710015_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

I R. rS
Type of Visit 7Routine
pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: F31lq116r Arrival Time: g 3 d Departure 'rime: County: PC 2190 - Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Owner Email:
Phone:
Facility Contact: _ Title:
OnsiteRepresentative: 141-t, ►�/1�dLIntegrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: ❑ c = ❑ Longitude: = o = 1 =
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
❑ Wean to Feeder
(� Feeder to Finish 1 '3t;-7 a
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ La er
❑ Non-Layet
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream lmpacts
1. Is any discharge observed frorn any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Dumber 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 2 No ❑ NA ❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ o ❑ NA
ElNE
❑ Yes
ElYes
E N [I NA
ElNE
ElYes
LdNo ❑ NA
❑ NE
12128104 Continued

Fac!Qty Number: I I- r 5
Date of Inspection $? a
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
E14 ❑ 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: LA 6-0<. J 1 LA U eon 1-
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Z 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
E 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
mental threat, notify DWQ
envirodYes
7. Do any of the structures need maintenance or improvement?
❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
[2(No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
E�No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
El Yes
,_,/
L,d No ❑ NA ❑ NE
maintenance/improvement?
1 I . Is there evidence of incorrect application? If yes, check the appropriate box below.
El Yes
�..
bNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) 13 Lrz.M J OA C IAA CL-)-r
13. Soil type(s) - -�(eg J'6
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ZNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,[] Yes 1No ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes ETNo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes [3 No ❑ NA ❑ NE
Com meats;{referto.questlon #) Explainrany YES,enswersfiand/oranyrco%nm nd¢tions�or anger`, omens.
J
Use drawrngs'of,facility to;better explain4situahons. (use addi666-d pages:as necessary tr i
moo: ��r
y..r,� ��Efl Co+�rttbl. QEL MLJ'0A M�UD
0_Ikj. w��L_ a� S►UtSLt. BO`:NES
H61VE POPI fOf". 5+. 17GC. ���noVCL. w� � s(�vsi►�t.sS pA`�S�
o s �# �otc-Tlat,.i.7'' W T-r)4 cocx w� Js } p o
ar1,) 1fir✓? r oPK vC A1JOI)YgU CC.R.-T jaiAND 1
trufl 'r cuD5 SY('D V✓ rr' i.Ds,
Reviewer/Inspector Name .tea 11 " A by i ` : Phone: MON W
Reviewer/Inspector Signature: Date:
12128104 Continued

Facility Number: I I— s Date of Inspection K 1>r o5
'Required Records & Documents
t9. 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 approprrate box.
❑ WUP ❑Checklists ❑Design [I Maps ❑Other
❑ Yes .] No ❑ NA ❑ NE
❑ Yes 0< ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. Yyes ❑ No ❑ NA ❑ NE
❑ Waste Applic -ion ❑ Week y Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Annual Certification
❑ Rainfall WSStocking 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 2rNNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes L"J No [I NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? El Yes ❑ No EJ/NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? Ef Yes El No El NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? El Yes ,L.�1Vo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
�
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
ElYes
B No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
45No
❑ 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
�,/
23 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
,�
IldNo
El NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
El Yes
No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Addingnal Commenfs,aod/or Drawings
12128104

Type of Visit QrCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Ql Routine O Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number Date of Visit:
© Permitted [] Certified 0 Conditionally Certified
Cerfi lied 0 Registered
Farm Name:.. �,�1..s ...!,��:! rn............_.._ ............
Owner Name:
Tune:
Not
Last O e or ove Threshold: ..
County:, _1:1 �f ............................
Phone No:
Mailing Address:.._. ...__ ............... ....... ..._... ...».....................
» .»....»»»».....» ...» . »..» .....______ _ ........» . »..» ....._..
Facility Contact: ........ .» ...........»....» ..». »Title:..........WW.W .. » . . »» ..... _i.,.�jPhone No: ». » »......_.. _. _ _..
Onsite Representative: L� ____._.._ .._...., Integrator:
Certified Operator: ........... »....... ............................. _ ._ ....._.................:» .......»...... Operator Certification Number: ..........
_....._..»....__..».».
Location of Farm:
wine [3 Poultry [3Cattle ❑ Horse Latitude Longitude �• �' �"
�DeSagn , i.Cnrreat "DeSn{
} Current y
Design `Current =
S' anon„ °.Po CaHle�
"acio
y Ca a �Po' t"�?C"onitry"!V,y. �,Ca
aci�`�
tton ;Ca
tiop
Wean to Feeder Layer
Dairy
P13
eerier to Finish ,{� Non -Layer
Non -Dairy
Farrow to Wean;;a,
Other
Farrow to Feeder
i
Farrow to Finish :.s' Tolta1 D CapBC>tty
Gilts
p
Boars3,
;4a
Ntai�dber a LagoonsIR
r
+g
>
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the 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 .ONNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ,8 o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2. Structure 3 Structure 4 Structure 5 Structure 5
Identifier: ..._...._ ....1 ... .._... .....».......__._ ._..... ».............. ....»»..»..... ... .......»»..» ....»_ »
Freeboard (inches):
12112103 Continued

Facility Number: —/, Date of Inspection G�
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion,
❑ Yes ❑ No
seepage, etc.)
_
6 " Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes Vivo
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes [:]No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes .0 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes .2 No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes 2-No
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes ,8Vo
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type ? Z::_
13. Do the receiving crops differ with those designated in the Certifz Animal Waste Management Plan (CAWMP)?
❑ Yes Za-No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes E'l'Qo
b) Does the facility need a wettable acre determination?
❑ Yes .E No
c) This facility is pended for a wettable acre determination?
❑ Yes ,ETNo
15. Does the receiving crop need improvement?
❑ Yes ;�No
lb. Is there a lack of adequate waste application equipment?
❑ Yes j2No
Odor Lssues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
❑ Yes .ONo
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 La -No
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
❑ Yes ,2No
Air Quality representative immediately.
re draveings oT3i CUW'to better,exptnen sttaattora Piase'a�dttaanst pages'as aryl ' }� ❑Field Copy Fin Notes
.yam } fin, i3 �y I �` i.i ,;' !�
'� } ����, w a! t�' b :l i_ 4. � �,a�,
"Re c o m lV r%d j c43oo✓t e cd Wt"l 0Yl
Reviewer/Inspector NameMOF
.c"
ReviewerAnspector Signature: Date: % 2 ,,, Z v
12112103 Continued

Facility Number: ' — Date of Inspection
Reauired Records & Document~
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes PNo
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 �No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
1
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 'ONO
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ZNo
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 444
0'No
28. Does facility require a follow-up visit by same agency? ❑ Yes
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes J240
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) Oyes ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes L2-50
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes .moo
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes J;�No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ,EKO
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. Yes ❑ No
Yield Form ❑Rainfall Inspection After 1"Rain ❑ Stocking Form �rop
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

r ti
Type of Visit X Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification Other ❑ Denied Access
Facility Number Date of Visit: Time:
Not O erational 0 Below Threshold
Permitted [3 Certified [3 Conditionally Certified [3 Registered Date Last Operate r Above Threshold:
Farm Name: �1� LlQf1 64011 County: EI�d�I�
Owner Name: �/C�✓ DEj� Phone No:
Mailing Address:
Facility Contact: Title:
Onsite Representative: Gl 2
Certified Operator:
Location of Farm:
Phone No:
Integrator-
w!"
Operator Certification Number:
swine []Poultry [:]Cattle ❑ Horse Latitude 0 6 Gi Longitude C�0 & F�___ «
Design �Current Design Current Design Current
Swine Ca aciy Population Capacity Population Ca aci Population
Cattle
El to Feeder ❑ Layer ❑Dai
Feeder to Finish ❑Non -La Non -Layer ❑Non-Dai
El Farrow to Wean
El Farrow to Feeder 10Other
❑ Farrow to Finish Total Design Capacity
❑Gilts Boars Total SSW
❑
Number of Lagoons ❑Subsurface brains Present ❑ Lagoon Area Spray Field Area
oHoldin ,Ponds l,Solid trips � �-
g p ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1, is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gai/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
05103101
[--]Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ONO
Structure 6
Continued

