710021_INSPECTIONS_20171231

NUHTH CAHULiNA
Department of Environmental Qual

Type of Visit UC.,00mpliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit (2 Routine 0 Complaint 0 Fallow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
• r'En60E
Date of Visit: S �3 ��$" Arrival Time: r Ja o Departure Time: � County. Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Owner Email;
Phone:
Onsite Representative: ILQ t-�-' ?u R-T E R Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: = e = 6 Longitude: = ° ❑ 1 ❑
ds
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
91 Wean to Feeder 'aGD U Igo0
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -Layer I EE]
Dry Poultry
❑ La ers
❑ Non -La ers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made'?
Design Current
Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Daia Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stockei
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
ElYes
❑ No
ElNA
❑ NE
❑ Yes
❑ No
ElNA
[INE
❑ NA
❑ NE
ElYes
ElYes
,❑—,`No
Ldly
❑ NA
ElNE
❑ Yes
lJ No
❑ NA
❑ NE
12128104 Continued

Facility Number: — a
Date of Inspection 3 n S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l
Identifier:
Spillway?:
Designed Freeboard (in): qh
Observed Freeboard (in): 30
Structure 2 Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes E,!J No ❑ NA ❑ NE
❑ Yes L' I No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes Ea<o ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes D o ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks) ,
9. Does any part of the waste management system other than the waste structures require ❑Yes �C_1 l�io ❑ NA El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [?NO ❑ NA ❑ NE
maintenance/improvement?
11.
Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
eNo
❑ 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) i! C
j -- S co
13.
Soil type(s) C, dL)OS 06 YL6
14.
Do the receiving crops differ from those designated in the CAWMP? ❑ YesrNo
❑ NA ❑ NE
15.
Does the receiving crop and/or land application site need improvement? ❑ Yes
LJ No
❑ NA ❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
EKNo
❑ NA ❑ NE
17.
Does the facility lack adequate acreage for land application? ❑ Yes
LJ N/o
El NA ❑ NE
18.
Is there a lack of properly operating waste application equipment? ❑ Yes
2N* o
❑ NA ❑ NE
T ANY i —<- a01 S W V l4 Cam 6.
Reviewer/Ins ector Name Phone: 0 7 6
Reviewer/inspector Signature: Date: 5'%a3�oS
12128104 Continued

r
■
Facility+Number: Date of Inspection gla3 S
Rotiuired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes KNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes n No ❑ NA ❑ NE
the appropirate box, ❑ WUp ❑ Checklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge`?
❑ Yes
B—No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
ElO Yes
No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
El No
�❑'//A
L�NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ETNo
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El Yes
❑ No
,❑lNNA
NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
El Yes
,--,/
L7 No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
3 No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
Uo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
El Yes
,�/
EJ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
El Yes
,�
E N
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑Yes
No
❑ NA
❑ NE
*4ditiorial. Comments and/or Drawln s
g,
12128104

IType of Visit 0 Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit ffl Routine O Complaint O Follow up O Emergency Notification O Other
Facility Number Date or visit:
A Permitted 0 Certified ❑ Conditionally Certifier! ❑ Registered
FarmName: ....... »,GCr._0►1....... ......._.....»_.._...._..__............_
Owner Name:
Mauling Address: ........»..... ..»............... „...........
W.......___._..»»._.....»»._.»...._._.__...... _
❑ Denied Access
Date -Last Opera r Above Threshold: „�. ...»....
County:....„ �f..._ ....................._» ..„.„..„„.„.„ . .
Phone No:
Facility Contact: _.._ .._ ....._ ».„ ____ ._ Title:.._ .. _._.. _._ _. __ .. Phone No:
Onsite Representative.
Integrator: ... »..����__.... .e.�..»„.»......
Certified Operator•.W...._.._.... »W . » »»._..
Location of Farm:
Operator Certification Number:.,,,,,,,,,,„„_,,,,, ......M__.
Swine ❑ Poultry ❑ Cattle ❑ Morse Latitude • ' it Longitude • 4 44
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes JZ 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, slid 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 fZj No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes Jf No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes XNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .... ..... .. ........... ....... ._»..».............
» „_ _. ..__._ ._._..»_.. _....„. »...............» .._ .».. »» » .„....... _... ..... __.... ». _.
Freeboard (inches): 34
12112103 Continued

