710022_INSPECTIONS_20171231

NORTH CAROLINA
r
Department of Environmental Qual

I IMI 2Z
(Type of Visit: Q Compliance Inspection U Operation Review Structure Evaluation U Technical Assistance I
Reason for Visit: O Routine O Complaint O Follow-up 0 Referral O Emergency O Other O Denied Access
w..w�
Date of Visit: IQ t Arrival Time: Departure Time: l l 14 County: �(:-ti O C� Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
OnsiteRepresentative: L Atic 00n..L.Ad.M0
Owner Email:
Phone:
Integrator:
Phone:
Certified Operator: Certification Number: I ( oZ
Back-up Operator: Certification Number:
Location of Farm:
Latitude: Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
IDesign
Wet Poultry
Layer
Design
Capacity
C*urrent
Pop.
C►attle Capacity
Dairy Cow
Current
Pop.
Wean to Feeder
Za a
Non -La er
DairyEl Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
l;oultr,
Design
C*_a aci
C►urrent
l;o .
Dry Cow
Non -Dairy
Farrow to Finish
Layers
I
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other J F75ther
Turke s
Turkcy Poults
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at; ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes 0 No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes eNo ❑ NA ❑ NE
[:]Yes R/No ❑ NA ❑ NE
Page I of 3 21412011 Continued

r
Faciliq Number: - Date of Inspection: I g 1
.r
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No
a. If yes, is waste level into the structural Freeboard? ❑ Yes ❑ No
Identifier:
Spillway?:
Designed Freeboard (in):
❑ NA ❑ NE
❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
LAG`Q rJ I LA C, VON I, -
Observed Freeboard (in): (-, b 3'1
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes Vf No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes R✓ No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
or environmenta threat,
notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes N
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes V
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
No
9. Does any part of the waste management system other than the waste structures require
❑ Yes
Z
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
2/No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
�No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved
Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
❑ NA
NE
15. Does the receiving crop and/or land application site need improvement?
dYes
❑ No
❑ NA
[] NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
2/No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�o
❑ NA
] NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
E"No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
[3NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes Z1,40 ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 6No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Ins ection: l It
.^
I
24. Did the facility fail to calibrate waste application equipment as required by the permi ?
ElYes
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
[:]Yes
ZNo
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
[:]Yes
E/No
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[:]Yes
❑ NA ❑ NE
and report mortality rates that were higher than normal?
YNo
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ NA ❑ NE
If yes, contacf a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
C� No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
2f/No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
o
❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
WNo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
Yes
❑ No
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or, any additional recommendations or anyotber corriments.
Use drawings of facility to better explain situations (use additional pages as necessary)
1j.) Soxir T(zS 1- 51,1 a wJ ou (-iL '3 ao O 't" "UC_'-s F6'--- F0 ( Cs<AD r P�_( A s E Po lj6T-
f'on—�.LE1.D. �u1.Lvt Ur VLSIT WLI I,
�L SC I i C-O 1r LLG 0, i u S4- % E l...P.
��t.o,JT LA c�6 nJ Vs s� AL tr l,o�Ics �lA�E u,rG
SL.0 p f'C Co 2u C'�' N AS L�-V Ct_ .Zhu C.o r`'1 Q to VLWG LS, M o Na 0 �--
hje ,_-r sv 2.tlE c Lo S C L I.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 3 of 3
�T k 0 �p R►�E� � Phone: !1D 79 L S yy
Date: 14
21412011

?I H a
Type of Visit Oorupliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: JaQllj� d6,QAA�n
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = c = = Longitude: = ° = ' =
11
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
Wean to Feeder U0 Jb
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Points
❑ Other
Dischary,es & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ 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 ENo ❑ NA ❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ No ❑ NA
❑ NE
❑ Yes
❑ Yes
C N ❑ NA
El NE
El Yes
Ld No ❑ NA
❑ NE
12128104 Continued

Facility Number: 2—
Date of Inspection 7 aG of
4Ia Collection & Treatment
storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier: Qkrr FNT
Spillway?:
Designed Freeboard (in): / 9
Observed Freeboard (in):
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 EjNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes df No ❑ NA ❑ NE
❑ Yes Q/NNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environm ntal threat, notify DWQ
7. Do any of the structures need maintenance or improvement? Yes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 21 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 0 Yes 21 No ❑ NA ❑ NE
maintenance or improvement?
_Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes L'J No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes B No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) f G 56V6, (6- &XOZ Ofi L 1 V c.1 � t/
13. Soiltype(s) /Lu6- 0t& az'os'6a" .
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes E No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes LI No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
0-Ko
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
-
ff7No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
❑ NA
❑ NE
LA &-0aAJ FN?" RAS 611KHAO "r 6 7&k4 LEA SG J&WO1/E,
i. V70r6 clRd 1?(AiLT W &P-01 VDA . SSE A 460of S-tto CCIAIr .
�1
BE2r� ✓gyp �� �� ��o� �A/s
Reviewer/Inspector Name Phone: 9,0l M - �a6S'
ReviewertInspector Signature: _ _�J f/f _ _ Date: &
r
12128104 Continued