1. .
Facility Number: Hate of Inspection
S. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
{If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
S. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do anv stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markines? ❑ Yes ❑ No
Waste Annlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes El No
I I . Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Ejeequired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps. etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation. freeboard, waste analysis & soil sample reports) ,Yes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DV Q of emergency situations as required by General Permit?
(ie.f discharge. freeboard problems. over application) ❑ Yes ❑ No
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ Yes ZNo
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.
Y. .y . '..;.. ;^•,.: �.� -' sit .�t - .Y�/
Comments,(refer to gnestJon .:lrzpiain anyYES answers andlorlany rec mmemdnttoos zany, other eonenaenta.
Use drawtngs,of facility, to better explain sitnrattaa (use atidtttonyal.,pages as aec ary) ', %F� b ❑Field Cory Final Notes
n f n 7
r
.:..in5i3.Yn-4e:S�.e to.Ce'�i,S'.;?+.w..+w+qr�.sc..-.---5n---rr--r--•...-.�.wmw..-ti.�-r—'1,r�IS,
7 d d �FcU CORD fin/ �LA r z'ran/ v rftfAVND
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:5
lI}601t
Of_Q ;f
Reviewer/Inspector Name`:
Reviewer/Inspector Signature: Date.
05103161 Continued

Facility Number: — Date of inspection �Q
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 ❑ No
28. Is there any evidence of wind drift during land application? (Le, 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 biade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
/OJ� �iE�Q %© l -,CEP 1/ '4—e6O 1C D l,Fv� 4S / ni0 J%z F�i� K,Ecaeps,
Al 4lFFO �RI��.evARo GFOftrS rot �IJ� �do2 �I
-rJ
11 _ f46J
�O o&'a')�/I �'-- ," ✓- , V,-
QRzG)4-;P, 9 A
���0� 350-ZO°'�
O5103101

1
Facility Number date of Visit: Time: I is
Not Operational 0 Below Threshold
0 Permitted Q Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: C- ' County:
Owner Name: {%WL Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator:
Location of Farm:
Integrator:
Operator Certification Number:
Swine ElPoultry ElCattle ElHorse Latitude 0 6 Longitude 0 1 «
Design Current
Design Current Design Current
Swine Capacitv Population
P ultry
Capacitv Population Cattle Capacitv Population
❑ Wean to Feeder
JEJ Layer
❑ Dairy
❑ Feeder to Finish
JEJ Non -Layer
I
I
IF-1 Non-Dai
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons <°,a Subsurface Drains Present ❑ La oon Area ❑ Spray Field Are-
.,Nu
Imps "� : `e� "" ❑ No Li aid Waste Management System
Discharges B� Stream Impacts
1, is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b, if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. Ifdischarge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: S Lc —
Freeboard (inches):
05103101
❑ Yes ❑ No
❑Yes El No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Yes
❑ No
Structure 6
Continued

Facility Number: 71 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ 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? (If any of questions 4-6 was answered yes, and the situation poses an ❑ Yes ❑ No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10, Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reuuired
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?
(ic/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19•
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
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.
g•
?��txtoq�ues.:tto. id: #}: axffipi}.n-.Y _a.:.wn...swe- rsxandlo. a�a,ny ecommen d'atian,.ys.to
,Omments (refe"lanay aney:zo;?the:r om5 .ments ,
Field Copy ❑,.:
Use drawings ofacili , to'hetter ex lainsttuatinns. (usealdttlonaa tstesnecessarY) ,.r"
Final
al Notes
-L❑
[�' + zs. - `-G
Reviewer/Inspector Name �5 •; :,,� q „ k-_. f ,z "' �ti. < ; eu
Reviewer/Inspector Signature: Date: 7 — 6�-Q —07
O5103101 Continued

+ • w
Type of Vlslt . §4 Compliance Inspection O Operation Review O Lagoon Evaluation n n�/�'�
Reason far Visit G&outine O Complaint 0 Fallow up O Emergency Notification Other ❑ Denied Access
Facility Number i Date of Visit: Time: ur �4,7
Not Operational 0 Below Threshold
IQ Permitted ®,Certified O Conditionally Certified [3Registered Date Last Operated or Abbove Threshold:
Farm Name: S C4ye"a k� County: _ / ��; �✓
Owner Name: Phone No:
Mailing Address:
Facility Contact:
Onsite Representative: 1&hn00
Certified Operator:
Location of Farm:
Title:
Phone No:
Integrator
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 6 44 Longitude 0 1 11
Design Current Design Current Design Current
Swine Capacity Population Poultry. Capacity Population Cattle Capacity Population
❑ Wean to Feeder 10 Layer I I JE1 DaiEj
❑ Feeder to Finish 10 Non -Layer I I JE3 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
IIoIdin g umber fsLaguous V Subsurface Drams Present - Lagoon Area Spray Field Area
n i Solid Traps 0 ❑ Na Li uid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the 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 (low in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: I l
Freeboard (inches): 'ti
05/03/01 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 anv 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
❑ Yes ❑ No
❑ Yes ❑ No
❑ 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?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
_Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ W'UP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notif}- regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems. over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss reviewlinspection 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?
[3 Yes
❑ No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
'Comments' 6.66r `to``" `ttesttoii E ]siri 8tiYES ahstiveis andla s1E Dte71€�ahArtS Vr�ROtlkel CE1m�lent5. ��{l�
( q xP y Y try a 1
'i - i-iy' AY��.ti.ri'..-.....i.,,. l_,�a..w.l....13..d....:.Cs...... 1
W L
f .,3i
tine drawings of fecgrtty to better erplatn sitnahotis :{use additia pages as necessary) �� '� Field Copy ❑ FinaI Notes yip ,,..
7Ic, �A� 000 t eye I we-S ye ported io bite S;tr,4e 4o &c x14 /G N P� �l'�✓ i n e
4(.edi +4 $Oh / I.c 1 eh,(le✓ 6, l r'A)G70e"- fe,,7Orl'e C G 005s J/Z
LeG ZI Irn 'tom! e `G�DUh lid l/ On `f A, AIA) CDrn P ✓, .tea �n�J /ry d� �h D�Os GAP✓G
%LAC �Cr% • /I l y, Jt ✓ k , 4 vG N/lhi%55o�Dn
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
O5103101 t Condnued

Facility 1\umber. — Date of Inspection `-_`T"`-f'``
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)
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 biade(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 permanentitemporary cover?
il�s��lly, ;t- Ord wear, as 14 �-APle,
O 44e Ljom It 4 // as iy
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ 1'es ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
5 G le-k lL a /- A" JJ /-Y"D'O
/71r. 7u-ryPr .
05103101

Facility Number late ©f Visit: �`�`-"�'�_' Time: I�
rO Not Operational 0 Below Threshold
IM Permitted ® Certified O Conditionallly Certified ©Registered Date Last Operated or Above Threshold:Farm Name: 7W4 &JA! A4A111 �I 41 County: /&�7�i�
Owner Name: Phone No:
Mailing Address:
Facility Contact:
Onsite Representative: & A40t"
Certified Operator:
Location of Farm:
Title:
Phone No:
Integrator
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Worse Latitude 0' 06 61 Longitude • ` 66
Design Current
Swine Capacity Pouulation
❑ Wean to Feeder
Feeder to Finish
d
Q
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design = Current`:
Poultry..Capacity Population Cattle Capacity Population
❑ Layer I I❑ Dai
❑ Non -Layer I I JEJ Non -Doi I
❑ Other
Total Design Capacity
� P Y '.
Total SSLW
l�, Nurnber of�Lagoons w ❑ Subsurface Drains Present ❑ Lagoon Area ❑ S ra Field Area
- -- - -- - -
.HoidingPonds 1 Sohd Traps' ,,, ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treataign
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: l Z
Freboard (inches):--
05/03/0I
❑ Yes J.No
❑ Yes 10 No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes E No
❑ Yes 2[No
❑ Yes 29 No
Structure 6
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?
❑ Yes Z No
❑ Yes W No
❑ Yes IM No
❑ Yes Eg No
Cl Yes [S No
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes ®,No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes S2 No
12. Croptype //yl r_ 't �✓� --
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes AdNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes [KNo
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? U1 Yes ❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
CR No
Reauired
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
['RNo
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
5,No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
nNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
KNo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
ZINo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
QRJ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Lallo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
M No
25,
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
E�jNo
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Ciitnment`s:(refer tognestion #} Explain arty YES answers
jk%a
and/ar„.any i�eeommentiatians ar apy other comments.
tllse�drawings of facility to better e.xplaiii.situations..(use additionai_pages as necessary) ❑ Field Copy ❑Final Notes
rt3/ k ls4yaQ , �e- Sy�Xa•� ��C�r�s �c ISSN
/leeG� wL�/� Ga�7�D l
�� % ��CBGf3 D 4 %ham✓ �t�0��1 lrri��!'9
�fBP� � 4e /J�vu/Pi�
vn��',
.6L4'0j'a_ A-Va.-& _,tege-1 s4g* /,a-
H.,
ReviewerllnspectorName r -
'. , x - rn
Reviewer/Inspector Signature:
Date: 2Z, n C AI 7-
05103101 Continued

