080034_INSPECTIONS_20171231

NORTH CAROLINA �
Department of Environmental Qua

INSPECTIONS
INSPECTIONS
INSPECTIONS

r
M Division of Water Resources
Division of Soil and Water Conservation
Other Agency
Facility Number:
080034 Facility Status:
Active
Permit: AWS080034
Denied Access
Inpsection Type:
Compliance Inspection
Inactive Or Closed Date:
Reason for Visit;
Routine
County:
Bertie Region:
Washington
Date of Visit:
02J15/2017 Entry Time: 10:20 am
Exit Time: 11:15
am Incident #
Farm blame:
Indian Woods
Owner Email:
Owner:
Maxwell Foods LLC
Phone:
919-778-3130
Mailing Address:
PO Box 10009
Goldsboro NC 27532
Physical Address:
501 Sroadneck Rd
Windsor NC 27983
Facility Status:
Compliant ❑ Not Compliant
Integrator:
Maxwell Foods LLC
Location of Farm:
Latitude:
35' 594 2F Longitude:
77' 08' 25"
from Hway 11/42 north, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
Dischrge & stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Jason Luke Hobbs Operator Certification Number: 25246
Secondary OIC(s):
On -Site Representative(a): Name Title Phone
24 hour contact name Jim Lynch Phone: [phone]
On -site representative Jason Hobbs Phone
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Waste analysis: #2 soil tested: 1212015
11-29-16 = .80 .90
9-15-16 = 1.10 1,02
8-8-16 = .94 .98
6-13-16 = 1,08 1.34
4-7-16 = 1.05 1.20
1-21-16 = .69 1.13
IRR records are complete & balanced out.
Reviewed:2016 sludge survey - #1=39%, #237%; transfer records; rainfall/freeboard; stocking;
calibration 2016
page: 1

Permit: AWS080034 Owner - Facility : Maxwell Foods LLC Facility Number: 080034
Inspection Date: 02/15/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine - Feeder to Finish 11,520 9,779
Total Design Capacity: 11,520
Total SSLW: 1,555,200
Waste Structures
Dislgnated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
#1 01/01/96
1 M0
28.00
Lagoon
#2
01/01/96
19.00
35.00
page: 2

Permit: AWS080034 Owner - Facility : Maxwell Foods LLC Facility Number: 080034
Inspection Date: 02/15/17 inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No Na Ne
1. Is any discharge observed from any part of the operation?
❑
0 ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
M ❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWO)
❑
M ❑
❑
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)
❑
M ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
M ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
M ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatment
Yes
No Na No
4. Is storage capacity less than adequate?
❑
M ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I-e./ large
❑
0 ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
■ ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
M ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
M ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9- Does any part of the waste management system other than the waste structures require
❑M
❑
❑
maintenance or improvement?
Waste Application
Yes No Na Ne
10- Are there any required buffers, setbacks, or compliance alternatives that need
❑ M ❑ ❑
maintenance or improvement?
11- Is there evidence of incorrect application?
[] M [] []
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN n 10%110 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manurelsludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS08D034 Owner - Facility : MaxwellFoods LLC Facility Number:
080034
Inspection Date: 02/15/17 Inssection Type: Compliance inspection reason for Visit:
Routine
Waste Application
Yes
No Na Na
Crop Type 1
Coasial Bermuda Grass
(Hay, Pasture)
Crop Type 2
Small Grain ❑verseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14- Do the receiving crops differ from those designated in the Certified Animal Waste
❑
0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
❑
❑
16, Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
M ❑
❑
18, Is there a lack of properly operating waste application equipment?
❑
E ❑
❑
Records and Documents
Yes
No Na Ne
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
N ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
0
M ❑
❑
If yes, check the appropriate box bellow.
WUP?
❑
Checklists?
❑
Design?
(]
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

J
Permit: AWS080034 Owner - Facility : Maxwell Foods LLC Facility Number:
080034
Inspection Date: 02/15/17 Inpsection Type: Compliance Inspection Reason for Visit:
Routine
Records and documents
red
No Na Ne
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
[]
22. Did the facility fail to install and maintain a rain gauge?
❑
M ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker an irrigation equipment
❑
M ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
N ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
0 ❑
❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
E ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
E ❑
❑
Other Issues
Yes
No Ha He
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
E ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
a ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
E ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon 1 Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
0 ❑
❑
CAWMP?
33. Did the Reviewer/inspector fail to discuss reviewlinspection with on -site representative?
❑
0 ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
E ❑
❑
page: 5

tDKigio—n7oAW%it-ejr]ivision of Soil and Water Conser►ation
Other Agency
Type of Visit: d Compliance Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: 0 Routine Q Complaint Q Follow-up Q Referral Q Emergency Q Other Q Denied Access
Date of Visit: Arrival Time: '% Departure Time: County: Region:
Farm Name: 9�rJr Owner Email:
Owner Name: Phone: r /7
Mailing Address:
Physical Address:
Facility Contact:
Onsite Represent:
Certified Operatc
Back-up Operato
Location of Farm.
Phone:
Integrator:
Certification Number: 9f % 22 -
Certification Number: �f/ , _
Longitude:
Design Current
Swine Capacity Pap.
Design urre tj
Wet Poultry Capacity Pop.
esign Current
Cattle Capacity Pop.
❑ai Caw
Wean to Finish
Layer
can to Feeder
Non -La er I
I
alf
eifer
°
Feeder to Finish
#
Design Current
N51P5-ultry a Mac Pa
La ers I
Non -Layers
pullets
Turkeys
TurkeyPoults
Other
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Cow
Non -Dairy
Beef Stocker
Gilts
Beef Feeder
Boars I
Other
ether
t
Beef Brood Cow
Discharges and 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`?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)? _
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes FV(No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes No ❑NA ❑NE
❑ Yes ❑ WO
❑ Yes o
❑ Yes No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3 21412015 Continued

Facilit • Number: jDate of Inspection:
r'
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
2 No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): —_
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
R(No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat, notify ❑WR
7. Do any of the structures need maintenance or improvement`?
❑ Yes
260
❑ NA
❑ NE
S. Do any of the structures lack adequate markers as required by the permit?
[:)Yes
ZNo
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
E f i�o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
10/No
❑ NA
❑ NE
maintenance or improvement?
11. is there evidence of incorrect land application? if yes, check the appropriate box below. ❑ Yes FgrNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu. Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ NA [:3NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 6/N o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes NA NE
18. Is there a lack ofproperly operating waste application equipment? Yes �'No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes 2/No
[] NA
❑ ,NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes dNo
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑Maps D Lease Agreements
❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes No
❑ NA
[] NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes ��o
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ NA
❑ NE
Page 2 of 3 21412015 Continued

UFACilify Number: - Date of Ins ection: `
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check r ❑ Yes N o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance.
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes j(No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[] Yes
dNo
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
dNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
iNo
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
ZNo
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ NA
D NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes &5 o ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No D NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Lip/ � ram_
- 49 < < �.3 1. 3.E
J
41V
Reviewer/Inspector Name:
loit - ; ed
: a/aa13
Phone:
Reviewer/Inspector Signature:
Page 3 of 3
Date:
21412015

k
Y
0 Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 080034 Facility Status: Active Per n!t: AWS080034
Inpsection Type: Compliance Inspection Inactive Or Closed date:
Reason for Visit: Routine County: Bertie Region:
Elate of Visit: 0812812014 Entry Time: 10:45 am Exit Time: 11:15 am Incident #
Farm Name: Indian Woods Owner Email:
Owner: Maxwell Foods Inc Phone:
Mailing Address: PO Box 10009 Goldsboro NC 27532
❑ Denied Access
Washington
919-778-3130
Physical Address: 501 Broadneck Rd Windsor NC 27983
Facility Status: Compliant ❑ Not Compliant Integrator. Maxwell Foods Inc
Location of Farm: Latitude: 35' 59' 25" Longitude: 77' 08' 25"
from Hway 11142 norm, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
Certified Operator:
Lary Douglas Braddy
Operator Certification Number: 999811
Secondary OIC(s):
On -Site Representative(s):
Name
Title Phone
24 hour contact name
Jim Lynch
Phone: [phone]
On -site representative
George Pettus
Phone :
Primary Inspector:
Marlene Salyer
Phone:
Inspector Signature:
Date:
Secondary Inspector(s):
Inspection Summary:
Soil tested 212013
Waste Analysis:
1 2
8-1-14= 97 .92
6-2-14= 1.85 1,60
4-15-14= 1.63 1.83
IRR records are complete and balanced out.
Lagoons look great!
Reviewed Sludge Survey(1)46% (2)44%, rainfall, freeboard and stocking. Sludge survey & calibration due by Dec. 31st.
page: 1

k
Permit: AWS080034 Owner - Facility : Maxwell Foods Inc Facility Number: 080034
Inspection Date: 08/28/14 Inpsection Type: Compliance inspection Reason for Visit: Routine
Regulated operations Design Capacity Current promotions
Swine
Swine - Feeder to Finish 4,931
Total Design Capacity:
Total SSLW:
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
#1
01101/96
19,00
Lagoon
#2 01 /01/96
19,00
page: 2

N Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 080034 Facility Status: Active _ Permit: AWS080034 ❑ Denied Access
Inspection Type: Compliance In ion Inactive or Closed Date:
Reason for Visit: Routine County: Pertie Region: Washington _
Date of Visit: 01/17/2013 Entry Time: 10:45 AM Exit Time: 11:40 AM Incident #:
Farm Name: tndian Woods Owner Email:
Owner: Maxwell Foods log Phone: [phone]
Mailing Address: PO Box 10002 Goldsboro NC 27532
Physical Address: 501 Broadae :k Rd Windsor NC 27983
Facility Status: N Compliant ❑ Not Compliant Integrator: M xw II Fgos In
Location of Farm: Latitude: 35°59'25" Longitude: 77 08'25"
from Hway 11142 north, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
Dischrge & Stream Impacts © Waste Cot, Stor, & Treat
Waste Application
Records and Documents Other issues
Certified Operator: Jason Luke Hobbs
Operator Certification Number: 25246
Secondary OIC(s):
On -Site Representative(s): Name
Title Phone
24 hour contact name Jim Lynch
Phone: [phone]
On -site representative George Pettus
Phone:
Primary Inspector: Marlene Salyer
Phone:
Inspector Signature:
Date:
Secondary Inspector(s):
Inspection Summary:
Waste analysis: 2 Soil tested: 2114/12
10-3-12 = .68 .82
8-6-12 = 1.13 .75
6-7-12 = 1.9 1.7 Sludge Survey: 12-5-12 #1 = 49% #2 = 47%
4-10-12 = 1.8 1.7 Caliberation on 12-3-12
IRR records are complete & balanced out. Rainfall & freeboard, stocking, crop yield are recorded.
Looks Good!
Page: 1

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Inspection Date: 01/17/2013 Inspection Type: Compliance Inspection
Facility Number : 080034
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Swine - Feeder to Finish 11.520 9,504
Total Design Capacity: 11,520
Total SSLW: 1.555,200
Waste Structures
Designed Observed
Type Identifier Closed Date Stan Date Freeboard Freeboard
agoon
#1
01101M
19.00
34,00
agoon
#2
01/01/96
19,00
37,00
Page: 2

Permit: AWS080034 owner - Facility: Maxwell Foods Inc Facility Number.- 080034
Inspection Date: 01/17/2013 Inspection Type: Compliance Inspection Reason for Visit. Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ 1311
b. Did 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 observable adverse impacts or potential adverse impacts to Waters of the State other than ❑ ■ ❑ ❑
from a discharge?
Waste Collection, Storage & Treatment Yes No
NA
N£
4. Is storage capacity less than adequate?
❑ ■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe
❑ ■
❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
❑ ■
❑
❑
or closure plan?
7. Do any of the structures need maintenance or improvement? Cl ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
Cl
■ ❑
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■ ❑
❑
improvement?
Waste Application
Yes
No NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■ ❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■ ❑
❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS080034 Owner . Facility: Maxwell Foods Inc Facility Number. 080034
Inspection pate: 0111712013 Inspection Type: Compliance Inspection Reason for Visit; Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN a 10°%110 lbs.? ❑
Total Phosphorus? ❑
Failure to incorporate manurelsludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? Cl
Crop Type 1 Coastal Bermuda Grass
(Pay)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■
Q ❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
Q
■
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
■
❑
Cl
17. Does the facility lack adequate acreage for land application?
1100
❑
18. Is there a lack of properly operating waste application equipment?
1100
❑
Records and Documents
Yes
No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■
❑
❑
If yes, check the appropriate box below.
WUP? ❑
Page: 4

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Inspection Date: 01117/2013 Inspection Type: Compliance Inspection
Records and documents
Facility Number : 080034
Reason for Visit: Routine
Yes No NA NE
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
■ ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather rode?
❑
Rainfall?
❑
Stocking?
❑
Crap yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment {NPDES only}?
❑
■ ❑ ❑
24, Did the facility fail to calibrate waste application equipment as required by the permit?
❑
01111
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
01111
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
■ ❑ ❑
Page: 5

Permit: AW5080034 Owner - Facility: Maxwell Foods Inc
Inspection pate: 01/1712013 Inspection Type: Compliance Inspection
Records and Documents
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
FacilityHumber : 080034
Reason for Visit: Routine
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
29. 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.
30, Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, ❑ ■ ❑ ❑
freeboard problems, over -application}
31. Do subsurface file drains exist at the facility? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Application Field
Lagoon / Storage Pored
Other
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMIP?
33. Did the Reviewerlinspector fail to discuss review/inspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
In
Page: 6

Type of Visit: 0 Compliance Inspection 0 Operation Review Q Structure Evaluation ❑ Technical Assistance
Reason for Visit: 40 Routine Q Complaint D Follow-up 0 Referral Q Emergency ❑ Other Q Denied Access
Date of Visit: Arrival Time: f Departure Time: County:
Farm Name: �a��(r��- j Owner Email:
Owner Name: Phone: Phone: q -' r
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
4/4a, ,
Back-up Operator:
Location of Farm: Latitude:
Region: (�
Phone: �7/q - %;"-2- —, 5z2d
Integrator: _Z&f
Certification Number:1�
Certification Number:
Longitude:
Design
Swine Capacity
Wean to Finish
Current Design Current
Pop. Wet Poultry Capacity Pop.
Layer
Design
Cattle Capacity
DairyCow
Current
Pop.
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
�Q
Design Curreut
DairyHeifer
D Cow
Farrow to Wean
Farrow to Feeder
D P,oul Ga aci P,o .
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other Turkey Poults
OtherEjOther
Discharizes and 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?
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 the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes [►%�No ❑ NA ❑ NE
❑ Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes [:]No
[:]Yes VNOO
❑ Yes
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
Page I of 3 21412011 Continued

Facili Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? [] Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier. -
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): -
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
53'No ❑ NA ❑ NE
❑No ❑NA ❑NE
Structure 6
❑ Yes 034o ❑ NA ❑ NE
❑ Yes E3<o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes [1?<o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes �yNo ❑ 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 [240 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need D Yes E(No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [:]Yes [P No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, ZD, etc.)
❑ PAN [] PAN > 100/. or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): G ��' 7�r' q e�l
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Q No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? [:]Yes [v(No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [:]Yes ["No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
_Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes [i(No
❑ Yes 2(No
❑ Yes 2 o
❑ Yes YNo
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑Other:
❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and P Rainfall Inspections
22, Did the facility fail to install and maintain a rain gauge? [:]Yes EV60
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E(No
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

ti
Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes 03No ❑ NA ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes gl o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes VNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes E(No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. 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.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes [ZNo ❑ NA ❑ NE
[]Yes �No ❑ NA ❑ NE
❑ Yes [/No ❑ NA ❑ NE
[]Yes dNo ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
�No ❑ NA ❑ NE
+[ No ❑ NA ❑ NE
j(No ❑ NA ❑ NE
Comments (refer to question #): Explain -any YES answers'and/or any additional recommendations or any..ather,comments.' •`. :
Use ]drawings of facilityto better explain situations (use additional pages as necessary). v
I I
- . ��--
�i.1-3
N- a -,a . i s Q
CbN
7-/
Reviewer/Inspector Name:
i
76
Phone: C �er 3rll�
Reviewerfinspector Signature:
Date: 1_— / � — 1-3
Page 3 of 3 1 U 21412011

0 Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number. 080034 Facility Status: Active Permit: AWS080Q34 ❑ Denied Access
Inspection Type. Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Bertie Region: Wasbington
Date of Visit: 01/25/2012 Entry Time: 11:38 AM Exit Time: 12:15 PM Incident #:
Faun Name: Indian Woods Owner Email:
Owner: Maxwell Foods Inc Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address: 501 Broadneck Rd Windsor NC 27983
Facility Status: ■ Compliant ❑ Not Compliant Integrator: Maxwell Foods Inc
Location of Farm:
Latitude: 35'5925" Longitude: 77°08'25"
from Hway 11142 north, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
ij Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
jj Records and Documents Other Issues
Certified Operator: Daniel Martin Van Staaldvinen
Secondary OIC(s):
Operator Certification Number: 24146
On -Site Representative(s): Name Title Phone
24 hour contact name Jim Lynch Phone: [phone]
On -site representative Jim Lynch Phone: [phone]
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector($):
Inspection Summary:
waste analysis:
9-29-11 = .74 .82
6-1-11 = .70 .67
6-1-11 = 1.8 2.1
soil tested: Dec. 2011
tRR records are complete & balanced out. Rainfall & freeboard are recorded.
SS dated 9-30-2011 Extension until 2012 & 2014
Looks Good!
Page: 1

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc Facility Number. 080034
Inspection Date: 01125/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
W Swine - Feeder to Finish 11,520 10,906
Total Design Capacity: 11,520
Total SSLW: 1,555,200
Waste Structures
Designed Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
agoon
#1
01101 /96
19.00
42.00
agoon
#2
01 /01 /96
19,00
41,00
Page: 2

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc Facility Number : 080034
Inspection Date: 01/25/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did 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) Cl ■ ❑ ❑
2. Is there evidence of a past discharge from any part of the operation? ❑ ■ ❑ ❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than ❑ ■ ❑ ❑
from a discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ❑ ■ ❑ ❑
If yes, is waste level into structural freeboard? ❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc.)?
5. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
Cl
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
Cl
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■
❑
❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 3