Facility Number: )' — a Date of Inspection ZL
Reauil ed Records & Documents
19. DKd the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ENo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes Q No ❑ NA ❑ NE
the appropiate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
E 'es
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Werely Freeboard ElWaste Analysis ElSoil Analysis ElWaste Transfers
ElAnnual Certification
❑ Rainfall ElStocking rop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
ENo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
PIN
❑ 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?
ElYes
ElNo
,dNA
IdNA
❑ NE
26,
Did the facility fail to have an actively certified operator in charge?
❑ Yes
[4No
❑INA
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El Yes
El No
LJ'NA
❑ NE
Other issues
28, Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ffeNo
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
�o
❑ 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?
ElYes
0<0
❑ 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
2reNo
❑ 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
,��
IQoo
❑ NA
ElNE
33. Does facility require a follow-up visit by same agency?
❑ Yes
2N"o
❑ NA
❑ NE
Additional Comments and/or Drawings: gin. T ;
12128104

Type of Visit 0 Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit 0 Routine O Complaint O Follow up 0 Emergency Notification O Other p Denied Access
Facility Number Date of Visit: Z �Time:
rO Not Operational O Below Threshold
#Permitted © Certified ❑ Conditionally Certified © Registered Date -Last Operat9"r Above Threshold:-_».�....
Farm Name: .I �'r�.!!�r..�5�..:,t.l� 5� %Z» .» »»._.......__._...... County:'_
Owner Name; _. �._........ tl� Q ..............» ». »»»..».. 'Phone No:
MailingAddress:..._. ..»».».»........»»........ W......»»._.».»....»..»_.».»..»...»»..».».».»...»
FacilityContact: »._........_.._.._.....».................. ...__._._..»»...Title:..»»....»...,......... ».....» ..».... _../.Phone No:
Onsite Representative: .._.., 1_....l.Q _.........._.._..»............ Integrator._
Certified Operator . _...»..... ».............................. Operator Certification Number:._....»» ....».....»...» ._..,,
Location of Farm:
I�J Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude �• �' ���
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 1
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 ;Z No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes m No
Waste Collection & Treatment /
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ONo
Structure ] Stru 2 Structure 3 Structure 4 Structure S Structure 6
identifier,. KdU,,3 .»_._ _F�L��lL .. ».»__..._ ........ »»..»»»»......»...»». ....»»».. _ ._.W_..__.. _.......___._..__ .... _
Freeboard (inches): V
12112103 Continued

acility Number: -- 2 Z I Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 0 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ONO
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 0 No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes 0 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
0 No
elevation markings?
Waste Application
10. Are there any buffers that need maintenancetimprovement?
❑ Yes
WrNo
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes
0 No
❑ ExcessivePPonding ❑ PAN Overload Hydraulic Frozen Ground ❑ Copper and/or Zinc
�verload
.. I❑
12. Crop type 1&Z/11 mo fi F �7A� 1- 1 ' i ��L'�iF [J Z,6.1
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAVWIVIP)?
❑ Yes
JZ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
;' No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement? .
❑ Yes
0 No
16. Is there a lack of adequate waste application equipment?
❑ Yes
Ja No
Odor Lssues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
❑ Yes
jZNo
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
0' No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
e1No
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
,0 No
Air Quality representative immediately.
❑ Field Copy ❑ Final Notes
4ap akb 1 #e-ODd S
11,5) 1-400J PA 5,VAA,� IVA- OVAI-r"t, �� Fj!�� Ca 6 Foo-4-4,0 �
23) tj Z4 Gl1,47Cl! 2AJ !-`— d f 6- 71 15' UV A
I"/AZrJ (Cdure Na 7 �,�n� 2 � 86cs• �� �� .
y�oc �;��a- R�cand cu�G� CjNR v��
Reviewer/Iuspector Name }?/
Reviewer/Inspector Signature:
Date:
12112103 Continued