Fadlity Number: % — Date of Inspection Printed on: 7/21/2000
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
23�io
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
%�LNo
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
hNo
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
eMNo
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
tgvo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
J,No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
8ZNo
itiona = omments:an or rawings:
•
/ QYnZ a 5 i20� /jl��[ Qi,�itZi?�5 srthCe i:i�` �5 1G /, Vel Q"G %e—Gtlill��4
4e, &'hr .�
J
5100

brDtvision of Water, Quality
;
Q Division of Soil and Water Conservation
Q:OtherAgency
M
Type of Visit Compliance inspection Q Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: ETirne: 0= Printed (ill:7/21/2000
Q Not Operational Q Below Threshold
Permitted 0 Certified Q Conditionally Certified © Registered Date Fast Operated or Above Threshold:
Farm Name: .....`^-�................................................. Countv:......1..SZ..............................
OwnerName:.................................................................................................................. Phone No:.......................................................................................
FacilityContact: ..............................................................................Title:........................................................... Phone No:
MailingAddress:.................................................(......................................................................................................................................................... ..........................
Onsite Representative: ..�;,,Y.. �..�iksZ`��...................... Integrator:...;-..................................................
CertifiedOperator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 44 Longitude • 4 44
DeslSn
Current Design Current D_li gCurrent
Capacity-
Po ulatiPoultry Cattle. ...Cac, °Po ulati6"c
Wean to Feeder
❑Layer ❑Dairy
Feeder to Finish '7
❑Non -Layer ❑Non -Dairy
Farrow to Wean
'"
Farrow to Feeder
❑ Other
Farrow to Finish
Total Design Capaclty
;k Gilts
r soars
y.
Total�ssm;
19F�'
Number` ai Lagoons ;
`vZ ❑ Subsurface Drains Present ❑ Lagoon Area JE3 Spray Field Area
t�a
iittHolding Ponds / Sa1id Traps
❑ No Liquid Waste Management System
Discharges & 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 ohservecf, did it reach Water of the State'? (If yes, notify DWQ)
❑ Yes
❑ No
c. if discharge is observed, what is the estimated flow in galhnin?
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
NNO
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes
krNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
J�(No
Structure I Structure 2 Structure 3 Structure 4 Structure S
Structure 6
Identificr, :........................................................................................................... ........................................................................
....................................
Freeboard (inches):
5100
Continued on back

L
)Facility Number: 9 1 — 1-4 1 Date of Inspection Printed ont 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, 0 Yes 104
0
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes WNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? XYes ❑'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 9No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes 4 No
11. Is there evidence of over application? ❑ )excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes Pj"No
12. Crop type e-1LI S-G�)K C
1
1
13. Do the receiving crops differ with fhose designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ic/ 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 reviewlinspection 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?
fo•yiQl;a ioos.o�. dgrjciencies -W 0 0004- 00ing ols:visit: - Yol j-t&oiye 1j6 futthor
correspondence. about thL visit.
❑ Yes
;KNo
❑ Yes
XNo
Yes
'❑`Yes
❑ No
❑ No
XYes
❑'No
❑ Yes
�(No
❑ Yes �!rNo
❑ Yes 111�No
N(Yes ❑ No
❑ Yes 031qo
❑ Yes XNo
❑ Yes )<No
❑ Yes XNo
❑ Yes )!�No
❑ Yes XNo
a
Comments {refer to question #} Explain any YES answers and/or any,irecommerldations otanytotherrycomt►iettts� ?'. j„ ;
31 J
[Jse rlirawiu s'a[ facUity,46o b tter explain situations 7(use addittana! pages as necessary) ,� A 7 �� � "'NA
) � �
- , .., , ..... w. , . ,,, .,, . -,,.. .
I
l� �� ►^- ice' 1`-1 lam+-�Q� �1t1�� "�123 �t' '4`CA-.1 Vks"".j "ifi_, �
CC Y ` f Njz�4 �
�c1✓��- l`��TT-U -�v s0�1�t C� Q��,`e��- �Qr_.c-' --
w
Reviewer/Inspector Name
��
Reviewer/Inspector Signature•
Date: i � '-' - G 5/00

M
' Facility Number: — Date of Inspection
Odor
Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
XNO
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
No
28,
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
No
' `I
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
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
5'10
Nddifional,CqTments and/or rawmgs:. �h� r ; i ti », ry ,
�r n
.. .�,.,d,h �. r�,: d 3 rrd. �-rd�. �i .��'�
G� vti_ C-��1 \
,Q, i._4:,
J-rz
J

Dlvision'd Water Qnality
0.Divisli6n of Soil'"&Water'Conservation
Q,Other Agency . i.- .. I r •i . V
,
IN
i
n
of Visit M(Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit JS Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number jDateurvisit:
Permitted DCcrtifled © Conditionally Certified 0 Registered
Farm Name: ...l.f... CA�/e q V
Q e •, no,/
Owner Name:......' 1.�.�........... R�............ �...u.G'.�...Co✓,!.\ Ur\
I DD Time: 13 Printed on: 7/21/2000
0 Not Operational 0 Below Threshold
Date Last Operated or Above Threshold: .........................
County: ... Pe.�"..........................................................
Phone No:
FacilityContact: .............................................................................. Title:................................................................ Phone No:.....................................
MailingAddress:.................n...................................................................................................................................y..y..�.................................................. ..........................
Onsite Representative:....ri,. � .... �^�/y1.1?✓................................................... Integrator:.L....I..VZ f ��....��!r.M..r.............................
Certified Operator: ................................................... ............................................. ... Operator Certification N`imber:................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Morse Latitude Longitude
Design, Current,' Design et rrent Desigl ' Current
F she ' Ca aci Po ulation Poultry„ Capacity -Population Cattle Ca'iaci Potiliition:
Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish 3 Z ❑ Non -Layer ❑Non -Dairy
t,
Farrow to Wean t. ,
t: Farrow to Feeder ❑Other
Farrow to Finish Total Desi Ca sett
Gilts Capad
.t:,. Boars Total'SSLW
Ngmbe'r of Lagoons Z ❑ Subsurface Drains Present ❑ rea
Lagnian Area ❑ Spray Field A
Holding Ponds Solid Traps ❑ No Liquid Waste Management System t
Discharges & Stream Impacks
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?
h. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
c. I1' discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & 'Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: Lar t' ,�,.ra.r......
Freeboard (inches): 2-8 Z 9
5/aa
❑ Yes ;V No
❑ Yes JZ No
❑ Yes XNo
i? I r,
❑ Yes ONo
❑ Yes 0 No
❑ Yes KNo
❑ Yes ;KNo`
Structure 5 Structure b / \\
.............................................................r
Continu '

Facility Number: Date of Inspection j 1 D Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
6. 'Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes El No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes J4 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes [RNo
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes No
11. Is there evidence of over application? ❑ Excessive PondinggJ 18 PAN Hydraulic Overload $.Yes ❑ No
12. Crop type IseV^�uDt�'1a4, CDr►�%J ���7 � sa y 6e�hs
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes EfNo
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
X No
Reuuired Records & Docttments
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
2TNo
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes
No
(ie/ WUP, checklists, design, maps, etc.)
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
2.Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
ff'No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
CTNo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
No
23,
Did Reviewer/inspector fail to discuss review/inspection with on -site representative`?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
$J No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
9 No
yiiQlaiiitjt s o;r dtfcienc{es rvt're �Qted d><rrtng this:v�s�t} Your wi�� -fee 0o futftf
• : • correspondence: abatit: this :visiit� • : • : • :.: • .
Conents {refer to question #}; Explain any YES answers and/or any recommendations or anyeother`
Use drawMngs of facillity to b'ette`r' explain situations: (use idditioinal pages as necessary) d ,;gyp s
1I•—r:�,c� 1491 F;e-IA tCek4 IF- ZaD0 Gown tjror W'%.5 oveaPPI-ed
by I� Ib.s of 'ajq'°) 4�/a�)rn�L' AJd. +pcltki Fe f 61Gf-ofj AHewed IZ0 Plan)
o#Ifed (-SO[.te w,gkr.+�v,..., apPl,✓'c��,oria''`t°vhiF per¢ve)'N4 is 0,5
40 vl 4 ke p rode ^ �reoe i v; � 0 rof,p an 4 he so i r SOLv'xr Ies_
new w�"-�� arlclI -'r is needed; ^140 recent one rant ova of eed
O-F ,re n3
SrAG el 1 o y ` e ve h- -s tn/ Z! 1 er 1, s yt, e w rl t'19e Ce of -80 W r orw
Reviewer/Inspector Name
Reviewer/Inspector Signature:
,11111 i -
a
5/00