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 01/25/2012 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%110 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda Grass
(Hay)
Crop Type 2
Small Grain Overseed
Crap Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
Cl
■
❑
Cl
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■
❑
Cl
1& Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
■
❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
■
❑
Cl
Records and Documents
Yes
No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■
❑
❑
If yes, check the appropriate box below.
WUP? ❑
Page: 4

Permit: AWS080034 Owner • Facility: Maxwell Foods Inc Facility Number: 080034
Inspection hate: 01125/2012 Inspection Type: Compliance Inspection Reason For Visit: Routine
Records and Documents Yes No NA NE
Checklists? ❑
Design? ❑
Maps? ❑
Lease Agreements? ❑
Other? ❑
If Other, please specify
21. Does record keeping need improvement? ❑ ■ Cl ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
■
❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑ Cl
25. is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
01111
box(es) below*
Failure to complete annual sludge survey ❑
Failure to develop a POA for sludge levels ❑
Non -compliant sludge levels in any lagoon ❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ ■ Cl ❑
Page: 5

Permit: AWS080034 Owner • Facility: Maxwell Foods Inc
Inspection Date: 01125/2012 Inspection Type: Compliance Inspection
Records and Documents
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
Facility Number: 080034
Reason for Visit: Routine
Yes No NA NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
29. 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.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, ❑ ■ Cl ❑
freeboard problems, over -application)
31, Do subsurface tile drains exist at the facility? ❑ ■ Cl ❑
If yes, check the appropriate box below.
Application Field
Lagoon 1 Storage Pond
Other
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
33. Did the Reviewer/Inspector Fail to discuss review✓inspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
in
Page: 6
f

U
Division of Water Quality
Division of Sail and Water Conservation
❑ Other Agency
Facility Number: 0800 4 Facility Status: Active Permit: AWSON034 . ❑ Denied Access
Inspection Type: Comgliance In ion Inactive or Closed Date:
Reason for Visit: Routine County: Bertie Region: Washington
Date of Visit: 07/19/2011 Entry Time- I1-00 AM Exit Time: 11730 AM Incident #:
Farm Name: Indian Woods Owner Email:
Owner: Maxwell Foods Ing Phone:[phone]
Mailing Address: Q0 BaKIOC109 GoW§_t pfo NC 27532
Physical Address: 5501 8roadneck Rt Wind§orNC 27983_
Facility Status: 0 Compliant ❑ Not Compliant Integrator: Maxwell Foods Inc
Location of Farm: Latitude: 35'59'2," Longitude: ,77°08'25"
from Hway 11/42 north, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment jj Waste Application
Records and Documents jj Other Issues
Certified Operator: Daniel Martin Van Staaldvinen
Secondary OIC(s):
Operator Certification Number: 24146
On -Site Representative(s): Name Title Phone
24 hour contact name Jim Lynch Phone: [phone]
On -site representative Jim Lynch Phone:
Primary inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Waste analysis: soil tested 2010
6-1-11 = 1.8 2.1
4-1-11 = 1.8 2.1
2-1-11 = 1.6 1.6
IRR records are complete and balanced out.
Freeboard & rainfall are recorded Calib. done 2010 SSurvey due in 2012 & 2014
Looks Good!
Page: 1

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc Facility Number. 080034
Inspection Date: 07119/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Reguiated Operations Design Capacity Current Population
Swine
Swine - Feeder to Finish 11,520 9,323
Total Design Capacity: 11,520
Total SSLW: 1,555,200
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard observed Freeboard
agoon
01
01 /01 /96
19.00
41.00
agoon
#2
01/01/96
19.D0
47.00
Page: 2

Permit: AN15080034 owner • Facility: Maxwell Foods Inc Faculty Number: 080034
Inspection pate: 07/1912011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did 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 observable adverse impacts or potential adverse impacts to Waters of the State other than ❑ ■ ❑ ❑
from a discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ❑ ■ ❑ [i
If yes, is waste level into structural freeboard? ❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.ed large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
$. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or
improvement?
Waste ApRl ation
10, Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
improvement?
11. Is there evidence of incorrect application?
If yes, check the appropriate box below.
Excessive Ponding?
Hydraulic Overload?
Frozen Ground?
Heavy metals (Cu, Zn, etc)?
❑ ■ ❑ ❑
❑■❑❑
❑ ■ ❑ ❑
Yes No NA NE
❑ ■ ❑ Cl
Page: 3

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Inspection pate: 07/1912011 Inspection Type: Compliance Inspection
Facility Number: 080034
Reason for Visit: Routine
Waste Application
Yes
No NA
NE
PAN?
❑
Is PAN a 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda
Grass
(Hay)
Crop Type 2
Small Grain
Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Sail Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■ ❑
❑
Plan(CAWMP)?
15. Does the receiving crop andlor land application site need improvement?
❑
■ ❑
❑
16 Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑
■ ❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■ ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
■ ❑
❑
Records and Documents
Yes
No NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
Cl
■ ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■ ❑
❑
If yes, check the appropriate box below,
WUP?
❑
Page: 4

Permit: AWS080034 Owner- Facility: Maxwell Foods Inc Facility Number: 080034
Inspection Date: 07/1912011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes
No NA NE
Checklists?
Q
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. hoes record keeping need improvement?
❑
■ ❑ ❑
If yes, check the appropriate box below.'
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
Cl
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
■ ❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ ❑ ❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
■ ❑ ❑
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a PEA for sludge levels
❑
Nan -compliant sludge levels in any tageon
❑
List structure(s) and date of first survey indicating non-compliance:
26, Did the facility fail to provide documentation of an actively certified operator in charge?
❑
■ ❑ ❑
Page: 5

Permit: AW5080034 Owner - Facility: Maxwell Foods Inc Facility Number : 080034
Inspection Date: 07M912011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? ❑ ■ ❑ ❑
Other Issues Yes No NA NE
28. Did the facility fail to property dispose of dead animals within 24 hours and/or document and report ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
29. 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.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, ❑ ■ ❑ ❑
freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Application Field ❑
Lagoon / Storage Pond ❑
Other ❑
If Other, please specify
32. Were any additional problems rioted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ ❑
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑
34. Does the facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
Page: 6

Type of Visit tf Compliance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit 0 Routine Q Complaint Q Follow up Q Referral Q Emergency Q tither El Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region: 1�.1�
Farm Name: Owner Email:
Owner Name:. Phone: fl q- 2 Zgr. 3Z3d
Mailing Address:
Physical Address:
Facility Contact: .4—e• Title:
Onsite Representative: j'
Certified Operator: /
Back-up Operator:
Phone No:
Integrator:
Operator Certification Number: (x'r■ `�`�'g
Sack -up Certification Number:
Location of Farm: Latitude: Longitude:
Design Current
Swine Eapa�ity Popula#ion
❑ Wean to Finish
❑ Wean to Feeder
Design Current
Wet Poultry Capaeity Population
❑ Layer
❑ Non -Layer
Design Current
Cattle Capacity Population
ER Feeder to Finish
❑ Farrow to Wean
Dry Poultry
❑ Farrow to Feeder
ry
❑ Farrow to Finish
❑ Layers
❑ Gilts
❑ Non -Layers
❑ Boars
❑ Pullets
wl I
❑ Turkeys
Other
❑
❑ TurkeyPoults
❑ Other
Number of Structures:
Other
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ D Cow
❑ Non -Doi
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Discharr-es & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
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 60 IVo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑Yes
El No
❑NA
❑NE
El Yes
❑ o
❑NA
❑NE
El Yes
�o
❑ NA
❑ NE
ElYes
YNco
❑ NA
❑ NE
Page 1 of 3 12/28/04 Continued

Facility Number: —3
Date of Inspection I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
j a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: r
Spillway?:
�5h l,1,-
❑ Yes dN0 ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
Designed Freeboard (in):
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes �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? ❑ Yes Vpo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require 0yes No ElNA ❑ 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 �No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10°/0 or l0 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) G � 66rQ .5&47 — �6-0
11 Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
7►0 0 El NA ❑ NE
o El NA El NE 7"lo❑ NA❑ NE
ElNA ElNE
❑ NA ❑ NE
Comments (refer to.question #):': Explain any YES answers and/or. any recommendations.or.anv.other c omments:,'
w�
Llse drawings ofoifato better ex lain situations. use.addfilonal: a` es:as necessa
ip
Nov. C,
/ .o
0,9G
1
T� rest�l
Reviewer/Inspector Name .
ak:
Ph one. 9�f� 3�
ReviewerlInspectvr Signature:
Date:
Page 2 of 3 ZP1 12128104 Continued

P
'1
Facility Number; —,3 Date of Inspection
Required Records & Documents �
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ElE Yes No ❑ NA ❑ NE
20, Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ Yes Q,1�o ❑ NA ❑ NE
the appropriate box.
❑ WL]I' El Checklists El Design ❑Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes EJ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis [:1 Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
ZNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
E] No
O<A
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
LNNo
[INA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
[ID Yes
o
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ETNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
Zo
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
2No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
0<o
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
ElYes
U<O
❑ 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
E o
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
_�
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative`?
ElO Yes
No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
O No
❑ NA
❑ NE
Additional Comments and/or Drawings.: : ..
9
La.5" 40FT S &,c_ S,,� ' C6s,b o P,0 I ,_�-
rf rI ap1Y
41k i Vc.,�4" UWAs 01
Page 3 of 3 12128104

Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency �1�II
Facility Number: 080034 Facility Status: Aglive Permit: AMOdO034 i_,_1 Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Bertie Region: Wshinaton
Date of Visit: 11/12/2009 Entry Time; 03:15 PM Exit Time: Incident#:
Farm Name: Indian Woods Owner Email:
Owner. Maxwell Foods Inc Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address: 501 Broadneck Rd _ Windsor SIC 27983
Facility Status: E Compliant ❑ Not Compliant Integrator: Maxwell Foods Inc
Location of Farm: Latitude: 35°59'25" Longitude: 77'08'a'
from Hway 11142 north, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents
Certified Operator: Daniel Martin Van Staaldvinen Operator Certification Number: 24146
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone:
On -site representative George Pettus Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Waste analysis
1 2
9-28-09 1.1
1.2
7-30-09 1.6
2A
5-29-09 2.1
2.4
3-31-09 2.3
2.7
soil tested 10-2009 calibration 2008 sludge survey 2009
Looks Great!
Page: 1

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 11/12/2009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Q Swine - Feeder to Finish 11,520 8,314
Total Design Capacity: 11,520
Total SSLW: 1.555,200
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
#1
01/01/96
19M0
42.00
agoon
#2
01 /01196
19.00
39,00
Page: 2

Permit: AWSG80034 Owner - Facility: Maxwell Foods Inc Facility Number: 080034
Inspection Data: 11 /1212009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Im acts
Yes
No
NA
NE
I. Is any discharge observed from any part of the operation?
❑
■
❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
■
❑
❑
b, Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
■
❑
❑
c. Estimated volume reaching surface waters?
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 Waters of the State other than from a
❑
■
❑
❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
❑
■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
❑
■
❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not property addressed and/or managed through a waste management ❑
■
❑
❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
■
❑
❑
& Do any of the structures lack adequate markers as required by the permit? (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 maintenance or
❑
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
❑
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
❑
❑
❑
If yes, check the appropriate box below
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 3

Permit: AVVS080034 Owner - Facility: Maxwell Foods Inc Facility Number: 080034
Inspection Date: 11/1212009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN a 10%/10 Ibs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Coastal Bermuda Grass
(Hay)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
❑
❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
❑
Cl
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
❑
Cl
❑
17. Does the facility lack adequate acreage for land application?
❑
❑
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
❑
❑
❑
Records and Documents
Yes
No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
Cl
■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 11/12/2009 Inspection Type: Compliance Inspection
Reason for visit: Routine
Records and Documents
Yes
No NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■ ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > t inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑
■ ❑
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ ❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■ ❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■ ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Page: 5

0
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 080034 Facility Status: Active Permit: AWSOB0034- ❑ Denied Access
Inspection Type: Compliance,lnspection Inactive or Closed Date:
Reason for Visit: Routine County: Eerie I Region: WashIngton
Date of Visit: 121081200& Entry Time:02:50 PM Exit Time: Incident #:
Farm Name: Indian Woods Owner Email:
Owner: Maxwell Foods Inc Phone: [phone]
Mailing Address: PC Box 10009 _ _ Goldsboro NC 27532
Physical Address: 501 Broadneck ,Rd Windsor NC 27983
Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Ma)wg-I} Foods Inc
Location of Farm:
Latitude: 35'59'25" Longitude: 77'08'25" T
from Hway 11142 north, turn southeast on SR 1108 and travel -7 miles to path on right
Question Areas:
Discharges & stream Impacts Waste Collection & Treatment Waste Application
Records and Documents ❑ther Issues
Certified Operator: Daniel Martin Van Staaldvinen Operator Certification Number: 24146
Secondary OICtsj:
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone:
On -site representative George Pettus Phone:
Primary Inspector: Marlene Salyer
Inspector Signature:
Secondary Inspectortsj:
Inspection Summary:
waste analysis:
1 2
11-19-08
2.1
1.8
9-29-08
1.2
1.3
7-16-08
1.8
1.5
5'29'08
1.B
1.9
3-27-08
1.9
1.9
1-30-08
2.1
2.0
soil tested fall 2008
Phone:
Date:
Page: 1

Permit: AWS080034 Owner - Facility: Maxwell Faods Inc Facility Number: 080034
Inspection Date: 1210812008
Regulated Operations
inspection Type: Compliance Inspection
Design Capacity
Reason for Visit: Routine
Current Population
Swine
Swine - Feeder to Finish 11,520 10,476
Total Design Capacity: 11,520
Total SSLW: 1,555.200
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
#1
01 /01 /96
19.00
41.00
agoon
#2
01 /01 /96
1900.
42.00
Page: 2

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc Facility Number : 080034
Inspection Date: 12/08/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No
NA
NE
1. Is any discharge observed from any part of the operation? •
❑
■
❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
in
a. Was conveyance man-made?
❑
■
❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
■
❑
❑
c. Estimated volume reaching surface waters?
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?
❑
■
❑
Cl
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
■
❑
❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
Cl
■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
❑
■
❑
Cl
erosion, seepage, etc.)?
6. Are there structures on -site that are not property addressed and/or managed through a waste management ❑
■
❑
❑
or closure plan?
T Do any of the structures need maintenance or improvement?
❑
■
❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑
Cl
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■
❑
❑
If yes, check the appropriate box below
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc Facility Number. 080034
Inspection pate: 1210812008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN a 10%/10 lbs.? Cl
Total P205? ❑
Failure to incorporate manurelsiudge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Coastal Bermuda Grass
(Ray)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■
❑
❑
Plan(CAWMP)?
15. does the receiving crop andlor land application site need improvement?
❑
■
❑
❑
16. Did the facility fail to secure andlor operate per the irrigation design or wettable acre determination?
❑
■
❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
■
❑
❑
Records and Documents
Yes
No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
0
❑
❑
If yes, check the appropriate box below.
WUP? ❑
Page: 4

Permit: AWS080034 Owner- Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 12/08/2008 inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes
No NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■ ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after a 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ Cl
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES
only)? ❑
■ ❑
❑
24. Did the facility fait to calibrate waste application equipment as required by the permit?
❑
■ ❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■ ❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■ ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Other Issues
Yes
No NA
NE
28, Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■ ❑
❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWS080034 Owner - FaciItty: Maxwell Foods Inc
Inspection Date: 1210812008 Inspection Type: Compliance Inspection
Facility Number: 080034
Reason for Visit: Routine
Other Issues
Yes
No
NA
NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
■
❑
❑
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
■
❑
❑
33. Does facility require a follow-up visit by same agency?
❑
■
❑
❑
Page: 6

It
0 Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 080034 _ — Facility Status: Active _ Permit: AWS080034 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine _ County; Region: Washington
Date of Visit: 11/08/2007 Entry Time:11:35 AM _ Exit Time:
Incident #:
Farm Name: Indian Woods Owner Email:
Owner: Maxwell Foods Inc
Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address: 501 Broadneck Rd Windsor NC 27983
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35'59'25" Longitude: 77°08'25"
from Hway 11142 north, turn southeast on 5R 1108 and travel -7 miles to path on right
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Daniel Martin Van Staaldvinen
Secondary OIC(s):
Operator Certification Number. 24145
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone:
On -site representative George Pettus Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Waste analysis: 1
2
9-19-07 1A
.96
7-25-07 1.4
1.5
5-23-07 1.7
2.3
3-28-07 2.0
2.3
1-31-07 1.7
1.7
soil Oct. 2007
Looks Great!
Page: 1

Permit: AW5080034 Owner - Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 11/08/2007 inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Design Capacity
Current Population
Swine
Q Swine - Feeder to Finish 11,520 10,800
Total Design Capacity: 11,520
Total SSLW: 1.555,200
Waste Structures
Type Identifier Closed Date Start gate Designed Freeboard Observed Freeboard
agoon
#1
01/01/96
19.00
48.00
goon
#2
01101/96
19.00
47.00
Page: 2

f
Permit: AWS080034 Owner - Facllity: Maxwell Foods Inc Facility Number: 080034
Inspection Date: 11/08/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) Cl ■ ❑ ❑
2. Is there evidence of a past discharge from any part of the operation? Cl ■ ❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a ❑ ■ ❑ ❑
discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ❑ 000
If yes, is waste level into structural freeboard? ❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe ❑ 000
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
if yes, check the appropriate box below
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS080034 Owner - Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 11/0812007 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No
NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total P205?
Cl
Failure to incorporate manure/sludge into bare soil?
Cl
Outside of acceptable crop window?
Cl
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal
Bermuda Grass
(Hay)
Crop Type 2
Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
Cl ■
❑ ❑
Plan{CAWMP}?
15. Does the receiving crop and/or land application site need improvement?
❑ ■
❑ ❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■
❑ ❑
17. Does the facility lack adequate acreage for land application?
❑ ■
❑ ❑
16. Is there a lack of property operating waste application equipment?
❑ ■
❑ ❑
Records and Documents
Yes No
NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑ ■
❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑ ■
❑ ❑
If yes, check the appropriate box below,
WUP?
❑
Page: 4

