710036_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qua

V
11
Type of Visit Cpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ®/Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: _P_(26&2rLZ.. Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: J ° N ry ?FETE IL Od
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Owner Email:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o =' = Longitude: = ° =' 0
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
- 1 ❑ Non -La et — ----
Other
❑ Other — - --
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turke s
ElTurke Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Fleifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
I
Number of Structures: 01
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes /No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes 1 No ❑ NA ❑ NE
❑ Yes [; o ❑ NA ❑ NE
12128104 Continued

Facility Number: — 3b Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
© Yes
0 No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
El Yes
❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
!�
Identifier: TOP-L C4o f 3 f1fdaael
Spillway?:
Designed Freeboard (in): i4
Observed Freeboard (in): (4 7 L4 F
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
ONo
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
No
❑ NA
❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
� J/ Yes❑
No
❑ 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
ENo.
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑'No
❑ NA
❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes LJ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) F;,r�JOA (_5E�L. H ) Sri O PSC-L)
13. Soil type(s) C-1+1A L 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?
0 Y s
❑ No
❑ NA
Cl NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
El Yes
Ko
ElNA
ElNE
17. Does the facility lack adequate acreage for land application?
❑ Yes
<D
❑ NA
ElNE
18. Is there a lack of properly operating waste application equipment?
ElYes
,E
L a o
❑ NA
❑ NE
Comments (refer to question #} ExplatntanyrYES answers and/or�any�recommendations ar any other comments.
r .tm z s �..
Use dryawyings af,[acehty to better explamrsituaOdns ;(use addihonal pages ash.necessary.);
.T.i..:' C f i ;-u�'{.r�.a1�bX 1.
CAI--AtJ DIkCr WAuS
Ls,� [^aa�17S1�f1E �E� CO1�%�-oL al, �ESGUi�,
YL006? �I' CAtt6"TX6,J j,,i�tH K� EC�-, 156 tv 1) oNt,V cAP'E(S)
�! (.)? f)A rC CYZ61,.0 ,
Reviewer/Inspector Name Ji AJ - Aai jak_ : = e 3 Phone: (510)� 96 —" b_5
Reviewer/Inspector Signature: Date: M 1 /or
IF 12128104 Continued

Facility Number: — Date of Inspection0.
g �'
Reauired Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
[30No
❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropirate box.
❑ WUP ❑Checklists ❑Design El Maps El Other
Z44No
21.
Does record keeping need improvement? If yes, check the appropriate box below.
I fJ Yes
❑ NA
❑ NE
❑ Waste Application ❑ Wee Freeboard El Waste Analysis El Soil Analysis El Waste Transfers
El Annual
Certification
❑ Rainfall ❑ Stocking Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections El Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
ElYes
LJ No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
Q No
❑ NA
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
ElYes
ElNo
ElNA
VN
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑Yes
❑eNo
❑ NA
IQ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
[/ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
LJ No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
[2 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
Id Flo
❑ 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
ZNO
❑ NA
❑ NE
General Permit? (iel discharge, freeboard problems, over application)
�,/
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
El Yes
�
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
Li No
❑ NA
❑ NE
Additional Connments'andlor•Drawings:
12128104

hype of Visit 0Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 10
Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit- Time:
Facility Number 3
10 Not Operational O Bellow Threshold
Ca Permitted ❑d © eConditionally Certified 13 Registered Date Last Operated r Above old:
Farm Name: �a'r� _ County: __ ... ... . .
Owner Name:
Mailing Address:
Facility Contact: __ Title:
Onsite Representative: J, 2x i
Certified Operator:
Location of Farm:
, Phone No:
Phone No:
Integrator:
Operator Certification Number:
I-W
© Swine ❑ Poultry ❑ Cattle ❑ Norse Latitude �• �' ��° Longitude �• �' �6t
Dbcbarges & Stream impacts
1. Is any discharge observed from any part of the operation? ❑ Yes JxNo
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 pant of the operation? ❑ Yes ONo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ,0 No
Waste Collection & Treatment
4_ Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 0 No
.tructure 1 S 2 Structure 3 Structure 4 Structure 5 Structure 6
.. Identifier: _.. ... .....�.....—
Freeboard (inches): 3 L- 3,5
12112M3 Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? Oe/ 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 maintenanceJimprovement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground
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?
El
and/or Zinc
Odor issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes '[3-50
❑ Yes ;ado
❑ Yes ❑-10
❑ Yes la -go
❑ Yes J�Wo
❑ Yes .UMO
❑ Yes _LlNo
U xes ono
❑ Yes [; No
❑ Yes ❑ No
❑ Yes '❑ No
101�es ❑ No
❑ Yes J.NO
❑ Yes O'No
❑ Yes ;RNo
❑ Yes .E3No
❑ Yes ,Qi<o
� '.:.v �.. 4.Y.E.. �s S
C,o tab. {refer to q 91 aw' aaswers _ ora ly- war y other comttxent5. w ;
Lase o fatty to better acplara staatx. (use anal PY3 ❑ Wield Copy ❑ Final Nou
r
p r
-
T
ReviewerllnspectorName 2 =ie °=
Reviewer/inspector Signature: Date: 3 tJ
12112103 / / Continued

Facility Nuuanber: _ Date of inspection C 1 22 ('
Required Records & Documents
21. Fail to have Certificate of Coverage &. General Permit or other Permit readily available?
❑ Yes ,2No
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 .Jallo,
23_ Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes .ONO
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling .
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ONO
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes .ONO
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
Yes ONo
(it/ discharge, freeboard problems, over application)
❑
27. Did Reviewer/Inspector fail to discuss reviewfinspection with on -site representative?
❑ Yes -DNo
2$. Does facility require a follow-up visit by same agency?
❑ Yes []-No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes P-No
NPDES Permitted FacHities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
,UTes ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ONo
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes ONo
33. Did the facility fail to conduct an annual sludge survey?
ErYes ❑ No
34. Did the facility fail to calibrate waste application equipment? ,rYes ❑ No
35. Does record keeping for NPDES required farms need improvement? If yes, check the appropriate box below. 0 Yes ❑ No
❑ Stocking Form )2Crop Yield Form © Rainfall Mnspection 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.
31 %UG �S �uCc�L SCPi� 'k)/"on .Sf �
N re �U s
.S%�e. /tee GG
3 o
_ r eell lo.2
Cro - /i° �G7 ' -e C or S
f
P
�- ri'tlG�lGiv� f ���lr'/
l7JIV03

Facility Number Date of Visit: 7 —� 03 Time: 1-3a
10 Not Operational 0 Below Threshold
0 Permitted ©Cert
i
fie
d
L [3Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: :ff� a County:
Owner Name: , '0 1— i L'*`•'s dr Phone No:
Mailing Address:
Facility Contact: Title:
Onsite Representative: —YQ
Certified Operator:
Location of Farm:
Phone No:
Integrator:
Operator Certification Number:
oSwine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ° " Longitude ' 6 �u
Design
Current Design Current Design Current
Swine Ga aci
Wation Poultry ., Ca aci P,o ulation Cattle •' Ca aci Popuhition
❑ Wean to Feeder
❑ Layer
❑Dai
❑ Feeder to Finish
❑ Non -Layer
I 11E] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
Total Design Capacity
❑ Farrow to Finish
❑ Gilts
Total SSLW
❑ Boars
Number of Lagoons ❑Subsurface Drains Present ❑ La oon Area ❑ Spray Field Area
Holding Ponds 1 Solid Traps
❑ No Li uid Waste Mana ement System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Was Collection & Treatment
4. Is storage capacity (freeboard plus sto"T"orage) less than adequate? ❑ Spillway
Structure I W G Structure 2 Structure 3 Structure 4 Structure S
Identifier: —;ha 4
Freeboard (inches): -D-a — -3-3
05103101 L J c,Q k4
❑ Yes 3 No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes El No
❑ Yes FN
El Yes
❑ Yes efN,
Structure 6
Continued

Kt_
Facility Number: — . �p
Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reuuired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
❑ No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
❑ Yes
❑ No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
[] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
orany❑tdCorfft9'(cefrtorqst>on3#)�Eapagoy YESanswersandlor©y reconmeiatrons uicomin ns
`_s
'�tiU e:dravtngs offacirty �better eap imivaons useYadditionilpageas necessary) Field Copy El Final Notes:.
�
-To! S ��-�,,��,,� • --,�� n dam ,--. �fwc.fz_ Sl-/Lf tOIff-.17
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
05103101 1J Continued

of Visit O. Compliance Inspection O Operation Review O Lagoon Evaluation
IReason for V-ssit O Routine O Complaint O Follow up Q Emergency Notification © Other ❑ Denied Access
Facility Number 71 36 Date of Visit: 04-16-201i3 Time: 1700
F . .. .. ..... Q Not Operational Q Below Threshold
Permitted 10 Certified 13 Conditionally Certified ® Registered Date Last Operated or Above Threshold:
Farm Name: Pork Chop.#.2........................................................................ County: Rt;1Rde1[ - --------------------------- 324'�'RQ.......
Owner Name: ,IObA.Rr�___ ketetsvm___._____._._._._._._--•-- Phone No:
MailingAddress: P.Q.Roa20............................................................................................ Wiftrd..NC ........................................................... 28.47.8 ..............
Facility Contact:........................................................... Title:................ .................. Phone No:
Onsite Representative: dAME5�ETERSON Integrator:
Certified Operator: dam ca.B. ............................... Ectus.an ........................................... Operator Certification Number: 16.65............................
Location of Farm:
northwest of Burgaw. On the West side of SR 1332 approx. 0.2 miles North of SR 1336. +
Latitude '_.��k Longitude • «
® Swine ❑Poultry [3 Cattle ❑. Horse •
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes © No
b. If discharge is observed, did it reach Water of the State? (If yes, notify D WQ) [I Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d_ Does discharge bypass a lagoon systcm7 (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ........................... ................................................................................................----...... ...........................
Freeboard(inches): .--------------------------........................... ...._.._.._.._.._.._.._.._ _................._.._.._. .._.._....._........_.._..- - - - - -....
ncinsint _ �,.,..�.....a

V ✓/ `VV.
' A
Facility Number: 71-36 I Date of inspection 04-16-2003
5. Are there any immediate threats to the integrity of any of the structures observed? (id trees, severe erosion, ❑ Yes [] No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ©No
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? a Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes © No
Waste Application
10. Are there any buffers that need maintenancerunprovement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes El No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre deterrninatibn?� .
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15, Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment? "
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
1
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Field Copy ❑ Final Notes
TO FARM WAS TO LOOK FOR POTENTIAL PROBLEMS OBSERVED DURING AERIAL SURVEILLANCE BY
-WIRO ON 4-15-03.
0 PROBLEMS OBSERVED IN AREAS OF CONCERN FROM PHOTOS. GROWER WAS PUMPING IN FRONT BERMI
IELD ON BACK SIDE AND IN THE BACK BERMUDA FIELD ADJACENT TO POND. JAMES STATED THAT PUMPING
AD BEEN DONE ON THE FESCUE DUE TO WET CONDITIONS.
COPY OF THIS REPORT LEFT ON -SITE.
Reviewer/Inspector Name U71aA HD1V7E. s'
Reviewerllnspector Signature: Date;