Facility Number: j — 15 Date of Inspection � Printed on: 7/21 /2000
Odor Is s
26, D'oes the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge At/or hplow Yes ❑ No-
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes t'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? )dYes ❑ 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? OrYes ❑ No
ments,and/or Drawings:
a
,t tons °m ,, .. =
��j.Ce��►-�� reel v� c�o� ti1ee4 Ae UsP a�li`r alma[
w ; �L ; r �0 o[G ,' aF 41ie 44c, or a 1 I'cet 7 ivr, eve Is'
-f 1, e --r212 --
211r't i o t-, p�EV r G e nee4s to i piotceA on Ae
p j o4e.::' 9 r ov✓¢ r iq h s - o ss0 Y'at o vi bee �►, a,G�Gt Ovel�seed)
i4 �)eeA s 4e to zkAd e4 4o wa,,sle P I'l n 1
No4,e .t Pep 1 1,9 e0ll `tQS� 1"eG�Yh�'+16�1?G�Q7 rd7'1^T
5100

O Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review OP Other
Facility Number 71 15 Date of Inspection 2/17/2000
Time of Inspection E� 24 hr. (hh:mm)
© Permitted ® Certified © Conditionally Certified E3 Registered JE3 Not O eratlonal Date Last Operated .
Farm Name: lantis.CayOnaugh.F............................................................................. County: Peader ............................................... W..IRO.........
Owner Name:Al1end-Cici1.......................... jilaynor.L01yinglon .............................. Phone No: Q.IO. 285,5048..........................................................
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: 539.ElverRid......................................................................................... W.. ue..NC............................................................ 2A4.66......... _
Onsite Representative:..................................................... .... Integrator: Muphy. f ly.>Farm....................
Certified Operator: AU= ....................................... Rayont,Jr ..................................... Operator Certification Number:2298.6 .............................
Location of Farm:
�..................................................................................... ..
Latitude 34 Longitude 77 • 56 ' 34 {i
❑ Wean to Feeder
® Feeder to Finish
3672
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
2
Subsurface Drains Present
No Liquid Waste Managen
Non-.
495,720
Lagoon Area I❑ Spray Field Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Q No
Discharge originated at: ❑ Lagoon ❑ Spray Field Q Other
a. If discharge is observed, was the conveyance man-made? Q Yes Q 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?
.a.
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? D Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Q Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure I Structure 2 Structure 3 : Structure 4 Structure 5 Structure 6
Identifier: ...................................................................................................................................................................................................................
Freeboard(inches): ................1.4................................I.4...............................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

Facitiq Numiier: 71-15 Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Aunlication
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 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?
2117I2000
0 Yes
❑ No
0 Yes
❑ No
p Yes
❑ No
© Yes
p No
❑ Yes
❑ No
❑ Yes
0 No
....i;ola't.......fxcierici .... e: .... . t�iis •v.......... eceiv;e no .... .
. • Aniri�Pcririniiaaira .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes Q No
❑ Yes ❑ No
❑ Yes ❑ No
[:]Yes E] No
© Yes ❑ No
[] Yes ❑ No
[I Yes ❑ No
❑ Yes ❑ No
❑ Yes [] No
❑ Yes ❑ No
❑ Yes ❑ No
contacted Mr. Raynor on morning of 3/17/2000 to let him know I would be coning to assess all of his farms today (frceboard and
eld checks). Mr, Raynor did accompany me to the farm. Fields appear in good condition, drying out well. Wheat is starting to make a
ood stand. Mr. Raynor could make a couple of pulls today on this facility. Lagoon(s) need to be lowered to 19" in a responsible and
mely manner. PoA must be submitted to DWQ within 24hrs. Mr. Raynor did tell me that the hogs have only
bout four more weeks before going out.
T,
Reviewer/Inspector Name
Reviewer/Inspector Signai
Date: .%5 — /

Division of Water Quality
Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit OCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification 00ther ❑ Denied Access
Facility Number [)ate of Visit: Time: Printed on: 7/21/2000
NNot Operational Q Below Threshold
Permitted © Certified 13 Conditionally Certifiedr13 Registered Date Last Operated or Above 'Threshold : ...............
Farm Name: Q#.+, r.... v e'�A!.V. ... F6- County:..!,..e .�l!......................................................
.................. ........ .......... ...........................
OwnerName: 61.k n. "+T�t✓, 0. ........... Phone No: ......................................................................................,
......
Facility Contact................................................................................Title:................................................................ Phone No:
...................................................
MailingAddress:................................................................................. .................................................................................................].'^.'.................... ..........................
Onsite Representative:.......... ........................... ...................................................... lntegrator:..it'r ...t"l.'.''�..............................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
A6
T
❑ Swine ❑ Poultry ❑ Cattle ❑ Worse Latitude �• �` �" Longitude �• �` �
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts.
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I 1 ❑ Dairy
❑ Non -Layer I I❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons JE1 Subsurface Drains Present ❑ Lag .... n Area I0 Spray Field Area
Holding Ponds / Solid Traps 10 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is ohserved, did it reach Water of the State? (If yes, "otify DWQ)
c. If discharge is observed, what is the estimated flow in galhnin?
d. Does discharge byliass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & "Treatment
4, is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
SLFucture I Structure 2 Structure 3 Structure 4
Identifier; 1 Z
Freeboard (itches): S 2
5100
Structure 5
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes v�io
Structure 6 �
Continued on hack

Facility Number: %— /5 Hate of Inspection 00 Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed'? (ic/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings'?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvcmcnt?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Fxcessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination'?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & DocumenLs
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'?
(ic/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ic/ 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; 10 yiola�igns;oi• clef ciencies -W,ere nafed• iittrtng this;visit} Yoi>E wits receive do fui•thce
.. corresv6 idenc'e. ahaut. this :visit. .. ....... .. .. .. ...... .
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
IV
Reviewer/Inspector Name
�lonct.vil) P744h f
Reviewer/Inspector Signature: �t7+RiJ� `j�l/37�J , Date: _71 _Z, Gl UQ _ 5/00

. Division of Soft and WaterxConservation ,'Operation Review
, � 3L k f �i, w1' ii7 }��� - a i •-.r z,. v-.s�vrne� Y'... v a
Division of Soil and Water Conservati Compliance Inspecttonl�A
Division of Water Quality ^Compliance Inspechont� �'::,�,. � N n r,..Other Agency Operation Rev�ew,;ty,�, ''M� 5''t ac .....::r..2. aa.,.
0 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow -tip of DSWC review 0 Other
Facility Number '% t IS I I Date of Inspection i' / 610
Time of Inspection i 5 D 24 hr. (hh:mm)
C3 Permitted C3 Certified ❑ Conditionally Certified 0 Registered 10 Not O erational Date Last Operated:
Farm Name:...................................................0 i S C a./' e h...�. °� �'!..a r County:... fie f'l d e r'...............................................
OwnerName: ........ I ....................... ....... ....
C' e..°.''.......................................... Phone YVo:.......................................................................................
Facility Contact:
Mailing Address:
Title:
PhoneNo:.. .................................................
Onsite Representative:.......! ? (J. e n ......19.n.. a +...... Integrator:.... .✓ r
Certified Operator: ............. .......................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
A,'.
.............. ..... ............ T '
Latitude Longitude
Design Current ;,Design Current Design Current
Swine Capacity Population Poultry ' Capacity Population :Cattle CaEacity Population
❑ Wean to Feeder ❑ Layer JE1 Dairy
❑ Feeder to Finish : ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish =Total Design Capacity
❑ Gilts,
❑ Boars Total SSLW
Number of Lagoons I� ❑ Subsurface Drains Present I[] Lagoon Area ❑ Spray Field Area
-.
Holding Ponds / Solid Traps =' ❑ No Liquid Waste Management 5vstem
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [ILagoon [ISpray Field ElOther
a. If discharge is observed, was the conveyance man-made"
h. If discharge is observed, did it reach Water or 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? (Ryes, 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 3 Structure 3 Structure 4 Structure 5
Identifier: I -' Z
Freehnard(inches): ,...../.2..'..8 .........................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed'? (ie/ trees, severe erosion,
seepage, etc.)
3123/99
[:]Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
0 Yes ❑ No
Structure 6
® Yes ❑ No
Continued on back