Permit: AWS080034 Owner -Facility: Maxwell Foods Inc Facility Number : 080034
Inspection Date: 11/08/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21. Does record keeping need improvement? ❑ ■ ❑ ❑
if yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
Cl
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after a 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stacking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑ ❑
23. If selected, did the facility fail to install and maintain a rain breaker on irrigation equipment (NPDES only)?
❑
■
❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑ ❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■
❑ ❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■
❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
Cl Cl
Other Issues
Yes
No
NA NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■
❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours anftr document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AW5080034 Owner - Facility: Maxwell Foods Inc
Facility Number: 080034
Inspection Date: 11/08/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
nther l¢eiioc Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
3Z Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
❑■❑❑
❑ ■ ❑ ❑
Page: 6

■ Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 08OU34 Facility Status: Active Permit: NC 208034 ❑ Denied Access
Inspection Type: Compliance Inspection— Inactive or Closed Date:
Reason for Visit: Routine County: Bertie Region: WashinatQn
Date of Visit: 12/28/2006 Entry Time:04:20 PM Exit Time: Incident #:
Farm Name: Indian Woods Owner Email:
Owner: Goldsboro Hoo Farms inc Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°59'25" - Longitude: 77'08'25"
from Hway 11142 north, turn southeast on 5R 1108 and travel --7 miles to path on right
Question Areas:
Discharges & Stream Impacts
Records and Documents
© Waste Collection & Treatment Waste Application
Other Issues
Certified Operator: Daniel Martin Van Staaldvinen
Secondary OIC(s):
Operator Certification Number: 24146
On -Site Representative(s): Name Title Phone
On -site representative George Pettus Phone:
24 hour contact name George Pettus Phone:
Primary inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s)-
Inspection Summary:
Soil test 2006
Waste analyses:
1 2
11-30-06 1.2
.96
9-28-06 .79
.94
7-26-06 1.3
1.1
2-25-06 1.8
1.9
3-29-06 2.0
1.8
2.1.06 1.1
1.1
Records and farms looks great!
Page: 1

Permit: NCA208034 Owner - Facility: Goldsboro Hog Farms Inc
Inspection pate: 12128/2006 Inspection Type: Compliance Inspection
Regulated Operations
Design Capacity
Facility Number: 080034
Reason for Visit: Routine
Current Population
Swine
Q Swine - Feeder to Finish 11,520 11,500
Total Design Capacity: 11,520
Total SSLW: 1,555,200
Waste Structures
Type Identifier
Closed pate Start Date Designed Freeboard Observed Freeboard
agoon
#1
01101 /96
19M
32.00
agoon
#2
01101 /96
19.00
37.00
Page: 2

Permit: NCA208034 Owner - Facility: Goldsboro Hog Farms Inc Facility Number: 080034
Inspection Date: 12/28/2006 Inspection Type: Compliance inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a_ Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■
Cl
❑
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 Waters of the State other than from a
❑
■
❑
❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
Fl
■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe
❑
■
❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
❑
■
❑
❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
■
❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or
❑
■
❑
❑
improvement?
Waste Ap lip cation Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑
0
improvement?
11. Is there evidence of incorrect application?
❑
■
❑
0
If yes, check the appropriate box below
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: NCA208034 owner - Facility: Goldsboro Hog Farms Inc
Facility Number: 080034
Inspection Date: 12/2812006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total P205?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda Grass
(Hay, Pasture)
Crop Type 2
Small Grain
Overseed
Crop Type 3
Corn,
Wheat,
Soybeans
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14, Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■ ❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■ ❑
❑
16, Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
■ ❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■ ❑
❑
1& Is there a lack of properly operating waste application equipment?
❑
■ ❑
❑
Records and Documents
Yes
No NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■ ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
■ ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page. 4

Permit: NCA208034 Owner- Facility: Goldsboro Hog Farms Inc Facility Number. 080034
Inspection Date: 12/28/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21. Does record keeping need improvement? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
in
Stocking?
In
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ■ ❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■
❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
❑
❑
VP4
MJ
AIA
NF
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ 0
29. Did the facility fail to property dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: NCA208034 owner - Facility: Goldsboro Hog Farms Inc
Inspection Date: 12/28/2006 Inspection Type: Compliance Inspection
31. Did the facility fail to notify regional ❑WQ of emergency situations as required by Permit?
32_ Did Reviewerlinspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
Facility Number: 080034
Reason for Visit: Routine
Yes No NA NE
Page: 6

Type of Visit . C1+ Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine Q Complaint Q Follow up 0 Emergency Notification 0 Other = : ❑ Denied Access
Facility Number 8 : 34 Date ar Visit: 11151ZDD4 Time: 1:45
10 Not O erational Q Below Threshold
® Permitted ® Certified 13 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:... .................
Farm Name: indilaia.Waada................................................. ................... I ............. I............. County'. Rcrft................................................. WARO.......
OwnerName:.................. ................................. i QJdAbQr0..Hug.F; rms........................ Phone No: 91.9-7.7.8-313.Q...........................................................
Mailing Address: 1'S?.�ct�.l!lQ139..............•..............................................................---....... G-Q1ds1aox.QAC.................................. .....:............ .. 2.7.532 .............
Facility Contact:.............................................................................. Title:........................ Phone No:
Onsite Representative: Gr.Qrge.Plrtkus.... ............. ........... ............... ....................... 4.......... Integrator: �iQ1dS1111XR.F[�tgkar7t1�5............... 4........
...............
Certified Operator: Ranh;[.MarUa................ 4.4. Yang.StaxldY.i gja.......................... Operator Certification Number:2,41,4.6 ...... .........
...........
...
Location of Farm:
'rom Hway 11142 north, turn southeast on SR 1108 and travel —7 miles to path on right
® Swine ❑ Poultry ❑ Cattle ❑ Hors Latitude 35 • 59 25 Longitude 77 • Q8 25 -
Design Current
Design
Current
Design Current
Swine Capacity Population
Poultry Capacity
Population Cattle
Capacity Population
❑ Wean to Feeder
❑ Layer
❑ Dairy
® Feeder to Finish
11520
8710
❑ Non -Layer
10 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Outer
❑ Farrow to Finish
Total Design Capacity
11,520
❑ Gilts
Total SSLW
1,555,200
❑ Boars
- Number of Lagoons—.2
Discharses & Stream tnpacts
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 nian-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)
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 Coilectian & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: .............East............. .............West............ .................................... .............. ........................................................ .......
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Structure b
Freeboard (inches): 39 33
12112103
Continued

J
Facility Number: 8-34 Date of Inspection 111512UU4 r
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ® No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? -- ❑ Yes ® No
8. Does any part of the waste management system other than waste structures require mamtenancelimprovement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes ® No
elevation markings?
Waste_ Application
10. Are there any buffers that need maintenance/improvement? ' ❑ Yes ® No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ® No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
r 12. Crop ty;T _ Coastal Bermuda (Graze) Coastal Bermuda (Hay) Small Grain Dverseed Corn, Soybeans, Wheat
13. Do the receiving crops differ with those desigaated in the Certified Animal Waste Management Plan (CAWMP)?— 0-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?
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 ❑ No
❑ Yes ❑ No
❑Yes ❑No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Co eats {refer to question #):.Explain any -YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations: (use additional pages as necessary): rFinal
; ❑Field Copy ❑Final Notes
*Waste 11/26/03 wl L1=0.56, L2�0.43; 9125103 wl L1=0.46, L2�0.47; 7/23103 w/ L1=-0.97, L2=0.52; r
5129l03 wl L1=1.4, L2=1.6; 3126/03 wl L1=1.5, L2=1.4
Soils 10/1103 w/ up to I.1 Vac lime required. Cu & Zn levels adequate.
Reviewer/inspector Name Scutt
Reviewer/Inspector Signature:
Date: 3— —,Zo-0Lf
12112103 Continued

Facility%Number: Date of Inspection 11151200A
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
® No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
:(ie/ Wi1P,.checklists, design,. maps; etc.) _
❑ Yes
® No '-
23. Does record keeping need improvement? If yes, check the appropriate box below. _ ,_
❑ Yes._®NoA
❑ Waste Application ❑ Freeboard [] Waste Analysis ❑ Soil Sampling -
- -
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
25. Did the facility fail to have a actively certified Qperator in charge?
❑ Yes
® No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
❑ Yes
® No
27. Did Reviewer/hmpector fail to disczass review/inspection with on -site representative?
❑ Yes
® No
28. 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
® No
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
® Yes
❑ No
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
® No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
®No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes
® No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes
® No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
®No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12172103

' Technical Assistance Site Visit Report
ri Division of Soil and Water Conservation
Q Natural Resources Conservation Service
O Soil and Water Conservation District
Q Other...
Facility Number - 34 Date: 19104 Time: 9:30 1 Time On Farm: 40 WARO
Farm Name Indian Woods County Bertie Phone:
919-778-3130
Mailing Address PO Box 10009 Goldsboro NC 27532
Onsite
Representative George Pettus _ Integrator Goldsboro Hog Farms
TVpe Of Visit
Operation Review
Compliance Inspection (pilot only)
Technical Assistance
Confirmation for Removal
❑ No Animals -Date Last Operated:
❑ Operating below threshold
® Swine ❑ Poultry ❑ Cattle ❑ Horse
Purpose Of Visit
Q Routine
O Response to DWQIDENR referral
O Response to DSWC/SWCD referral
O Response to complaintflocal referral
Q Requested by producer/integrator
O Follow-up
O Emergency
O Other...
Design Current Design Current
Capacity Population Capacity Population
❑ Wean to Feeder
® Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
11520
8498
❑ Layer
❑ Non -Layer EEA
❑ Dairy
❑ Non -Dairy
❑ Other
GENERAL QUESTIONS:
1:- Is waste discharging from any part of the operation and reaching surface waters or wetlands?
❑ yes N no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached
❑ yes N no
surface waters or wetlands?
3. Does any problem pose an immediate threat to the integrity of the waste structure (large trees,
❑ yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding
❑ yes N no
requiring DWQ notification?
5- Is there evidence of improper dead animal disposal that poses a threat to the environment
❑ yes N no
and/or public health?
6. is the waste level within the structural freeboard elevation range for any waste structure?
❑ yes N no
Structurel Structure 2 Structure 3 Structure 4 Structure 5
Identifier east west
Level (inches) 31 41
CROP TYPES oastal Bermuda -graze 1 lCoastal Bermuda -hay hmall grain overseed ❑rn Soybeans Wheat
SPRAYFIELD
SOIL TYPES W kB
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

8 - 34 Date:
919104
ER
O No assistance provided/requested
ste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
rFt�ymber
ste spill contained on sitevel
in structural freeboard25•
Waste Plan Revision or Amendment
❑
❑vel
in storm storage26.
Waste Plan Conditional Amendment
❑
❑27.
Review or Evaluate Waste Plan wlproducer
❑
❑aste
structure integrity compromised
28. Forms Need [list in comment section)
❑
❑
❑ 13. Waste structure needs maintenance
29. Missing Components (list in comments)
❑
❑
❑ 14. Over application >= 10% & 10 lbs.
30. 211.0200
❑
❑
[115. Over application < 10% or < 10 lbs.
re -certification
❑ 16. Hydraulic overloading
31. Five & Thirty day Plans of Action (PoA)
❑
❑
32. Irrigation record keeping assistance
❑
Cl
❑ 17. Deficient irrigation records
[118. Late/missing waste analysis
33. Organize/computerization of records
❑
❑
❑ 19. Late/missing lagoon level records
34. Sludge Evaluation
❑
❑
:.. ❑ 20. Late/missing soils analysis
[121. Crop needs improvement
35. Sludge or Closure Plan
❑
❑
❑ 22. Crop inconsistent with waste plan
36. Sludge removallclosure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
❑ 23. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
❑
❑
39. Operation & Maintenance Improvements
❑
❑
40. Marker check/calibration
❑
❑
Regulatory Referrals
41. Site evaluation
❑
❑
❑ Referred to DWO Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
❑ Other...
design/installation
43. Irrigation system designstallation
[]
Date:
44. Secure irrigation information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
1
47. Evaluate WAD certification/rechecks
❑
❑
48. Crop evaluation/recommendations
❑
❑
2
49. Drainage worklevaluation
❑
❑
50. rand shaping, subsoiling, aeration, etc.
51. Runoff control, stormwater diversion, etc.
❑
❑
❑
❑
3.
52. Buffer Improvements
❑
❑
53. Field measurements(GPS, surveying, etc.)
❑
❑
4'
54. Mortality BMPs
❑
❑
55. Waste operator education (NPDES)
❑
❑
5'
56. Operation & maintenance education
❑
❑
57. Record keeping education
❑
❑
5r_
58. Croplforage management education
❑
❑
59. Soil andfor waste sampling education
❑
❑
03/10/03

Facility Number ® - 34 Date: 9�9�04
MMENTS:
Operation received 0.5 inches of rain in last 24 hours.
Certificate of Coverage dated 4-9-03 and NPDES permit in farm records.
Last soils report dated 10-1-03 with pH, copper and zinc levels within acceptable range.
Sludge evaluation dated 1-19-04 with permanent liquid zones at 5.00 ft. for lagoon 1 and 4.95 ft. for lagoon 2.
GHF calibrated all equipment for all company farms - calibrations dated 2-2-04 to 3-17-04. Using 275 gpm for IRR2
higher than any one calibrated reel).
Has not pumped on row crops.
Outside lagoon walls are bush hogged four times per year.
_Weekly lagoon and daily rainfall records are recorded as required.
Last waste analysis dated 7-23-04 with lagoon 1 at 1.3 and lagoon 2 at 1.2 Ibs11000 gal. Previous reports dated 5-26-04
Frith lagoon 1 at 1.0 and lagoon 2 at 1.2 Ibs11000 gal.; 3-31-04 with lagoon 1 at 1.6 and lagoon 2 at 1.3 Ibs11000 gal.; and
1-30-04 with lagoon 1 at 1.2 and lagoon 2 at 0.85 Ibs11000 gal.
Operation is primarily grazing - no yield records are available.
Current farm herd size average in farm records.
IRR-2 appear complete with weather codes and initials; compliant with waste sampling schedule.
DSWC to check on PLAT status.
40TE: According to database, PLAT certification due d e is 1-5-05.
TECHNICAL SPECIALIST Pat Hooper
SIGNATURE
Date Entered: 9/30/04 Entered By: jPat Hooper
3 03/10/03

Type of Visit *Compliance Inspection d Operation Review ❑ Lagoon Evaluation
Reason for Visit 1PRoutine Q Complaint Q Follow up Q Emergency Notification ❑ Other ❑ Denied Access
Facility Number Date of Visit: Time:
Not ❑ erational 0 Below Threshold
PPermitted Certified 13 Conditionally Certified 0 Registered Date Last Operated or Ab ►e Threshold:
Farm Name: &e4& County: —
Owner Name: 1=1 4ET . Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: Dak! Operator Certification Number: - fr
Location of Farm:
[(,Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude 0' 0� µ
Design . Current..: Design Current Design Current
Nw+ne
❑ Wean to Feeder
IN Feeder to Finish
El Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Poultry Capacity Pa ulation Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer I JEI Non -Dairy
❑ Other
_ . Total.Design Capacity:
Total SSLW
Nurnher uil;agoons.. .Y.: ❑Subsurface Drains Present ❑ La oon Area ❑ Spray Field -J.
Hotding Ponds I;SiilidTraps .:' ❑ No Liquid Waste Management S •stem
DisgharQes & Stream Im ac
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other I
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)
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?
W, astc Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
lkyeture 1 Strac re,Structure 3 Structure 4 Structure 5
Identifier: a
Freeboard (inches):
05103101
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
No
❑ Yes
L No
❑ Yes
N No
Structure 6
Continued
.7

Faciiitri• Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, Yes Na
seepage. etc.)
6. Are there structures on -site which are not properiv addressed and/or managed through a waste management or
closure plan? ❑ d• Yes �' No
[If anof questions 4-6 was an yes, and the situation poses an
immediate public health or environmental threat, notif►• DWQ)
7. Do anv of the structures need maintenancelimprovement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance. improvement? ❑ Yes A No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes U No
Waste Apl2lication
10. Are there any buffers that need maintenance/improvement? ❑ Yes } No
I I. Is there evidence of over application? ❑ Eacessivj Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes Ia ] Na
I2.
Crop type _ `] � i.�r� � H �
WjI4
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA'<VIMP)?
❑ Yes
No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a «!errable acre determination?
❑ Yes
❑ No
c) This faciliry is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
EINo
15.
is there a lack of adequate waste application equipment?
❑ Yes
No
Renuired Records S 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/ NVUP, checklists, design, maps. etc.)
❑ Yes
0 No
19.
Does record keeping need improvement? (ie.' irrigation, freeboard, waste analysis & soil sample reports)
El Yes
allo
20.
is facility not in compliance wa. any applicable setback criteria in effect at the time of design?
❑ Yes
[9 No
21,
Did the facility! fail to have a actively certified operator in charge?
❑ Yes
Z No
??-
Fail to notifi regional DR'Q of emergency situations as required by General Permit?
(ie' discharge, freeboard problems. over application) ❑ Yes RNo
13. Did ReviewerInspector fail to discuss reviewiinspection with on -site representative? ❑ Yes No
24. Does facility require a follow-up visit by same agency? ❑ Yes No
25. Were any additional problems nand which cause noncompliance of the Certified AwMP? ❑ Yes No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about fiats visit
carnments (i^efer to question j: Eiiplairi.anyYFS answers andlvr:asry.recvmmen�tmus .arnv,tither camirients. :::� r '= :. 4 :
Use drawing's of facilityto better explain situations: (use adrliisariiial pageslas"accessary
_ .. �.: ;:.-•;...: 6.:: :ems .. ,< :a - .....,� �: err- _ c -- .�>F . ... veld Covr ❑ Final Notes
..W w -...AA. `� .. .._
OM3
��zS�o3 w
�� r 04' ,
L� =
0►`t7
'7�
��
o,s
L t = [
Re►iewerllnspector'4ame
Reviewer/Inspector Signature: Date: —15-0
05IV3101 Continued