Type of Visit 0 Compliance 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 / Date of V isit: S 2 Time: L7
Not erational Below Threshold
©Permitted ©Certified 13Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: �'� C �d�County:
Owner Name:ys�'ti �� �e7��J D � Phone No -
Mailing Address:
Facility Contact: Title:
�
Onsite Representative: , �" �� �'r'fO`, l� mer p' E 6--10;-%
Certified Operator:
Location of Farm:
Phone No:
Integrator:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' 0 D U Longitude 0' 0'
Design _Current Design Current Design ..; 'Current ,
_. CatleCactPoulioPhtton Swine . a
❑ Wean to Feeder ❑ Layer ❑ Da'
Feeder to Finish 9 ❑ Non -Layer ❑Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ' ❑ Other I
T ElFarrow to Finish To'taUDeiign Capacity. '
❑ Gilts
❑ Boars "Total SSLW is
Nu�nbrx of Lagoons ❑Subsurface Drains Present ❑ La oon Area ❑ Spray Field Ares '�u
Holding Ponds / Solid Trip - `--~� ❑ No Liquid Waste Management System
L J
Discharges & Stream Impacts
1- Is any discharge observed from any part of the operation?
❑ Yes tl'No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
El Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
El 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 )2fNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes ONo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes,,ZNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: PCB PG3
/Z
A 1
y`7
Freeboard (inches): T
05103101
Continued

' Facility Number: r? — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes F KNO
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 4-6was answered yes, and the situation poses an
El Yes [21'No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes ETNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes ONo
Waste_ Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes ZNo
11. Is there evidence of over application? ❑ Excessive Pondd''ing ❑ PAN ❑ Hydraulic Overload
❑ Yes No
12. Crop type �'EY'my4lct #a �. . �er.+, �/dat (7�'� Ze SG U� fa►8� ��''tQ ��
"El
/�
C�4,Y. rs2O
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
[:]Yes ONo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes ZNo
b) Does the facility need a wettable acre determination?
❑ Yes A No
c) This facility is pended far a wettable acre determination?
❑ Yes /ZrNo
15. Does the receiving crop need improvement?
❑ Yes )�Mo
16. Is there a lack of adequate waste application equipment?
❑ Yes ONO
Re aired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes ,O'No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes )E�No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ZNo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes J:3 No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes 'ZNo
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 ONO
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ZNo
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit..
Comments {refer to questiioi"I .Explain aaty YES srers and/orany re> om�ts+emciations.or anp other eo�iaeat�. "
Use drawitegs of facility to better explain sittattons: {use itil�ahonalpages'as necessary)
_ _ 4❑ Field Conv ❑ Final Notes
rAe �ctc�'Ir�/ gp�eGrs ���1 kerl. -7—/Ie s,,;ne l����se gne�S Gti
1r,9ao,5 are Well
qrF l„�e!! es �bf;sC,eo{. 7i,t? r'ecn�ds AI�e L,1ef1 eroRhiZed. OWfl.n
_4 L'e/�e t i 1�.�/�.�.tc� ;a''•ra,�( Ike � Gtf.' �4 -f L,� r'eGa r d s • �Lt arr k
t f dLt �D,i {.r 6 , ✓ of tr4 ,_- Ta Wlal ►��'l T of ,' •"i C' ��t �'/''i I h 94 0 4
I
�
Rer7ewerlln5 ector Name
p ,J. w
Reviewer/Inspector Signature: Date: S Z
05103101 Continued

Facility Number: r l / -3( Bate of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes �'\10
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 0 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 �lo
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 -;�'vo
31 _ Do the animals feed storage bins fail to have appropriate cover? ❑ Yes /OVo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
05103101

f Division of Water Quality-
Division of $W and WateF CO#tS rVatio,
Type of Visit OCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit ORoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 3 Date of Visit: 10 d Time:
Q Not Operational Q Below Threshold
Permitted 0 Certified [3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold:
FarmName: ... .r.k.....C. a..Z............................................................... County:/......I.......................... ... .. ..
Owner Name- Phone No:
FacilityContact: ............................-•----............................................. Title: ........................................................ Phone No:
Mailing Address: ............�..... ..
�.........................................................................................................................................................
Onsite Representative: ,,, ''`� ... e }erSO�-►............ Integrator: �-igh ... .............................. g ...rn.................................................
CertifiedOperator: ................................................... ............................................................. Operator Certification Number: .................... ......... ............
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • ° 49 Longitude • 4 «
= = Design., Current
-- S--Vin, e Canacity -Population
❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
El Gilts
❑ Boars
❑ Other
Total Design Capacity
Utal SSLW
Nt>Imber of:i:agoons Z ❑ Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holding Punts 1. Solid. Traps. ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3
Identifier:
�.....C...............-'.3..............................._........
Freeboard (inches): 14 3 32
5/00
❑ Yes '0 No
❑ Yes P No
❑ Yes 0 No
1h /M
❑ Yes O No
❑ Yes ONo
❑ Yes J2FNa
❑ Spillway ❑ Yes 'P�No
Structure 4 Structure 5 Structure 6
Continued on back

Facility Number: rJ 1 --3 6 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 990
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 ZNo
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes ONo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes 0 No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes jif No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ;2(No
12, Crop type Fe- SGve Grq.ZC Eer--,dc-. C r_--zB,3ere'vd6i N�4, Sri) Gr,;: '-I -
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ,EfNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes [],No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? OYes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes ;34No
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 ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ff No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes )E(No
21, Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑
Yes �No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes -0No
24. Does facility require a follow-up visit by same agency? ❑ Yes PNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes YNo
o viola�ignjs:oi detisc�enci vt re ilQte$ dung �. Is, � You wig) l eegiye t ti fu> der
caries dense a wu this visit .......................
fse:dra of facili to baiter a lain sitriiittior�s nse addittadal: "" `es as nec `
15. Fescue Y)ee tS -}a be Plar,jed on q)l oyr_r;e_d s7;%- end also e11W4s `
�o 6e P/A►?fe.*( eaS or A e i d s Z, 3,avid + w4:clx do ;jv4 ague
Rescue 4,, 6e sPra d w,4t, a herb+cider
1Ib.-cadleaJ weeds. Ovsv,411)� 1'ev'G 1.f a 900d 'i-)'A.idl ew be✓r'tvdr., i't -4e
4i1JO -AelGf s.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: i a 1 _ 5100

FacnK Number: 7% — Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below J0Yes ❑ 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 ONo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes4 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 XNo
31. Do the animals feed storage bins fail to have appropriate cover? [:]Yes 12No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional —Comments an or rawtngs• -
i8. NeGot 41> %gave 4 tre rvi, fO a-F' 4he rare-, LWV, ch-CkOW.S polls /1,44we
`
ages AVA i a bie , Need fa000t,. des �3k in�nr�'�ta�;ot.� for b���
14ioails mvn le.
1. fJvrwtsbt� %2"Ko'- is Sh.nw' AS 4Le ra-71:G For 4ke arm, MV.
�% grS6Y1 ski S 100re r Ivey, k 1-"3 s W i-, S4 P-' j -#ed 40 6 A14--ye 44;,r `
wee- Ab r-o^ cia Se4� 9vfWin)4e'% -149 1;eJ'A PJ'f4 OL&0144 Cut'46*4
S4g4 v s Of kAll" 44 j 0"An9e 4'
.!
i w���6ie l9�rCs.7p Cr✓"tiina-};ohJ;gfor0A,14;0-t t,,lslS dve40 be
'
r��e►Jeol b� l�w��� ��r�1 Zc o i bvq Wch Ls eve-, rece; ved
p
Need - 'o scrt q 4ic vi Gout Q ��e t,rr,'cticl-f; aY, dcs;r / We•u4 ble
rotes 41 C'ef y DI 4ke .rItQ 46hJ-9 wa'f-le, f/,m,
A CY 1 o � 41%e r4rde h; )I9 Lvv1 bj c G-f'o b e r 3) �2 o 0 ( 4-0
S�ah� w a I I rvl z►I S 1
Dw Q
)Z7 Ex+ .
1t! i j✓l. � n rt y lU (I Z 8 0,5
hJ04' N-f-CA 4v lhe4 w i41' Uo 1.41-
if 4�c 00".'end plZu -Far a(f 1Y9
d J,-SGue or mgr'ci- J-vl cA� be eyApkd eA 40 ark' k�.
�c��de SeP1 IVoJem jer_
11v��
carve "Z7S 4�5-chP°�.rrri' J
lv�e:7'tic z�2R-z's roo' QvIIs )� �d Ig
PAID e4) VWr'itGCJ L-A be 225 pe✓ WC'4e j2le'.N.
5100

�'`DYvision of Soil and Water"Conservatlan Opera#ion Reviewer-
0 _Ihvisiop of Soil and Water Conservation Compliance Inspection
Ilivision of Water //'��ah Coin fiance Insppctiori µ
t3therAaencv . Ouerahvn Review 1
10 Routine Q Complaint 0 Follow-up of DW inspection Q Follow-up of DSWC review Q Other
Facility Number 3 Date of Inspection 3 O b
Time of Inspection j Z 3 24 hr. (hb-.mm)
© Permitted [3 Certified 0 Conditionally Certified [r Registered [3 Not Operational I Date Last Operated:
Farm Name: .._.....e n...... f�6 r 1` l 41Z County: ..........._'�... .......................
d......................�..............._........................ P�..........................................
Owner Name: Phone No:.......................................................................................
e''t �g n o r
......................................................................................................
Facility Contact: .......... Title:
Mailing Address:
Phone No:
Onsite Representative: oC41E1rsoh Tc,`%e �� c,rra� Integrator: I�tI��..I
.........................................—............. .....................
Certified Operator;,,,,,,,,,,,,,,,,, Operator Certification Number:,
Location of Farm:
.......... ......................................................... ......... .. .......... ................................. ............. ..... T
Latitude 0 • �' �" Longitude • �` �"
-Design ::,"Current
,-Swine Capacity Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design;' Cdirei�t � =Deli
`Current
Poultry Capacity Po ulation Cattle Ca a� '' Po ulation
❑ Layer ❑ Dairy
❑ Non -Layer I Non -Dairy
❑ Other
Tof it Design' Capacity:
Number of Lagoons Y, - ❑ Subsurface Drains Present ❑ Lagoon Ares [[]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
Dischar=e 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 ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ...............................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, 0 Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

r
aciU!�Z Number: f — Date of Inspection 3 OQ
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
15. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional 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
19 No
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
lu...-.�4..'*.iolatioiis:or deficiencies were nptea ft. tt°ing this'visit:. Y:oit will-teceiye iio f'urthef
correspondence: about this visit: • :::: ::
Comments (referto question #): 'Explaia'ahy'YES answers and/or any"`recommendations or_7 other comments:,. s
_
Use;drawings'of facility to bettei explain. situations (use additional pages asnecessay) r L y
�Ytf�cG F; an e `r�pr►'�t t G� -�o ►tiLOn; �c� it Glrca✓1 vQ A64;O'r * i LS A,
f.�j't�j�t/L �'IO�lr�a/en�i SCj,rf'aG� W�TC/t �d��iC Gje.j"LvP 0IG V! CS' _
hove h¢.e.n per�ore"I. - Tns4ev64e_d am ,-i4,
G1e4/)U19. L'U.? 4e," Sq�^'��leSj gvtA f, c4ur, L�er+c. �g k cn .
/Yj p,rc I�I�Q/'/"1Gj f ;on PC 4cgi.t;-,-j TO de� V-2-P70,
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