Faculty Number:!FZ —ZZ Date of Inspection
Required Records & Documents ��
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes 0 No
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 JZ No
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [ZNo
❑ 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 21 No
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes 0 No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes O No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ®No
28. Does facility require a follow-up visit by same agency? ❑ Yes UrNo
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes X No
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes ;'No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. [:]Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1 " Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
1 /00n�- 4, . f"�-5,4t- Z-V
/-�O' 6(c v/ ---�k W64 c„
12112N3

i
IType of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation I
Reason for Visit Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access iJ
Facility Number Z L Date of Visit:
13 Permitted [3 Certified [3 Conditionally Certified 0 Registered
Farm Name: F',111Cfi1-b Sreyyjra" AIVr,Ice-y
Owner Name: ce t6i4'Lt, c tj _N 0 I e4rnki
Mailing Address:
Facility Contact: 1 Title: ,/
Onsite Representative: �rt C ! ) r 1 ^ �, _J+drC1A $) 4 &A'`
Certified Operator:
Location of Farm:
Time: - 46
Date Last Operated or Above Threshold:
County: fend ee—
Phone No:
Phone No:
integrator* %�%ur
Operator Certification Nu her:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' ' 0 f( Longitude Q' 6 Du
Design Current
swine Capacity Population
Wean to Feeder Z0 t)
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultr Capacity Population Cattle Capacity Population
❑ Layer I I FEOINtDairy
Dairy
❑ Non -Layer
❑ Other
Total Design Capacity
,� ��Number of:Lagoizns 0: ,❑Subsurface
Holding Ponds 1 Solid Traps Q ❑ No Liquid '
I)ischaEes _ Stream Impacts
Total SSLW�
Present ❑ LI avoon A
1. Is any discharge observed from any part ofthe operation? ❑ Yes 0No
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 S2(No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
WasteCollection & 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: r H
Freeboard (inches): +' 3 3
05103101 Continued

r
Facility Number: / —,2 .Z 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 PNo
❑ Yes No
❑ Yes P No
❑ Yes ONO
❑ Yes �TNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONO
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ],Hydraulic Overload gYes ❑ No
12. Crop type FCSGVC G�LC Tt rr-.-oe 4 -r t RctVdA Ile- erm0 &-a ZP,Swv.gIt G—iF,1
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ZNo
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? XYes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes zNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ONO
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ONO
19. Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports) 2fyes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ,EfNo
21, Did the facility fail to have a actively certified operator in charge? ❑ Yes ;2 No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes E!fNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 2TNo
24. Does facility require a follow-up visit by same agency? ❑ Yes ;ErNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 0 No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
q-
opm .. a) YExglain any YES artswers andlor any recommendations or aay otlier`comments. Ms�
Us dawiugs of facility to bette explain sit ations. (e se'aclditional pages as nieeisp y)
:., ❑Field Copy ❑Final Not
ll . —File L, c r-1, 'Plan A r's M ,•►-� AK 1'r"+ ►� aP� I ,'e ; u r q ,.,,,o u a ' . S �,, cl,eS
/f
PC,, E Vc. n 4 . % 1,1 S )je s G e Gtn e:X GQ edcf4 G!f J r r �a1 q/OlQ �i [�'� i Off • [�
-�ectt�lC�1 sP�c��l -fir, tui✓i'se p),i,., 46 ��c�, •F
1'Y►Rk. 1 �7OSSi le -
�
1� n
r•T. Ptah SL�oWS �. "i �iGY�S oP7 bceA i&dt! Meld r,/ec� �D
�)c►Ve l�re}�Pl4 DiC✓es dg��v/�;�.�� -lar �hi.r �IC�iG{ Vi3� i7�AY1ALGG'✓"�����
�d �
N��� GA ! �,-�-i'e s� t� � �"'� � H D( r ��% Ge p� r� s a nd ►'i'1R � Gad j JS'-�,�+e�'l�l
Name Reviewer/ins ector ` '
p �dl!1Ch!_�1�
Reviewer/[nspector Signature: Date: 7 Z 09
05103101 Continued

[Facilib+y Number:. j -Z2 Date of inspection Z 2 ttZ Printed on: 7/21/2000
Odor Issues Sfy�
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes N0
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? []Yes RT'No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
ZNo
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
O 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
2fNO
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
ZNo
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
❑ No
Additional Comments and/orDrawings:
15. Scrrtrlde, C.roP hCC1(1 %e"lip
1rV Or" "M} w1 t , Al or�G�.oi -rcivf •
j►is Wi11 be ares�'r' c��"I ��! r" Ve-A,,. NeedJ4P 'I ffl y 1;me
�`;C Cat 1 s 4v� G GTF' Wl�h 1�l N /I S t hC_
Need 40 evlSvre A 001d S-fet L'd Ord be ✓ rwvd l
1� • Ai ccd 4o vse el wAsfc 00111 X
,.,• IrePre,r��4ti-�i ve of �
wa.s4e w,4)►h 64 d n Lf offaPA4,°a-, e✓✓e �� 4P cct lLvl,1ae
r%l�t�CtJJA4e Gv✓ r��t�-FGSLi/C reLoV, I."-)
AC.cQV-Asti, cc w' 4 4his".
tie.i4 e = 1 rc �s o�naGlr s �� nd o� -esc �t? v✓G✓'� 1 ,• shoo 1�(
SpO4 ScGOa� Ses-1C Areaf- } t e Aor�ew► A ne"I(I
kejp4,1o�a-�v�ce..
5/00