Facilit:`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 maintenanceurimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydmulic Overload ❑ Frozen Grot)nd ❑ Copper and/or Zinc
12. Crop type
13. Do the receiving crops differ with those designated in the Certified
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?
Waste Management Plan (CAWMP)?
Odor Lssues
.� 17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
\4 liquid level of lagoon or storage pond with no agitation?
pa 18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
r roads, building structure, and/or public property)
c� 20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Aim nll 14- rocsntetiva i ...aA;.tsty
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes O No
❑ Yes ZNo
❑ Yes PrNo
❑ Yes 0 No
❑ Yes
JHNo
❑ Yes
P"No
❑ Yes
❑ No
❑ Yes
❑ Yes
❑ N o,
IN0011Z4��
❑ Yes
ONo
❑ Yes P No
❑ Yes JVNo
❑ Yes XNo
❑ Yes 32fNo
+.. r: ix!lrh1TA,"' h��'ir;l. '.tl�lh':.anwu - - ?1,,,.�?�:'i;1£�s ht?7'e7a3G.'.-;----�:�u:._..::.it«�::.s_ .., .;,.
Use drawungs fsfac�Lty,W betterktxplmun sifsiatwas. {use acZditionsl l ges as necemr Field Copy ❑Final NotesQ t. ....i. .�s��!iusi3
.P•
2 �RAr���� aAa a� / u�b► �o Lpo P ,�r✓�r� /Vo
$� uG//��C�P, �omF �9�r' �n,P,�,�fo �Rr�.r� � `7�NsG �i✓O
T�� n/p Jf'On/Df/1 / w3� P C✓�� u/�T/` )f"E�R��EsvTigr�✓
-
v _rJ40� c� ' l�'95f, 1fFL1o�n/rtFit�D �ffu�.,,i� ©K,e
ire
br_ <
Reviewer/luspector Name ;�� ;
ReviewerAnspector Signature:
Date:
11d.UluJ Gonnnuea

` Facift Number: — Date of Inspection [rf
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes YNo
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 10 No
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 21 No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
W(No
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes
No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
f
27. Did ReviewerAnspector fail to discuss review/inspection with on -site representative?
❑ Yes
(ONO
28. Does facility require a follow-up visit by same agency?
❑ Yes
Pd No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
;2(No
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes
Wio
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33. Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
00 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
l
4 M16694�, j '7�
1106Al Avo 5WR&y
12112103

', w� _
s O Uwisivn of Sot_} and'Water Conservation
� I
EW N !�
�, Agency
�}I�'�"�"
yew
�Q"Other
Type of Visit )& Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit Woutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit: 00 Time: tz —] Printed on: 7/21/2000
`l
Q Not Operational O Below Threshold
AV Permitted 03 Certified © Conditionally Certified Q Registered Date Last Operated or Above Threshold:
Farm Name: ............ SL'< o.g....t;t.xrr.................................................................. County:........ f..eh&r.................... ...................
Owner N<tme:........... 1 &S.......................... A..S................................................ }'hone No:...°1[0�.�1.....(A.ti:A...........................................
FacilityContact: ..............................................................................Title:................................................................ Phone No: ................. ....... I .......... I................
Mailing Address:
......... A-41.`` ...... W-fitly....... 1... 1.l...... .�..................................... ......... ��. ...,...� �........................... ,?�� �.....
Onsite Representative:...........) l.�........ ......... Integrator:......., �.rD.W�...................
.......................................................................................
Certified Operator: ! tts TT • tl. Operator Certification Number: ( �� .......................
............... ...............1.. ............ �WJ..,......................................
Location of Farm:
or, eage' Ste d SP, lZIL' 0�Pro)(. 0-3 rnt• vLo Of SQ t217- A.I
❑ Swine ❑ Poultry [I Cattle ❑ Horse Latitude ©� �� ��� Longitude �•
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
V] Wean to Feeder
G
10 Gayer
I
1
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
10 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
ZLM
❑ Gilts
Total SSLW
7g xo
❑ Boars
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagolnn 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 au ❑ Lagoon ❑ Spray Field ❑ Other
a. II' discharge is observed, was the conveyance; rrlan-made? ❑ Yes No
b. If discharge is ohserved. did it reach Water of the State? (Il'yes, notify DWQ) ❑ Yes ( No
e. If discharge is observed, what is the estimated flow in gal/min? NIL
d. Does discharge bypass a lagoon system? (If yes, notily 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
Struc;turc l Struc;turc 2 Structure ; Structure 4 Structure 5 Structure 6
Identil'ier:..................................................................................................................................................................................................7....................
Freehoard (inches): Zq
5100 Continued on back