Division of Soil and -Water Conservation Operahon8ReV1eW - r
Dmsiiin of Soil and Water Conservation :Gom Rance Ins ect,<on
b
a ty P IPA 1P
Ihv>sion ofV4'� a er a4 C = t om hones Ins tion -
w _ -
., D;Other Agency_ Operationi Review p
r
10 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review ® Other
Facility Number 7 Date of Inspection 2 p®
Time of Inspection 24 hr. (hh:mm)
E3 Permitted © Certified [3 Conditionally Certified © Registered [3 Not Operational I Date Last Operated:
f -- Per k r— 4-1 4� Z County: 1' e n Ae -'
FarmName:...............�.'.�.......:.............................qlr...............-..-......................................... t3=............-..............-.........................................................
Owner Name: e
n "� 2 h -
n.....................................1.....'.......................................................... Phone No:
Facility Contact: ............. .... Title Phone No:
MailingAddress:..................................................................................................-........................-.......................................-.-.............................-...... ..........................
Onsite Representative:�a %i n lie }�Sos�i}U-q s Fe ie'vr�p Ie�?ay�tar Integrator:... y1 Yr h y.........................................................
! i
Certified Operator: ................................................. . ............................................................. Operator Certification Number: ..........................................
Location of farm:
............................:.............. ....................... ... ..-....... ............. ..........._ ..-.... [,,
Latitude Longitude �• ��«
---Swine
Design-, Current
C2Daeiti - PODelatiDn
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder,
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current: - Design Current
Poultry Ca acity_ .Po elation C . 9 Ca ' ci -Po ulabon'
❑ Layer ❑ Dairy
❑ Non -Layer ❑Non -Dairy -
❑ Other
Total Design. Capacity..-
.Total sSM-M
Number of Lagoons - 2 ❑ Subsurface Drains Present 1p Lagoon Area I0 Spray Field
Holdin Ponds)=Solid Traps-: ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? Yes ❑ No
Discharge originated at: ❑ Lagoon 0 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 ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1 X
Freeboard (inches): �• 3 Z
...................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

Facility Number: Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
S. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
z e0
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
e) This "facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [9No
❑ Yes .® No
0 Yes ❑ No
❑ Yes ❑ No
0: �Vo •yiolatioris oi:• def cie 6ai -were noted• O(Wing this visit; • Y;oir will•repowc; lid further •
r6iris orideRce: about; this visit: : : ::: :: :
Comments (refer to question #): •Explain any YE5_ans�vers and/or any recommendations of -any other comments
Use drawings of-facilrty, to:bettei"-explain`situatroas (use -additional pages as}necessary}
1. Q<sF6ndCd le
a Gall _rre"t M,—. 'Pe4crson 411,4 cF Wgs4e had
oCGvrreC( rpr- I tovtoer P_^ 64 4-44n l,vcls l'tn I7QA '-tleW� V'Cf(/i -X -
LVA9+12 Llad Ie.F� sera ;e�ds�s "tinVf� LIM'( WAS ae�1��t`�d�sehgr ;/4,
VC14� �rgn�h. �nslnuGtu't O�'! 5;4e rc9re-Zj+a+:ve o �lock
f 6 �;���5 �fhqt
Wel,r-e elf C�;sfc�)a�^�% n .Spec d� �ck�)s h4l '11 reLid� �iecK1-ko6k • �s�s-�fuc> �d rt
s; K f More SDI ILZf%►^c PvM�o L✓ -Y e FrQ.M G�i �Glq' cs 6,R 6 � 10 _<f"4 yl; Ord /rA,*
gva;d;r<9 �tirfh�✓ ✓!br10f�� `h;s wusj �n • (�I
Opt 94t reprcm44_14;,.,� Were issue i prcSS release as 4,-
Reviewer/Inspector Name
iD 7 -t7'Ij1t (.{.i�/I
Reviewer/Inspector Signature: �'f� Date: 2 Q�

Facility Number: 171 3 Date of Inspection
Odor Issues
26_ Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e_ residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush -tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
AAditional ;Comments and/or DraIymW
• l`' � � �.J G� � SCh q �. yQ �O SU f �g G [ fl/� T �Q�
4 e ,
Ak
2 - LJJ1 LIP -y"Oltow ur 40 ,�onmr cl eanv�.
qr
3123/99

r
of Visit OO Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification OO Other ❑ Denied Access
Facility Number 71 36 Date of Visit 328Rt>o(1 Printed on: 4/3/2000
1O Not Operational O Below Threshold
Permitted 0 Certified El Conditionally Certified Q Registered Date Last Operated or Above Threshold: .........................
Farm Name: FcadcrYork1m=#1A.#2..................................................................... County: Pendea:............................................... VI�.iRO.........
OwnerName: A&n........................................ RayuQr ....................................................... Phone No: 2.>«- 11! A�>t..........................................................
Facility Contact: .............................................................................. Title:................----. ---•- Phone No:
Mailing Address: S .BilXelrRn ►d._.._........ _........._........ ... ......... Walim..NC............................ .. 28466 .............
.... ........ . ............................
Owite Representative: John.Peteraoxi.................. ... Integrator: Muxrhy.JFarn*.Fan=.... ................................
Certified Operator: AItems....................................... Raxxo.4b................... .................. Operator Certification Number. 27.9it6.............................
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑ Hor Latitude 0 ` " Longitude &�"
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) 0 Yes ❑ No
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Wcre there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes [[ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .............. P..FI.............. ............. FEU ............. .................................... ................................... ................................... ...................................
Freeboard(inches): ................19..............................15...............................................................................................................................................................

Facility;Number. 71-36 Date of Inspection 3/28/2000 Printed on: 4/3r2O00
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, 0 Yes 0 No
0 seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? [] Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reuuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ieJ W[JP, checklists, design, maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes © No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ❑ No
24. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
l�o xiolatians �r:d�ficiericies ivere:aoted:duringitiirvisit.. U Will:receiveno fiirttieJ': :
..........................................................
riirrvcilrinN�ri�i►. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:board check. Mr. Raynor gave me permission to perform a site visit. Mr. Peterson (soon to be new owner) was on site at time of
visit. Corn has been planted in field between PP 1 and PP2. Leased field has no crop. Mr. Peterson plans to plant Coastal Bermuda
.n field conditions improve. Mr. Peterson will be buying leased field.
Reviewer/Inspector Name

_ Division of Water Quality
Q Division of Soiland Water Conservation
Q Other Agency
Type of Visit Ai Compliarice Inspection O Operation Review O Lagoon Evaluation
Reason for Visit JVRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of visit: Time. ]5- .70 Printed on: 7/21/2000
Q Not O erational Q Below Threshold
Permitted [3 Certified 13 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .............
Farm Name: ° Gho� .z County: ee d�
................................................................................................. n........r._...............................
Owner Name: Ci.So 1.� ...... Phone No:
.......Q. h... ..............................
Facility Contact: ..............................................................................'Title:
BailingAddress: .....................................................................................................................
�hnPek -sn �w-ver Pe4,r.SQ�Onsite Representative: ....................................j._..........................._........7....
Certified Operator:......,,,
Location of Farm:
PhoneNo: ............................ .......................
............................................... ..........................
Integrator: „% . a ��4 V f tee' ✓� ' , J
Operator Certification Number: ............
`Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ram` �� �• Longitude �• ��«
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I I JEI Dairy
Feeder to Finish 8-I 4 7ZO JE1 Non -Layer 1 ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons 1 2 I ❑ Subsurface Drains Present ❑ Lag-nn Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impactti
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is observed. did it reach Water of the State'' (if yes, notify DWQ)
c. II discharge is observed. what is the cstimaled Ilow in gal/min''
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes XNo
❑ Yes 0 No
❑ Yes •gNo
h14
❑ Yes A No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes IR No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes Ig No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure; I Structure 2 Structure 3
Identifier: ....... npz....................3............ ...__.................. .
Freeboard (inches): 3O .31
5100
❑ Spillway ❑ Yes XNo
Structure 4 Structure 5 Structure 6
Continued on back

Facility Number: 07 Date of Inspection l 170 Printed on: 7/21/2000
5_ Are'there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
]�TNo
closure plan?
❑ Yes
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
XYes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
29Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
elevation markings?
j9`N0
Waste Application_
10. Are there any buffers that need maintenance/improvement?
❑ Yes
W No
11. Is there evidence of over application? ❑ Excessive Pondiin1ng ❑ PAN`/ ❑ Hydraulic Overload
El Yes
XNo
12_ Crap type Sper ��✓Aq 4"'21 C.0e P't ,7 r►1 �1 �� (? rz ►^+
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
; NO
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
PfNo
b) Does the facility need a wettable acre determination?
❑ Yes
XNo
c) This facility is pended for a wettable acre determination?
❑ Yes
09 No
15. Does the receiving crop need improvement?
❑ Yes
No
16. Is there a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available'?
❑ Yes
No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
Yes
[INo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
XNo
21. Did the facility fail to have a actively certified operator in charge'?
❑ Yes
No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
ZNo
24. Does facility require a follow-up visit by same agency?
'Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
j9No
0: Nb- iolaiions:or• deficiencies -Were ndted- ding ttlis'visit.' - Y:ou will-t&6ye iio further - : -
comes orideiTce. about this visit:
Comments (refer to question #): Explain any YES answers andtor any recommendations or any other comments.
Use drawings of facility to better explain) j
situations. (use additional pages as necessary)_: 1
7. mew ;knee d►ke �11�1�/SW Ao4hrQ,r Gov�rol IleC4*4iori ►N 5O-te +'yr401er, A.
�
Im n k q�,®I r,,JJepa; r i+ J�a�vR�r
Q 119e house A+ �ofk �Re/o 43 0161,,
!$. G'r o tvel/' +�a � �,%a.�e �-{': � � Z/1�; a r, i-� /a h � � ✓ � �q-}t'o to � e S i ►t P �rV ->�
r3ceD�s -�o ob+^;,1 oil o4hcy- comPa ne ` eef#+-f zeoi
Ply, )j, ��o� -�. r,•,Pr awn e�
lq, Nave A Svi�-�es-� e✓�Of> �e� �1►�di oct;� cti) �Gor'�(s
Reviewer/Inspector Name '540 Ae+v 001 Mor4`y ir
Reviewer/Inspector Signature: Date: ITINIA9 5100

FacilityjNumber: r] — 3 Date of Inspection Printed on: 7/21 /2000
Odor issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or blow (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? Y23 , gYes I*No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 0 Yes ❑ No
2 �. ��T a ? �6rt�i-f +o I�i p�Ci'� C P� OI'I �5 e►^� 1+'! Ta! kC e.
15,-41Va Coll 4;Mve �o / e•M vVe navl Le)eMOdt, Ve9e4-q
99,,,rt Y,4a I ;S aL[�)3��lr'1�[i✓Lq ;-n Cra� e-STib/- rcbM6y74-
�a.'•J 1ivgYj�' -�p )►'l v��}9y-�e +�JGiV 71'!G} .3 �v�� � Oh b4C � S14�e
4� ii��k i..S -�)e ld . ✓✓
.&i
5100
G
J

