintenance/improvement?
D Yes �o
E]Yes 2'No
E]Yes RNO
El Yes 2"No
El Yes G3*No
Cl Yes 2"No
0 Yes &fqo
0 Yes 0"No
Continued on back

6. Is facility not in compliance with any applicable setback criteria?
❑ Yes
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/l/97)?
❑ Yes
OgNo
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
ElIo
St_ructures(La_2oons and/or Holding Ponds]
9. Is structural freeboard less than adequate?
❑ Yes
20
Freeboard (ft): La oon 1 Lagoon 2 Lagoon 3
Lagoon 4
3•�
10. Is seepage observed from any of the structures?
❑ Yes
2-110
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
UNo
12. Do any of the structures need maintenance/improvement?
es
too
(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 struct&es lack adquate' markers to identify start and stop pumping levels?
❑ Yes
52'Nto
Waste -Application
14. Is there physical evidence of over application?
❑ Yes
2-990
runoff entering waters of the State, notify DWQ)
(If in excess of WMP"I,
f�or
15 Crop type
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
❑ Yes
2<0
17. Does the facility have a lack of adequate acreage for land application? _
❑ Yes
alleo
18. Does the cover crop need improverent?
❑ Yes
9?90
19. Is there a lack of available irrigation equipment?
❑ Yes
LN`No .r
For Certified Facilities On1v-
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑l Y
l�'�
m
21. Does the facility fail to comply with the Animal. Waste Management Plan in any way?
eses
2- es
❑ No
22. Does record keeping need improvement?
❑ Yes
2<o
23. Does facility require a follow-up visit by same agency?
2- es
❑NNoo
24. Did Reviewer/Inspec. fail to discuss review/'inspection with owner or operator in charge?
❑ Yes
2
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ITV 4 ` 4,tx l (�.Dw, Ini ,,)Cv. Z4 • W&StG � .05 O+ (.� rD `t' `
a A11 1P j� Ise Luc �
� r� � �n• �Jl'+;� crti�( �r'� �� 6� S �� a A�iC{�� br WG S D Se A i
! kr.
WA coij i•.+`aAs.
Reviewer/Inspector Name
Reviwer/Inspector Signature:
Date:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit (j 11/14/96

0-
Site Requires Immediate Attention:
Facility Nor-3
DIVISION OF ENVIRONMENTAL MANAGEMENT ,Lou�u
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: �l , 1995
Time:
Farm Name/Owner: l Jv fl rs Pb_4a �- s o
Mailing Address: P 0, 6oX _ Q 6 -7 lJ C Q F 7
County: ffo a -2 -a
Integrator: rPt Phone: is_,e 7-- S�3oI
On Site Representative: �' N ✓so Phone: r,2J 5 -,'ate S
Physical Address/Location: ram+ W `w� 6o ice. 0&1 Y-(_ ;44, oa f /Inc ,Lr �,, S2115Z
Cam« PLOY t --
80, Mmtl r, CliJn R -&Y,_ ll� C U__A kni �� +IAI h
Type of Operation: Swine 1L Poultry Cattle
Design Capacity: laOO .5-v-.s Number of Animals on Site:. /o7�S�
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: 3Y ° L1b ' 17' 96 Longitude: _7S ° O b ' /6 q, Elevation: a S Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches)( ,es No Actual Freeboard: a Ft. % Inches
Was any seepage observed from the lagoon(s)? Ye or No Was any erosion observed? Yes or o
Is adequate land available for spray? 'e nor No Is the cover crop adequate? Yes or No
Crop(s) being utilized: �l o-xt-o y4zO
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings - e or No '
100 Feet from Wells? 09pr No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes o
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes <NDo
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-ihade devices? Yes 90 If Yes, Please Explain.
Does the facility maintain adequate waste management records (vol mes of manure, land applied,
spray irrigated on specific acreage with. cover crop)? Yes o 0
Additional Comments:
_
'l—) rat Y ✓P_ f _
Inspector Name .
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