Facility,Number: (— Date of Inspection 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 M 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 P No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes [)5 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes [A No
Waste Appiication
10. Are there any buffers that need maintenance/improvement? ❑ Yes 2No
Is there evidence of over application? ❑ Excessive Ponding 0 PAN ❑ Hydraulic Overload J*Yes IRNo
12. Crop type �erm,,,�n 1.,. VeQrfil. •aVUZO, SWL&t( cc'A:
I3. Do the receiving crops differ with those designated in the Certified Animal Was% Management Plan (CAWMP)? ❑ Yes U 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 12 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
[V 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
�jNo
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
[P No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
[3bNo
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 [p No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
IN+A61"ati6ris:0t. &rJejetn6es *ere noted dttrtng t, s,v. sit' • ;Y;otr Will •ree�iye Rio: fufr ber:
correspondence. abotit. th` ' isit..... • .....:... '
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Ilse drawings of facility to better explain situations. (use additional pages as necessary):
olvAak.at�pl�r�Zatr. o-1 +ti:'Erpge,. 1a� btir,w,l�a t� uL. �rc��t� L of to_►a (bs/a[., A.
t't� a� �r�t �C.� UstiS �U41s1 �e o�jSQ�VP u
��- Z000 rfmyk Y eor S�►Ocxi�l toe. fr_COJC4 1oAt� C(1% \J 4 "Crta )AG,
6e
Reviewer/Inspector Name L_
Reviewer/Inspector Signature: ,(% Date: 10/2 % 60 5/00

Facility Number: — Date of Inspection 6 06 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 Wor below ❑ Yes [PNo'
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 PiNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (Le, broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes [INo
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 No
5/00

Q Division of Soil 'and Water Conservation - Operation' Review
1 Q Division of Soil and'Water Conser+v8tion Cotnpltance Inspection
5 i,�� E
lvlsion,of Water ' tQi COm„1lRnCC IIIS BCt1oR! r €�
.. Q, p i !
�,;• , 1
b �jC id.i
1 Other Agency" Operation Review > .' I4€� . � ° i'i�' r; �,.,• F ;.. -.`.q, , i � ;,
ISERoutine Q Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number Mite of Inspection I I
�[ Time or Inspection � 24 hr. (hh:mm)
Permitted ®Certified [] Conditionally Certified Registered Not Operational Date Last Operated:
Farm N. L ��r. 0 ye. i�`'��'"� County:.....r..Q'?.�� .............................LU 1Z0....
.........:................................................................................................
OwnerName: .............`�i �.4.k-,A.5.......................... Q............................,......... Phone No:.......................................................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: ........................................................................................................ ......... .....
Onsite Representative:...... ....�, o rta5.........��.. �c.5G......... Intcl,r itor fit... h.............................................
Y t..>
Certified Operator: ................................................... ............................................................. Operator Certification Number:.......,.,................................
Location of Farm:
..................1......................................................I.................E!l......4.........:.............................4.....F...�............I� n.............
tJG� "[ �� � G F��i 1 SGG%�. In `l.a......r''...r :�� ....�s�r.... w (Zl IP� �
5.. d.. .e. �...�. ��r.................... 1........... ..,.. ..........
r---� _ r----� r-----I r— �-t _ r•------I r---� 5 1Z ! L 12 . t e._u
Lantuae l ongttuue Imo- t I. h�,,,�..1 .
0 5�1Zt(
Design Current , Design -.Current Design
Sw' CacitPoula�Ca"acCattle ce, t
Wean to Feeder ❑ Layer ❑Dairy
❑ Feeder to Finish JE1 Non -Layer ❑Non -Dairy
❑ Farrow to Wean
,
ElFarrow to Feeder ❑Other
is [I Farrow to Finish C Total Design. Capacity
Gilts ❑
C
El° '' Total `SSL W
Boars E�,
F ,
Current r ���{-
Po pulatton j
I < < �Nimber of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
olding�Ponds l So
Traps s;' ❑ No Liquid Waste Management System t, 3' i ;�• ,'.
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ElLagoon ElSpray 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. If discharge is observed, what is the estimated flow in gal/thin?
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? Cl' Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes Waste Collection & Treatment5�<o
4. Is storage capacity (freeboard plus storm storage) less than adequate? [ISpillway ❑ Yes No
Structure 6
Structure I Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes X,
0
❑ Yes /No
❑ Yes ❑ No
Identifier: (�
Freeboard (inches): .........2 1.............................................................................................................................................................................................
...........
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes KNO
seepage, etc.)
3/23/99 Continued on back