Facility Number: Z3UDate of Inspection �
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located -near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes M No
❑ Yes RNo
❑ Yes QrNa
❑ Yes K No
❑ Yes It No
❑ Yes ❑ No
Additional Comments. and/or Drawings:
540 _ S _ram at ❑ l e � � i �' y� r
A--Z✓k
_
h
0510314I

Technical Assistance Site Visit Report
Division of Soil and Water Conservation
Q Natural Resources Conservation Service
Q Soil and Water Conservation District
Q Other...
Facility Number ®- ® Date: 14iO3 Time: 1 1000 Time On Farm: 45 WARC
Farm Name Indian Woods
County Bertie Phone: [phone]
Mailing Address PO Box 10009 Goldsboro NC 27532
Onsite
Representative George Pettus _ Integrator oldsboro Hog Farms
Type Of Visit PUEROse of Visit
Compliance Inspection (pilot only)
Technical Assistance
Confirmation for Removal
❑ No Animals -Date Last Operated:
❑ Operating below threshold
IN Swine ❑ Poultry ❑ Cattle ❑ Horse
Design Current
Capacity Population
❑ Wean to Feeder
® Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
11520
t 15M
Q Routine
O Response to DWQIDENR referral
Q Response to DSWC/SWCD referral
p Response to complaint/local referral
O Requested by producer/integrator
Q Follow-up
4 Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Nan -Layer
❑ Dairy
❑ Non -Dairy
❑ Other
GENERAL QUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑ yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached
❑ Dairy
❑ Non -Dairy
❑ Other
GENERAL QUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑ yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached
❑ yes ® no
surface waters or wetlands?
3. Does any problem pose an immediate threat to the integrity of the waste structure (large trees,
❑ yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding
❑ yes ® no
requiring DWQ notification?
-5• Is there evidence of improper dead animal disposal that poses a threat to the environment
❑ yes ® no
and/or public health?
6. Is the waste level within the structural freeboard elevation range for any waste structure?
❑ yes ® no
Structures Structure 2 Structure 3 Structure 4
Structure 5
Identifier east west
Level (Inches) 22 21
CROP TYPES Icoastal Bermuda -graze lCoastal Bermu Ismaii grain oversees I 1corn Soybeans Wheat
SPRAYFIELD
SOIL TYPES WkB
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

Facility Number $ - 34 Date:
414f03
PARAMETER
p No assistance provided/requested
[18. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
[19. Waste spill contained on site
25. Waste Plan Revision or Amendment
❑
❑
❑ 1 0. Level in structural freeboard
26. Waste Plan Conditional Amendment
❑
❑
❑ 11. Level in storm storage
27. Review or Evaluate Waste Plan w/producer
❑
❑
[112. Waste structure integrity compromised
28. Forms Need (list in comment section)
❑
❑
❑ 13. Waste structure needs maintenance
29. Missing Components (list in comments)
❑
❑
❑ 14. Over application ax 10% & 10 lbs.
❑
❑
❑ 15. Over application < 10°% or < 10 lbs.
30. 21-1.0200 recertification
016. Hydraulic overloading
31. Five & Thirty day Plans of Action (PoA)
❑
❑
32. Irrigation record keeping assistance
❑
❑
❑ 17. Deficient irrigation records
[118. Late/missing waste analysis
33. Organ izelcomputerization of records
❑
❑
[119. Late/missing lagoon level records
❑ 20. Late/missing soils analysis
34. Sludge Evaluation
❑
❑
❑ 21. Crop needs improvement
35. Sludge or Closure Plan
❑
❑
❑ 22. Crop inconsistent with waste plan
36. Sludge removal/closure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
❑ 23. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
❑
❑
39.Operation & Maintenance Improvements
❑
❑
40. Marker check/calibration
❑
❑
Regulatory Referrals
41.5ite evaluation
❑
❑
❑ Referred to DWC Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
43.
❑
El
Other...
Irrigation system designlinstallation
Date:
4.4. Secure irrigation information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
1 • Repaired surface drainage outlets for diversions
47. Evaluate WAD certificationfrechecks
❑
❑
48. Crop evaluationlrecommendations
❑
❑
between lagoons and buildings
2.
49. Drainage work/evaluation
❑
❑
50. Land shaping, subsoiling, aeration, etc.
51. Runoff control, stormwater diversion, etc.
❑
El
❑
❑
3.
52. Buffer improvements
❑
❑
53. Field measurements(GPS, surveying, etc.)
❑
❑
4.
54. Mortality BMPs
❑
❑
55. Waste operator education (NPDES)
❑
❑
5.
56. Operation & maintenance education
Cl
❑
57. Record keeping education
❑
❑
6.
58. Cropf forage management education
❑
❑
59. Soil and/or waste sampling education
❑
❑
03/10/03

Facility Number !� - ® Date: 4/4�03
COMMENTS:
Waste plan amended 3-21-03 to include additional 35.01 acres of leased land to be planted into row crops. New plan
eludes maps with pulls for traveler and aluminum pipe system. Operation plans to install permanent pipe with irrigation
,sign & installation by Gary Scalf, "I" designated technical specialist. Waste plan will be amended a second time to better
atch new irrigation design and pull numbering system. No waste has been applied to leased land to -date.
Last waste analysis dated 3-26-03 with lagoon 1 at 1.5 and lagoon 2 at 1.4 Ibs11000 gal. Previous report dated 1-29-03 with
goon 1 at 1.4 and lagoon 2 at 1.3 Ibs11000 gal.
Last soils report dated 9-24-02 with minimal lime needed - copper and zinc levels are within acceptable range.
Lagoon level records are complete and consistent with application records for 2003.
Irrigation records are complete and balanced.
TECHNICAL SPECIALIST jPat Hooper
SIGNATURE
3 03/10/03

Type of Visit tp Compliance Inspection p Operation Review p Lagoon Evaluation
Reason for Visit ® Routine ❑ Complaint p Fallow up ❑ Emergency Notification p Other ❑ Denied Access
Facility Number Date of Visit: 10/24/2002 Time: 1:45
pNot OperationalBelow Threshold
■ Permitted XCertified p Conditionally Certified p Registered Date Last Operated or Above Threshold: ••...•.••••..•..•••••
Farm Name: Indian Woods County: Bettie ...............................
Owner Name: Goldsboro Hog Farms Phone No: 919-778-3130
Mailing Address: F.O.Rox.1.0009...... ..... ....... ....... ........... ................................................... Gojdsb.am.NC ....................................................... 27531... -........
FacilityContact: ................................... ............ ................................ Title: ---.................................. .... Phone No:
Onsite Representative: Geoxge.P.eLtus............................................................................ Integrator:.Gaidabnria.Hog.Farms.......................................
Certified Operator: UanielAllarlin.................... Van.5faalduinen ...... -................... Operator Certification Number:2Ql.46............................
Location of Farm:
rom 14way north, turn southeast on SK I I U8 and travelMiles to path on eight ry
® Swine [3 Poultry [3Cattle [3Horse Latitude ©• ®` ©� Longitude
esign:: Current:.':
:-` ::•'';
De_ sign' drrent_ _
esign -Current
Srnne:; x . . ='Ca act . =Po ulation:.:-..
Poult . :
,.._ ..r}:'...:: ; ...
_ Ca "ai ii ` '' Pu ulafiori =.' Caine;:.:'
_
Ca 'aci~ Po dlafion:
p can to ee er
`:
❑ ayer
°: ❑ airy
_
® ee er to finis
T !
❑ Non -Layer
p on- auy
arrow to e
k�
-an
.
Yee
i7 a Farrow to F
0 Other
- -
-
to Ftntsh
aa s
,Farrow
Gilts
Total SSL
1555 2U0
Boars
Number of Lagoons
❑ u
sur ace m
Drains resent
13 Lagoon Area
13 pray Fie res
Haldio ' P.onds'l So[�d_Traps
a
as a Management stem
Liquid
�_— -
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? 13 Yes ® No
Discharge originated at: p Lagoon ❑ Spray Field p Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes p No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) p 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 p No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes IN 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? 13 Spillway p Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 5
Identifier: #.L.Ea t.......... .........a.W.esi................................................................................................................... .........
Freeboard (inches): ............... AIL ............... ............... 4Q-... ......................................... ....

ac> > um er: g_34 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel 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 maintenancehmprovement?
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? p Excessive Ponding p PAN p Hydraulic Overload
12. Crop type Coastal Bermuda (Graze) Coastal Bermuda (Hay)
p Yes
® No
p Yes
® No
p Yes
®No
p Yes
®No
p Yes
® No
p Yes
® Na
13 Yes
®No
�13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? 13 Yes N No
14. a) Does the facility lack adequate acreage for land application? _ V "— "~ 0 Yes- (3 No--,—
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel 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?
(iel 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?
p Yes p No
13 Yes ❑ No
p Yes N No
p Yes ®No
p Yes in No
Yes ®No
13 Yes ®No
Yes ® No
p Yes ®No
p Yes ® No
p Yes a No
p Yes ® No
(3 Yes ® No
In No violations or deficiencies were noted uring this visit. You will receive no fluther correspondence about this visit.
3 :::_
,Comments$ refer ta;sluestion �#};gExplifi any YE.Sians�ve andTnriany reeiamme datidiis:ox;:any dther::comineut5. "" . ,_ ,
�
:Ilse_drawxugs of:iaclk�ty,,�talxetC�r`explaut�ttua#ions:�(use additional pagesga;���essat-y},
W 0 Field Copy ❑Final Note rQ
* Waste dated 11 151 1 )FvithL 1 at 1.9 bs N 1000 gals.
L2 at 1.6 lbs N11000 gals.
* Waste dated 1/31/02 with L1 at 2.1 lbs NI1000 gals.
L2 at 1.9 lbs N11000 gals.
* Waste dated 3/27/02 with L 1 at 2.1 lbs N11000 gals.
L2 at 1.8 lbs NI1000 gals.
(CONTINUED ON PAGE 3)
Reviewer/Inspector Name 5cott:Ytusou: -=_; __=:x:;:=rz _ _==:entered..la :Amur m-
Reviewer/Inspector Signature: � Date:

05103101 Continued
aci um er. 834 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 0 Yes p No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? p Yes ® No
28, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, p Yes g 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? 13 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.) p Yes g No
31. Do the animals feed storage bins fail to have appropriate cover? p Yes g No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? p Yes ❑ No
* Waste_ dated 5/22/02 with Ll at 1.94bs N/1000 gals.
L2 at 2.0'lbsN/1000 gals.
* Waste dated-7/24/02 with L1 at 1.4 lbs N11000 gals.
L2 at 1.5 lbs NI1000 gals.
* Waste dated 9/18/02 with L 1 at ' 1.0 lbs N11000 gals.
L2 at 1.2 lbs N/ 1000 gals.
Soils dated 9/24/02 with no lime require however lime was applied in September 2002 to help bermuda
)n.
Ti

High Freeboard Evaluation Form
Facility Name, ��ic.�, _ � Facilin•'_tiumber_ ? - 3Lf
Person Completing Form-. S V; Date Form Completed:
Date Information DDue to DR Q_ 3 Daze information received
Extension Due Date: -5--1I210 3
Information Received.
Current Freeboard Yes lm Level(s) (in inches) ,
Freeboard Levels for Previous 17 Months Yes VN❑ Incomplete
Spraying Records for Past 12 Months Yes U No Incomplete
Rainfall Records For the Past 12 Months Yes " Nv _ Nr/A Incomplete
Cropping and PAN Information Yes No � Incomplete '
Summary of.A ons Taken to Restore the Needed Freeboard(s)
Yes ' V o ____ Incomplete
Description of Rater Conservation Measures In Use
Yes f No — Incomplete
An updated PDA if the Freeboard is still in \ralation Yes — No NIA -'
Detailed Description of Actions Taken or Proposed to be Yes _ No _
Taken to Prevent Future Freeboard % iolations Incomplete
Date High Freeboard Level 'Alas First Reported to DWQ by Producer
Date of First Violation from Farm Records _34W _
Items proposed in the Plan of Actions to Brine the Facility Back into Compliance
Pump and Haul Remove Animals Delay Restocking
Add Land to '_N__%1P Add _application Equipment
Spray when site is acceptable Others (Piease Specify-)
HFEF 4-12-03

Information for Laaoon(s) or Storage Basin(s) (Add Additional Pages as needed)
Lagoon ✓ Storage Basin (Check as Appropriate)
Laizoon or Storage Basin Identifier,
Design Total Days of Storage for the Facility (From CANAW)
� rr
Stop Pump Level for lagoons or the bottom of the storage basin (inches)
Lowest Liquid Levels Reported in the month of:
`Morith`'
- - - - --Date- -- _Level.(in.inches)_
August n- ��, z 5b 5
_
�o
Y �.O
September '+-�� �•�- LfS�'�
October �z ,� q 3
November cu
Required Minimum Freeboard (red zone in inches):
Does the Minimum Include a Chronic Rainfall Factor Yes N. 0
Recorded Freeboard '%rolations
y_ i.z
Date Level (in inches) Date POA Submitted 5 or 30 day
a3 if _ l P _ �2 103-.- _ 3.0d
AFF.F S-i Z-03 7.

Faciliry PAh Balance From the CA\k`\1P (pounds) _
Did the Facility Comply with its NI1'iP for the Past 12 Months Yes _ _ No
If No, 'A hat ` loiations Were Identified:
From the review of the facilities irrigation records, does it appear that the facility made
optimal use of the days when irrigation should have taken place. If not, please explain:
If the Facility has Installed Water Conservation Devices, what de-6ces were installed and
when:
What Actions have been taken or proposed to be taken by the Facility to Prevent Future
High Freeboard V• iolations (check appropriate items):
Better Management of the System
Add Additional Storage Volume
Add Lagoon Covers `
Add Additional Land Application Sites 1� ��s P►
Add Additional Irrigation Equipment
Install Water Conservation Equipment
Reduce the Number of Animal at the Facility
Change TtW of Operation
Others (please explain):
HFEF 3-12-03 ;

If applicable, recorded rainfall data from August 200= through Apr-] 2003 ai
FacilitV
Month
amount of rainfall
r mouth Cm a- a)
*.oUit rained
per month
I August 2002September
2002
I J I
October 2002
4 i :: Iq41j
57nr, a -I
November 2002
3C2
December 2002
60
5' '-
SanuarF 2003`
L-,G4- 1
-February- 2003
I- .� _ ,.6v_._
I°�3
' March 2003
j
April 2003
I �%
Total Rainfall
as or27; dnys-
Comments from Producer.. 5e_e— 4— _
Comments by Reviewer:
E FEF 5-12-03 4

high lagoors
Subject: more lligl3 lagoons
Date: Fri, 7 Mar 2003 16:44:18 -0500
From: George Pettus [e-mail]>
Organization: Goldsboro Milling CO
To: "Daphne Cullom (E-mail)" <Daphne. [e-mail]>,
"Lyn Hardison (E-mail)" <[e-mail]>,
"'[e-mail]'" <[e-mail]>
tjo43
T,34
7 q,1&.4
Daphne, Lyn and Scott,
Three more lagoons went into red today.
has one lagoon at 18.5" and Indian Woods has
are attached.
Indian Woods total deficit = -2508
Worthington total deficit = -5172
Worthington is at 18", Parker
two lagoons at 18". The POA's
We will continue to give you updates on all the farms at the first of the
week. I hope you all have a good weekend and pray that the rain stops!
George
Name: PARKER POA 30 DAYS.xIs
Type: Microsoft Excel Worksheet
ARKER POA 30 DAYS.xIs (applicationlvnd.ms-excel)
Encoding: base54
Download Status: Not downloaded with message
Name: INDIAN WOODS POA 30 DAYS.x1s
Type: Microsoft Excel Worksheet
{ CNDIAN WOODS POA 30 DAYS.xis (apphcationlvnd.ms-excel)
Encoding: hase64
Download Status: Not downloaded with message
g ,+ Name: WORTH. PGA 30 DAYS.xis
Type: Microsoft Excel Worksheet
ORTH. POA 30 DAYS.xls (applicationlvnd.ms-excel)
Encoding: base54
Download Status: Not downloaded with message
1 of 1 3/10I03 11:47 AM

r
PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERIOD
I. TOTAL PAN TO BE LAND APPLIED PER WASTE STRUCTURE
1. Structure Namelldentifier (ID): INDIAN WOODS 8-34 #1
2. Current liquid volume in 25 yr.124 hr. storm storage & structural freeboard
a. current liquid level according to marker 18.0inches
b. designed 25 yr.124 hr. storm & structural freeboard 19.0 inches
c. line b - line a (inches in red zone) = 1.0 inches
d. top of dike surface area according to design
(area at below structural freeboard elevation) 164456 ft2
e. line cJ12 x line d x 7.48 gallons/W 102511 gallons
3. Projected volume of waste liquid produced during draw down period
f. temporary storage period according to structural design 180 days
g. volume of waste produced according to structural design 189895.2 ft3
h. current herd # 57fi0 certified herd # 5T60
actual waste produced = current herd # x line g =
certified herd #
i. volume of wash water according to structural design
j. excess rainfall over evaporation according to design
k. (lines h + i + j) x 7.48 x 30 dayslline f=
4. Total PAN to be land applied during draw down period
I. current waste analysis dated 1 1/29/03
m. ((lines e + k)11000) x line I =
REPEAT SECTION I FOR EACH WASTE STRUCTURE ON SITE.
(Click on the next Structure tab shown below)
189895 ft'
®ft3
164333.3 ft3
441605 gallons
1.40 Ibs11000 gal.
761.8 lbs. PAN
PoA (30 Day) 2121100

PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERIOD
I. TOTAL PAN TO BE LAND APPLIED PER WASTE STRUCTURE
1. Structure Name/identifier (ID): JINDIAN WOOS 1 -34 #2
2. Current liquid volume in 25 yr.124 hr. storm storage & structural freeboard
a. current liquid level according to marker
b. designed 25 yr.124 hr. storm & structural freeboard
c. line b - line a (inches in red zone)
d. top of dike surface area according to design
(area at below structural freeboard elevation)
e. line cJ12 x line d x 7.48 gallonsW
3. Projected volume of waste liquid produced during draw down period
f. temporary storage period according to structural design
g. volume of waste produced according to structural design
18.D inches
19.0inches
1.0 inches
164458 fe
102511 gallons
180 days
189$95.2 ft3
h. current herd # 5760 certified herd # 5?B0
actual waste produced = current herd # x line g = 189895 W
certified herd #
i. volume of wash water according to structural design
j. excess rainfall over evaporation according to design
k. (lines h + i + j) x 7.48 x 30 daystline f=
4. Total PAN to be land applied during draw down period
I. current waste analysis dated 1 11291D3
m. {{lines e + k)11000) x line I =
REPEAT SECTION I FOR EACH WASTE STRUCTURE ON SITE.
(Click on the next Structure tab shown below)
®f3
164333.3 1`0
441605 gallons
1.301 Ibs11000 gal.
707.4 lbs. PAN
PoA (30 Day) 2121100

II. TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL FREEBOARD AND/OR 25 YR.124
HR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY
1.
Structure ID: NDIAN WOODS B-34 #1
line m =
761.8 lb PAN
2.
Structure ID: NDIAN WOODS 8-34 #2
line m =
707.4 lb PAN
3.
Structure ID:
line m =
lb PAN
4.
Structure ID:
line m =
lb PAN
5.
Structure ID:
line m =
lb PAN
6.
Structure ID:
line m =
lb PAN
n.lines 1+2+3+4+5+6= 1469.1lbPAN
III. TOTAL PAN BALANCE REMAINING FOR AVAILABLE CROPS DURING 30 DAY DRAW DOWN
PERIOD. DO NOT LIST FIELDS TO WHICH PAN CANNOT BE APPLIED DURING THIS 30 DAY PERIOD.
o. tract #
p. field #
q. crop
r. acres
s. remaining IRR-
2 PAN balance
(Iblacre)
t TOTAL PAN
BALANCE FOR
FIELD (Ibs.)
column r x s
u, apples yArdm'
1717
1A
SMALL GRAIN
5.89
9.94
58.5
SEPT-MAR
1717
18
SMALL GRAIN
2.48
70.01
173.6
SEPT-MAR
1717
1 C
SMALL GRAIN
5.58
10.67
59.5
SEPT-MAR
1717
1 D
SMALL GRAIN
1.55
64.35
99.7
SEPT-MAR
1717
2A
SMALL GRAIN
4.65
64.35
299.2
SEPT-MAR
1717
2B
SMALL GRAIN
1.43
66.35
94.9
SEPT-MAR
1717
2C
SMALL GRAIN
2.21
67.53
149.2
SEPT-MAR
1717
2D
SMALL GRAIN
4.02
66.79
268.5
SEPT-MAR
1715
4A
SMALL GRAIN
6.48
75.00
486.0
SEPT-MAR
1715
4B
SMALL GRAIN
1.86
75.00
139.5
SEPT-MAR
1715
4C
SMALL GRAIN
6.06
66.83
405.0
SEPT-MAR
1715
4D
SMALL GRAIN
3.11
75.00
233.3
SEPT4V AR
1715
4E
SMALL GRAIN
6.06
18.82
114.0
SEPT-MAR
1715
4F
SMALL GRAIN
4.19
31.29
131.1
SEPT-MAR
1715
4G
SMALL GRAIN
2.17
75.00
162.8
SEPT-MAR
1715
4H
SMALL GRAIN
3.33
75.00
249.8
SEPT-MAR
'State current crop ending application date or next crop application beginning date for available
receiving crops during 30 day draw down period.
v. Total PAN available for all fields (sum of column Q = 3124.7 Ib. PAN
IV. FACILITY'S PoA OVERALL PAN BALANCE
w. Total PAN to be land applied (line n from section ll) = 1469A Ib. PAN
PoA (30 Day) 2121100

x. Crop's remaining PAN balance (line v from section Ill) = 3124.7 lb. PAN
y. Overall PAN balance (w - x) = -1656 lb. PAN
Line y must show as a deficit. If line y does not show as a deficit, list course of action here including pump and
haul, depopulation, herd reduction, etc. For pump & haul and herd reduction options, recalculate new PAN
based on new information. If new fields are to be included as an option for lowering lagoon level, add these
fields to the PAN balance table and recalculate the overall PAN balance. If animal waste is to be hauled to
another permitted facility, provide information regarding the herd population and lagoon freeboard levels at the
PoA (30 Day) 2121/00

iI. TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL FREEBOARD AND/OR 25 YRJ24
HR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY
1. Structure ID: INDIAN WOODS 8-34 #1
2. Structure ID: INDIAN WOODS 8-34 #2
3. Structure ID:
4. Structure ID:
5. Structure ID:
6. Structure ID:
line m =
761.8 lb PAN
line m =
707.4 lb PAN
line rn =
lb PAN
line m =
lb PAN
line m =
lb PAN
line m = lb PAN
n. lines I + 2 + 3 4 4 + 5 + 6 = 1469.1lbPAN
III. TOTAL PAN BALANCE REMAINING FOR AVAILABLE CROPS DURING 30 DAY DRAW DOWN
PERIOD. DO NOT LIST FIELDS TO WHICH PAN CANNOT BE APPLIED DURING THIS 30 DAY PERIOD_
o. tract #
p. field #
q. Crop
r. acres
s. remaining IRR-
2 PAN balance
[blacre)
t TOTAL PAN
BALANCE FOR
FIELD (tbs.)
column r x e
u_ application wirdoW
1715
7A
SMALL GRAIN
4.59
14.95
68.6
SEPT-MAR
1715
78
SMALL GRAIN
4.41
41.70
163.9
SEPT-MAR
1715
7C
SMALL GRAIN
4.63
2.07
9.6
SEPT-MAR
1715
7D
SMALL GRAIN
4.05
38.74
156.9
SEPT-MAR
1715
7E
SMALL GRAIN
1.61
75.00
120.8
SEPT-MAR
1715
7F
SMALL GRAIN
3.47
75.00
260.3
SEPT-MAR
1715
7G
SMALL GRAIN
0.69
75.00
51.8
SEPT-MAR
'State current crop ending application date or next crop application beginning date for available
receiving crops during 30 day draw down period.
v. Total PAN available for all fields (sum of column t) = 851.7 lb. PAN
IV. FACILITY'S PoA OVERALL PAN BALANCE
w. Total PAN to be land applied (line n from section Il) = Ib. PAN

x. Crop's remaining PAN balance (line v from section Illy = 851.7 lb. PAN
y. Overall PAN balance (w - x) = -852 lb. PAN

INDIAN WOODS
DATE
RAINFALL
LAGOON #1
I LAGOON #2
L LAGOON #3
10/8102
0
42
45
10/15/02
2.6
39
43
10/22/02
1.2
43
42
10/29/02
0.5
.42
41
1115102
0A
41
40
11 /12/02
1.2
40
39
11 /19/02
4.8
35
34
11/26/02
0.4
34
33
1213/02
0.2
33
32
12/10/02
2.4
30
29
12/17/02
1.5
28
27
12124/02
1.4
26
25
12131 /02
1.1
25
24
116103
1.4
24
23
1113103
0.5
23
25
1 i20103
0
24
27
1 /27/03
0.4
24
26
213103
1.5
22
24
2110103
1.6
24
22
2/17/03
1.8
22
22
2124/03
0.7
21
21
313103
1.8
19.5
19.5
316103
1.9
18
18
29.8

Facility Number Date of Visit: 11112412QQ2 Time: 1:45
Not Operationai p Below Threshold
■ Permitted ■ Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: •••--••••--•••--••----•••
Farm Name: Indian Woods Countv: Brxkie.......... ................................. •-•--...WARO.......
Owner Name: Goldsboro Hog Farms Phone No: 919-778-3130
Mailing Address: PO.Sox.LQ11Q9........ ..._........................................................................ G01dsb trQ.N.C..----.........---...-----.........................---. 27532 ..............
FacilityContact: ....._._ ............ .......... - ............................................ itle:............................................................... Phone No:....................................................
Onsite Representative: George.Pxttus........ __................................................................ Integrator: Goldsham.Hag.Farms.......................................
Certified Operator: Daniel.Manon.................... Van.Staaldui►aen.......................... Operator Certification Number:24145............................
Location of Farm:
N Swine p Poultry p Cattle p Horse Latitude ©■ ® ©�� Longitude ©■ ®©«
=_.... - estgn Current- - :Design . , urren estgn _ u:..:. urr
Swine ::...: '. ._ Ca sett Po elation Poultry_ -. Ca acit - Pa elation ;Cattle: _ _ .=
- - - p .. Y-- p...... p Y. p .. Capacity PflpulatiQn.
p Wean to f ceder
® Feeder to Finish
p Farrow to Wean
p Farrow to Feeder
p Farrow to Finish
p Gilts
p Boars
Number of Lagoons: p Subsurface Drains Present res jj3 Spray ie res
-.Holding Ponds 1Salid'Traps © No Liquid Waste Management System
Discharges & Stream Imparts
1. Is any discharge observed from any part of the operation?
Discharge originated at: I] Lagoon p Spray Field p Other
a. if discharge is observed. was the conveyance man-made?
b. if discharue is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in ­al/min?
d. Does discharge bypass a lagoon system" (If yes, notify DWQ)
p Yes N No
Yes p No
p Yes p No
p Yes p No
2. Is there evidence of past discharge from any part of the operation? p Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? 13 Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway p Yes N No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 5
Identifier: #1,Eag .......... - ....... #.2MOSi............. 1.......................'............................-.. ......... ......- ....... -...... ...................................
Freeboard (inches): ............. ..40—............. _.... -......40........ .......

Facility Number: 8_34
Date of] nspeci ioit
5. Are there any immediate threats to the integrity of any of the structures observed? (iel 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?
(1f 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? p Excessive Ponding p PAN p Hydraulic Overload
p Yes N No
p Yes N No
p Yes ®No
p Yes ® No
p Yes ®No
p Yes ®No
p Yes ®No
12. Crop type Coastal Bermuda (Graze) Coastal Bermuda (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? p Yes ® No
14. a) Does the facility lack adequate acreage for land application? p Yes p No
b) Does the facility need a wettable acre determination?
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 & 0ocutnents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
5
19. Does record keeping need improvement? (iel 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?
(iel 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?
p Yes p No
p Yes p No
p Yes M No
p Yes ® No
El Yes N No
p Yes N No
p Yes N No
p Yes M No
p Yes N No
p Yes N No
p Yes ® No
p Yes N No
p Yes ® No
p o violations or deficiencies were noted uring this visit. You will receive no turther correspondence about this visit.
.__-...__ er to question; EgP[ainany.E answers and/or`anyrecammendatiarisoranyathei' continents7AMings
of fan ilityataFbet#er explain;situations (use;additionalfpages as;neeess$ry): Field Copy p Final Notes -
* Waste daM 11 15/01 with L 1 at 1.9 lbs NI1000 gals.
L2 at 1.6 lbs N/1000 gals.
* Waste dated 1/31/02 with L1 at 2.1 lbs N/1000 gals.
L2 at 1.9 lbs NI1000 gals.
* Waste dated 3/27/02 with L 1 at 2.1 1bs NI1000 gals.
L2 at 1.8 lbs N/ 1000 gals.
(CONTMUEDION PAGE 3)
_. _ _..:
Reviewerllns ector Name ".-._. ... _.,.
P Seott•Yinson;�,-::::.. __: � . '..�.:.:.::...::�'_ �:. • entered b . Anu.;T nda[lrv• _-
Reviewer/inspector Signature: Date:

05103101 Continued
aci ity Number: 8_34 Date of Irsspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
13 Yes
13 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
® No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
p 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?.,
p 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.)
p Yes
® No
31.
Do the animals feed storage bins fail to have appropriate cover?
p Yes
® No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
p Yes
p No
• W ........ .........
.
* Waste dated 5/22/02 with L 1 at 1.9 lbs N11000 gals.
L2 at 2.01bs N11000 gals.
* Waste dated 7/24/02 with L 1 at 1.41bs NI1000 gals. f a l
L2 at 1.5 lbs NI1000 gals._
* `Waste dated 9/18/02 with L 1 at 1.01bs NI1000 gals.
L2 at 1.2 lbs NIl 000 gals.,.
* Soils dated 9/24/02 with no lime required, however lime was applied in September 2002'to help Bermuda
crop.
i
r-
H
i
li
c N
,j
.1:J
, J .

Facility Number hate of Visit: Q2 Time: r
10 Not Overational 0 Below Threshold
Permitted EMCertified [ Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
r
Farm Name: � L9:24
� ,,,, County: �
Owner Name:T.h[� _ Phone No: r /
77 ` 31 5D
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: e__ �r Integrator: �Sha,• i
Certified Operator: -&ri t f -A n ]l A f alp ►avi.. Operator Certification Number: LL�O
Location of Farm:
DU Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' C 0 u Longitude ' 0` u
Design.. Current
Design Current Design Current
Swine Capacity: Population
Poultry Ca acitv Population Cattle Capacitv Population
❑ Wean to Feeder
❑ Layer ❑ Dai
Fecder to Finish It 54o
IQ Non -Layer I ❑ Non -Dairy
Farrow to Wean
❑Other
ElFarrow to Feeder
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons'
-.
❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
-u
Holding Ponds Solid Traps �'
❑ No Liquid Waste Management Svstem
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. I£ 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 & Treatmgnt
4. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: - ! 2. j,�4r
Freeboard (inches): "f -
05103/01
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 0 No
❑ Yes EX No
❑ Yes 0 No
Structure 6
Continued
10

Facility Number: — Date of inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
No
seepage, etc.)
6. Are there structures on -site which are not properly addressed andfor managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
❑ Yes
No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
[Z 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
19 No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
[V No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN Hydraulic Overload
El Yes
[0 No
1]❑
12. Crop type e gaitr..� &4jo��) Cz- `�aJ w. ie
5§
gz
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 Iand 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 tack of adequate waste application equipment?
❑ Yes
SNo
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?
�•
(iel WUP, checklists, design, maps, etc.)
❑ Yes
19 No
19. Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
[W 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
Q1 No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
®
(iel discharge, freeboard problems, over application)
No
21 Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
ElYes
10 No
24. Does Facility require a follow-up visit by same agency?
❑ Yes
ANo
25, Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
A No
[3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (re%r;to. uestion.#)::�Eapliiin�any;YES: aiisweis xiiiidloriany.recommendatiions.:ar. any other comments.
'Use driiwrn of.feelltty:to'.better ezplatn� ffitit ions: (use. addittotialspages'ss necessaryj:;`` = . ' ❑ Field Copv ❑ Final Notes
,� :. °m�< ; � - :� • �� `z�.. �-��:;�::�:..':: r��::.r,- Q':.:-1�: � :ems, - �:..:
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 42
05103101 Continued

Facility Number: P — 34 Date of Inspection
or Issues
26. Does the discharge pipe From the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
31 Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ®'No
❑ Yes 0 No
❑ Yes ® No
❑ Yes CM No
❑ Yes 0 No
❑ Yes ❑ No
fA�ddition}al Comments and/or Drawings: r !
t� �G1'1� �e.0 � 1 � 15���- ►-' f L 1 � i r �2 �b s li/llDa��, `
1 \1110- -49
05103101

' APDES FORM IRR-2
Tract #
Field Size (acres) = (A
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717 Field # 1A
5.89
Goldsboro Hog Farms IND
PO Sox 10009
Goldsboro, NC 27534
919-778-3130
Facility Number 1 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (5) (7) (8) (9) (10) 0 1)
Nutrient
Source
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(Iblacre)
a[ ) x (9]
1000
Nitrogen
Balance"
(Iblacre)
A - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rats
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1 (A)
B= 260
lagoon
4/14/2003
17:30
19:30
120
1
275
33000
5602.72
1.5
8.40
251.60
lagoon
4/15/2003
8:00
10:00
120
1
275
330.00
5602.72
1.5
8.40
243.19
I
t
Crop Cycle Totalsi 66000 4 16.81
Owner's Signature
Certified Operator (Print) Daniel Van Staalduinen
Operator's Signature O�4A,
Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"" Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

„f� NPDES FORM IRR-2 ; ;;; r;; Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A
Farm Owner
Owner's Address
Owner's Phone #
1717
Field # I 1 C
5.58
Goldsboro Hog Farms (1ND)
PO Box 10009
Goldsboro, NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
0) (2) f3] (4) (5) f6) (7) (8) (9) f10] (11)
*” Nutrient
Source
Date
(mrrdddlyr)
Irrigation
Waste Analysis
PAN`
(Ib11000 gal)
PAN Applied
(Iblacre)
8i _i x (9}
1000
Nitrogen
Balance"
(Iblacre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
9 of
Sprinklers
operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) I (A)
F3= 260
lagoon
4/14/2003
17:30
19:30
120
1
275
33000
5913.98
1.5
8.87
251.13
lagoon
4/15/2003
8:00
10:00
120
1
275
33000
5913.98
1.5
8.87
242.26
Crop Cycle Totalsj 66000 1 T.74
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staalduinen Operator's Certification No. 24146
' NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each irrigation event.
"` Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