w4� :4 " ij
Don ofWr Cn;s4QDlylSllnoSOII andWateOZ'SV
I.
Y+i50 Othet"Aenc ,'
A ,
Type of Visit Acompliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit %Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Elate. of Visit: �a _GG Time: 0 J Printed on: 7/21/2000
�
Q Not O erational Q Below Threshold
KPermitted © Certified It_[] Conditionally Certified [] Registered Date Last Operated or Above Threshold
-eh�^Q�\ 1 �'e1.asC� \�"1K�. County: ....:5..1: 4.�.............. . .........................
FarmName: ....................................,............................... ......... ..... ............................. ................
Owner Name:
Facility Contact: ..............
Mailing Address
PhoneNo: .......................................................................................
..........................Title:................................................................ Phone No:..........:........................................
Onsite Representative- ..ti W' ..L-eA .................................................. Integrator:....... �-.L�....
Certified Operator: .................................................... ............................................. .............. Operator Certification Number:...........................................
Location of Farm:
�I
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �° ��� Longitude
Design Current
Swine Capacity Population
Wean to Feeder
0
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Ca acity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ ag-�,ln Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Discharge & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge uripinated at: [-]Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance. man-made.''
b. 1f discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
c. If dischar-e 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 (lie State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure. f Strm;turo 2 Structure 3
Identifier:...........�.................................3..............................................
Freeboard (inches):
5100
❑ Spillway
Structure 4 Structure 5
❑ Yes
KNo
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes ❑ No
❑ Yes �fNo
❑ Yes k'No
❑ Yes ['�KNo
Structure 6
.............................
Continued on back

Facility Number:T]( —?-a I 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
XNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
XNo
(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?
XYes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
V No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
RNO
Waste. Appl'scation
10, Are there any buffers that need maintenance/improvement?
❑ Yes
J�rNo
1 L Is there evidenceof ov application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
El Yes
XNo
'
12. Crop type T
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
XNo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
RNo
b) Does the facility need a wettable acre determination?
❑ Yes
ru No
c) This facility is pended for a wettable acre determination?
❑ Yes
ONO
15. Does the receiving crop need improvement?
'Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N'No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
P�No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
XNo
19. Does record keeping need improvement? (ie/ irrigation, Freeboard, waste analysis & soil sample reports)
❑ Yes
)R(No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
NrNo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
J`No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
D�No
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
❑ Yes
9No
24. Does facility require a follow-up visit by same agency'?
❑ Yes
RNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
M(No
�4'yi4ti6ris o' i- dgecie ugc •wiwre noted dii-riiig 4his'visit; - Y:oit :will-t&d.vi.d fuether. :
;corresponrten& A' ' f this .visit.. • . • . . . . . . ..... .
Comments (refer to question #): Explain any YES answers and/or any recommendations or any. other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
JV)
be—
Reviewer/Inspector Name
Reviewer/InspectorSignature: Date: is �—r}O 5100

Facility Number: Date of Inspection UCl 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 dt/or below xYes ❑ No -
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes j No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes j 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 P'No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes t 'No
32, Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
Additional Comments 'and/or ,Drawings: a'
�r ( J
i
--Q_^1S
vleems- . ��� �r �,o-c�l s� �►-r-\ � ��s.� o.�-e�� ��
OICL
=ze
5 `1� - �*
- PAR "'-tu
�T p rA
w
5100

7t. 0 Division of Soil and Water Conservation - Operation Review 3� { , ,:�';p
IVIsIOn Of SOII and Water COnservatlon � , ompliance Ii5 ectlbn`i '. il�;i g 1
" Division of Water Quality CotaplianCe Inspection § y 6
Other AgencyOperattoii .Review:-;°[!�i ` } . '''.� 1� ��3 �.§E ,E_ �' 14 3 j€ €iE i !.'IFS 3l3tri�,1', Y' r �� SrL f ' I ,;fl I ` F€•€ � hil�E f � <t�
JD Routine 0 Complaint 0 Follow-up of DW2 inspection 0 Follow -tip of DSWC review 0 Other
Facility Number Date of Inspection
Time of Inspection 0 24 hr. (hh:mm)
[7 Permitted XCertified E] Conditionally Cyerrti'fie/d(/ 0 Registered E3 Not O erationa] Date
1 Last Operated:
Farm Name: .....r.�.h.n.L�!�... "�....61r ..5"[ ' ('.V.✓..5 �' County:......�e(!t olG.r.............................. ....... 1...............
OwnerName : ................................................... ........................................................................ Phone No:.......................................................................................
Facility Contact: .............................................................................. Title: ..... Phone No:
...........................................................
MailingAddress: .........................................:...................................
l
Onsite Representative:.....` J. .P�......�.U.q.r...}.q...'.�.......................................... Inte};r�tor:.......M...]. 1........,.............................,....................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..................;.......................
Location of Farm:
A
.................. ........
Latitude �'�° 0.. Longitude �• �' �°
Design Current. " . ' Design Current ' Design Current
Swine r„ Ca acit Po ulation 1'outtry �1 Capacity,,.Population Cattle Capacity Population 1
can to Feeder „ ❑Layer ❑ Dairy
❑ Feeder to Finish ': ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other ,
❑ Farrow to Finish
Total Design Capacity
❑ Boars -Total SSLW
Narriber of Lagoons ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
°Holdinonds'/Solid Traps �' ❑ No Liquid Waste Management System
,: ,
Discharges & Stream ImQacts
I. 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. If discharge is observed, what is the estimated flow in gal/min?
d. Docs discharge bypass a lagoon system? (Il'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: Fenn--4- 5V-1,S4_..
Freeboard(inches): ......... 2 0...........•.. ..............Z. q ............ ................. . ..... I ........... I., ................................. ...................................
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
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes eNo
❑ Yes �o
❑ Yes ,No
Structure 6
.....................
❑ Yes XNo
Continued on back