Facility Number % i 3 Date of Inspection I a0
Time or inspection I 1 A .35 124 hr. (hh:mm)
0 Permitted 0 Certified 13 Conditionally Certified ❑ Registered 10tiot O erational Date Last Operated:
Pc -) c(er ,,ppar < r`t � :. 1 � Z County: _,..
Farm Name: ...........................................f...._..... �...... ........_ . ty .... evtG...�/'_.............................................._.....
...... ......................
Owner Name: pl j Gv1 &A... - t.o........................................... Phone No: ................_..............._ ... �.
Facility Contact: .............................................................................. Title: Phone No:
MailingAddress:.........................................................
Onsite Representative: Ta h ... p e e r o Integrator: V r
e _._...........
Certified Operator: ................................ ............. ................... .. .. . . ... . . . ..................... Operator Certification Number:..................................... ..
Location of Farm:
IV;
Latitude • 4 - Longitude ` ` �L-
Design Current _ ;..Design Current =_ _ Design Current
Swine Capacity Population -Poultry.. `_> Capacity Population Cattle Capacity Population -
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish _ ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish _ =_ _-_ - Total Design Capacity
❑ Gilts;
❑ Boars = _ _ - _. Total SSLW
.; .. ..Number of Lagoons Subsurface Drains Present ❑ Lagoon area Io Spray Field Area
= Holding Ponds / SoIid Traps - ❑ No Liquid Waste Management System
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: []Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
[]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 NNo
Structure I Structure ? Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 'P.P2-
Freeboard (inches): z 8 2-. • S
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Ye5 ❑ No
seepage. etc.)
3123/99 Continued on back

Facility l4.?uiber: i Date or Inspection
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)
T. Do any of the structures need maintenance/improvement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ No
12. 'Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
ElNo
I6. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available`'
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
j9 No
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
0" o yiolaiiaris :or def dencies -*t re noted• during this'visit: • You will-feeeiye tia fui-th&
cticrespon�eirce abatil. this visit.
Comments (refer to question #): Explain an YES answeis'arid/or `anv recommendations or an other commeflts. `= =
._ : 9 -. ��y
Lice drawings of fatuity to better explain situations (use addit<onai pages as necessary).
. ..:..... ___ : -.. :..
=vlsrcC�ro� Go�dvc�ed QS ei-re11oLj,ujP 4v ♦erncvk ' DbJQ e641ans.
Reviewer/Inspector Name S4-0 tie IN
Reviewer/Inspector Signature: � Date: W 1 / Oi/
IV
3123/99

Facility Number 'i' f 36 Date of Inspection 3 1 2aoD
Time of Inspection F 11 ZO 24 hr. (hh:mm)
[3 Permitted 0 Certified ❑ Conditionally Certified Q Registered JE3 Not Opera Date Last Operated:
Farm Name: e `'N c r Ot Count
-•----.f' ....................p.......k.. F ...":.:............:�.......Z.-----------............ r _... � �........�:...........__.................. ....
Owner Name: .............. 41-2.................... ..`� .. _�O l'
.....-.. Phone N0:
Facility Contact:
Mailing Address:
Title:
Phone No:
Onsite Representative:..�3 6 � 11 'Qe4e r so � _q✓"�c3 j e4u so +-� Integrator %� � � � ------ .
..........._. ...... ............... �.......... - - -
Certified Operator : ............................ ....................... ............ ....... ........... ............................. Operator Certification Number:..........................................
Location of Farm:
Latitude • 4 - Longitude ' & «
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts;
❑ Boars
T
Design Current Design Current
-Poultry > Ca acity Population `Cattle Capacity_ Population =
❑ Layer I I ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
- -- = Total Design Capacity
Total SSLW
Number of Lagoons .Z :::: ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
-.
-HoldingPonds /Solid Traps .'= - ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon EjSpray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gallmin'!
d. Docs discharge bypass a lagoon system? (If yes, notify DWQ)
2- Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 3 Structure 3
Identifier: P Piq
Freeboard (inches): ! S
Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Yes ❑ No
❑ Yes ❑ No
X Yes ❑ No
Structure 4 Structure; 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes ❑ No
Continued on back

Facility Number: '7 1 ,3G Uate of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level.
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
[]Yes ❑ No .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN [:]Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes [:)No
14. a) Does the facility lack adequate acreage for land application?
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 GeneraI Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: �.to violaiidris:oe- dOf de 6bv�ere noted- dix trig this'visit; • You will-�eceiye Rio fu><t ec
correspondence about. this visit.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
Comments 7-.
LTse `Teof faeiliuto'6etter e�X Ilaiin atn s tuahons� u�se.addrtxon r any recommendations orany other conjments _ . -__
drawings ty P y 1� Pig necessary):
_ as necess -
�.v -
��slocG4 iovt C0nd(VCA44 aS q 'a!(ow Ur of recr-&A1 ' 'I)W l+LSyaGfio�l�.
I. W qs f e is pen-Acd A+ +L�e. eno( of a�,�a� 6,e�d[s 4k,,,4 J"Cen04! rccei e-A wr-s¢e
Alo�liGa-�iG�l, Wr-isle iS Ietkv-'—) ftt;� pond Got cir•Eq Gl•'R 0( SC��'�j�"t) 4Q (ie{d oli}Gk
tr;cq q svrFr ce dram c,vjveJre+. =nS{�vc�ed auto( c{;�eel o✓1 s;ie r'cprestn4&t41,es
4a 6Iornk 4ke t.. c Ae- Flow To preve-n-� For4tie, d=`.rcltar+SE.Wakergval;*y 5,,1 cs ay.d
P;r,+V f r,./e -e 1).,y ke+-t . r
1. (.jgSje q,oPec�rt to kave of-sc�e✓-qcX P oro , 41,e rokrtda��o"] of Ile lin �v,itses
c►4 4L,e pernoler' Pork I 'S;Je dveJ fa u ed dr�;� (;ne. [..la��e has 4,, „ei1ed
over [a�td and d;set.�� ed �o d;�G1.,.6a5-Fc+�;Uel T _aw,,Ole.s otnol .p"c4-vres we•�e 1� ems.
�• La oo-N i 4( levets �ar�td be 10 ereot in at r'cs ons;(,Ie +;.Mel . finer.
Reviewer/Inspector Name - -' k)e
Reviewer/Inspector Signature: � ��� � Date: q /,9O O
3123/99

I� y 1 Division of Soil and Water Gonservahon Operation Review
z
Q. ision of Soil
Divrsronof Water`ater Comb fiance Ins ech an Divte Inspec4on �E,
V ® .. _ Qv: ty p ::. p
-� [J_Other Agency. Operation Review r
on
A
10 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 49 Other J
Facility Number 3(0 Date of Inspection 1 t2 2_,KV_
Time of Inspection �G 24 br. (hh:mm)
0 Permitted © Certified 13 Conditionally Certified [3 Registered 113 Not Operational I Date Last Operated:
Farm Name: ......pe (,r pa y k Fa • % 41­12- Coun [ n c ✓
ty
OwnerName :........... 4./A.............. .......... .g,.1 » 0........................................Phone No:................................................................---............-.......
FacilityContact: ........................................ ..................................... Title: ................................................................ Phone No:
MailingAddress: ............................................................................................. .........................................................y..y..�............................................... ..........................
OnsiteRepresentative: .4�n......`.1..�..�...�....�.......P..'.�............Integrator:...•,.,.....�"�r......
CertifiedOperator: ................................................... ............................................................. Operator Certification Number:............... ....................
Location of Farm:
t.................................................................................... .— ---........... ..... ._........................ ..-........................................................ ............ ...........
Latitude �' �� �• Longitude =- =` =GC
Capacity, esign Current Design Current- - Design Current D
Swine = Po ulation- X.Poultry:, =Ca acity Population__ Cattle" Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
❑ Layer ❑ Dairy
❑ Non=Layer ❑ Non -Dail
_..
❑ Other -
Total Desigm Capacity
-:Total SSLW
(Numberof Lagoons 2. ❑Subsurface Drains Present ❑ Lagoon Area ❑Spray Meld Area
"Bolding•Ponds / Solid Traps JEI No Liquid Waste Management System _
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, if discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: A ?
Freeboard(inches): .........1.q.............................. `5........... I ...... .............................. ........... ...... ...... ..... I......................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
in Yes ❑ No
Structure 6
❑ Yes ❑ No
Continued on back
3/23/99

Facility Number: Date cif Inspection
Y
b. 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 maintenarice/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: No . Wh .ioiis:of deficiencies were noted- OiWitng this. :vis* it. : - Y;oir wiil -receive d further;
correspondence. abouf this visit ..
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
:Comments (refer to question #): Explain any YES answers and/or any recommendations or=any other cortiments:'
i]se drawings of facility to-lietter ex lain srntuations use additional pages.as necessary'i
c ac hacl5c s 1 A,
/) "T�+C fife l es1lli i �� -F�c� m o hP O� -E� � �6 ?� e )q�o�tn l}A,o�
i 6ce.""Ir- plL,99ed• �.las � was bl�cs� � '11 ��,c l�rvtkrc /timed t..►u5 �ett�;�t�
uqi �►4F
'A 10(14C,11 VIA Ot 54,0r W1
Z !� Y4i+� -Fi e AVIA dvt� �O�+�tG( T�+ 1,>t.d , —rL.0 d �!1 6
4L,e,�" 4� c t--16' �� erEGZ 1'lc�S C11Jh� i �jtJ�Ll� �jOL„! W��� A"Ofl er �1'/Ck
wA,ct-% is repl4i)ooL4S ravl'44 WAaf is belicved fa be, A blue Ue -1,- atm.
1►,fA-i�r qU�I ,4 y rq•-•�pIcS a,h�[ V;c4-yres We,-c.-ftkch. M advised
m,r, lZra y�ar 0 17fOGlr -��c .Fc,. '-4 +� e-FAr-�1,tYe� e(owa�sf �►^^ �o�n
Reviewer/Inspector NameEE7
7 3
Reviewer/Inspector Signature: �� �, Date: 1//3 2O4d
3/23/99

Faci4ty,Number: 171 D,te of Inspection
Odor Issues
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? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional._Comments an or rangs " _.
Pr;er - 1Jne -6%-4 &ILe line civot 46 U► 4L,e uvni4e totk
0140 G,e sp --I Tl-.e G mac. ��.�a�kS 't" Sko414
6e rP�oo,;red 4e preve-PLlv+ure D-o' 4A:--r sov&Ac ri"40Ye.
T, L.ArK A IS ct-1 I V �reebo�trd� 71.,E 11PJ!5 ih 41�eSe �OL'5c< q✓e
CC&o144 4 lveek!5 old Aee-ord6,,7 �d plr, 'FQc /tnr.
La,G,vart 13 i t ei-' S" —rl e 4e-9sare G Ur�e�r �l � c y C I F
J�V]rJJ ?At#,oY S�;of 41na4 44c fcr+, ;.1 kh9 he -< Y oL41d be go Pic l,✓�-li�;t,
Ot L✓ee�< ,
l ctJCoctI5 SJ OLJA 6e J.,WeYEa i+1 a r�s�ans,' le ►•�ter� 1%1gnhe,'',
l,A jooh S is aoO U-I-mos� ,r; ar t �� +o b�e 1owe-r'e,4.
/\J4 W;vjeir Cro ff ptre CGrr'eO+t l LJ;ngBY Cy-ys
sl.,�ttloi ba pivLyi4 Gt iv, -r clils e,,c orq;v--9 4a wcls+e T)an
/ (V,-, e ;a4i y 1Yq order 40 o11� dW �`or �q�oor� I nwer;ny� A rA
.�
YIU t,;evt-� vtojf�ke. Mr, �at�naY Sq�d 41ne�C )AST s rzlyeet
I I
WGS4-c Ovi I;;eA$ g12e,1, 4—ajo.
r,1�c1r1 S 'ia �c,Ve 1-. �� kee44 p l ihleO✓t 7 J 4C1-05 -0t-7 '/,3/7064.0
JJrrio�[���yLS
and 6e�+r► I bh 2d00.
3/23/99