Facility Number: — Z. Date of Inspection
i
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 M)Plication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Pondinng ❑ PAN
12. Crop type 'F-e SC ✓ C -n v,a24-1 8 e- r" 40A / 12Y& - Gam• Z
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/lnspector fail to discuss review/inspection with on -site representative?
24• Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0' No •yiola(i #ris :or deficiencies -w' 4're noted- O(wing �bls'visit} Y:oji :Will •;eetriye •rio €urthg ' '
correspondence. about. this visit.
Coinmehts (kderEto,questron #) .Explain-anyFYES answers and/or ariy'recomiirendations or`�any other coinme
Use drawings of facrhty Wbetter` explain situations (use. adchtronal3pages as necessaEry) �' '€ f #1:"
. `€ . iFE r §'-.`i;, i .._.ii, FIB t_, .....s"a, r., f
1q. 14,-e1'° 4 L-e ct0y, 444r_ 6sa,_C
Reviewer/Inspector Name i # fi✓,j -;
Reviewer/Inspector Signature:
❑ Yes J�(o
❑ Yes �o
❑ Yes ❑ No
❑ Yes . 'No
❑ Yes ❑ No
[-]Yes J�No
❑ Yes bio
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes �Wo
❑ Yes �o
❑ Yes (Vo
❑ Yes 6Ko
Yes ❑ No
❑ Yes No
[]Yes No
❑ Yes � No
❑ Yes ffNo
❑ Yes wo
❑ Yes No
Eq
Date: 11-
3/23/99

Facility Number: — Z hate ofinspection
* Odor ISSUE'S
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor 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? ElYesYNO
3/23/99

Routine O Complaint O Follow-up of DWQ ins ection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number it Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: [N Registered ❑ Applied for Permit (ex:1.25 for I hr 15 min)) Spent on Review 2S
IN Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated: ...... . ....................... . . . ...... . .................................................... . ........................................... ......
FarmName:.......7C1................ ..................... _....... ............... .._... County: ....... �.................. ............ .............................
Land Owner Name ...... ..dv!: s.......t' �......................................................... Phone No:... ........................................
Facility Conctact:.... ..11f.)A? I.......DCf�.............�................... Title: ........ QP.I.Ar......................... Phone No: .�`a1�?�2$�."7���....... ..........
1?1
Mailing Address:....2I. `..j..,'ti�.i�4X1... 41p�..... f7.......................................................�.li .i... �i�...................................... ...40.......
OnsiteRepresentative: .........I1 .LQk1A5 .....�..................................................... Integrator:.... 1±&.................................................................
Certified Operator: .............. 1tX1tSL..... k.Rmc.... ............... ................................ Operator Certification Number: ....... �zf�l .................
Location of Farm:
�. ��........ !t ..�att........ ,r........ .A.. LTK\...r ....ALL... .4....4.4...... of . T ..�... s.q....�R..11�,l�.. �. ...... 4 . .. .. . ....
r�......r..i<. ......s�.59.... 1.21.1:.&Y.2.6 .is ...... Q..:..`6... t. ks'....On...&41.... ......................................................... �
Latitude ®' 4 o a " Longitude ` 4 '.
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes M 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 Surface Water'? (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
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes IN No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes No
maintenance/improvement?
4/30197 Continued on back