Faeflity Number: 3- l — 'ZZ Date of Inspection - Iz
J
6. Arc there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes VNO
(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? 9Yesko
8. Does any part of the waste management system other than waste structures require maintenarice/improvement? ❑ Yes *0
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes )Y"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 90-.^i,,. rl r 1 C r, Gd6- . _S. S -Vee-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes NNo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes WNo
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?
Yes ❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes �To
Reg uired Records & Documents
17. Fail to have Certificate of Coverage & Genera! 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?
�'Vo y�ola�it?ns'or d ficaeucies rr�re jn te�1 dt -&ig �his'visit; • Y;o>k 'will teb0iye iio further;
ctirres o ' deuce' abbt f this visit .. .......
Comments ( "refer to quesd66 #) Explain any YES answers and/or any recomm"endatit
Use drawings,of:faciliO to;better Ocplainlsituations use (additibnal! Op ges.as necessary,)
.,
❑ Yes VNo
❑ Yes �K`No
XYes ❑ No
❑ Yes �kNo
❑ Yes W10
❑ Yes (;kNo
❑ Yes C,No
❑ Yes 060
❑ Yes %'No
Gap Ve3e+r-'f;-1, W►aw-d dbe i ivn 6o-I-1, eSPtctc;•r'i avt j-ehh���`•
19. veal° MGdr•dc v'� tNe-e-Kly o11
I— I Li
Reviewer/InspectorName-� +t t ,���--`'�'"° 1 n`i ?r �-
j //+ � _ tt } p aa��
t.E 1 '���E � `¢ z��`!.;Q.��,, rE .,': w.:,ra�iaYi �. _ , _I— �E.., ..a-€.r:i,if. C@..: •�l�.d§¢.:i a. wlki Ci f�e l3eLr.. �� O.P.�P,
Reviewer/Inspector Signature:
Date: 1 1-- ! 7
3/23/99

Facility Number:-� y — ZZ Date ref Inspection
i
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below Xyes ❑ 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 XNo
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 �o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes > No
-,.,
i#9" [� Cm ants an Or raWingS a. -,: ., ,or, -.- ..
j/23/99
I, �H

IN
Date of Inspection
Facility Number Z
Time of Inspection J _6Ci 24 hr. (hh:mm)
13 Registered VCertified [3 Applied for Permit E] Permitted JE3 Not O erational Date Last Operated:
Farm Namc:..........�enrtc.,T �"rc-5✓l►!.,✓...... County:fr4�✓..............9..!`.......,..........
J a eo+� a C.� �!O . Z t 3
Owner Name: 1�..................................h........................................................... Phone No:....................................................................................
..........................
FacilityContact:...................................................... .................... Title:................................................................ Phone No:
MailingAddress y ...j2 ��
.......................... .. a.:................... 1...,.............................................................. ............................. ...................
Onsite Representative:..........`...` rq c.....Nor law ...................................... ... Integrators........ �X
Certified Operator:............................................................................................................... Operator Certification Number ....... .
Location of Farm:
Latitude Longitude
"`' . Design Current Design Current Design , Cuctcent
S _ e Capacity Population Poultry Capacity Population Cattle Capacity Popplat:ion
Wean to Feeder S7.00 ❑ Layer ❑ Dairy
❑ Feeder to Finish JEJ Non -Layer I 1 10 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish T061 Design Capacity
❑ Gilts
❑ Boars Total SSLW ..r.
Number of Lagoons /rHoEdmg Punds � JU Subsurface Drains Present J ❑ Lagoon Area ❑ Spray Field Area
., ❑ No Liquid Waste Management System
M.:.:...
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes 4No
2. Is any discharge observed from any part of the operation'? ❑ Yes RNO
Discharge originated at: ❑ Lagoon ElSpray 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?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes o
,
3. Is there evidence of past discharge from any part of the operation. ❑Yes ?2— No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes WNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes UNo
iiiaintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ YesNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7/25/97
0
'c