10 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review 0 Other
Facility Number 71 36 Date of Inspection 2/29/2000
Time of Inspection 13:45 24 hr. (hh:mm)
Permitted ® Certified E] Conditionally Certified 13 Registered Not O erational Date Last Operated: ..............
Farm Name: P.cvL&xX0xk..FAx=#]..&A2..................................................................... County: Pendcr ............................................... WjRO..........
OwnerName: Allen ........................................ Ra3mor ....................................................... Phone No: 9.10.-28,5-50.41 ..........................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:.................... ...............................
Mailing Address: 519.Rlxer.Road.................................................................................... W'.allmcc..N C........................................................... 78466 .............
Onsite Representative: ........................................................... ............................................... Integrator: MwVby.F.amjjy..F.w= .....................................
Certified Operator: Allen ........................................ Rayxwj:.Jx...................................... Operator Certification Number: 229.8.6 .............................
Location of Farm:
Latitude �' 0� Longitude =' 0` 0-
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 --Structure 4 Structure 5
Identifier: ............ PP.#.1............. ............ P.P#2............
Freeboard (inches): ................15................................13................
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
❑ No
❑ Yes
❑ No
❑ Yes
[]No
Structure 6
..............................
...............................
❑ Yes
❑ No
Continued on back

Facility -lumber: 71-36 Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? a
(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 mamtenance/unprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
2/29/2000
❑ Yes
[l No
❑ Yes
❑ No
0 Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes []No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes 0 No
Required Records & Documents
IT Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes ❑ No
18. 'Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ❑ No
23, Did Reviewer/Inspcctor fail to discuss review/inspection with on -site representative? ❑ Yes ❑ No
24. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
-No' -V' iodaiiofii tir:dEficieuciei-were:rioieil:during it isit iii .:,Vriu -ivUriielvie an hiri ier: • : -
..........................................................
- ' .c�4ir•�rPCriri wNtvi�A a hri�it 'Ric. va �aiF ' . .
....................................
freeboard check. Mr. Raynor is aware of DWQ site visit.
m I arrived on site I found a discharge from hog house #2 (house closest to PP#2). Appeared that waste had been leaking out of
3e foundation and saturating ground between the two hog houses and heading 'toward back of houses, causing saturation
ponding of waste between back of hog houses and lagoon, then causing waste to run toward ditch. Rate of flow had stopped,
Hugh it was evident that waste had made it into the ditch (due to the color, smell, and appearance of the ditch water quality).
qF
Reviewer/Ins ector Name
p
.:::...... ........:...........
lReviewer/InspectorSignaixt Date:

Facility Number i I 36 Date of Inspection z ! zocn
Time of Inspection 1134 24 hr. (hh:mm)
0 Permitted r] Certified 0 Conditionally Certified © Registered 113 Not Opera Date Last Operated:
Farm Name: Ve nde, Po ✓ k Few,.,-91 // P
t... County:.......... e !3, or ��'
Owner Name: j e '~ 90, '\a, Phone No
.......................................I......I...--...........................-.............................................
Facility Contact:
Mailing Address:
............................. Title:
.... Phone No:........
Onsite Representative: �,A„ not Integrator:UfP,'4 T4r►M
....................... Y............................................................. ]i .. ......
Certified Operator : ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
............. ..... ............................................................ ...................................................... ............................................................. ...................... ...................................
................. �
Latitude • �' �•= Longitude • �' �"
_ -- - Design Current . Design Current Design Current
Swine Capacity Population Poultry ry Capacity Population Cattle Ca acity Population
❑ Wean to Feeder F❑Layer ❑ Dairy
❑ Feeder to Finish _ ❑ Non -Layer JE1 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts, - - -
❑ Boars Total SSLW
.=Number of Lagoons z ❑ Subsurface Drains Present ❑ Lagoon Area ID 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?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system'' (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure ? Structure 3
Identifier: PP 1 Pp 2
Freeboard (inches): q"
10 Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion
seepage, etc.)
3/23/99
❑ Yes ❑ No
Continued on back

Facility Number: r] [ — 3 Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7.. Do any of the structures need maintenancermprovement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level.
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ® Excessive Ponding ❑ PAN
12.'Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Reeruired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
violations:er• def ciencies •mere ho ed o&ing 4his'visit: - Y:oit wiil-teceiye irio; furtilei
corresponcience. about this visit
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
[]Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
X Yes ❑ No
[]Yes ® No
❑ Yes ❑ No
IN Yes ❑ No
Comments (refer to question #) .Explain any YES ansij­wers and/or any recommendations or any other comments - -
Use drawings of facility 'to better e t lain situattons. use addttionai _ ages as necessary): -
TnrlonG4?or. GovnotuGte4 cis ot CcIIe,wvp 4o 4-tie 2-/1 rl�00 insPcC}�as7.
!. We —rye- Por<d+rW Anol G{isGLtgn e-41-Dt=•scrved Oh C';e16( 4kct+ M."'RA.7nor iS lQQs;.�.
(„las e eurtof� 1occ,urrcat -10 end d� �', Elan, ereet4act q �,ondcd ptveo,, and o(,sclq,1O �
�ro.vt 5�r^c,��ielo( fo an Gtd1ac_z ,+ -4-ttricke+. et+er Iulr_f sa•��les 0 to(
piC,4rvreS wzv-e fnken
4. LAOooK levels st•iatdi be fo,,ereot ;n a rearon-'Aol<•I4ir,,e! .�-t�rtnEr. In�or�Y1,-,cd
rlI'. Oe plot-1 0-f A,-Ji0''q r'a jV;rGrn•tilu
�✓+-r 61,1� )"q_<4rU00 i AeY Le S�lbv+lrr7Ct(.
Reviewer/Inspector Name b rl etv q
Reviewer/Inspector Signature: j10IN Date: � 6 Z as o
3/23199
r

Facility Number: rf - 3(o Date of Inspection J$ 00
Odor Issue
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor 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 [INo
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 [INo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) -
❑ Yes ❑ No
31, Do the animals feed storage bins fail to have appropriate cover?
❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
Additional Comments and/or Drawings:.
ll. �KteSs;ve pond��� es obse-,ved a4 41,e e.&1d or—L;ddle spea,�F>@Id
bel,vee, 1A,9 e-kNA �o f<,,;4� PranGf},
22_ Mr. 12a.yner Cal/eel ih U-caviv41,
1 -l•o r'cjoe� �e
t);91, free6gro( - lever, CZeL eoer wr- 9a"Ae ict0 r�q
4-kc r,nyecl�ax, 4"4 1ggookI for 1PC^4" potk Z �7ctd 6�g� low��cd
a} orie 4;—e 4-O To,,reG4 &, o`t 2%17/0,0 >CoLSetd
Pendcr Pd4 Z [� 0 0 K a I. S ,'�ct,es 4� fee bo r,, No «r
I,vuS gireh 10 DIJQ 4,A4jag�o,+0h �etG� !'ee�ter�Ot iYlSv��ic;evt� s�alUs
2 S, /b'I �, �a ho,r i� formBC� DGJ 4� S R�� S or.cwat� i'Ir'q` 4;f l� "
y r L �^ 1 I �
A I12 /OO ►,^S�EL-}iat,, oT T [1 taG; l iT� 4h,,4 �Io 6F'
� a d b e O P-s OL Pf /1 C4 O Yt 1 &I eotY, Sci ri v q r AJ o C P of s l u e f'e p 1ed
60 -}•lie 4;nme 0� 4le )I32/oo ,nsfec41on. Vl r. ayhor [.vctS ;i'1�}J''UG�cG�
4e plan4 W:n-leY Cre(S +mimed ,. 40t7 dor;-�� 4 k e 2160 ►'hsp��}:a�t
C"es Aye s-l;ll nod �l�h lea( s� �+,ese �;efdS as �f ada�'� Z%18�o0
jns��G�iaN
u
t
3/13199

Facility Number r] l 3 Date of Inspection 2 z2 DO
Time of Inspection I f If'fb 124 hr. (hh:mm)
0 Permitted 0 Certified Q Conditionally Certified 13 Registered [3 \ot O erational Date Last Operated:
Pend,, Po,-k F-�tr.x4/ b-#Z County: nende,-
FarmName: .........................................................................•-•--......-•----.....-......................... ty• ._..... -._...._..._._._._._......_.................................. -
Owner Name: ...............'.!. �.l.e......._.............. a. y. ✓� o.:................................. Phone No:
FacilityContact: ..................................... ......................................... Title: ................................................................ Phone No:
Mailing Address:
Onsite Representative: .......... r?.� I ...... °t,, !Ao , •..... Intebrator: M.U.- ... ra rr j
.. ............. .r..................................-.I...............
Certified Operator: ............. ............................... ............................................................. Operator Certification Number:......... ................... �.
Location of Farm:
IV
Latitude ' 1 •` Longitude ' & "
Design Current =- _ _ _ .:__Design Current Design Current
Swine �:
Capacity Po elation Ponitr3' - '-=`:;- >.Ca acity Population Cattle Capacity Population -
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts,..........- - _
ElBoars = - - ._ -- Total SSLW
_,•••. Number of Lagoons 2 ❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
- Holding Ponds Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made''
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Yes ❑ No
Structure I Structure ? Structure 3 Structure d Structure 5 Structure b
Identifier: FP 1 1'-7-1P Z
Freeboard (inches): ............................... ....... . 3
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage. etc.)
3/23/99 Continued on back

Facility Number: t7 j — 3G wic or lnspcction
6. Arz there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7.. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ® Excessive Ponding ❑ PAN
12. Crop type
[]Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
[]Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
w
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
lief cie dbe -� dre noted- During �his'visit; Yoir will receive do further.
rorrespondei*ce. about. this .visit_
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes J9 No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to questioQ�#): -Explain any YES answers and/or any recommendations or any other Comments
Use drawings of facility to-befter explain situahons�(us add►t>ion`al pages as necessary):
-fhrptt4(on covtdu crfc-ri( as a Follow ur 4, rer-cn# D WA i �,x ycc1 ion s •
L.,a j eovt levels _<kaL,ld 6,p- i0[.Jered ;L, a r�spa�s;bfe� }; ry.e?� w�an•,ar.
.C"Ve Yo" 'A/cy�% v� �Ie 'flan oF'
lrtS}rvG{ed 4kkt+ 44el 6C StJ6k,,1,44ed,
11. E7kGr5s.,ve pond.-voq 06se-veef q} -{I,e el-kd of 4e Y+.:4die sp'ayF/cld 6ctwee�
44e se,fs a-% �o, �Lot�,s2t ,%r cCaSes} �o ke.�fln �.� 1.Ja�c� Rvaf,'�7 Saw,r��s
gnd��c�-vres %acre ,�kC», �{1so, rr,ore r�„a�'�' lzc,s L�GGV�'reCi�-�-b -Fire Ponde.d
a,rec, ei44he a c e-F 411 A;elol kPIr. jZ.rynvr iS /easing, Pacedwar
Reviewer/Inspector Name _Pe t1 e iv a k J
Reviewer/Inspector Signature: Date: 4161,10
3/23/99