Facility Number: ....1.1.... g:1
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
J9 No
8, Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
® No
Structures (lagoons and/or_IloldiMP-onds�
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
[21 No
Freeboard (R). Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
:7.......... ........................... ............................ ............................ ............................
...........................
10. Is seepage observed from any of the structures?
❑ Yes
No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
No
12. Do any of the structures need maintenance/improvement?
Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
® No
Waste Applicatio
14. Is there physical evidence of over application?
❑ Yes
No
(If in excess of WMP, orrunoffentering waters of the State, notify DWQ)
15. Crop type `xT!......laeY.it:uido.................................................�(14...........................................................
16.. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
No
17, Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
18. Does the receiving crop need improvement?
❑ Yes
C&No
19. Is there a lack of available waste application equipment?
❑ Yes
[9No
20. Does facility require a follow-up visit by same agency?
❑ Yes
JR No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
R No
Fot- Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
24. Does record keeping need improvement?
❑ Yes
No
Comments„(refer to `question#) Explam anyYU'answers'and/or any recommendations or any other comments �
—
Ti.::..]_..f
Borg
a.�S S�,04 �e
m5ep_M vjI #` c„�
a nok �ivo Cover, rWr wall A
Q
roar
4W13 Ite- rvvwa).
wtcavpk skoold
be d- ►���ca�irt� �.�Gh �►e�J Was S�raYt?d,l atn ��- was
b� usee� SOY
f r �f
4s�e acol �iPlf , �,nr;gA'�rn dorVl�S
t Vj ql..k a c roy
. ; �, tn5 e�
4,6- C' cc✓ A
I RR - I
�� v\ a.
l
o�.v►ri � R� -� s�
soov� aS ,�oss�b
• ` t71,� Ts
DrC'.11 194�. Mks
sa,( �► k 1�
r a TLA-V cu r} 1ho.r�I r S a,,pil c.� •(ina
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:17%
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

r"
o-;i.�'"'".,:
Division of Soil and Water Conservation Other Agency `:�
�{ ❑ ❑ g y
JaDivision of Water Quality ;
Routine O Complaint O Follow-up of DWO insncvtion O Follow-up of DSWC review O Other
Facility Number
13 Registered Certified 0 Applied for Permit 0 Permitted
Farm Name: Pe..t.7.;Q.
i�` a�ASOwner Name:.............. . . ......1s �.......................................
Date of Inspection L��'/ 0/7 / /TV'
Time of Inspection aJ C 3 24 hr. (hh:mm)
0 Not Ogeratinna� Date Last Operated: •••... .........
' County:.... e ..u.G:f✓...........................'4/'.!.I�.C�....
............. Phone No:......................................... .................
FacilityContact:............................/................................................... Title:................................................................ Phone No:......-...........i..ff.................................
Mailing Address:....... 24_ 1.9.4........� ..!r r1l..r. ". a..... 1..�1...12d ......... .. ...... u.n..�. !.[ .�.. /�'.. ...... Z g.� T.. �..
.......... ..... I. ........................
Onsite Representative: ......
L `' " cs ��, I� e .. grator........... - S
..............................................s...............................-........... .....................].I.,..q.......................-.
Certified Operator;.- ... k-o►ti CS G /st✓ Operator Certification Number,.,... r 4 7
............ .... .............. ......................................................
Location of Farm:
............... .........................................................................................................................-----.............:....I................-..........................................................................
-.---.-'
-�
Latitude Longitude �• r_�' �"
General
I. Are there any buffers that need maintenance/improvement? El Yes No
2• Is any discharge observed from any part of the operation? ❑ Yes $(No
Discharge originates! at: El Lagoon El Spray Field ❑ Other ���
a. If discharge is observed, was the conveyance man-made? ❑ Yes ONo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes c. If discharge is observed, what is the estimated flow in gal/min? 1,14
d. Does discharge bypass a lagoon system'? (if yes, notify DWQ) ❑ Yes KNo
3. Is there evidence of past discharge from any part of the operation?
❑ Yes VNo
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
VNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
to"No
maintenance/improvement?
�[
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
Elit Yes
No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
) No
7/25/97