NPDES FORM.I1R-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A'
Farm Owner
Owner's Address
Owner's Phone #
1715 I Field # 14A
6.48
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro, NC 27534
919-778-3130
Facility Number 8 - 134
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 INC HWY 125 North
Address Williamston, INC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type r
uda Grass Recommended PAN 260
Loading (lb/acre)
= (B)
(1) (2) (3) (4) (5) (6) (7) (81 (9) !10) 0 1)
"** Nutrient
Source
Date
(mrnlddlyr)
Irrigation
Waste Analysis
PAN'
(lbl1000 gal)
PAN Applied
(Iblacre)
8{ ) x (9]
1000
Nitrogen
Balance"
(lblacre)
(Bj - 00)
Start
Time
End
Time
Total
Minutes
(3) • (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1 (A)
8= 260
lagoon
5/212003
14:00
16:00
120
1
275
33000
5092.59
1.5
7.64
252.36
Crop Cycle Totals 33000 7.64
Owner's Signature Operator's Signature n,- L�-49
Certif led Operator (Print) Daniel Van Staalduinen Operator's Certification No. 24146
NCDA Waste Ansylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
*' Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
'** Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

i MDES FORM IRR-2
Tract #
Field Size (acres) = (A'
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record;.
One Form for Each Field per Crop Cycle
1715
Field # 14C
6.06
Goldsboro Hog Farms (IND)
P❑ Box 10009
Goldsboro, INC 27534
919-778-3130
Facility Number I8 - 34
Irrigation Operator Daniel Van Staaiduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste !Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (iblacre) = (B)
(1) (2) [3] (4) (5) (6) (7) (8) (9) (10) [11]
Nutrient
Source
Date
(mn-dddlyr)
Irrigation
Waste Analysis
PAN"
(lb11000 gal)
PAN Applied
(lb/acre)
(8) x (9}
1000
Nitrogen
Balance*"
(lb/acre)
A - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
9 of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) 1 (A)
B= 260
lagoon
4/23/2003
16:30
19:30
180
1
275
49500
8168.32
1.4
11.44
248.56
lagoon
5/1/2003
15:00
18:00
180
1
275
49500
8168.32
1.4
11.44
237.13
Crop Cycle Totals[_99222 22,ti1
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staalduinen Operator's Certification No, 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"' Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

NPDES FORM, Ill i--4.
Tract #
Field Size (acres) = {A'
Farm Owner
Owner's Address
Owner's Phone #
Lagabn liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 Field # 14D
3.11
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro, INC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staaiduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) {3) (4) (5) (6) (7) (8) (9) (10) 0 1)
—Nutrient
Source
pate
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(Iblacre)
8{ ) x {9}
1000
Nitrogen
Balance"
(Iblacre)
(8)- (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7) 1 (A)
8- 260
lagoon
4/23/2003
20:00
21:30
90
1
275
24750
7958,20
1.41
11 A 4
248.86
lagoon
5/1l2003
18.30
20:30
120
1
275
33000
10610.93
1.4
14.86
234,00
lagoon
512/2003
11:00
13:00
120
1
275
33000
10610.93
1.5
15.92
218.09
Crop Cycle Totals) 90752J 1 41.91
Owner's Signature Operator's Signature 01ki
Certified Operator (Print) Daniel Van Staalduinen _ Operator's Certification No. 24146
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
`* Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
`*` Enter nutrient source ( ie. Lagconlstorage pond ID, commerical fertilizer, dry litter, etc.)

a. IVPDES FORM IRR-2
Tract #
Field Size (acres) = (A'
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
14E
6.06
Goldsboro Hog Farms (IND)
P❑ Box 10009
Goldsboro, NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
[1] (2) (3) (4) (5) (61 (7) (a) (9) (10) (11)
Nutrient
Source
Date
(mrnlddlyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(Iblacre)
8{ ) x (9l
1000
Nitrogen
Balance"
(Iblacre)
(13) - (1 a)
Start
Time
End
Time
Total
Minutes
(3) - (2)
9 of
sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (6) x (4)
Volume
per Acre
(gallacre)
(7)1 (A)
B= 260
lagoon
4/14/2003
13:30
16:30
180
1
275
49500
8168.32
1.5
12.25
247.75
lagoon
4/17/2003
9:00
12:00
180
1
275
49500
8168.32
1.5
12.25
235.50
lagoon
4/22/2003
16:00
19:00
180
1
275
49500
8168.32
1.4
11.44
224.06
lagoon
5/1/2003
15:00
18:00
180
1
275
49500
8168.32
1.4
11.44
212.62
lagoon
5/2/2003
14:00
16:00
120
1
275
33000
5445.54
1.5
8.17
204.46
Crop Cycle Totals! 231000 55.54
Owner's Signature
Certified Operator (Print) Daniel Van Staalduinen
Operator's Signature 0)- � I _w
Operator's Certification No. 24146
' NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (13). Continue subtracting column (10) from column (11) following each irrigation event.
"" Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

NPDES FORM IRR- Z.
Tract #
Field Size (acres) = (A'
Farm Owner
Owner's Address
Owner's Phone #
Lagoon -Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 7
Field #
14F
4.19
Goldsboro Hog Farms (IND)
PO Box 10009
NC 27534
rGoldsboro,
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 1736E NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B
(1) (2) (3) (4) (5) (6) (7) (81 (9) (101 (t11
Nutrient
Source
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(Iblacre)
8( ) x (9]
1000
Nitrogen
Balance"'
(Iblacre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) 1 (A)
B= 260
lagoon
4/2/2003
16:00
18:30
150
1
275
41250
9844.871
1.4
13.78
246.22
lagoon
4/22/2003
12:30
15:00
150
1
275
41250
9844.87
1.4
13,78
232.43
lagoon
5/1/2003
18:30
20:30
120
1
275
33000
7875.89
1.4
11.03
221.41
lagoon
5/2/2003
11:00
13:00
120
1
275
33000
7875.89
1.5
11.81
209.59
Crop Cycle Totalsi 148500J 50.41
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each irrigation event.
""" Enter nutrient source ( ie, Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

:� ;:•- NPDES FORM IRR-2 1:-. r,i. Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
1715 Field # 17A
4.59
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro, NC 27534
9 N78-3130
Facility Number 18 -1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre);-- (B
(1) (2) (3) (4) (5) (6) (7) (8) (9) 00) (11)
Nutrient
Source
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(Iblacre)
(8) x (9j
1000
Nitrogen
Balance"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1 (A)
B= 260
lagoon
4/15/2003
11:00
13:30
150
1
275
41250
8986,93
1.5
13,48
246.52
lagoon
4/22/2003
16:00
19:00
180
1
275
49500
10784.31
1.4
15.10
231.42
Owner's Signature
Crop Cycle Totals 90750] c
Operator's Signature LL�ti
Certified Operator (Print) Daniel Van Staaldui nen
' NGDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Operator's Certification No.
24146
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
` Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

NPDES FORM IRR-2 ;;{, , :Fi;i Lagoon Liquid Irrigation Fiefd's Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A
Farm Owner
Owner's Address
Owner's Phone #
1715 1 Field # 17C
4.63
Goldsboro Hog Farms IND
PO Box 10009
Goldsboro, NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) f101 f11]
Nutrient
Source
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(Iblacre)
(8)_x (9]
1000
Nitrogen
Balance"
(Iblacre)
(SI - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
9 of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1 (A)
B= 260
lagoon
4/2/2003
16:00
18:30
150
1
275
41250
8909.29
1.41
12.47
247.53
lagoon
4/ 1412003
13:30
16:30
180
1
275
49500
10691,14
1.5
16.04
231,49
lagoon
4/17/2003
9:00
12:00
180
1
275
49500
10691.14
1.5
16.04
215.45
lagoon
4/23/2003
16:30
19:30
180
1
275
49500
10691.14
1.4
14.97
200.49
Crop Cycle Totalsi 1897501 59.51
Owner's Signature
Certified Operator (Print) Daniel Van Staalduinen
Operator's Signature W—LJL&,-�
Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"" Enter nutrient source ( ie. Lagoonlstorage pond ID, commerical fertilizer, dry litter, etc.)

NPDFS Form IRR-2
Tract #
Field Size (acres) = (A
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 1 Field # 17D
4.05
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro, NC 27534
919-778-3130
Facility Number 18 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
f11 r21 (3) {4) (51 t6) r71 r81 (9) 001 (11)
*" Nutrient
Source
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(lb/acre)
8{ ) x (91
1000
Nitrogen
Balance"
(lb)acre)
(B} - 00j
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
B= 260
lagoon
4/15/2003
11:00
13:30
150
1
275
41250
10185.19
1.5
15.28
244.72
lagoon
4122/2003
12:30
15:00
150
1
275
41250
10185.19
1.4
14.26
230.46
Crop Cycle I otalsi b2bu j I r 1 2!..54
Owner's Signature Operator's Signature (4 )jLig;�L
Certified Operator (Print) Daniel Van Staaldui nen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
*" Enter nutrient source ( ie. Lagoon/storage pond ID, commerical fertilizer, dry litter, etc.)

FORM IRR-2
Track #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
1 Field #
11A
5.89
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 -1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 50
Loading (lb/acre) = (6)
(1) (2) (3) (4) (5) (6) (7) (8) (9) 0 0) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(lb/acre)
8{ ? x (9)
1000
Nitrogen
Balance—
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7) / (A)
6= 50
10/18/02
11:00
14:00
180
1
275
49500
8404.07
1
8.40
41.60
10/19/02
11.00
13:00
120
1
275
33000
5602.72
1
5,60
35.99
118103
16:30
18:30
120
1
275
33000
5602.72
1.3
7.28
28.71
1/13/03
15:30
18:30
1801
1
275
49500
8404.07
1.3
10.93
17.78
216l03
15:30
17:30
120
1
275
33000
5602.72
1.4
7.84
9.94
Crop Cycle Totals 1980001 40.06
Owner's Signature Operator's Signature ,,
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crap Cycle
1717
Field #
11 B
2.48
Goldsboro Hog Farms IND
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1} (2) (3) (4) (5) (6) (7) (8} (9) 0 0) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(Ibl1000 gal)
PAN Applied
(lb/acre)
8[ ) x (9
1000
Nitrogen
Balance"
(lb/acre)
(8)- (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
10/18/02
14:30
15.15
45
1
275
12375
4989.92
1
4.99
70.01
3/10/03
14:00
15:00
60
1
275
16500
6653.23
1.3
8.65
61,36
Owner's Signature
Certified Operator (Print) pan Van Staalduine
Crop Cycle T'otalsl 288751
Operator's Signature
n Operator's Certification No.
* NCDA Waste Anaylsis or Equivalent or IN RCS Estimate, Technical Guide Section 633.
'" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field # 1C
5,58
Goldsboro Hog Farms (INS)
PG Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operators 17366 NC HWY 125 North
Address Williamston, NC 27892
Operators Phone # [phone]
From Waste Utilization Plan
Crop Type r
mall Grain Recommended PAN 50
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddJyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(lb/acre)
8(M_x {9
1000
Nitrogen
Balance—
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 50
10/18/02
16:00
18:00
120
1
275
33000
5913.98
1
5.91
44.09
10/19/02
11:00
13:00
120
1
275
33000
5913.98
1
5.91
38.17
118103
16:30
18:30
120
1
275
33000
5913.98
1.3
7.69
30.48
1/13/03
15:30
18:30
180
1
2751
49500
8870.97
1.3
11,53
18.95
216103
15:30
17:30
120
1
275
33000
5913.98
1.41
8.28
10.67
Crop Cycle Totallsl 181500
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen
Operator's Certification No
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
39.33
24146
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717 Field #
1 ❑
1.55
Goldsboro Hog Farms IND
PC Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
l rrigatio n
Waste Analysis
PAN"
(Ib11000 gal)
PAN Applied
(lb/acre)
(8) x (91
1000
Nitrogen
Balance"*
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 75
10/19/02
9:00
10:00
60
1
275
16500
10645.16
1
10.65
64.35
3/10/03
14:00
15:00
60
1
275
16500
10645,16
1.3
13.84
50.52
Crop Cycle Totals 330001 24.48
Owners Signature Operator's Signature LQk
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. _ 24146
NCDA Waste Anaylsis or Equivalent or MRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
2A
4.65
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 - 1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (1 1)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(lb11000 gal)
PAN Applied
(lblacre)
8LjX (9
1000
Nitrogen
Balance""
(lblacre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
8= 75
10/18/02
11:00
14:00
180
1
275
49500
10645.16
1
10.65
64.35
3110/03
16:00
18:30
150
1
275
41250
8870,97
1.3
11.53
52.82
3118/03
6:00
9:00
180
1
275
49500
10645.16
1.4
14.90
37.92
3/24/03
16:00
1830
150
1
275
41250
8870.97
1.31
11.53
26.39
Crop Cycle Totals 181500 48.61
Owner's Signature Operator's Signature l
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717 1 Field #
12B
1.43
Goldsboro Hog Farms (IND
PO Box 10009
Goldsbom,NC 27534
919-778-3130
Facility Number 1$ - 34
Irrigation Operator Daniel Van 5taalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) 0 0) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (9
1000
Nitrogen
Balance—
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
6= 75
10/18/02
14.30
15:15
45
1
275
12375
8653.85
1
8.65
66.35
3/11103
13:00
14:00
60
1
275
16500
11538.46
1.3
15,00
51.35
3125/03
16:00
17:00
60
1
275
16500
11538.46
1.3
15.00
36.35
Crop Cycle Totals 453751 U11 ak:38.65
Owner's Signature Operator's Signature;
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
2C
2.21
Goldsboro Hog Farms (IND
P❑ Box 10009
Goldsbom,NC 27534
919-778-3130
Facility Number 1 8 - I34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (a) (9) (10) 0 1)
Date
(mmMdlyr)
Irrigation
Waste Analysis
PAN"
(Ib/i000 gal)
PAN Applied
(lb/acre)
(8) x (9�
1000
Nitrogen
Balance"
(lb/acre)
(13) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 75
10/19/02
9:00
10:00
60
1
275
16500
7466.06
1
7.47
67.53
3/11/03
13:00
14:00
60
1
275
16500
7466,06
1.3
9.71
57.83
3/25103
16:00
17:00
60
1
275
16500
7466.06
13
9.71
48.12
Crop Cycle Totals 495001 1 LZa 26.$$
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
' NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 631
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
12D
4.02
Goldsboro Hog Farms (IND
PD Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 81-1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
❑perator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lblacre} = (B)
(1) (2) (3) (4) (5) (6) (7) (a) (9) (1 0} (11]
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(lb/acre)
8i )x (
1000
Nitrogen
Balance—
(lb/acre)
(B] - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (z)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
10/18/02
16:00
18:00
120
1
275
33000
8208.96
1
8.21
66.79
3/10/03
16:00
1830
150
1
275
41250
10261.19
1.3
13.34
53.45
3118/03
6:00
8:30
150
1
275
41250
10261.19
1.4
14.371
39.09
3/24/03
16:00
18:30
150
1
275
412501
10261.19
1.3
13.34
25.75
Owner's Signature
Certified Operator (Print) Dan Van Staalduine
Crop Cycle Totals 1567501
Operator's Signature
n Operator's Certification No.
* NCDA Waste Aneylsis or Equivalent or MRCS. Estimate, Technical Guide Section 633.
r
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (1 1) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field # 4A
6.48
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I $ - I34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
{1} (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(Ib11000 gal)
PAN Applied
(lb/acre)
8{ l x (9i
1000
Nitrogen
Balance"
(lb/acre)
(B) - 0 0)
Start
Time
End
Time
Total
Minutes
(3)- (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
3/11 /03
15:00
19:00
240
1
275
66000
10185.19
1.3
13.24
61.76
3/25103
18:30
21:00
150
1
275
41250
6365.74
1.3
8.28
53.48
Crop Cycle Totals I 107250� �� 21.52
Owner's Signature Operator's Signatur
ULL
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"` Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
14B
1.86
Goldsboro Hog Farms IND
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 - I34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(Ib11000 gal)
PAN Applied
(lblacre)
8 x 9
1000
Nitrogen
Balance"
(Iblacre)
(a) - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
3/11103
20:00
21 :001
60
1
275
16500
8870.97
1.3
11.53
63.47
3/26/03
15:00
16:001
60
1
275
16500
8870.97
1.3
11.53
51.94
3/29/03
13:00
14:00
60
1
275
16500
8870,97
1.3
11.53
40.40
Crop Cycle Totals 495001 34.60
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staaldulnen Operator's Certification No. 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Fieid Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 1
Field #
14C
6,06
Goldsboro Hog Farms (IND
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I $ - I34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operators 17366 INC HWY 125 North
Address Williarnston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
irrigation
Waste Analysis
PAN"
(lb11000 gal)
PAN Applied
(Iblacre)
8[ ) x 0
1000
Nitrogen
Balance"
(lb/acre)
(B) - 0 0)
Stark
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(galfacre)
(7)1(A)
$= 75
10/19/02
13:30
16:30
180
1
275
49500
8168.32
1
8.17
66.83
3/11/03
15:00
19:00
240
1
275
66000
10891.09
1.3
14.16
52.67
3/28/03
15:00
18:00
180
1
275
49500
8168.32
1.3
10.62
42.05
3/29/03
10:00
12:00
120
1
275
33000
5445.54
1.3
7.08
34.98
Crop Cycle Totals 1980901 40.02
Owner's Signature Operators Signature At
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Gulde Section 633.
"" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
14D
3.11
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - 1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type r
mall Grain Recommended PAN 75
Loading (Iblacre) = (ej
{1] (2) (3) (4) (5) (6) (7) (5) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(Ib1l 000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
(lb/acre)
(13) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) I (A)
8= 75
3/11103
20:00
21:00
60
1
275
16500
5305.47
1.3
6,90
68,10
3/15/03
15:00
16:30
90
1
275
24750
7958.20
1.4
11.14
56.96
3/27/03
15:00
17:00
120
1
275
33000
10610.93
1.3
13.79
43.17
Crop Cycle Totalsj_ 742501 31,83
Owner's Signature Operator's Signature "U;;7777
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
4E
6.06
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operators 17366 NC HWY 125 North
Address Williamston, INC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 50
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6} (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ibll 000 gal)
PAN Applied
(lb/acre)
(8) x (9]
1000
Nitrogen
Balance"
(lb/acre)
A - 0 a)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 50
119103
16:00
18:00
120
1
275
33000
5445.54
1.3
7.08
42.92
1/14/03
17:30
20:00
150
1
275
41250
6806.93
1.3
8.85
34.07
1 /16/03
12:30
14:30
120
1
275
33000
5445.54
1.4
7.62
26.45
215103
15:00
17:00
120
1
275
33000
5445.54
1.4
7.62
18.82
3/12/03
12:00
14:00
120
1
275
33000
5445.54
1.4
7.62
11.20
3/28/03
15:00
18:00
180
1
275
49500
8168.32
1.3
10.62
0.58
Crop Cycle Totals 2227501
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen
Operator's Certification No
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
LEy1#►
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM ERR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owners Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
14F
4.19
Goldsboro Hog Farms IND
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - I34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operators Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 50
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ibll000 gal)
PAN Applied
(lb/acre)
8[ ) x (9)
1000
Nitrogen
Balance"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
B= 50
1/10/03
16:00
17:30
90
1
275
24750
5906.92
1.3
7.68
42.32
1/16/03
15:00
17:00
120
1
275
33000
7875.89
1.4
11.03
31.29
3112/03
15:00
18:00
180
1
275
49500
11813.84
1.4
16.54
14.76
Crop Cycle Tata[si 1072501 LAk3�24
Owner's Signature Operators Signature ��, _
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or IN RCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
4G
2.17
Goldsboro Hog Farms IND
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 -1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) {7} (8) {9} (10) (11}
Date
{mmlddlyr}
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
(lb/acre)
(s)- (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
3/13/03
12:00
13:00
60
1
275
16500
7603.69
1.4
10.65
64.35
Crop Cycle Totals 165001 �)j�10.65
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or MRCS Estimate, Technical Guide Section 633.
— Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = {A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715--1 Field #
14H
3.33
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number L. . 8 - 1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) {8} (9) [10} (11]
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
(lb/acre)
A - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
3/13103
9:00
11:00
120
1
275
330C)OI
9909.91
1.4
13.87
61,13
3/29/03
10:00
12:00
120
1
275
33000
9909.91
1.3
12,88
48.24
Crop Cycle Totals 660001 Li f26.76Owner's Signature Operator's Signature,
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
` NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
*' Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 Field #
7A
4.59
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro= 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 50
Loading (lb/acre) = (B)
F
(1} (2) (3) (4) (5) (6) (7) (8) (9) (10) (1 1)
Oate
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
8[ ) x (9]
1000
Nitrogen
Balance**
(lb/acre)
M - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Mate
(gadmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) 1 (A)
B= 50
91201a2
15:00
17:00
120
1
275
33000
7189.541
1.2
8.63
41.37
9121/02
9:30
1130
120
1
275
33000
7189.54
1.2
8.63
32.75
10/19/02
13:30
16:30
180
1
275
49500
10784,31
1
10.78
21.95
1 /10/03
16:00
17:30
90
1
275
24750
5392.16
1.3
7.01
14.95
3/12/03
12:00
14:00
120
1
275
33000
7189.54
1.4
10.07
4.89
Crop Cycle Totals 1732501 LjjL�Z45.111
Owner's Signature Operator's Signature
- nZ,
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
* NCOA Waste Anaylsis or Equivalent or MRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
178
4.41
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 81-1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (6} {9} (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
(8)_x (9)
1000
Nitrogen
Balance"
(Iblacre)
tBf - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
9/20/02
12:00
14:00
120
1
275
33000
7482.99
1.2
8.98
66.02
2/19/03
18;30
21:00
150
1
275
41250
9353,74
1.3
12.16
53,86
2/20/03
15:30
18:00
150
1
275
41250
9353.74
1.3
12.16
41.70
3112/03
15:00
18:00
180
1
275
49500
11224.49
1.4
15.71
25.99
3/27/03
15:00
17:00
120
1
275
33000
7482.99
1.3
9.73
16.26
Crop Cycle Totalsl 1980001 58,74
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
' NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
*' Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A),
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
17C
4.63
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number $ - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type r
mall Grain Recommended PAN 50
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb/1 000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance"
(lb/acre)
P - 0 0)
Start
Time
End
Time
Total
Minutes
(3)- (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
l3= 50
9/20/02
15:00
17.00
120
1
275
33000
7127.43
1.2
8.55
41.45
9121102
9:30
11:30
120
1
275
33000
7127.43
1.2
8.55
32.89
119/03
16:00
18:00
120
1
275
33000
7127.43
1,3
9.27
23.63
1 /14103
17:30
20:00
150
1
275
41250
8909.29
1.3
11.58
12.05
215103
15:00
17:00
120
1
275
33000
7127.43
1.4
9.98
2.07
Crop Cycle Totals_ 1732501
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen
Operator's Certification No
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"' Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Prone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field # 17D
4.05
Goldsboro Hog Farms (INS)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I t3 - 134
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utillization Plan
Crop Type Small Grain Recommended PAN E-75
Loading (lb/acre) = (6)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
(8) x (9l
1000
Nitrogen
Balance"
(Iblacre)
0 - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 75
9120/02
12:00
14:00
120
1
275
33000
8148.15
1.2
9.78
65.22
2/19103
18:30
21:00
150
1
275
41250
10185.19
1.3
13.24
51.98
2/20/03
15:30
18:00
150
1
275
41250
10185.19
1.3
13.24
38.74
3/15103
15:00
16:30
901
1
275
24750
6111.11
1.4
8.56
30.19
3125103
18:30
21:00
150
1
275
41250
10185.19
1.3
13,24
16.94
Crop Cycle Totaisi 1815001 U f tv I Al 58.06
Owner's Signature Operator's Signature
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (1 1) following each irrigation event.