)Facility Number: r11 -- ?jam Date of Inspection z Z 2.OO
Odor issues
. 28: Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan biade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
A dttional Comments an or rawings:
11. �co�t}� O� iscovarcd( k;� Ierseo( geld an ��e 2-119100 V3S;4. -7-lie
added nv►to�'� and Pohdi OCGurrcd �S A r,?xu'4 of Ayt �rrr J�c�- r`a
e.v e yl 1- , k4 d 2 /-ZZ / o 0 . _� ad v ; SCE# P7,. - jZ a r o ,- 44 a + � r r �'9 of 1,7 n
.sti.attild no� dGGor i � I po,-.d i O� G of f .d/ fn1 II OGG U f'
1
3123199

IO Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review 00ther
Facility Number 71 36 Date of Inspection 2/17/2000
Time of Inspection 15:00 24 hr.
Permitted ® Certified E3 Conditionally Certified 0 Registered 0 Not O erational Date Last Operated: ..........................
Farm Name. Pender.m:k.1anm.#1.&.#2..................................................................... ' County: Pendcr ............................................... W. jRQ.........
OwnerName: Allen ........................................ Raynor ....................................................... Phone No: 9.10.-,285-.,50.48 ..........................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
Mailing Address: 534.River.Road.................................................................................... W..aftee-NC .......................................................... 2.8.466 .............
Onsite Representative: ............................................................................................................ : Integrator. Murphy..F.amilX.F.arm&.....................................
Certified Operator: Allen ........................................ Rayx=,Jr ..................................... Operator Certification Number: .229.;0.............................
Location of Farm:
Latitude =• =, =- Longitude =• 0` =-
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes []No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man=made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the" State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (Ifyes,.d6* 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 stonn storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 , Structure 4 Structure 5 Structure 6
Identifier: ............ P.P#1............ ............ P.P#2............ .................................... ............. :..................... ......................................................................
Freeboard(inches): ................ 10 ............... ............... 1-5 ............... ................................... .................................... ..................... .............. ....................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
3/23/99 seepage, etc.) Continued on back

Facility ➢lumber. 71-36 Date of Inspection
5. 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 maintenancelimprovement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenanoe/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
2/17/2000
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal' Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
lb. 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?
-NO' -i uolaiians: or:tkfiiieritiei'ivere:rioied'during iiiis-visii-' `Ynu -�411'reeeivt nb hiriNier' -
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
r. Raynor did accompany me to facility 'and I found both lagoons with high freeboards. I advised Mr. Raynor that he needed to start
mping from PP#2 (1.5713) lagoon immediately. Front leased field ( 20 acres) was wet but there were areas in field to make pulls if
7nitored very close, without discharge or runoff from sprayfield occurring. Land between PP# 1 and PP#2 currently has no crop. Corn
H go in end of March. Mr. Raynor did inform me that he allowed some of his farm workers to clean -out hog house the day before,
fitting and estimated 4" of water into lagoon.
5 day PoA must be sent to DWQ within 24hrs for both PP# 1 and PP#2. Rain is expected for end of week and possibly the weekend.
'#2 lagoon is highest priority to lowered in a responsible and timely manner.
Reviewer/Ins ector Name
P
1:
Reviewer/Impector Signatu : ,� p � ,� /�%/ , y� Date:

M
Facility Number 71 36 Date of Inspection 12-22-99
Time of Inspection 1 13.00 124 hr. (hh:mm)
® Permitted E Certified © Conditionally Certified E3 Registered JE3 Not OperationalOperationall Date Last Operated: ..........................
Farm Name: Pendcr.PvjrkEAmon#1.&.#2..................................................................... County: Pend . ............................................... W.. RQ.........
OwnerName: Allern........................................ Raynor ....................................................... Phone No: 9.111. 28.50.48..........................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
Mailing Address: 532.Rinser.Road.................................................................................... W. Allace..NC.......................................................... 'U466 .............
Onsite Representative:
Integrator- lfurllby..Paa1iilylams........................
Certified Operator: ................................................... ............................................................. Operator Certification Number:
Location of Farm:
Latitude ' 6 Longitude ' �� OK
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes [I No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes 9 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 9 No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? [j Spillway C9 Yes El No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ............ ;&v,.l............. ............site.2............ .................................... ................................... ................................... ...................................
Freeboard (inches): ................1.3................................13................ .
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes H No
seepage, etc.)
3/23/99 Continued on back

Facility Number: 71-3G Date of Inspection
fi. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type Corn, Soybeans, Wheat
12-22-99
Yes
No
Yes
Q No
❑ Yes
No
[] Yes
to No
❑ Yes
H No
El Yes
X No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? Yes X No
14. a) Does the facility lack adequate acreage for land application? [j Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes 0 No
15. Does the receiving crop need improvement?
0 Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Required Records & Documents 4
17. Fail to have Certificate of Coverage & General Permit readily available?
0 Yes
9 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.)
0 Yes
9 No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)]
Yes
N No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
Cj Yes
X No
2 1. Did the facility fail to have a actively certified operator in charge?
Yes
H No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
IR No
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
[] Yes
EM No
24. Does facility require a follow-up visit by same agency?
Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWNT?
❑ Yes
No
-l�o• vin[atio�is. flr:dECrcierities•were: rioied:�uring this •visit.: �•tiu ��i:reeeivE ao fiirNier : -
�riri•Psairiwili�airA ahh�it'tlii�•vasii_'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Both sites have 13 inches of fi eeboar&Grower has called DWQ. Irrigate ASAP. Consult with DWQ I AL
Both sites need seeding on surface water drain areas recently worked on.
15) Wheat to be planted ASAP.
) Grower will call DSWC / DWQ of progress made on irrigation.
s
Reviewer/Inspector Name
b�Iw
Reviewer/Inspector Signature: Date:

12123199
fadty Number. 71-36 Date of Inspection 12-22-99
odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? 0 Yes 0 No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 0 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.) [l Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? E] Yes ❑ No

'+ 0 Division of Sail and Water Conservation ,Operation Review
Division of.Soil and;Water Conser�ahon :Compliance Itspectio w
-.Division of Water Quality =.Compliance Inspection
-
�] Other Agency. Op erationzReview:;
r�
Routine 0 Complaint 0 Follow-up of DWO inspection 0 Follow-uu of DSWC review O Other
Facility plumber :a�� :]
Permitted 3 Certified ❑ Conditionally Certified 0 Registered
FarmName:........................................................................
Date of Inspection 1 Y131
Time of Inspection ®?A hr. (hh:mm)
Not Operational Date Last Operated:
County: .. ." .'
Owner Name: ..................................... Phone No:........................ _
FacilityContact: ..............................................................................Title:...................... ...... Phone No: ........................
MailingAddress: ..........................................................................................................................................................................................................
Onsite Representative:...,?, '-...... Integrator:..........`. .........................
!-moo .......................... `� ...
Certified Operator:..................................................-............................................................... Operator Certification Number:...............
Location of Farm:
Latitude ���` �•� Longitude �• �' �"
-_ Design Current 'f Design Current. Design Current
Swine oultyty PoulatioCapacity Population_.. Cattle Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Numb&-'6f.:Lagoons . ❑ Subsurface Drains Present ❑Lagoon Area [[]Spray Field Area
Holding Ponds / Solid Traps--`---- ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ Nc
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ Ne
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. Dees discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ Ne
Structure t Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ............._._..........................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

Facility Number: i —'3 Date of Ir►spection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste ,application
10. Are there any buffers that need maintenance/improvement?
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22_ Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24_ Does facility require a follow-up visit by same agency?
25, Were any additional problems noted which cause noncompliance of the Certified AWMP?
0:1a viol"aligns:or deficiencies were pi�teddirringthis:visit: Yoii will reeeiytl do further : :
- correspondence.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Comments —(refer to.question..#): Explain:any YES answers and/or:any recommendations'oi any other eomments:'
-`�
77
-UseArawings of facility to -better explain situations {use additional -pages as necessary)
`�-
-S , • s�5�
VNI_'�Af AM 61z-V Vy Ac J")" + ____1_31_'�A�
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
3/23/99

Revised January 22. 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number - Operation is flagged for a wettable
Farm Name: acre determination due to failure of
On -Site Representativi Part 11 eligibility items) F1 ' F2 F3 F4
Inspector/Reviewer's Name:
-44Date of site visit: kT�
Date of most recent VVUP:
Operation not required to secure WA
determination at this time based on
exemption E1 E2 E3 E4
Annual farm PAN deficit: ` !S3 pounds
Irrigation System(s) - circle #(D hard -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system w/portable pipe;
B. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART 1. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
El Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D2/Da irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part If. Complete eligibility
checklist, Part 11- F1 F2 F3, before completing computational table in Part I11).
PART IL 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements- listed below:
F_1 Lack of acreage which resulted in over applica�on of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
bufferlsetback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
/ 2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part Ill.

Revised January 22, 1999
Facility Number 9 �
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER'''
TYPE OF
IRRIGATION
SYSTEC�5
TOTAL
ACRES
CAWMP
ACRE
FIELD
%
COMMENTS3
l L-i
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER' - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

`' r Division of Soil and Water`Conservation =Operation Review ? `
Division of Soil and Water Conservation - Compliance Inspection
r Divisi4n of Water Quality= Compliance Inspection.
.[a'Other Agency - Operation Review'
Ig Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other �
j Facility' Number Date of Inspection �
.­­ _j Time of Inspection G 24 hr. (hh:mm)
Permitted © Certified © Conditionally Certified © Registered 0 Not Operational I Date Last Operated:
Farm Name: '' Q1-~ E[�
��... 1k�` County: [..............�'.....................-- ....
.......................................................................................... .
OwnerName:.. .. ,`- '.. Phone No: ....................................................................................
Facility Contact:
Title:
Phone No:.....
MailingAddress: ........................................................................ ..............-....... ...........................................
Onsite Representative: !r r (.. Integrator:....``` .. ....................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:................
uocauon r arm:
....................................... .........`�......5 h................5..4.....4................................................... .... ..... ..�........i - ...... '
...
o ... ....-.... ... ...........................................--........................................... I.... rr
Latitude Longitude �• �° ��°
Design Current
Swine Capacity Population
❑ Wean to Feeder
Feeder to Finish
6'
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Ell
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer 1E] Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons [[—]Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JCI No Liquid Waste Management System
Discharges & Stream IrnpacLS
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man -matte?
b. II' discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. It discharge is observed. what is the estimated flow in Lmlhnin'!
d. Does discharge bypass a lagoon systcm?
2. Is there evidence of past discharge from any part of the operation?
3. Were there any 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?
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: jt —�
Freeboard (inches): 9 a` 1 {
❑ Yes XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes (XNo
❑ Yes Dj No
EfYes ❑ No
Structure 6
1/6/99 Continued on back