wcility Number: 7— Z. Z
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laeoons.11oldin Ponds,Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure l
Identifier: 13q,_6i­✓
...................................
Freeboard (ft): .......... z..... ........
Structure 2 Structure 3
Fnn.k t.................1..................
3 CD
................................................................
10. Is seepage observed from any of the structures?
Structure 4 Structure 5
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 ......... es c .. 1 i2.Av.e................ ..I.........
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?
0, No.violations-o' deficiencies: were-iuited-during thkvisit.- You:W'i0 i-&e' ive•no'furtlier• :
eorrespotadegce atiout t�tis: visit'.:: . : . . . .
18,
(.ph {'n-e- +a i �'"?rovC_ c,, vcf
Grd/ o+t
¢ i( -P. el d `J
2?,,.
iLe-ee� &veerc1yIrLe { 4a#6d
reca,,?J,3
Ova S I re e
Reviewer/Inspector Name
Reviewer/Inspector Signature:
❑ Yes �No
❑ Yes VO
Structure 6
❑ Yes R'NO
❑ Yes l� 0
❑ Yes KNNo
❑ Yes ` <0
❑ Yes kf'N"a
❑ YesNo
❑ Yes VNo
(,Yes ❑ No
❑ Yes 1. O
ElYes (Po
ElYes TNo
C"Yes -411TO
❑ Yes OINa
❑ Yes ZN°o
7125/97 l l
p.
x E
Date:

6. Is facility' not `tn compliance with any applicable setback criteria?
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures moons and/or Holditia Ponds
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon 1 Lagoon 2
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures obs&ved?
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)
Lagoon 3
13. Do any"'of the structures lack adqui ate markers to identify start and stop pumping levels?
NA'aste 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 ��. � u�44� _ ......:... :.. T �....:W...............W _...............
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land.application?..
18. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities Onlv...•
20. Does the facility fail to have'a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Anunal. Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewer/Inspectar fail to discuss review/inspection with owner or operator in charge?
IL.Izo. —I �u 4co"f-� J1,6 rtoj- yuaue a
Ala SP r[wnis 1\ave beck 4� k
❑ Yes ®\o r
❑ Yes ®No
❑ Yes 91 NO
❑ Yes [@ No
Lagoon 4
❑ Yes ® No
❑ Yes © No
❑ Yes E, No
❑ Yes E No
❑ Yes ® No
® Yes ❑ No
❑ Yes IR No
�] Yes,, 50 No`
❑ Yes © No
54 Yes ❑ No
❑ Yes ® No
Q Yes ❑ No
Yes ❑ No
❑ Yes EZ No
Reyiewer/Inspector Name -: 1M
ReAwer/inspector Signature: Date:
Division of Water Quality, Water Quality Section, Facility Assessment Unit 11/14/96

�� �• ❑D_SVVC Animal Feedlot Operation Revzew ,��
x, - '� �`' .,.,a fit'- r•Zyri iy'°.. :1wr"'�S R` -„`k:C�•!`,Y.i.t.. :.",".7:.. 'a'#c.. , v S.,.w € wry µ'y' n' ;�- ' „a Z y '
-x•'a4.h::'•J'.,!.:r:.y '� "�ti..E:,n'+`. Y •.w^"/ a n p. a t .r �'� �,�.
�l D, QLAnimal, Feedlot operation Site Inspection _ r
h 6
Routine Q Complaint Q Follow-up of DW2 inspection O Follow-up of DSWC review Q Other
Facility Number
Date of Inspection 5
I
Time of Inspection Use 24 hr. time
Farm Status:..YrAil. Total Time (in hours) Spent onReview
}} or Inspection (includes travel and processing)
Farm haute:..»�?Y�iry .. L�?!�(�....�_(. T...... .11 3Ci� .__.... _............ County:..-.5W&....... ........ ».................. ........................
Owner Name:...s � i.T�l�yL..... . _ ... �.... ._ ......_... _ Phone No:..# alo)...�3" s��� ........ »_....� __.......
kyMailing Address:.�t�.�1► .1...�45�.1�ii...�._ .. �........_... 17,+ Y... ........ _.........
_ _ .._...............
Onsite Representative: 7L17s.....t�LQS� W.....__....� .. ... Inteeratar:....1'Itt:fi ......_...... _.........
» ,... ........
Certified Operator: �A+w .... t.I�_h�,�L.. _ _ ... ... ......... _........ ........ _. Operator Certification Numb e'r: _. j� .q�Zr....._...._ ...
Location of Farni:
Latitude ©' ©`% 1u Longitude ®• I V�1` ®19
❑ Not O erational Date Last Operated:
Type of Operation and Design Capacity
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gallmin?
❑ -Yes
E9No .
❑ Yes
R No .
❑ Yes
14 No
❑ Yes
&NO
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ®,No
Is there evidence of past discharge from any part of the operation? Eyes,. X No
4. Was there any adverse impacts to the waters of the State other than from a discharge? . ❑ Yes 10 No,
5. Does any part of the waste management system (other than lagoons/hoiding ponds) require ❑ Yes ® No
maintenance/improvement?
Continued on bacA