Site Requires Immediate Attention
• Facility Number,
SITE VISITATION RECORD
DATE: 07/17 1995
Owner: John Peterson, Sr • Farm Name: Pork Chops Inc.
County:
Agent Visiting Site: nMP h gg k Pender SWCD Phone: J 9 9) 259--430
Operator: John Peterson, JR • Phone: [phone]
On Site Representative: Phone:
Physical Address: 2 miles 'southwest of the intersection of SR 1001 and NC 11. Farm
road is on left.
Malling Address: NC Hwy 11
Willard, N.C. 28478
Type of Operation: .Swine x Poultry Cattle
Design Capacity: 1200 sows Number of A.gimals on Site: 1200 sows - farrow - wean
Latitude: .° Longitude: ° ,
Type of Inspection: Ground x Aerial
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot 4.25 year 24 hour storm event
(approximately 1 Foot + 7 inches) @ or No Actual Freeboard: 1 Feet 7 Inches
For facilities with more than one lagoon, please address the other lagoons' freeboard under the
comments section.
Was any seepage observed from the lagoon(s)? Yes or to Was there erosion of the dam?: Yes or�
Is adequate land available for land application? Gor No Is the cover crop adequate? 9or No
Additional Comments. Lagoon needs to be pumpedwhen weather permits. May need
imnediate attention. will inform.
e.
Fax to [phone] . Signature of Agent

V
y01/
Department of Environment, Health and Natural Res r4s 4U
Division of Environmental Management N �'9e
Water Quality Section
If the animal waste management system for your feedlot oper'�dh=-
is designed to serve more than or equal to 100 head of cattle, 75
horses, 250 swine, 1,000 sheep, or 30,000 birds that are served
by a liquid waste system, then this form must be filled out and
mailed by December 31, 1993 pursuant to 15A NCAC 2H.0217 (c) in
order to be deemed permitted by DEM. Please print clearly.
Farm Name: Pork Chop, Inc.
P 0 Box 267
Willard, NC 28478
Pender County
Owner(s) Name:
Manager(s) Name:
Lessee Name:
919-285-8075(F)/285-6974(H)
ti
Farm Location (Be as specific as possible: road names,/1 111
direction, milepost, etc.) : From Wallace, take NC 41 s and turn left
just before crossing RR tracks, follow SR
1309 beside old RR bed to Willard, turn
Rt. at Willard onto NC 11 S and go 2.0
miles to farm entrance on Lt. (TT=20
min.; TD=12 miles)
Latitude/Longitude if known: QBSP # 23-048-25-10
Design capacity of animal waste management system (Number and
type of confined animal (s) : -12 0'a so w s y 00 0. /Yu r.r c r y
Average animal population on the farm (Number and type of
animal(s) raised) SO so Ws J<V0 /vvrlco-.
� dS
Year Production Began: 19y,� ASCS Tract No.: 3 '/a1
Type of Waste Management System Used: _
Acres Available for Land App icatio of Waste: /)-D 22-'�
Owner(s) Signature(s): Date:
Date:
�` (Jane Mitchell, serviceman)

' '•ryh f, �J� y ':�
REGXSTRATION FORM FOR ANIMAL FEEDLOT OPERATIO tf�.`
Department of Environment, Health and Natural Res *r e,,s
Division of Environmental Management 9a,
Water Quality Section
If the animal waste management system for your feedlot opex'a z&n-"'.'
is designed to serve more than or equal to 100 head of cattle, 75
horses, 250 swine, 1,000 sheep, or 30,000 birds that are served
by a.liquid waste system, then this form must be filled out and
mailed by December 31, 1993 pursuant to 15A NCAC 2H.0217 (c) in
order to be deemed permitted by DEM. Please print clearly.
Farm Name: Pork Chop, Inc.
P O Box 267
Willard,'NC 28478
Pender County
Owner(s) Name: K '.1, v
Manager(s) Name: i
Lessee Name:
919-285-8075(F)/285-6974(H)
rsa
Farm Location (Be as specific as possible: road names,
direction, milepost, etc.) : /, 4�, tf�-�,� f�--� _
Latitude/Longitude if known: QBSP # 23-048-25-10
Design capacity of animal waste management system (Number and
type of confined animal(s) : .1240 sd ws 00 i/�rcrrr�
Average animal population on the farm (Number and type of
animal (s) raised) : USO _ _Sows 3.30o iyvrJ�'�
�S
Year Production Began: 19'Fu ASCS Tract No.: 3 j�o�/
Type of Waste Management System Used:
Acres Available for Land App icatio of Waste: 0 22;�
Owner(s) Signatures): Date: 7--.2~93
,i Date:
(Jane Mitchell, Serviceman)