FORM ERR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
1 Field #
17E
1.61
Goldsboro Hog_Farms INS)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 - 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, INC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5} (8} (7) (8) (9) (10) (11)
Date
(mm/ddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(lb/acre)
8{ } x (9)
1000
Nitrogen
Balance"
(Iblacre)
(B) - 00}
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
8= 75
3/13103
12:00
13:00
60
1
275
16500
10248.45
1.4
14.35
60.65
3/26/03
15:00
16:00
60
1
275
16500
10248.45
1.3
13.32
47.33
3/29/03
13:00
14:00
60
1
275
16500
10248.45
1.3
13,32
34.01
Crop Cycle Totals 495001 40.99
Owner's Signature Operator's Signature
Certified Operator (Print) pan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-Z
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field # 17F
3.47
Goldsboro Hog Farms (IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 81-1 34
Irrigation Operator Daniel Van Staalduinen
Irrigation Operator's 17366 NC HWY 125 North
Address Williamston, NC 27892
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small Grain Recommended PAN 75
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmldd/yr)
Irrigation
Waste Analysis
PAN"
(lb11000 gal)
PAN Applied
(Iblacre)
$ x 9
1000
Nitrogen
Balance"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 75
3/13/03
9:00
11:00
120
1
275
33000
9510.09
1.4
13.31
61.69
Crop Cycle Totals 330001 1 13.31
Owner's Signature Operator's Signature -
Certified Operator (Print) Dan Van Staalduinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
11A
5.89
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 - 1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9} (10) (11)
pate
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
(a)_x_i9
1000
Nitrogen
Balance—
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
a= 260
418102
11:30
14:30
180
1
275
49500
8404.07
1.8
15.13
244.87
713102
12:00
15:00
180
1
275
49500
8404.07
1.5
12.61
232.27
715102
10:30
13:30
180
1
275
49500
8404.07
1.5
12.61
219.66
7/10102
13:30
16:30
180
1
275
49500
8404.07
1.4
11.77
207.89
7/31 /02
13:00
16:00
180
1
275
49500
8404.07
1.4
11.77
196.13
811102
8:00
11:00
180
1
275
49500
8404,07
1.5
12.61
183.52
Crop Cycle Totals 2970001 ffALk776,48
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
*` Enter the value received by subtracting column (10) from (S). Continue subtracting column (10) from column (11) following each irrigation event.

FORM 1RR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
1 B
2.48
Goldsboro Hog Farms (1ND)
PC Box 10009
Goldsbom,NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (6
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(Ib11000 gal)
PAN Applied
(lb/acre)
8�9)
1000
Nitrogen
Balance—
(lb/acre)
(B)- (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
8= 260
715102
9:00
10:00
60
1
275
16500
6653.23
1.5
9.98
250.02
7/10/02
17:00
18:00
60
1
275
16500
6653.23
1.4
9.31
240.71
811102
11:30
12:30
60
1
275
16500
6653.23
1.5
9,98
230.73
Crop Cycle Totals, 49500' Q29.27
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
` NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"* Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM lRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field # 111C
5.58
Goldsboro Hog Farms IN❑
P❑ Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 81-1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 2fi0
Loading (Iblacre) = (B)
{1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(lb/acre)
8f ) x (9)
1000
Nitrogen
Balance—
(lb/acre)
{B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
## of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
B= 260
516102
14:30
17:30
180
1
275
49500
8870.97
1.8
15.97
244.03
7r5102
14:00
16:00
120
1
275
33000
5913.98
1.5
8.87
235.16
7/10/02
8:00
11:00
180
1
275
49500
8870.97
1.4
12.42
222.74
7/31 /02
13:00
16:00
180
1
275
49500
8870.97
1.4
12.42
210.32
811102
8:00
11:00
180
1
275
49500
8870.97
1.5
13.31
197.02
Crop Cycle Totals[ 2310001 1►��� 62.9$
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
'" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
11 ❑
1.55
Goldsboro Hog Farms IN❑
PG Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 8 - I34
Irrigation Operator Daniel Van 5taadvinen
Irrigation Operator's P.O. Box 383
Address Oak City INC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (5) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(lb/1000 gal)
PAN Applied
(lb/acre)
8[ ) x (9]
1000
Nitrogen
Balance"
(lb/acre)
M - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 260
517102
9:00
10:00
60
1
275
16500
10645.16
1.8
19.16
240,84
7/10/02
12:00
13.00
60
1
275
16500
10645.16
1.4
14.90
225.94
811102
11:30
12:30
60
1
275
16500
10645.16
1.5
15.97
209.97
Crop Cycle Totals 49500 50.03
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
*` Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
12A
4.65
Goldsboro Hog Farms (IND)
PC Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 18 - 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.C. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(Ib11000 gal)
PAN Applied
(lb/acre)
8�9
1000
Nitrogen
Balance"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 260
418102
11:30
14:30
180
1
275
49500
10645.16
1.8
19.16
240.84
516102
14:30
17:30
180
1
275
49500
10645.16
1.8
19.16
221.68
713102
12:00
15:00
180
1
275
49500
10645.16
1.5
15.97
205.71
715102
10.30
13:301
180
1
275
49500
10645.16
1.5
15.97
189.74
7110/02
12:00
15:00
180
1
275
49500
10645,16
1.4
14,90
174.84
Crop Cycle Totalsi 2475001 85.16
Owner's Signature Operator's Signature
-(j
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"' Enter the value received by subtracting column (10) from ISj. Continue subtracting column (10) from column (11) following each irrigation event.

FORM 1RR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
Field #
12B
1.43
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 - I34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operators P,O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5} (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN
(lb11000 gal)
PAN Applied
(Iblacre)
8{ ) x (9}
1000
Nitrogen
Balance"
(lb/acre)
(B) - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
B= 260
517102
9:60
10:00
60
1
275
16500
11538.46
1.8
20.77
239.23
715102
9:00
10:00
60
1
275
16500
11538.46
1.5
17.31
221.92
7/10102
10:15
11:00
45
1
275
12375
8653.85
1.4
12.12
209.81
Crop Cycle Totals' 453751 (IL4Lk!��19
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operators Certification No. 24146
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (1 1) following each irrigation event.

FORM !RR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1717
1 Field # 12D
4.02
Goldsboro Hag Farms (IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 26[}
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (5) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(lb/acre)
(8) x (9
1000
Nitrogen
Balance*"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
6= 260
715102
14:00
16:00
120
1
275
33000
8208.96
1.5
12.31
247.69
7110/02
8:00
10.00
120
1
275
33000
8208,96
1.4
11.49
236.19
Owner's Signature
Certified Operator (Print) Daniel Van Staaldvi
Crap Cycle Totals 66000
Operator's Signature
nen Operator's Certification No.
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
11
-mr-, MI � E I
"" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
1 Field #
14A
6.48
Goldsboro Wog Farms IN❑
PO Box 10009
Goldsbom,NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
❑perator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN F 2 0a
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) {11}
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lbl1000 gal)
PAN Applied
{Iblacre}
8 x 9
1000
Nitrogen
Balance"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) I (A)
B= 260
518102
9:00
11:00
120
1
275
33000
5092.59
1.8
9.17
250.83
6121/02
9:30
11:30
120
1
275
33000
5092.59
1.4
7.13
243.70
6/25/02
11:30
13:30
120
1
275
33000
5092.59
1.4
7.13
236.57
711102
14:30
16:30
120
1
275
33000
5092.59
1,5
7.64
228.94
7/18/02
7:30
9:30
120
1
275
33000
5092,59
1.5
7.64
221.30
7/30/02
8:00
10:00
120
1
275
33000
5092.59
1.4
7.13
214.17
812102
12:30
15:30
180
1
275
49500
7638.89
1,5
11.46
202.71
Crop Cycle Tatalsj 2475001 L57.29
Lj,&&Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146 -
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
14B
1,86
Goldsboro Hog Farms INS
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 81-1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste utilization plan
Crop Type Bermuda Grass Recommended PAN F 260
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8} (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb11000 gal)
PAN Applied
(Iblacre)
8[ ] x (9)
1000
Nitrogen
Balance—
(lb/acre)
(B) - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (a)
Volume
per Acre
(gal/acre)
(7) l (A)
B= 260
6/21/02
7:30
8:30
60
1
275
16500
8870.97
1.4
12.42
247.58
6/24102
17:00
18:00
60
1
275
16500
8870.97
1.4
12.42
235.16
711102
13:00
14:00
60
1
275
16500
8870.97
1.5
13.31
221.85
7/17/02
14:30
15:30
60
1
275
16500
8870.97
1.5
13.31
208.55
7/30/02
10:30
11:30
60
1
275
16500
8870.97
1.4
12.42
196A 3
812102
11:00
12:00
60
1
275
16500
8870.97
1.5
13.31
182.82
Crop Cycle Totals 990001 f I7.18
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
4C
6.06
Goldsboro Hog Farms (INS)
P❑ Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - 1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1] (2) (3) (4) (5) (6) (7) (5) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(ibl1000 gal)
PAN Applied
(lb/acre)
fa) x (9)
1000
Nitrogen
Balance**
(lb/acre)
(B) - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
8= 260
6/17/02
13:00
15:00
120
1
275
33000
5445.54
1.4
7.62
252.38
6125/02
16:30
18:30
120
1
275
33000
5445.54
1.4
7.62
244.75
711102
9:00
12:00
180
1
275
49500
8168.32
1.5
12.25
232.50
7/17/02
8:00
11:00
180
1
275
49500
8168.32
1.5
12.25
220.25
7119/02
8:30
11:30
180
1
275
49500
8168.32
1.4
11.44
208.81
7/29102
8:00
11:00
180
1
275
49500
8168.32
1.4
11.44
197.38
811102
14:00
16:00
120
1
275
33000
5445.54
1.5
8.17
189.21
Crop Cycle Totals___ 2970001 70.79
Owner's Signature Operator's Signature L A
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
* NCOA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM ERR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
14D
3.11
Goldsboro Hog Farms (IN❑
PC Box 10009
Goidsboro,NC 27534
919-778-3130
Facility Number 8 -1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operators P.C. Box 383
Address Oak City NC 27857
Operators Phone # [phone]
From Waste Utilization Flan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lbl1000 gal)
PAN Applied
(Iblacre)
(8_) x {9)
1000
Nitrogen
Balance-
(lb/acre)
(B) - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7) / (A)
B= 260
6/17/02
15:30
17:30
120
1
275
33000
10610.93
1.4
14.86
245.14
6/25/02
14:00
16:00
120
1
275
33000
10610.93
1.4
14.86
230.29
7/17/02
12:00
14:00
120
1
275
33000
10610.93
1.5
15.92
214.37
7119102
12:30
14:30
120
1
275
33000
10610.93
1.4
14.86
199.52
7/22/02
8:00
10:00
120
1
275
33000
10610.93
1 A
14.86
184.66
7/29/02
12.00
14:00
120
1
275
33000
10610.93
1.4
14.86
169.81
812102
8:00
10:00
120
1
275
33000
10610.93
1.5
15.92
153.89
Crop Cycle Totals[____ 2310001 1 6.11
Owners Signature Operator's Signature
Certified Operator (Print) Daniel Van 5taaldvinen Operator's Certification No. 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
4E
6.06
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 8 - 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak QtY NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1y (2) (3) (4) (5) (6) (7) (8) (9) (10) 0 1)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(Iblacre)
8�'9
1000
Nitrogen
Balance—
(lb/acre)
(B) - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7) l (A)
B= 260
6/24102
11:00
14:00
180
1
75
49500
8168.32
1.4
11.44
248.56
6/26102
14:00
17:00
180
1
7275
49500
8168.32
1.4
11.44
237.13
7/18/02
13:30
15:30
120
1
75
33000
5445.54
1.5
8.17
228.96
7/30102
12:30
14:301
120
1
275
33000
5445.54
1.4
7.62
221.34
Crop Cycle Totals 1 bbUUUl StS.Eifj
Owner's Signature Operator's Signature _
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
` NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field # 14F
4.19
Goldsboro Hog Farms IN❑
PC Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - I34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1} (2) (3) (4) (5) (6) (7) (5) (9) (1 0) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN`
(Ibl1000 gal)
PAN Applied
(Iblacre)
8{ )_x_(9
1000
Nitrogen
Balance—
(Iblacre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3)- (2)
0 of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
6= 260
6/21 /02
12:00
14:00
120
1
275
33000
7875.89
1.4
11.03
248.97
6124/02
14:30
16:30
120
1
275
33000
7875.89
1.4
11.03
237.95
6/27/02
14:00
16:00
120
1
275
33000
7875,89
1.4
11.03
226.92
7/18/02
10:30
1230
120
1
275
33000
7875.89
1.5
11.81
215.11
7/30/02
15:30
17:301
120
1
275
33000
7875.89
1.4
11.03
204.08
Crop Cycle Totals 1650001 55.92
Owner's Signature Operator's Signature 01 1 1.,� b
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No, 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
1 Field # 14G
2.17
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 81-1 34
Irrigation Operator ❑anid Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (s} (9) (10) 01)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(lbll000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
(Iblacre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
B= 260
7/31102
11:00
12:00
60
1
275
16500
7603.691
1.4
10.65
249.35
Crop Cycle Totalsi 165001 � 1 f 10.65
Owner's Signature Operator's Signature [�l
Certified Operator (Print) Daniel Van Staaldvinen Operators Certification No. 24146
* NCDA Waste Aneylsis or Equivalent or MRCS Estimate, Technical Guide Section 633.
"* Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 j
Field #
14H
3.33
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I _ 134
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B}
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10} (11}
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(lb11000 gal)
PAN Applied
(lb/acre)
8[ ) x (9]
1000
Nitrogen
Balance"
(lblacre)
A - 0 0)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 260
7131/02
8:00
10:00
120
1
275
33000
9909.91
1.4
13.87
246.13
Crop Cycle Totalsi 330001 (JI16
13.87
Owner's Signature Operator's Signature (
Certified ❑perator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
7A
4.59
Goldsboro Hog Farms INS
PO Box 10009
Goldsbom,NC 27534
919-778-3130
Facility Number 1 8 - 1 34
Irrigation Operator Daniel Van 5taadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
8) X (9
1000
Nitrogen
Balance"
(Iblacre)
M - 00)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 260
6/21/02
12:00
14:00
120
1
275
33000
7189.54
1.4
10.07
249.93
6/25102
14:00
16:00
120
1
275
33000
7189.54
1.4
10.07
239.87
7/18/02
7:30
9:30
120
1
275
33000
7189.54
1.5
10.78
229.08
7/19/02
12:30
14.301
120
1
275
33000
7189.54
1.4
10.07
219.02
7/22/02
8:00
10:00
120
1
275
33000
7189.54
1.41
10.07
208.95
7/29/02
12:00
14:00
120
1
275
33000
7189.54
1 A
10.07
198.89
7/31102
8:00
10:00
120
1
275
33000
7189.54
1.4
10.07
188.82
Crop Cycle Totals 2310001 71.18
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
" NCCA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) z (A)
Farm Owner
Owner's Address
Owners Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
17B
4.41
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number 1 8 - I34
Irrigation Operator Daniel Van Staad'vinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
B= 260
6/17/02
13:00
15:00
120
1
275
33000
7482.99
1.4
10.48
249.52
6/25/02
11:30
13:30
120
1
275
33000
7482.99
1.4
10.48
239.05
7/18/02
10:30
12:30
120
1
275
33000
7482.99
1.5
11.22
227.82
7/30/02
12:30
14:301
120
1
275
33000
7482.99
1.4
10.48
217.35
811/02
14:00
16:00
120
1
275
33000
7482.99
1.5
11.22
206.12
Crop Cycle Totals 1650001
Owner's Signature Operators Signature
Certified Operator (Print) Daniel Van Staaldvinen
Operators Certification No
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
FEE.
'�rrr'
—Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM 1RR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
17C
4.63
Goldsboro Hog Farms (INS)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I $ - I34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operators Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (Iblacre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
{Iblacre}
(B)- (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1(A)
8= 260
6/24/02
11:00
14:00
180
1
275
49500
10691.14
1.4
14.97
245.03
6/26/02
14:00
17:00
180
1
275
49500
10691.14
1.4
14.97
230.06
711102
9:00
12:00
180
1
275
49500
10691.14
1.5
16,04
214.03
7/17102
8:00
11:00
180
1
275
49500
10691.14
1.5
16.04
197,99
7119/02
8:30
11:30
180
1
275
49500
10691.14
1.4
14.97
183.02
7/29/02
8:00
11:00
180
1
275
49500
10691.14
1.4
14.97
168.06
7/30/02
15:30
17:30
120
1
275
33000
7127.43
1.4
9.98
158.08
812102
12:30
15:30
180
1
275
49500
10691.14
1.5
16.04
142.04
Owner's Signature
Certified Operator (Print) Daniel Van Staaldvi
Crop Cycle Totalsi 3795001
Operator's Signature
nen Operators Certification No.
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
7❑
4.05
Goldsboro Hog Farms (IND)
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I8 - I34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crap Type r7!
Grass Recommended PAN 2fi0
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN"
(lb11000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance-
(lb/acre)
(13) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
a= 260
518102
9:00
11:00
120
1
275
33000
8148,15
1.8
14.67
245.33
6/17102
15:30
17:30
120
1
275
33000
8148.15
1.4
11.41
233.93
6121/02
9:30
11:30
120
1
275
33000
8148.15
1.4
11.41
222.52
6/24102
14:30
16:30
1201
1
275
33000
8148.15
1.4
11.41
211.11
6/27102
14:00
16:00
120
1
275
33000
8148.15
1.4
11.41
199.70
711102
14:30
16:30
120
1
275
33000
8148.15
1.5
12.22
187.48
7/17102
12:00
14:00
120
1
275
33000
8148.15
1.5
12.22
175.26
7/30102
8:00
10:00
120
1
275
33000
8148.15
1.4
11.41
163.85
812102
8:00
10:00
120
1
275
33000
8148.15
1.5
12.22
151.63
Crop Cycle Totals 297000 , 108.37
Owner's Signature Operator's Signature
Certified Operator (Print) Daniel Van Staaldvinen ❑perator's Certification No. 24146
* NCDA Waste Anaylsis or Equivalent or MRCS Estimate, Technical Guide Section 633.
"" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715 1
Field #
17E
1.61
Goldsboro Hog Farms IN❑
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number $ -1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 7 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmlddlyr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance"
(Iblacre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)1 (A)
B= 260
6/21/02
7:30
8:30
60
1
275
16500
10248.45
1.4
14.35
245.65
6/24102
17:00
18:00
60
1
275
16500
10248.45
1.4
14.35
231.30
711102
13:00
14:00
60
1
275
16500
10248.45
1.5
15.37
215.93
7117/02
14:30
15:30
60
1
2751
16500
10248.45
1.5
15.37
200.56
7/30/02
10:30
11:30
60
1
275
16500
10248.45
1.4
14.35
186.21
7/31/02
11:00
12:00
60
1
275
16500
10248.45
1.4
14.35
171.86
812r02
11:00
12:00
60
1
275
16500
10248.45
1.5
15.37
156.49
Crop Cycle Totals 1155001 %1 103.51
Owner's Signature Operator's Signature 1AL=
Certified Operator (Print) Daniel Van Staaldvinen Operator's Certification No. 24146
NCOA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