Faciiit Number: 7 1 1)ate e11' Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7, Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
©ram
❑ Yes ❑ No .
[:]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?
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?
0: 10 yio!'ai}gris'or• ft cie doc ire � Ofed il0ting 4his'vlsit' Y;oir wAl tebd*q. Rio. fui•tlte
rorresnotidence ai;Iotit this visit: ................................... .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
• ( q } p rs atadlor `any recommendations or any other c7.
otnme:its T; Comments refer to ueshou # Ex lain any YES answe
Use drawings of facility to better^e�ipiatn srtu itions -(use addsttonal pages as necessary):
`In3Peca av� cn,-�dve:+e�d qs g Olt" up O-r rcccrrt DWQ iv[ _roc AL
4. La_leoKS are Cae/t✓ia c+ed by 5v6svr�•c.ce �ipr-, Levgeoj , !!l�`q u,'ct `eveIs
ykeu rd 6c (aWerQ� +'+� q �e s�a+�s %b� c��/•v.�j Pvtq jKee,. I
s. We3 q,-co, ,,poSe.,r/ ot'1 is OOh Wcl� r'egt)lres ru1-4ker' rn%le-A,9a-�;evt�
Grower-S�oLt,(d-Eake ¢CeytGry S.�e.las- --e) enxv!'e �"�c� j0. aoN t"I+e� ?4y
t S rna� aorn.pro,•�.t;se•d. ! ✓ /
A)e+e: Mr, R��••or sa+l.r dye ka..f per% M on wltecO F;eld.s otdjae=en+ 4o [a con,
V,,% of sa � s lie rvto,ol A I-) CM+;ans Dyt 2 oe 3 0 4 L,eSePf
�v�s
l
Reviewer/Inspector Name .S40 h
Reviewe'r/InspectorSignature: Date:
3123199

Facility Number: - 1 5 Date of Inspection 3 J3 O
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 property within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventiladbn fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
ltionaCommentsan orgpS- rawtn'�- °}
.O, t41 P .+rw�..6i�`.
J
N ode Cr- Y1r, JQct7a1o� �riowoseS rr Dj,.fG ;kl W !lei -4 of Pid fJ
fed vc4 'P/J
a rr 1; cq }a n -� "la .4. W L► c4 Fro v- of 1 f o t„ Q b l c N � ►'L
41q e V1 cX4 crop .
J
3/23/99

10 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 40 Other
Facility Number 71 15 Date of Inspection 2/29/2000
Time of Inspection 13:20 24 hr. (hh:mm)
© Permitted ® Certified © Conditionally Certified [3 Registered Not Operational Date Last Operated:
Farm Name:l.ttls.CAycnaughFarm.............................................................................'' County: Fearcr....................... ........................ WIRO.........
Owner Name: Aiten.1-Cad1.......................... Rayixor.].Cayhooxt.............................. Phone No: 910:135-:5048 ..........................................................
FacilityContact:.............................................................................. Title:................
Phone No:
MailingAddress: 532..River.Rd......................................................................................... W..allaeCAC'............................................................ 184.66 .............
Onsite Representative: ........................................................................................................... Integrator: JAul'Vhy..Fstudy..kat'.tlx5......................................
Certified Operator: Men ....................... ... Rays.► .r...................................... Operator Certification Number:2298.6 .............................
Location of Farm:
IhN�1.NNMlN1�NYM/ ..AMIV..NA�MYi.1MM.I.1(1.. ...............................................................................................................................................
Latitude 1 34 • F 42 38 a Longitude 77 • 56F 34 u
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the 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?
El Yes
❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the'State other than from a discharge?
❑ Yes
❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑,Spillway
❑ Yes
❑ No
Structure 1 Structure 2 Structure 3 ; t Structure 4 Structure 5
Structure 6
Identifier: ................................... .................
Freeboard (inches)
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
0 No
seepage, etc.)
3/23/99
Continued on back

Facility Number: 71-15 Date of Inspection
6. rAre dice 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, gptify 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'[ninimum 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
2/29/2000
❑ Yes
❑ No
❑ 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? k..
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 atialysis & 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?
4 -N6-iriolaii6 ii ur:difrciericiei-ivcre:rioied:duriilk ibis •viiii:. Y--oti-;Vafreeeive.nn fiir!#ier
�iirra�rlriniihri�a AhR�it'tii4i�.Lacit#. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
freeboard check. Mr. Raynor was aware of DWQ visit.
❑ 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
Reviewer/Inspector5iggatnf��/ Date: �S

Facility Number 71 15 Date of Inspection 2/17/2000
Time of Inspection 24 hr. (hh:mm)
0 Permitted 0 Certified 0 Conditionally Certified 0 Registered 10 Not O erational Date Last Operated;
FarmName: 01lb..CAYntaughl............................................................................. County: Feadcr ............................................... W.. KO.........
Owner Name- ..lieu.I. Udi.......................... S&y.i1Q :/..i QVkg1Q n.............................. Phone No: 9.10:0.5-M.48 ..........................................................
Facility Contact:.............................................................................. Title:................................................................ Phone No:
...................................................
MailingAddress: S.1Q..)Zi.Y.exRd......................................................................................... .AllaccM........................................................... 2.8466.......-----..
Onsite Representative:........................................................................................................... integrator: Murpbylaniftlarm .....................................
Certified Operator: .AlIcn,....................................... Rayj=,.,Ir................................ ...... Operator Certification Number: 2291M .............................
Location of Farm:
fast.a�1'alla�sd,...Tape.F.mix.�9ld.faun.d-4R.�adxalc,�I�ty.dX�.3'sik...��xu.rightxtm.Sti1S01.and.Gra�aaxerl-40�..>Farm�.is.................... A
Alxpxnzaxely.Z2 iles.ran.rightw.....................................................................................::..................................................................................................I..........
Latitude 34 ' 42 38 �� Longitude 77 ' S6 6 34 46
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes []No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the 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? (Ifyes,.notify DWQ) 0 Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes © No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ...................................................................................................................................................................................................................
Freeboard (inches): ''
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑yes ❑ No
seepage, etc.)
3/23/99 Continued on back

Facility Number: 71-15 Date of Inspection 2/17/2000
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
S. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16. Is there a lack of adequate waste application equipment?
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?
1�a i►iolaiious: ar:dEfirt iericiesivere:riote�d:during itiii •viiii:: WU' •�va1'rkeKe .6 :fiift ier . - : -
donres4iriniiAdee gluidt thi' Vilriw" . . . . . . . . . . . . . . . . . . . . .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
contacted Mr. Raynor on morning of 3/17/2000 to let him know I would be coming to assess all of his farms today (freeboard and
eld checks). Mr. Raynor did accompany me to the farm. Fields appear in good condition, drying out well. Wheat is starting to make a
and stand. Mr. Raynor could make a couple of pulls today on this facility. Lagoon(s) need to be lowered to 19" in a responsible and
mely manner. PoA must be submitted to DWQ within 24hrs. Mr. Raynor did tell me that the hogs have only
)out four more weeks before going out.
9F
. ...:i" .:ti .::ii.i!::
ev R iewerlIns ector Name
p
Reviewerllnspector Signature Date: —��

Facility Number rf l Date of Inspection 2�a
Time of Inspection I Lf4F> 24 hr. (hh:mm)
13 Permitted © Certified [] Conditionally Certified 0 Registered 113 Not Operational I Date Last Operated:
Farm Name: ...........S ......................... County: County:... an4.er..........
.... ....................
.......................
OwnerNarne:........ .........h.....I........1........... 1 KD✓'............................................ Phone No:.......................................................................................
Facility Contact: ...............................................................................Title:..................... Phone No:
MailingAddress: ............... ........................................................ .. ................................................................................................................................ ..........................
p
Onsite Representative:../:/ l f C�l `j 1'i4{ Bv�(� �.� 4.14or Integrator: mU✓' Gl ✓!tiff �a. r I7zS
...... ...... y............................ I..........
Certified Operator:................................................................................................................ Operator Certification Number:.........................
Location of Farm:
Latitude 0 0` Longitude
Design Current Design Current
. , ,
Design Current
CaacitPouatCa Capacity Population, ,,Pgiii atton Ca t.
acit Po ulon
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
❑ Layer
❑ Dairy
'`
❑ Non' -Layer
❑Non -Dairy
❑ Other
Total Design Capacity
TotaI:SSLW
Number of Lagoons •- 2 , , ,E ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds /Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream )impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ❑ No
b. Ir 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/ruin'?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure f Structure 2 Structure 3 Structure 4 Structure 5
Identifier: I -J& 2
Freeboard (inches): ..........!
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
P9 Yes ❑ No
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
® Yes ❑ No
Continued on back