4 Facility Number:" 1T
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures fLagoons.11olding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
❑ Yes �No
❑ Yes )?"No
Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft):.............. ....................................................................................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste_ Application
14. Is there physical evidence of over application? "
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type!'`'! ✓h...yf L ....... `.....
Gu
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?
IlNo.via'litions-or. deiicieincies.were-itoted during this:visit.- You:will `receive-nti-further
correspQtadeitce about this:visit : :
Fields cl.e- ;,, 9aod .5�►� f}e
f2. Veo-Mt4ic 6-e-e cl -e4 dj� �.,r0' o� �Gs60bn
'free �Gc✓�A �`e��rars ot-1
❑ Yes )(YNO
❑ Yes ki
yYes wo
❑ Yes VNO
❑ Yes I &o
❑ Yes kN 0
❑ Yes leo
❑ Yes VNo
❑ Yes k<o
❑ Yes (tio
❑ Yes k'No
P es ❑ No
❑ Yes VNo
❑ Yes No
❑ o
7/25/97

•
•
Site Requires Immediate Attention: //f9
1
Facility No. 2=-,2/-
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIO S SITE VISITATION RECORD
DATE: , 1995
Time:
Farm Name/Own
Mailing Address:
County:
Integrator: /� Phone:
On Site Representative: rJ&9M,4 15 Phone:
,�-93— 772�
Physical Address/Location: 1 . n 3 l yZyp
.5, C/s her !r , y/ 0A1
Type of Operation: - Swine _X/ Poultry - Cattle
Design Capacity: &0 �y�sy Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: 2 Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 21 ear 24 hour storm event
(approximately 1 Foot + 7 inches Yes r No Actual Freeboard's � Ft. Inches
.Was any seepage observed from the agoon(s)? Yes as any erosion observed? Yes r No
Is adequate land available for spray? Yes or No Is the cover crop ad1''tl
te. Yes or No
Crop(s) being utilized: /" �R� � C,2� r" _ D
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings es r-No
100 Feet from Wells e r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes tNo 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: _'441 / � - %' S 0
Inspector Name
cc: Facility Assessment Unit
Use Attachments if Needed.

tj 1 3,35 1 r='Er,IDER COCIF EX. f 3ER PAGE 11
0
Site Requires Immediate Attention
Facility Number. - �r
SM VISITATION RECORD
DATE. - July 18 , 1,995
Owner: L.T. Debase Farm Name.
County:
Agent Visiting Site: KO= h Caok Fender SWM - Phone:
Operator: -^Kav Puse _ Phone: [phone]
On Site Representative: LT Delmse Phone:
Physical Address: I Mile runuth gf ilitersection of US 421 and SR 1211. The farm
road is on
Mailing Address: Hill lid
Ivanhoe, N.C. 28447
Type of Operation: -.Swine Poultry Cattle '
Design Capacity: 2SpnxQan-fee umber of Animals on Site: - r
Latitude: _._� ' _" Longitude:'„
. Type 'o f Inspection: Ground _ X Aerial
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot'+ 7 inches) 0 or. No Actual Freeboard: - 2 - Feet _ D 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(9 Was there erosion of the dam?: Yes o�N
Is adequate land available for land application? Y@e or No Is the cover crop adequate? @ or No
Additional Comments: Flush pipe is currently below liquid level. Pit recharge
system is EUiOhtly BFeing rec arg y ne mme
•
1y
Fax to [phone] Signature of Agent
l