Facility Number: — Date of Inspection
5. Arc there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, El Yes bdNo
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? D<Yes ❑ No
S. Does any part of the waste management system other than waste structures require maintenance/improvement? 5(Yes ❑ No
9_ Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings?
❑ Yes
WNo
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
ONo —
11. Is there evidence of overapplication'? E�Ponding ❑ Nitrogen
Yes
❑ No
12. Crop type Cf.i.s........................................................................................................................................................................................................
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
gNo
14. Does the facility lack wettable acreage for land application? (footprint)
❑ Yes
j'$j'No
15. Does the receiving crop need improvement?
❑ Yes
9No
16. Is there a lack of adequate waste application equipment?
❑ Yes
0 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.)
0 Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
ZNo
21. Did the facility fail to have a certified operator in responsible charge?
Yes
No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
JW Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
IgNo
24. Does facility require a follow-up visit by same agency?
/OYes
MNd�
NA.vioJations-or. deficiencies .were notted: during Ais-visit:. Y-oti,n�i�fre�dve ita turiiier . .
coi*iespbridehee'abb"this;visit.; ; ; ; ; ; ; ; ; ; ; ; :: ; : ; ; ; ; ; ; ; ; ; ; ; ;
Comments (refer to question #): Explain any YES answers and/or any: recommendation or any outer comments ;.,..
Use drawings'of facility'to better explain situations. (use additional pages as, necessary)
y i'l a �3 �+� �-e 3� at.�2 Gf f�o�
` 1h ��-..`'oft ,4� �+1 ✓ +..� ct,� ct-s�
1 RI { ']
��►���� t' n T� �Q Ala\ Y1 , t�
l rj
c So if Ul a �1� e2 nit- cs+—diN .
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: ! 11/6/99

Flicility Number:.. ' — Date of Inspection:
Additional Comments "and/or Drawings.
A6 'J
,
S1 w C Ck t^c�
L7
"L`l C� PLA \ S 14S, 4a� -e5-� is
V\ I HA Y"Ge
d
n `
2�- �►��-2'� 1� "try �'} V ` C"Lj -
A�a� `►� �,�-e� �, �E�' gLcp?33 -sae3,
i �
4/30/97

149 Routine Q Complaint Q Follow-up of DWQ inspection O Follow-up of DSWC review O Other he ti—d
3-17-99f I Date ons Inspection Facility Number 71 15 Dp ��
Time of Inspection 1400 24 hr. (hh:mm)
® Permitted 0 Certified E3 Conditionally Certified 13 Registered [ ANot O erational Date Last Operated: p . ..........................
Farm Name: QthisXaY.estamgh.ka=............................................................................ . _ •' County: Pender............................................... . .IR.Q.........
Owner Name: Allen./..Cgil......................... Raymord.Covkoo n.............................. Phone No: 910=20650.48 ..........................................................
FacilityContact:.............................................................................. Title:............................................................... Phone No:...................................................
MailingAddress: 539.RiverRid...........................................................................................W..apacem.....................-•-...........----...........--•-•-•.. 2,8.4.65.............
Onsite Representative: AIdcn1Uyn.Qr.dr,1.8a1phell .............................. Integrator:1�wVhy.Fallae�J Yar�rrAs................... .... ..................
Certified Operator:....................-------------------------------............................................................. Operator Certification Number:
Location of Farm:
>.prnzamately_:.2.,_Z.mite jan.r...................................... .................... ..............:..:
Latitude 34 • 42 3$ u Longitude 77 a 56 34
❑ Wean to Feeder
® Feeder to Finish
3672
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
M No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
❑ Yes
❑ No
c. If discharge is observed, what is the estimated flow; in gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
❑ No
2. Is there evidence of past discharge from any part of the operation? "`'"
❑ Yes
M No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes
H No
Waste Collection & Treatment °{
4. Is storage capacity (freeboard plus storm storage) Iess than adequate? Ej Spillway
❑ Yes
0 No
Structure I Structure 2 Structure 3 ! Structure 4 Structure 5
Structure 6
Identifier: .................1................. .... 2.......................................................................
Freeboard(inches): ............... 26............... ............... 26............... ................................... ..................................... .................................... ....................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
0 No
seepage, etc.)
3/23/99
Continued on back

Facility Number: 71-15 Date of Inspection 3-17-99
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 Vsituation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
. N No
is
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
© Yes
N No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
N No
IL Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
N No
12. Crop type Fescue (Hay) Coastal Bermuda (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal waste Management Plan (CAWMP)?
❑ Yes
N No
14. a) Does the facility lack adequate acreage for Iand application? -
❑ Yes
N No
b) Does the facility need a wettable acre determination?
❑ Yes
®No
c) This facility is pended for a wettable acre determination? r
❑ Yes
❑ No
15. Does the receiving crop need improvement?
i.
❑Yes
N No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Renuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
N 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
9 No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
9 Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
H No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(le/ discharge, freeboard problems, over application)
❑ Yes
H No
23.
Did Reviewer/dnspector fail to discuss review/inspection with on -site representative?
❑ Yes
0 No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
H No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
[] Yes
H No
4-N6-irioCahons.ar.deficiencies•wece:rioied:duiiilgthis•visit:; Vbu1W' D1:riieivE:n0':hirtiie'r.
..........................................................
. ' ���trPcii fl q ii Pa'i PE1 a hIl �i t �fln i C. VJG�. � . . � . • . � . � . . � . • .
Outside dike wall needs to be mowed in areas and needs to be maintained to keep grass cover in good condition and for ease of
13. Grower has turned over fescue field. He plans on converting field to corn/wheat/soybean rotation once new land is ready. Such a
:hange cannot take place until waste plan is officially changed. If not changed theri'fescue will need.to be re-established this fall.
15. No soil test on site. Keep lime requirements up to date. Apply when more than 1.0 tons/acre is recommended.
18. Make sure farm reords have all pertinent information in them and are on site. .
rontinued on page 3
Reviewe rlIns ector Name
Reviewer/Inspector Signature: Date:

2J24120o0
Facility Number: 71-15 Date of Inspection 3-17-99
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond oi',la:goon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? © Yes Q No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, j] Yes 0 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? El 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 D No
31 _ Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 0 Yes [i No
:......:.................... ..... ................
(�teaa - �}<�:
19. No 1999 irrigation records onsite. 1998 records only show about 7 applications. At least 1 full year of irrigation records must +
e kept on site. Grower is required to keep these records for 3 years by regulation. No waste and soil analysis in reords. Most
current soil must be kept on site. All anlyses are required to be kept on site that correstpond to irrigation reords. The analyses must be
maintained for 3 years as well.
-> An irrigatoin map/diagram needs to be created to show how fields are irrigated (pulls). Records need to be kept by pulls with
approxamate acreage covered by each pull on an IRR-2 or record must show consistent coverage of filed on IRR-1 form (ie keep which
pull is being sprayed). Since irrigation records are kept on computer and lapses in records occur by using a third party record keeper,
en a handwritten IRR-1 form must be kept on farm and up to date.
1. No OIC listed with Raleigh for this farm. Contact Sue Homewood at 919-733-5083 ext. 502 to correct situation.
Note. A NOD will be sent for failure to keep adequate irrigation,waste, soil, etc: records.
Send soil analysis 1998, 98/99 Waste analysis, and 1998-> current irrigation records to DWQ regional office BY 4-16-99
ean Hunkele
ENR-WQ
127 Cardinal Dr. Ext.
Wilmington, NC 28405
T

` o"[] Division of Soil and Water Conservation [j Other Agency m h
• j'r6ivision of Water Qualityg
Routine Q Complaint O Follow-up of DWQ inspection O Follow-ue of DSWC review O Other
Date of Inspection
Facility Number Time of Inspection �24 hr. (hh:mm)
Registered Certified E3 Applied for Permit ermitted p Not Operational Date Last Operated:
Farm Name. ��' a1�,/ Y�?r.'... �` ✓,-� //�L County: ....�,,. �°� l-t/ e l2 d...
1.G..................................... ...... /
Owner Name: Aj��. �.4 0 ,� Phone No: I d 2 �� �C(-C .....................
FacilityContact:.............................................................................. Title:....................------..----.---.........----.----.---...... Phone No:...................................................
Mailing Address:......... s 3 7" v �� \V ... l .. �L Z � .......... ......................
..... �...................................................................... .........................F...........................
Onsite Representative:...... ! . �`� Integrator:........... /�/� ........
1l....... .....`,� °,........................................................ 1.- M.-`.<- . j� `
Certified Operator. ............. fi k......... i`.`.! ` ov/................................................... Operator Certification Number,.........................................
Location of Farm:
Latitude C • 6 E= « Longitude 0' 04 61
Subsurface Drains Present 110 Lagoon Area
No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement?
2. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
0
Spray Field Area
❑ Yes �No
❑ Yes ®'No
❑ Yes o
❑ Yes N�
❑ Yes IN
o
El Yeso
Yeso
Yeso
❑ Yes No
❑ Yes x
No

Facility Number: T —
8. M there lagoons or storage ponds on site which need to be properly closed?
r�
Structures (L.aeoons.Holding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) Iess than adequate?
Structure l Structure 2 Structure 3 Structure 4
Identifier: i 2
Freeboard(ft): ........... Z.1..1........... .......... .:.. Z...------..........................................................
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)
❑ Yes �No
❑ Yes No
Structure 5 Structure 6
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 WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type �` !2 ,,
t..s y..{........ �.........................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violattonsor ddiciencies.were-itoted-during this.AsiL- You'4ill. i-ecei've•no•further•
00&6 66de>nce dhoi>ft this'visit. :.: .
1Z- CO*1i;^&-C kb 7e-Y@SG��+`�r l��r� greQi grda"d I��deyl 1f2
2"Z, 1�G� t".¢mX�`/�rcebo4�r� yeL,,43 ok,�.i —
- JV ` e 4, o L.,1, ¢r �,,. j 4A, I ;e.fi Z L,.eek 5
❑ Yes �No
❑ Yes �No
Yyes ❑ No
❑ Yes WNo
❑ Yes WNo
❑ Yes PIZO
❑ Yes gNo
❑ Yes )<No
❑ Yes 1Z
❑ Yes XNo .
❑ Yes 1XNo
Yes ❑ No
❑ Yes XNo
❑ Yes �No
❑ Yes �No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: __ Date:

Routine O Com2laint O Follow-up of DWQ inspection O Follow-up of DSWC review Q Other
Date of Inspection]��
Facility Number "[j 3 7
Time of inspection 1 o Use 24 hr. time
Farm Status: ..... —...---- ....... . .....__..... Total Time (in hours) Spent onRe%1ie►v 0
'-""""�- or Inspection (includes travel and processing)
Farm Name: -.-.� ..-a u- . .. County: ��r .............. .............•. ---
-... ...
Owner Name:.... OR lY1�._ ._.... 1ra ...-� �i? ...—._—. _ Phone No: _.1% .M- �7i
]flailing address: •—••• - --0--- .—...-- - ••••_- --•-._ _... �. -..t......... ............-•---......?�........._....
Onsite Representative: —....'__\-_. Integrator: 1
Certified Operator: _...— �.f>�C_ __ _1� . ids-_ . ....... ....... ..-..-..... ........... Operator Certification fNumber: ....!.. 12..
Location of Farm;
Latitude F7�'A•®° ©u Longi#ude ®• ®° ®"
❑ Not U erational Date Last Operated:
rype of Operation and Design Capacity
n I�iumber of Uagooiss,! Holdrng�Pondss ' ❑ Subsurface Drams Present
❑ Lagoon Area ° ❑ Spray Field Area
General
1. Are there any buffers that need maintenance/improvement? ElYes E� No
2. Is any discharge observed from any part of the operation? ❑ Yes [2 No
a If discharge is observed, was the conveyance man-made? ❑ Yes 9 No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes 5 No
c. If discharge is observed, what is the estimated flow in gal/mia?
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? El Yes iVo
~y4. Was there any adverse impacts to the waters of the State other than from a discharge? El Yes Na
S. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ® No
tnaintenance/imp rovement'?
Continued on bark

6. Is facility not in compliance with any applicable setback criteria?
7. Did the facility fail to have a certified operator in responsible charge (if inspection after I/1/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or Holding Ponds}
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon 1 Lagoon 2 Lagoon 3
. � il ....................... --_...... ....... —....... _.........
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 adquate markers to identify start and stop pumping levels?
«°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 � �. ..... ................... _..... ......... .......
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 Only- -
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 Animal. 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/Inspector fail to discuss review/inspection with Owner or operator in charge?
❑ Yes
P No -
❑ Yes
Jallo
❑ Yes
KI No
❑ Yes
RO No
Lagoon 4
❑ Yes
§d No
ElYes
❑ No
Yes
❑ No
❑ Yes
;0 No
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes
,® No
❑ Yes
JVNo
❑-Yes VjNo
❑ Yes K No
Yes ❑ No
❑ Yes [A No
❑ Yes 5 No
Cons {�rryef�er�to c�uPest Eglau �y,� ra�answ ers'andtor�afly�recommendakrons o day ather camnlents �
IIse drawrngs�oftfaciizty to5better eXplaIn SrtUatlons use addti7onal.pages a5 necessary) � F `�' `� 36`
t1-�12. Cr�S{a, Cu�S on 46 iY+rui- t&yCn Lul l -41d- neAr n, pj S sy. dui 1lO�SeS �p �k�trlc IQ�Gnh S�u��
4
be ► l�t� I Cap, p aM cuJ r seed eo 4 preveoj�
Z-- k v t d l nd i(A-- +tu lo�xh �6, "id, il%k kb she logs 5-�Mv grj_
Ca' {rr• �VtOtl�f� Kae USPc� ^�e �%ee� kc(C dT N41al_ i'SA(ahce,
a
Reviewer/Inspector Name ;' :t -= x; :
Reviwer/inspector Signature: Date14L: sl��il�7
;r-- 7--�
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 1 1/14/96

6. Is facility not in compliance with any applicable setback criteria?
i. Did the facility fail to have a certified operator in responsible charge (if inspection after I/l/97)?
8, 'Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or Holding Ponds/
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon i Lagoon 2 Lagoon 3
— --•f �.... .__...... _ ... ....-..... —— ..... •........ ..........._...............
_
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-I2 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any 'of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of `VMP, or runoff entering waters of the State, notify DWQ)
15. Crop e_._;_.. _ .
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 Oniv-
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 Animal -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/Inspector fail to discuss review/inspection with owner or operator in charge?
❑ Yes ®No y
❑ Yes [A NO
❑ Yes 91 No
❑ Yes $j No
Lagoon 4
❑ Yes O No
❑ Yes No
❑ Yes No
❑ Yes �Z�No
❑ Yes W No
❑ Yes D No
❑ Yes Jil No
❑ Yes [A No
❑ Yes 150 No
❑ Yes W-No
❑ Yes RNo
Yes ❑ No
❑ Yes ® No
❑ Yes 153 No
5• Wri5a can �~vu i►-� S�a� ii -1d * f I �orYtilJ- �`t �d be y"d-
12- S�fv y 're -Cork - kotlij n3i,,4 Q, Goon � nm r, )k; & 41it "�.4 tja, s wj,
� ttY'+go+�iavl " � Form S� � he lri3�c1 �p ��`� �vuc� of � i Kroger. bA[�r�ce,
Reviewer/InspectorName
Reviwer/Inspector Signature: Date: fO
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 1 1/14/96

Routine 0 Complaint 0 Follow-up of DWQ inspection O Follow-up of I3S«''C review Other
Date of Inspection
Facility Number 1l
Time of Inspection :go Use 24 hr. time
Farm Status: ....to!:5 r[ ...........
Total Time (in hours) Spent onReview or Inspection Inspection (includes travel and processing) L—
Farm Nante:.....� +�tl{Y �9r ... r_ .._..-.......... County:.. ... wlnk ................
Owner Name:.... UeGxx _��22Lt1S.. i.�hx� �AiS—...-,......—.._—. Phone No: ��10i.��1... ��-1 }
Mailing .' ..N....................... _.-....
�.
Onsite Representative:�.��- _... o E"5it1y.
}�....._......__._.._............... Integrator: ... _............--------......._................_.....
Certified Operator: - �r_...t1, 1C?�... ............ ............. _ Operator Certification Number:...
Location of Farm:
.... _......... -...................... 4
................... ................. ....... _......... ..... -- — — --..._........ ....... -_.•....----...... ........... ........_..... ............................................. ...... _ ..... ............ ..............
l3
Latitude ' O(, 4 Longitude 78' ' ` ©"
D Not Operational Date List Operated:
,'f'vne of Oneration and Design Canacity
::' �rsv i ; sz r;!%=
;Swtne t '.°N"'' ber.�.w _Poultry ' i`]umbe x3 Caft[e .Number � a
❑Wean to Feeder ❑ Laver 11P ❑Dairy s
® Feeder to Finish ❑ Non -La er ❑ Beef y
Farrow to Wean " �' n��
dt
Farrow to Feeder��M..<..:
Farrow to Finish ❑ Other Type of Livestock
w.gmw�m
Number of Isagnaus /Holding Ponds ❑ Subsurface Drains Present
-
M,> a ❑ Lagoon Area.;' ;' ❑ Spray Field Area
'�a .r
General
1. Are there any buffers that need maintenance/improvement? ❑ -Yes ® No
2. Is any discharge observed from any part of the operation? ❑ Yes NJ No
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 V] No
c. If discharge is observed, what is the estimated flow in gal/min? 4 -_
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑Yes M No
t. Is there evidence of past discharge from any part of the operation? ❑ Yes 91 No
4. Was there any adverse impacts to the watets of the State other than from a discharge? ❑ Yes 0 No
5. Does any part of the waste management system (other than lagoons/holding ponds) require Yes ❑ No
maintenance/improvement?
Continued on back

Site Requires.Immediate Attention:
Facility No. =11- �a
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: �b�/ b ; 1995
Time: 143 o p
Farm Name/Owner: cQc r� 1" one0.� y �''� s — ��, °� `� k•s
Mailing Address: Vo Gc 3!c�'� � (.s-Aw 411.5
County:
Integrator: - ' .M Of �k Phone: - .a 3 9 S4/.
On Site Representative: Phone:
Physical Address/Location:- 13 a w i nos711
Type of Operation: wine Poultry Cattle
. Design Capacity:
0 s-0O Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: _�' _' A Longitude: i `� " C:>o _ 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) Y s or No Actual Freeboard Ft. Inches
Was any seepage observed from the lagoon(s)? Yes'oko Was any erosion observed? Yes o No
C]
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No
Crop(s) being utilized: Cho 2^a '�'��- ` P-E PLn'`_N-b ©c� {}e nvtS�
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings: ar No
100 Feet from Wells? Yes r No
Is the animal waste stockpiled within 100.Feet of USGS Blue Line Stream? Yes of
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 or 10- 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 r No ' .
Additional Comments: S w-43
k_:_�
Inspector Name
2S c,j
Signature
cc: Facility Assessment Unit
Use Attachments if Needed.

I
•
•
1 Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERA2:7�ON SITE VISITATION VISITATION RECORD
DATE: , 1995
Time:
. To 4, .7 4/r�-s
Farm Name/Owner:
Mailing Address: _
County:
Integratc
On Site Representative:
Physical Address/Location:
Phone: -
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Site:
DEM Cerdfic 'on Nu�: ACE /DEM-Certification Number: ACNEW
Latitude: �° ��' 00 " Longitude: �3 ' ��' �" Elevation:Feet
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 No Actual Freeboard:�Ft. Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
Is adequate land available for spray? a or No Is the coveMcro dequate? Y s or No
Crop(s) being utilized: C5 rGS
Does the facility meet SCS um setback criteria? 200 Feet from Dwellings? or No
100 Feet from Wells? es Pine?
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 Yes or,�O
Is animal waste discharged into waters of a state by'man-made ditch, flushing system, or other
similar man-made devices? Yes or If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with over )? or No
�, / f
Additional.Comments: ki-rn.lt lWa,5 ./ 14, , i Z.a /tom 9/�Gv�
cc: Paclllty Assessment Unit Use Attactlments it 1Veeaea.

1]
Site Requires Immediate Attention:
Facility No. T ��
DNISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERA ON SITE VISITATION RECORD
DATE: , 1995
Time:
Farm Name/Owner: IV & 4 r
Mailing Address: D
County:
Integrator. h
On Site Representative:
Physical
le-
Phone: fz 11%S3
c
m n Phone:
- Pry u o4 Gv G,S :SI C7
72-'
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Site:
DEM Certification Number: ACE DEM. Certification Number: ACNEW
Latitude: ° ., ' , Longitude:' (0 ' ' 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 incites) 00r No Actual Freeboard: �Ft. Inches
Was any seepage observed from the is n(s}? Yes or.WWas any erosion observed? Yes o�
Is adequate land available for spray? es r No Is the cover cr p adequate? Yes or No
Crop(s) being utilized: r r
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? or No
100 Feet from Wells? 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 019
Is animal waste discharged into waters of the state by'man-made ditch, flushing system, or other
similar man-made devices? Yes org)If Yes, Please Explain.
Does the facility maintain adequate wasie management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? 49 or No
Additional Comments: _ _ �K ^ 3 e 5
i
Inspector Name Si tur
cc: Facility Assessment Unit Use Attachments if Needed.

Site Requires Immediate Attend n:
Facility No. r —
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: nl/ ' , 1995
n Time: l `t -! (—
Farm Name/Owner:--
Mailing
County:
Integrator: ! Phone:��
On Site Representative: _ J �►+� i Phone:
Physical Address/Location: SA- f 3 Id _^
Type of Operation: Swine Poultry Cattle
Design Capacity; D V0y Number of Animals on Site: -- a 5-70. k3
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude:`{ _' Longitude:Oo 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) 9 or No Actual Freeboard:a Ft. Inches
• Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
0
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No
Crop(s) being utilized: v-*--v. �_ �5r-
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? 'es or No "
100 Feet from Wells? Ye 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 or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or Co 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)? Ye or No
Additional Comments:
Inspector Nam
Signa e
cc: Facility Assessment Unit
• Use Attachments if Needed.