Facility Number: r7L Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
T Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
1 1Z 2cm
❑ Yes ❑ No
f9 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?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required
Records & Documents
17,
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
2t.
Did the facility fait to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
Yes
,® 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
El. NJ •yiblatiotis oc de#ieienc�e5 ..i�ere h ed. ft-ring •this visit: - Y:oir wail t•ebd Oi rid further • ::I
correspondence: about: this visit: ' l
Comments (refer to question #) Explain,:any YES,answers and/or any recommendations or any other comntettts -�•
Use drawings of facility to better explain situations (use additional pages as necessary}:
�. La�oahS are e.a�nweG��d 6�.,9rat,�,rtG� �/jae R►'t0� bo-}� �1�� ot-i- j(�it
4),eebe>A-,a(. L_gr�oan5 cl, gjId be levered sh ej res,Pan,t)'61e� �;�►tiewl�,
Ptariner•. L-ji e q4 >J 11 p1-L&i 'ee( ih dr�he {�e�� and iS CO--4iL)P
h a ct4 is C u e r e)741 be r' m j % cc i?-�c (,j 1 v1 4,1It e Y• it I G� , ,' r Jq 4l<
{v
r•es oh<I'bt at'� T �S� Gra S 46 6ri" I4c0vt leUei /Cewyl.
Reviewer/Inspector Name STaheLt/Gi'.f .l 1 gbh+ S
Reviewer/Inspector Signature: Date: I 2d40
3/23/99
r

Fatilityt Number: Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes '[:]No
liquid level of lagoon or storage pond with no agitation'?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑'No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
itiona omments an or rawings: . .-
s) t,Je+ Aveeei oyi fq joon col,'Oe[ be pe--61 bia seer a -id r�� v,ees
�vr-�hPr iv7Ves- ; Jar --soh . -Th;f areel s4av;,� we+ eanno4 be 9aod
icy a/ W4G regv,','C re -1 r'.
'l) G�ec .t i'h ko� I1p�,se� heed -�o l-
�c 7�"cPa-`�^eof 4o�evev4 Possi$1e
.S d-p eel^r e 1 f L-jr,.f 4e t�g1k
G-e Up i)l40 ,oq � 0(c,-C -
/VO4e: I''')r• )Zl "obe sa11.5 -f A,1+ h6 rvV"r;ny Ass trig e�,2 done s;P,)ce
411e y7 urri cwics Gari,e q] "Ou9t,, -7-11e5C l ��pn s Gver-e q4
1� ;hGtr,- sbrg1A orI I/Z ��� 7-Ae are GUrrevt�Jt�
IVa-% , M.-. '94trhor saV� 4i-c hz)0s are a6z - � Weeks- CIA,
3/23/99

Facility Number 71 15 Date of Visit anan000 Printed on: 4/3/2000
L- - - I 1 1.11 ....... Not O erational 0 Below Threshold
U Permitted MCertlfled [3 Conditionally Certified Q Registered Date Last Operated or Above Threshold: .........................
FarmName: Attis..CayenaughYa=............................................................................. County: Pender............................................... ..HLO........
Owner Name: A►lkict.L CAdl.......................... g4Y.RQ.l..C.QVIRgtuln.............................. Phone No: 9IR-M-50.48 ..........................................................
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: 539JUyet:.Rid......................................................................................... W..allAGCAC............................................................ Z8466.............
OnsiteRepresentative: ........................................................................................................... Integrator: .....................................
Certified Operator: ,A,Iten:....................................... Rays J.r..................................... Operator Certification Number: 2298.6.............................
Location of Farm:
�aat.T3t�illard....T.alp.Exlit.39.ftnind:44..autcltotAc�.I��.Wreat..Tnrn.rigl�t an.S�R1SB1.and.cra.9.9axra fQ,,..Fartn�is....................
appnQzamately..=miLea.:an.ttht........................................................................................................................................ .. .. .
® Swine [I Poultry [3 Cattle ❑ Hor Latitude 34 42 38 Longitude 77 " 56 34 11
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the 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 gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) (] Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes [:)No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ...................................................................................................................................................................................................................
Freeboard(inches): ................I.5................................1.5............................................................................................................................................. ..................

Facility Number: 71-15 Date of Inspection 3/28/2000 Printed on: 4/3/2000
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 LINO
(If any of questions 4-6 was answered yes, and the situation poses an
Immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? © Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? [] Yes [] No
IS, Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/hWector 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?
'No'VWia'tiotis' air:defreiericies• were: rioied:during tfiis visit::'Ybu 'rirff reeeive :no hidfier :
d+(Il'YtiPflp[I��CA S1illtilitk'�Bil§.i/.iSllfs' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
check. Mr. Raynor gave me permission to visit site.
were going out at time of visit.
❑ 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
Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
p Permitted ff Certified p Conditionally Certified p Registered in Notpera Cana Date Last Operated:
Farm Name: Qttis.Caxenaiugh.F,arm............................................................................. County: Pender WIRO
Owner Name: AHeal.Cieril......................... pia,,ynar..1GOVingion............................. Phone No: 9.10-185.-50.48 ..........................................................
Facility Contact: ...............................................................................Title:.............. ...... Phone No:
MailingAddress: 53R.Rixer.Rd......................................................................................... WallacaN.0 ............................................................ 28.46fi ..............
Onsite Representative., Allen.Raynor............................................................................. Integrator:J.l'lurphy..Faux 1)(.Farmi.....................................
Certified Operator: .................................................. .............................................................. Operator Certification Number:
Location of Farm:
Latitude ®0 6 ®" Longitude ©0 ®6 ®66
goon
0
72
495,720
1. Is any discharge observed from any part of the operation? p Yes p No
Discharge originated at: p Lagoon p Spray Field 0 Other
a. If discharge is observed, was the conveyance man-made? p Yes p No
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) p 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? [3 Yes p No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway p Yes p No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................1.................................2................................................................................................................................................................
Freeboard(inches):...............12.............................12......................................................................................................................... ......
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.)
3/23/99 Continued on back

T
Facility Number: 71 _15 Date of Inspection
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
It. is there evidence of over application? p Excessive Ponding p PAN
p 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
p 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
p No
24. Does facility require a follow-up visit by same agency?
p Yes
p No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No

Printea on 3711720bo
�Facii y Number: 71_15 Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below 13 Yes p No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? p Yes p No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, p Yes p No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? p Yes p 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.) p Yes p No
31. Do the animals feed storage bins fail to have appropriate cover? p Yes p No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? p Yes p No

Facility Number Date of Inspection
Time of Inspection � 24 hr. (hh:mm)
a Permitted M Certified p Conditionally Certified p Registered in Not perat►ona Date Last Operated:
Faris Name;.0Ws.CaveEwugJh.Earm ............................................................................. County: Pender WIRO
Owner Name: Alpert!.. 41......................... RaynarI.C.ovington ............................. Phone No: ..........................................................
Facility Contact: ...............................................................................Title: ..... Phone No:
Mailing Address: 539..River..Rd.........................................................................................Waliact.NC..................................................... ....... 2846ra..............
Ousite Representative: A.11m.Rayaor............................................................................. Integrator: 1.You.rpthy..k'amiiy.Farms......................................
Certified Operator:................................................................................................................ Operator Certification Number:
Location of Farm:
.as .o .. x r ..... xt . ... .om.. -. .an e. wy.. .... .►rx .... turn.ra nn an .crosssax,er.. -. ,... ar�n.ts...............
!PMU zP..n;at;el. ...................
Latitude ®9®1 Longitude
es►gn urrent Design Current Design current
Swine Capacity Population Poultry Capacity " t'opulation Cattle Capacity Population
[3 Wean to ee er
® Feeder to Finish
13 Farrow to can
[3 Farrow to Feeder
C3 Farrow to Finish
p Gilts
p Boars
Number g
0
E3Subsurface rains Presentagoon rea
0
13 pray ►e Area
H� ra s
aiding Ponds I Sold T
...................
o ► u► Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
p Yes
p No
Discharge originated at: p Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made?
p Yes
13 No
b. If discharge is observed, did it reach Water of the State? (II'_yes, notify DWQ)
Yes
p No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
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? 0 Yes
p No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway
p Yes
p No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure
6
identifier: 1................................. 2................................................................................................................................................................
Freeboard(inches): ............... 12......... :..... ............... i2............... .................................... ................................... ......................................................................
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.)
3/23/99
Continued
on hack

Facility Number: 71_15 hate of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding p 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?
Reuuired 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?
p Yes p No
p Yes
p No
p Yes
p No
p Yes
p No
p Yes
p No
p Yes
p No
p Yes p No
p Yes p No
p Yes p No
El Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? p Yes ❑ No
Reviewer/inspector Name
Reviewer/inspector Signature:

Lagoon Dike Inspection Report
Name of Farm/Facility
Location of Farm/FaciIity
Owner's Name, Address
and Telephone Number
Date of Inspection
Structural Height, Feet
Lagoon Surface Area, Acres
Upstream SIope,xH: IV
s /,;;� b4-L-11
-� sT !3►1
2`a 9 Names of Inspectors
D/ /v Freeboard, Feet
%tic-- Top Width, Feet
-3 • IV Downstream Slope, xH:IV
Embankment Sliding? Yes -No
(Check One, Describe if Yes)
Seepage? Yes �vA No
(Check One, Describe if Yes)
Erosion? Yes _-/� No
(Check One, Describe if Yes)
Condition of
Ve e Cover
ra�Irees)
Did Dike Overtop? Yes No If Yes, Depth of Overtopping, Feet
Follow -Up Inspection Needed? Yes No
Engineering Study Needed? Yes No
Is Dam Jurisdictional to the Dam Safety Law of 1967? -Yes. No
Other Comments

.17 r `15
Name.of Farm/Facility
Location of Farm/Facility
Owner's Name, Address
and Telephone Number
Date of Inspection
C? bA.,,,-S
Structural Height, Feet
Lagoon Surface Area, Acres
Upstream Slope,xH:IV
Embankment Sliding?
(Check One, Describe if Yes)
Lagoon Dike Inspection Report /
rP bS V
fir= srz j 31 S
195 9 9 Names of Inspectors . r 14.#J S,n,y
C: 1Lao,�c7-_
jd A Freeboard, Feet
lAe-- Top Width, Feet
3/,% • ty Downstream Slope, xH:1V
Yes L No
Seepage? Yes % L No
(Check One, Describe if Yes)
Erosion? Yes `J!�— No
(Check One, Describe if Yes)
Condition of cekd '
Vegotatiqe Cover
ras , rees)
Did Dike Overtop? Yes No If Yes, Depth of Overtopping, Feet
Follow -Up Inspection Needed? Yes >�, No
Engineering Study Needed? Yes >-"— No
Is Dam Jurisdictional to the Dam Safety Law of 1967? —Yes, No
Other Comments

Division of Soil and Water Conservation.- Operation Review -
Division
{ O.of Soil and Water Conservation - Compliance Inspection '
'
Division i►f Water Quality Compliance Inspection
i. _ - ..
„ E Other Agency - Operation Review-
IQkRoutine Q Comelaint Q Follow-up of DW2 inspection 0 Iaoliow-up of DSWC review 0 Other
Facility Number Date ofinspection 1 1.4 t`]
'firma: of Inspection Ga 24 hr. (hh:mm)
0 Permitted Certified 0 Conditionally Certified 13 Registered 0 Not Operational Date Last Operated:
Farm Name: �i�� Countv:.......... e'
........ c ...... i.� ........................................................ .............
...........
kN-
Owner Name :....... ."''....Si!.............................................................. Phone No:.......................................................................................
FacilityContact: ........................... ................................................... .l'itle:................................................................ Phone No..............
Mailing Address : ................
.............(.�............,........................................`.......ir�.............
resentative �,;?,\��!^4'r��...� Intel;rator:
Onsite Rc..... L`` �
P �1..
Certified Operator:................................................................................................................ Operator Certification Number:..........................................
L.r atioiofF r>>:,
............................:LL..,,.,............(,.......1�..........._.................T...(........`.............�^......................�'.....................1..^..._.....4......
]�i....G!!....�......7�...`-d..�.�r!TkS..C�!...k.....4.. s...115...rr �fY...rf.!I.`"�i. C�.r......
Latitude Longitude
Swine Capacity Population
❑ Wean to Feeder
Fcedcrto Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer I IC] Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 110 Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated iw ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h. If discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. [I'discharo4 is observed. what is the estimated [low in calhnin?
d, Does discharge hypass a lagoon system`
❑ Yes 1XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge From any part of the operation'? ❑ Yes 14 No
3. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes C2[ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes MNo
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
` a
Identifier:").-0
Freeboard (inches) ........... ........................... ...................... .........
.......................... ...... .......................... .......................... .............. ... .................................
1/6/99 Continued on back

Facility Number: F1 \ -•- ` I Date of Inspection
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 maintenancelimprovement? ❑ Yes CgNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes rq7f No
9.
Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings?
❑ Yes
t�No
Waste application
10.
Arc there any huffCrs that need maintertance/impro vein ell t?
❑ Yes
No
11.
Is there evidence of over application? ❑ Ponding ❑ Nitrogen
❑ Yes
No
12.
f
Crop A:5;j�gn. `a....'!1
type "7!........ y...............
.................
13.
Do the receiving; crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
b6o
14.
Does the facility lack wettable acreage for land application? (footprint)
❑ Yes
Z No
15.
Does the receiving crop need improvement'?
❑ Yes
N(No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
% No
Re
uired 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 ONo
19. Does record keeping need improvement? (ic/ 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 D�No
21. Did the facility fail to have a certified operator in responsible charge? ❑ Yes �(No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, Freeboard problems, over application) ❑ Yes VNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes XNo
24. Does facility require a follow-up visit by same agency? ❑ Yes I-. No
.vWitions.or' derciencies .were noted. during :Hi is.visit:: You U' i'rretceive no ftiri ier : - : -
agrresporidei�ce; about; this .visit .: ...............:: :.. .....:.... . .
Comments (refer to question #): ' Explain any YES answers and/or, any, recoriimendations°or any other comments.'-., i i if
Use ydrawings°of facility to better explain "situations. (use additional pages as necessary).
key 5V--F s 5°c'd C�
�� �-vL�Rtr hW [[ G �� \'�-7 \�� ��C1+�� ��►-�5 �'"(1 Cor"'v�'��� \ \�h� � �i
�� Svc s1 c r� - K2 liv�,2 c.t►-�►� � L_r
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 3 V) 99
1 /6/99

J
J
i
=-
07
(r,ss
rl
s 3
f lz-
Ile
n
tn
N

Rcvised January 22, 1999
JUSTIFICATION & DOCUMENTATION
Facility Number
Farm Name• 01�
On -Site Representative: �-
Inspector/Reviewer's Name: �'�
Date of site visit: L�tci
Date of most recent WUP: �S
FOR MANDATORY WA DETERMINATION
w Operation is flagged for a wettable
acre determination due to failure of
Part H eligibility item(s) F1 (* F3 F4
Operation not required to secure WA
determination at this time based on
exemption El E2 E3 E4
Annual farm PAN deficit: pounds
Irrigation System(s) - circle #C1 hard -hose traveler, 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART 1. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an 1 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 ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist; Part 11- F1 F2 F3, before, completing computational table in Part lil).
PART If. 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, irregularfy 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 111.

Revised January 22, 1999
Facility Number
_ -
Part Ill. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD COMMENTS3
NUMBER NUMBER' IRRIGATION ACRES ACRES %
j SYSTEM
1
C!il I 4...a-....L ..1! ..L .. ... L....n ... . kr...nnA ;n „I.S r....f ffr.I..I LAM
......r ..r�.�r��. - JO.Y , Yu.., e.+.J ... ..... rr...y v.. v.zr.....
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer 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 NUMBER2 - 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.

[3"Division of Soil and Water Conservation 0 Other Agency
,Division of Water Quality
10 Routine O Com laint O Follow-ue of DW2 Inspection O Follow-ue of DSWC review O Other QU
Facility NumberDate of Inspection
Time of Inspection E� 24 hr. (hh:mm)
0 Registered 0 Certified d Applied for Permit 13 Permitted [3 Not Operational I Date Last Operated:
FarmName:........ DT-4..s ........... ........ fnem,............ County:..........!7..............................................
OwnerName:... .!�.f .n......................................1 ..,t1.1..!? ..........Me....... Phone No:............. r. .s�`.. d. ...............................
Facility Contact: ......P....� i f r-'. ..CV4tle:......... Phone No: ...............................
MailingAddress: ................................................... ..........................
Onsite Representative: .......<<. ... Q.A..N?�Y .. g%t- .. �.!v Inte rator:....... ,rfa2Lo!I?�
.... ...............................
Certified Operator;.................................................................................................. .. L Operator Certification Number;.........................................
Location of Farm:
.......................................................................................................................................................................................................
Latitude '6 " Longitude • 6 96 .
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes WNo
2. Is any discharge observed from any part of the operation? ❑ Yes UNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
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
❑ Yes A� No
❑ Yes j] No
❑ Yes 0 No
❑ Yes [Q No
❑ Yes W No
XYes i] No
❑ Yes O No
❑ Yes 0 No

Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (atmons.Holding Ponds, Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure l Structure 2 Structure 3
Identifier: �(
Freeboard(ft). ........1Z.-............. ......2::....1.................. ........................
10. Is seepage observed from any of the structures?
❑ Yes I�No
❑ Yes &No
Structure 4 Structure 5 - Structure 6
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes 91-No
❑ Yes I No
12. Do any of the structures need maintenance/improvement? ❑ Yes 12 No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes 9No
V1'aste_Application
14. Is there physical evidence of over application? ❑ Yes ZNo
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type ......... ...............................................9.1... . �n.........................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes 0i0
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
cQ No
18.
Does the receiving crop need improvement?
XYes
❑ No
19.
Is there a lack -of available waste application equipment?
❑ Yes
GNo
20.
Does facility require a follow-up visit by same agency?
❑ Yes
Q No
21.
Did ReviewerAnspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑'No
22.
Does record keeping need improvement?
MYes
'ANo
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
R No
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
IR No
0- No.violitiohs-or. deficiencies.wereRoted-during' this', Asit., Y.ou;will recei'veno,fdrther,:
correspo>ildetice about �this:visat::: :.. ::::: ::: . ;
7/25/97

C7
........ w_...-_... :::. ... ...... X
❑ DSWC Animal Feedlot Operation Review
' M DWQ Animal Feedlot Operation Site Inspection �� Lm 1
{
0 Routine 0-Complaint O Follow-u ol'MV0 inspect . ion O Follow-up of DSWC review O Other
Facility Number/ Date of Inspection - `
Time of Inspection 24 hr. (hh:mm)
__,
© Registered 0 Certified [3 Applied for Permit © Permitted Ej Not O erational Date Last Operated:
Farnt Name: .....��...............1?`wlrrN County :......,1.k{,G.-................... :.....................
.
.....................
rot ! �.. ��-
OwnerName:..........—.��.................................................................................... Phone No:.......... 5..' c�t�.....................................
Facility Contact: .... rl..f:L.�r ....`'""`�%�l�%� Title ............. Lu/l%� .................... Phone No:..,..,.... ...................�...........
MailingAddress: ........ i... 3. ............104; ................................ ` C..............................................
OnsiteAcpresent:five .�. ....,...,.,+ .!. .r Integrator:.... �yxf...................................... I.......
Certified Operator...................................................... ...... Operator Certification Nun ......... I....
Location of Farm:
Latitude Longitude �• ��"
Design Current
Swine Capacity Population
❑ Wean to Feeder
J?LFecder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ [soars
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons / Holding Ponds Subsurface Drains Present 110 Lagoon Area 10 Spray Field Area
❑ No Liquid Waste 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 No
b. If discharge is observed, did it reach Surl"we Water? (If yes, notify DWQ) ❑ Yes (XNo
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) 29 Yes ❑ 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? ❑sYes No
5. Does any part of the waste management system (other than lagoons/holding ponds) require -4 Yes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 'Ed No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes IR No
7/25/97
Continued on back
I

r'acility Number:
Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes j No
Structures (Lagoons.11olding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: /
Freeboard (tt):....... Jt: .......................F..t.../..�J
......................................................,.................................................................,............................
10. Is seepage observed from any of the structures? ❑ Yes (9No
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)
l5. Crop type ...... ........................................... ,C.`,l��
........................ ............................................................
.
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 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?
No.violations•or de'ficiencie's.were-noted-d'dng this: visit:.Y06.4in receive, no•ftirther-:
corres''06hdehO about this visit:
❑ Yes [J�No
❑ Yes ® No
❑ Yes Q No
❑ Yes 0 No
❑ Yes 0 No
❑ Yes ® No
❑ Yes fid No
❑ Yes UNo
0 Yes ❑ No
❑ Yes ® No
❑ Yes R No
❑ Yes Z No
® Yes ❑ No
❑ Yes 0 No
,/�i� F-'l � � �5�1`�'r'�'L ,��dC�.d ,C�u� •� /�csa-,� Si/O,�2da7, �
vo '
7/25197
Reviewer/Inspector Name
0
Reviewer/InspectorSignatur Date: r���

State of North Carolina
Department of Environment, MIWA
Health and Natural -Resources 4 •
Division of Water Quality a
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary � E H N
A. Preston Howard, Jr., P.E., Director
April 3, 1997
Ottis Cavenaugh
Ottis Cavenaugh Farm
198 Rattlesnake Lane
Wallace NC 28466
SUBJECT: Notice of Violation
Designation of Operator in Charge
3 ._... ; Ottis Cavenaugh Farm
Facility Number 71--15
Pender County
Dear Mr. Cavenaugh:
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, y�
for Steve W. Tedder, Chief .
Water Quality Section
bb/awdesletl
cc: Wilmington Regional Office
Facility File
Enclosure
P.O. Box 29535. �� FAX [phone]
Raleigh, North Carolina 27626-0535 �� An Equal Opportunity/Affirmative Action Employer
Telephone [phone]% recycles/10% post -consumer paper

Site Requires I=. ,tr a are Anention:
Facliiy No. 7 /5
DIVISION OF ENVIRONMENTAL MAINAGEME_.,N_I'
ANUAAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: ` r , 1996
Time: Z'41S
Farm Name/Owner: d- C Av-An4!�1 _ GVIll
Mailing Address: gt .3 fox '1 V3 -E - l de► t 1 A e� 2 5-4Y L
County:
Inte?,.:.*ator: , WLv k NI j _ Phone:
On Site Representative: Q 0 N Phone: Z 'VS S Y17
Physical Address/Location: _ �P_ 1 Syc f��.P e' --Jc Z. : G s t4 C+_ e r
NwLt4 11-7
Type of Operation: Swine ✓ Poultry Cattle
Design Capacity: 361L Number of Animals on Site: G
DEM Certification Number: ACE . DEM Certification Numbe: ACNEW
Latitude: Longitude: Elevadon: Fee;
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot = 25 year 24 hour storm eve. -It
(approximately 1 Foot + 7 inches) Yes or 2Q Actual Freeboard: --6-Ft. ! ` Inches
Was any seepage observed from the lagoon(s)? Yes order Was any erosion observed? Yes or j>
Is' adequate land available for spray? Zag or No Is the cover crop adequate? as or No
Crops) being utilized: jjn�4L,44� �.X ��� ? _
Does the facility meet SCS minimum setback criteria?. 200 Feet from Dwellings? IM or No
100 Feet from Wells? 4!�7 or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Scream? Yes or ib
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Man Blue Line? Yes or iZ
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or(52 If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
_
Additional Comments: I 5Q4(& c". 2�E �3�•3+eb. S.� .�• 5 � �..... -
toJq,•L�,. _r> e-4k ►.14 .o, G.s�.� (tee A -kdt. ems. -Le)s 2 ► _
Inspector Name
Signature
cc: Facility Assessment Unit Use .attachments if Needed.

•
f Site Requires Immediate Attend
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERA STTE VISITATION RECORD
DATE: .1995
Time:
Farm Na
Mailing
County:
Integratc
On Site Representative: ,
Physical Address/Location:
'-- 1/7'r h o CS'P1,I71
Type of Operation: Swine _� Poultry Cattle
Design Capacity: 242 Number of Animals on Site:
DEM Cerdflip4tion Number: ACE DEM Cgrfficatio Number: ACNEW
Latitude: ' Longitude: Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon hav sufficient freeboard of 1 Foot + 25 ye 24 hour storm event
(approximately I Foot + 7 inches) a or No Actual Freeboard: M;t. Inches
Was any seepage observed from the lago n(s)? Yes orj� Was any erosion observed? YesNo n�
Is adequate land available for spray? e r No Is the cover crop adequate? Rejslor No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? a or No
100 Feet from Wells? es r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or o
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes o0 J
Is animal waste discharged into waters of estate by man-made ditch, flushing system, or other �✓
similar man-made devices? Yes or o If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on
cc: Facility Assessment Unit Use Attachments if Needed.

171'.J 1 i . 1-11 D14:.:1?l�-JI
f tl IL'E-7 4dJI Ir L,,I =-r
rAur- IJ i'
Site Requires Immediate Attention
•
0
SITE VISITATION RECORD
DATE: 3uly 17 1995
Facility Number. " i •�
Owner: Otis Cavenaugh Farm Name: Cavenaugh Farms
County:
Agent Visiting Site: K=Cth Cook Pender SWCD Phone:[phone]
Operator. Otis CavenaU h _ _ Phone: [phone]
On Site Representative: same Phone: _ --
Physical Address: 2,5'miles from the intersection of US 117 and SR 1501. Farm road
Mailing Address: Ft .3 Box 183-E
Wallace, N.C. 28466
Type of Operation: 'Swine X Poultry Cattle
Design Capacisy: 3672 finish Number of Animals on Site: 3672 Feeder - Finish
Latitude: o " Longitude: o "
Type of inspection: Oround X Aerial
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) es or No Actual Freeboard: Z Feet �_ 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 Rio Was there erosion of the dam?, or No
Is adequate land available for land application? es or No Is the cover crop adequate?-Bor No
Additional Couuuents:
. fa, �c. Z:�
Fax to [phone] Signature of Agent

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