Site Requires Immediate Attention:
' Facility No. Zl-.
DIVISION OF ENVIRONMENTAL MANAGEMENT
. ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: �``� , 1995
Time:
1 �
Farris Name/Owner: �./ Vly� c�-��' �.eA.S :e % j_a r . Yn
Mailing A
County: _
Integrator:
On Site Representative:.,-
. Physical Address/Location:
Type of Operation:
Design Capacity:
Phone: y! 3 07,6 67
Number of Animals on Site:
UA-<..e I
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude:3Y L' 3 4ongitude7,�-° _" Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) VorNo Actual Freeboard: --/,—Ft. 7 Inches
Was any seepage observed from the lagoon(s)? Yes o& Was any erosion observed? Ye's orb
Is adequate land available for spray? or No Is the cover crop adequate? Yes of N
_ � r
Crop(s) being utilized: - T� f
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwelling or No
100 Feet from Wells? Tor 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 o No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes oG 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)? 5 or No
Additional Comments: A4'-� 11,7 1 " C/o E AY r- • I _C r,22. 4 Ui ee�A .
Inspector Name
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

-- -- - ---- --- ___r rr•.i� _
Site Requires Immediate Attention
Facility Number:
SM VISITATION RECORD
DATE: _ du? y_11 , 1995
Owuer: ,lane Mitchell FarmName: - Fennert Nurse f I L
County: Pender
Agent Visiting Site: Jeffery G. Raifsnider phone: [phone]
Operator; Sidney Bland Phone: [phone]
On Site Representative: _„adnev Bland Phone:
Physical Address: Entrance to both sites is ap roximately .7 miles south of
Hwy 11/53, ain-6 on the west side of Hwy 1126
Mailing Address: Mitchell: 6450 Point. Caswell Rd.. Atkinson, N.C. 26421
Bland; PC Box 107 Harrells, NC 28444
Type of Operation: 'Swine ,�,_ Poultry Cattle
Design Capacity: 2600 each Number of Animals on Site: site 1 -0- site 2 2600
. Latitude: ° ' _" Longitude: o "
Type of Inspection: Ground 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) Yes or @T Actual Freeboard: _ 0 Feet 7 Inches
For facilities with more than one lagoon, please address the other lagoons' freeboard under the
comrnemts section.
Was any seepage observed from the hgoon(s)? Yes o N Was there erosion of the dam?: Yes oil
Is adequate land available for land application? Yes or No Is the cover crop adequate? Yes o No
Additional Comments: W gta Titj i i zati nn p] a not in ,, o,qRPssian of Bland. R1And
said Mitchell is responsible for pumping lagoons. Two houses, 2600
pegs each. One
r inches. Clear water with no algae,.standing
about 6 in deep at south end of Fennert lagoon. This water appears
Is neArest Brewster house is approximately 3/4 acre (visual estimate).
Spray field snared by both lagoons is approximately 400 ft long by 135
. th f have solid set s stems.Natural v etation covers both
• spray fields. This vegetation is cut and left on field. waste tilizataon
Fax to (919) 7.15-3559 �ignakk of Agent

BFURTION BRAHCH - ILIQ Fax:[phone] Jul '-'C ' D,,--, 4� P.12/16
Sift It-aquires frnmediate Ancation
1~ac:ility Numher: —7/• 2?i
SUE VISITATION RECORD
DATE:-.,sliay-1 4 , 199j
Site 1-tiouse nearest Hwy 1123- llrewster Nursery
OWner: __jAaL i tchel.l :. Faun Nl arne: site 2- Pennert Nureery __
Agent Visiting Site: Jeffery G. R.aifanider phone._(9.10) 259--9305�
operator: sidney .Bland , � Phone: (OW) 531 -1t�hi
On Site Representative., Sld&gv_ lUaad_ __,_-..__ Phone:
Physical Address: Fnt;ranc.� to both sites j_s a prcy4mate.l.y .7 milee south of --
My 11/-. 3, an on t e went s Lde�4 H$ y �IM-"�"`�"��`
Mails- Address: Mitchell:. 6450 Point Caswell .Rd. , Atklnson, N.C. 28421�_ _.
Bland: F0 Box 107 Hzirrells, NIC 2B494
Type of Operttion: Swine Poultry .. - Cause - - -
Design Capacity; 2600 each � Number of AniaWs on Site: site 1_-0-^ site 2 2600
Latitude: _° ,• L.onoitudc: _,____ 0
Type of Tnspeciion: Ground_ Aerial
Circle Yes or No
Docs the Animal Waste Lagoon have sufficient fi-eeboaa-d of I Foot + 2$ yeas' 24 hoLr storm event
(approximately I Foot + 7 inches) Yes or E) Acrual Freeboard: c] Feet 2 ... Inches
for facilities %vith more thm ona Iagoon, please address tl:e other lagoons' freeboard under the
cor ments section.
Was any secpage observed from the l-agoon(s)? Yes o , ,Was there arasion of d t dam'?: Yes o )
Is adequate land available for laud application? Yes or No Is the cover crop adequate? Yes a Nh
Additional COfi]I ent5: Want-P � J 1 i xa ion plan not iza, a;
said Mitchell is responefble for pumping lagoons. 11wo houses, 2600
q5 eac ne ME I
. n Eg r j inches. Cie inter with no alc�, standsn _,
about 6 in deep at south end of ;aeruxer't: lagricn. I.`h..s water ap�eaLs
fLkR11 �, _---6prfty t4e4ei ei bofftt5 -
r uhQuse is a Proxima tel. 3/4 acre ( visual estimate).
.
Spray field shared by both lac;ooris is approximately 400 ft long by l 5
r h f ;ld lave solid set syst;e=.Natural vegetation covers bath
spray fields. This vegetation is cut and left on field. Waste Ltilryatzan
Fa.c co (9i9} 71S-3S59 �Jgnaoa�of Agcrat

•
Site Requires Immediate Attention:
Facility No. - L3
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: r , 1995
Time: J
Farm Na
Mailing
County:
Integrator:
On Site Representative:
Physical Address/l
Phone:
Phone:glc> 5 2 — • ��' i�
Type of Operation: Swine v Poultry Cattle -WV Q '.' P d
Design Capacity: a 66 Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
�f
Latitude.-3 q° _' _" ' Longitude? ° �,-' 5f," Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) 0or No Actual Freeboard: _,2_FtA Inches
Was any seepage observed from the lagoon(s)? Yes ole Was any erosion observed? Yes. or �o
Is adequate land available for spray? or No Is the cover crop adequate? Yes
Crop(s) being utilized: r — -,o fnO t I oqA
Does the facility meet SdS minimum. setback criteria? 200 Feet from Dwellings? i�br No
100 Feet from Wells?�fv or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or(
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes o<9
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes 9!5 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)? 6por No
Inspector Name
C .
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

----------
L]
Site Requires Immediate Attention
Facility Number: ''
SM VISITATION RECORD
DATE: duly 17 _ 11995
House nearest Hwy 1128- Brewster Nursery i" `
Owner: Jane Mitchell. _ _ Farm dame: y I =
County; Pender
Agent Visiting Site: Jeffercr_G. _Raitsnider phone: [phone]
Operator; Sidney Bland . Phone. [phone]
On Site Representative: _sidnev Bland _. - , Phone;
Physical Address: Entrance to both sites is ap roximately .7 milee south of
Hwy 11/53, and on t; a west side of Hwy lEeb
MailingAddress: Mitchell: 6450 Point. Caswell Rd. • Atkinson, N.C. 2B421
Bland: PO Box 107 Harrells, NC 28444
Typo of Operation: -,Swine ,�Poultry — Cattle
Design Capacity: 2600 each Number of Animals on Site: site 1 -0- site 2 2600
Latitude: o " Longitude: a ,
Type of Inspection: Ground 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) Yes or @ Actual Freeboard: n Feet -7 - Inches
For facilities with more than one Iagoon, please address the other Iagoons' freeboard under the
comments section.
Was any seepage observed from the lugoon(s)? Yes o @Was there erosion of the dam?: Yes o' N
Is adequate land available for land application? Yes or No Is the cover crop adequate? Yes o No
Additional Comments: Waat.p TTr-i 1 i 7.ntian nl an not in sse25 j n of Elan .__ B1 nd__�
said Mitchell is responsible for pumping lagoons. Two houses, 2600
pigs eacri. One
---00.,FgnnPrt Nursery is inches. Clear water with no alcrae, standin
about 6 in deep at south end of Fennert lagoon. This water appears
ig nearest Brewster house is ap2roximately 3/4 acre (visual estimate).
Spray field shared by both lagoons is approximately 400 ft long by 135
. Botb ftplds have solid set s�stems.Natural v etation covers both
spray fields. This vegetation is cut and left on field, waste tilization
Far to [phone] Signa&{e of Agent