r
FORM IRR-2
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1715
Field #
17F
3.47
Goldsboro Hog Farms (IND
PO Box 10009
Goldsboro,NC 27534
919-778-3130
Facility Number I 8 - 1 34
Irrigation Operator Daniel Van Staadvinen
Irrigation Operator's P.O. Box 383
Address Oak City NC 27857
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Bermuda Grass Recommended PAN 260
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mmldd/yr)
Irrigation
Waste Analysis
PAN'
(lb11000 gal)
PAN Applied
(lb/acre)
C8)_x_(9)
1000
Nitrogen
Balance""
(lb/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) I (A)
s= 260
6/25/02
16.30
18:30
120
1
275
33000
9510.09
1.4
13.31
246.69
7118102
13:30
15:30
120
1
275
33000
9510.09
1.5
14.27
232.42
Owner's Signature
Certified Operator (Print) Daniel Van Staaldvi
Crop Cycle Totals 660001
Operator's Signature
nen Operator's Certification No.
. j
111 �: � re2, �!l Iff I I ZZ Mo
" NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"' Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

Type of Visit ❑ Compliance Inspection p Operation Review p Lagoon Evaluation
Reason for Visit ® Routine p Complaint ❑ Follow up p Emergency Notification p Other ❑ Denied Access
Facility Number Date of Visit: 2I2Q12QQ2 Time: 11:2Q
p Not perationa p BelowI'hreshold
Permitted E Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: .........................
Farm Name: Indian Woods County: Bt:rtae.................................................. 1YARO.......
Owner Name:
Goldsboro Hog Farms Phone No: 919-778-3130
MailingAddress: PO.Rox.1.0009....................................... .._...............---........................ Goldsbm rra.N.C..---..............----.........---••---............... 2.7.S32.......... ....
FacilityContact: -_ ........................ _.... _... _....... ............................... Title: .................... _._........ ............................ Phone No: .... ....................................... .........
Onsite Representative: Daatid,Gunkrx............................................................................. lntegrator:Goldsbnm.Hog.Farms............... _......................
Certified Operator:DanSe1.11'I.airlin....................V..au.Staa1d3ejmen_.................. ..... Operator Certification Number:241.4.(.......... _.................
Location of Farm:
from Hway north, turn southeast on SR 1108 and travelmiles to path on right
® Swine p Poultry p Cattle p Horse Latitude ®6 ©u Longitude ©. ®4 ©11
-7. Design. --.Current
W.
Swine . .::..;..:=: Ca...-aci
s........._::::.::: -: Po ulation,.::; ._.:u.
P_... tY. -..P _ ...__....:.....t
❑ Wean to Feeder
® Feeder to mts
❑ Farrow to Wean
p Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
p Soars
Desi=µ::...;_ . Design ' Current,,-.::
Cattle; _:w : µe m rc...-......- :.. •v =:
. Capacity Population Capactty =Population;
❑ Dairy
iyer =_ ❑ Non -Dairy
W
Amer-m_;x=`-'
R
n:Ca act m 11 520
:- _-
w-
❑
u sur ace
Drains
Presertt 13 Lagoon Area p pray
r----fir.;::
❑
❑ iqui Waste
Management
system
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? 0 Yes ® No
Discharge originated at: 0 Lagoon ❑ Spray Field p Other
a. If discharge is observed, ►►•as the conveyance man-made? ❑ Yes p No
b. if discharge is observed, did it reach Water of the State? (If yes. n(tify DWQ) [3 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 ❑WQ) p Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? p 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? 13 Spillway ❑ Yes ®No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
ldcritifier: .......... #l..cast.......... .#2..lvASL.................................................................................................................. ...................................
Freeboard (inclics):.................2................ .......---.....3S............... ........... ......................

aci ity IN um er: 8-34 Date of Inspectiou
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, 0 Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? (If any of questions 4-6 was answered yes, and the situation poses an 0 Yes ® No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? p Yes N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? p Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? p Yes N No
Waste Application
10. Are there any buffers that need maintenance/improvement? 0 Yes ® No
11. is there evidence of over application? 0 Excessive Ponding 13 PAN p Hydraulic Overload p Yes 0 No
12. Crop type Coastal Bermuda (Hay) Coastal Bermuda (Graze) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)? p Yes N No
14.
a) Does the facility lack adequate acreage for land application?
1p Yes
0 No
b) Does the facility need a wettable acre determination?
0 Yes
0 No
c) This facility is pended for a wettable acre determination?
0 Yes
0 No
15.
Does the receiving crop need improvement?
13 Yes
®No
16.
Is there a lack of adequate waste application equipment?
13 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?
(iel WIJP, checklists, design, maps, etc.)
p Yes
® No
19.
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
0 Yes
® No
20.
is facility not in compliance with any applicable setback criteria in effect at the time of design?
0 Yes
®No
21.
Did the facility fail to have a actively certified operator in charge?
0 Yes
®Na
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
0 Yes
®No
23,
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
0 Yes
N No
24.
Does facility require a follow-up visit by same agency?
0 Yes
N No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
0 Yes
®.No
In No violations or deficiencies were noted uring this visit. Vou will receive no further correspondence about is visit-
Comments"r(refer to q esstion #) .Eapisi any Y:ES answers andlai any recommend�itionsror any o#qer c� o` m nts:s f
1,w
_.-.:. _ _.
Ilse drawings `of facilit lto=better'jex Lain situations usesadditional` a es as IS
Use y- p { Jp g p Field Copy p Final Notes
*Operation going to high herd status around June 2002.
* Lagoon level records complete. Currently L1 at 42"; L2 at 37". Lagoon drops (10" & 8") during mid -October. Application events
consistent with lagoon level drops.
* Last waste analysis dated 1/31/02 with LI at 2.1 lbs/1000 gallons and L2 at 1.9 lbs/1000 gallons.
11/15/01 with LI at 1.9 Ibs/I000 gallons and L2 at 1.6 lbs/1000 gallons
917101 with L1 at I.5 lbs/1000 gallons and L2 at 1.2 lbs11000 gallons
continued next page)
Reviewer/Inspector Name Pat Hoa er:' <`::°'.'':: en#ered.:li -Della€Robbins:::....:,::::: :::.::::::::::::::..:::::::: ::.:.:::::.::.: ":
Reviewer/Inspector Signature: Date:

,05I03/0 Continued
Facility um er: 8 34 1)xte of laspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below 13 Yes 13 No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? p Yes ® No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, p 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? p 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.) p Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? p Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? p Yes 13 No
.._._..... ................ .... ....... _
* bast soils report dated 9/14101 with less than I ton/acre lime needed. Copper and zinc levels within acceptable range. AL
* Irrigation records complete and balanced.
* Planning to repair minor eroding areas this summer. (Surface drainage outlet north (carries water away from between buildings/
lagoon #I})
E'
01
k
t;{
�7
+f .
F .
F
ri
tc
EJ
it
f'
;i
k

Type of Visit 0 Compliance Inspection 0 Operation Review ,0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint O Follow up ❑ Emergency Notification 0 Other ❑ Denied Access
Facility Number
Date of Visit: 9RtiRlittl Time: 2:ti5 m Printed on: 9/2712DOI
8 34
O Not O erational O Below Threshold
®Permitted N Certified © Conditionally Certified 0 Registered Date Last Operated or Above Threshold: _... �_..
FarmName: 10i n.W..Rods.................... ..............-_------- -................................................. County: Rc hilt ..... -........... ................. .............. W."Q.......
Owner Name: .......... ......... . . . ... . ................ GlUdskum.H119YArmis-•-•--......•._..._.. Phone No: P19-2.7.$-3.13.0 ......... ._... _... ........ ....-..... .... .......
Mailing Address: PO..Uox.1QQ0.9--------•--..........._.--------.........._.........--..-------------- GQldfiborO.,SIG............... ........... .................... 2.7531... _...
_..
FacilityContact: ...... ........... ...................................... ..-_..._...Title: ...... ........ ......... .......... ........................... . Phone No:................. .... ......... .... -
Onsite Representative: Gc.Qrgc.1'.t:ttus..... ........ ............ _..........--.................... .......... Integrator: �R1T1S1tQxR.�Rgli��. ........... .................
_ ..
Certified❑perator:Dgj3jcl................................. Vials-Stsl41dviarim................ _........ Operator Certification Number:Z.414ft.
Location of Farm:
from Hway 11142 north, turn southeast on SR 1108 and travel -7 miles to path on right +
-;
0 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude F 77
1*�IflO Dairy
❑ Non -Dairy
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ yes ® No
Discharee 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 1 Structure Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ... ....... Al..east................ ...A2.W.esL....... .................. ...... ...... -... .... ................... ... ...... ....... ..... .......... ......... ..... ............. _...... ...........
Freeboard (inches): 39 39
6.5/0/01 Cantinnew

OS/t-61
Facility Number: g-34
Date of Inspection 9/26I2001 Printed on; 9127/2001
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 maintenancelimprovement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Coastal Bermuda (Graze) Coastal Bermuda (Hay) Small Grain Overseed
COMMUed
❑ 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?
16. Is there a lack of adequate waste application equipment?
Re aired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ic/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (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?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
Q No violations or deficiencies were noted during this visit, You will receive no further correspondence about this visit.
❑ Field Copy ❑ Final Notes
Waste analysis dated on 9/7101 with 1.5 lbs. N / I000gal. for Iagoon #1.
1.2 lbs. N 1 1000gal. for lagoon #2.
Waste analysis dated on 6/27/01 with 1.1 lbs. N 1 1000gal. for lagoon #1.
1.6 lbs. N / 1000gal. for lagoon 42.
Soils ananiysis dated on 9/14/01 with only 3 fields out of 10 having 0.9T of lime required.
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: �p -
--
r-�

'DV 3MIT
Facility Number: 8-34
Date of [nspection 9R6R001
Continued
Printed on; 9/2712001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atfor 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
r.
J

1)
Type of Matt A Compliance Inspection Q Operation Review Q Lagoon Evaluation E
Reason for Visit ® Routine Q Complaint, 0 Follow up a Emergency Notification 0 Other I ❑ Denied Access
Date of Visit: 0 Time: 02 : p3
Facility Number
Not O erational 0 Below Threshold
Permitted ;I Certified © Cond
iti
onally Certified © Registered
Faris Name: .................... ...........................
OwnerName: . ................. . .......... . ............. a.r..�`af.........
Facility Contact:
Title:
Date Last Operated or Above Threshold: ..—...-...........
County: ......i14 ....._......_............. ..
Phone No: .....1./I. 7 7.x -3.5,E ..... ....... _...._ ..
Phone No:
Mailing Address:..... '3.&(...... 1-.owq............. ...... ... 4Ilk tt...... . �.._............. _....--...--....... .-...�..�rjx� .
Onsite Representative:......1aox..ro t..... i----•................................................ Integrator:......g ��.1,
Certified rator: kk� __ Operator Certification Number: .......�. Ope 11.t................1^......Tr...i11.t'i p �.jS2__.........
Location of Farm:
El Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ` u" Longitude ■ �4.4
I?c�iga Current
.Swine:,;, ° - - Canaeift Pnntilation
to Feeder
IWean
Feeder to Finish
rs o
o
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Curreiut Design- 'Current
Ca act Population _ tPcw3try on
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total' Design Capacity
-Tow Sgt-
= x -: Nu>Quheir; of f :agoutis ❑ Subsurface Drains Present ❑ I-agooa Area I[] Spray Field Area
Holdiss frQiuds 1. Solid Trawl ...... Na Liquid Waste Management S stem
Dischart<es & Stre Impacts
1. Is any discharge observed from any part of the operation? [] Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes W-No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes PO No
Structure 1 Structure 2 Structure 3- Structure 4 Structure 5 Structure b
Identifier: ..... ...�. .......... A.g-. '0 .......... ..... ...............................................................................................................................
Freeboard (inches): It
5100 Continued on back

Facility NumDate of Inspection ber: - H
5. Are there any immediate threats to the integrity of any of the structures observed? (ict trees, severe erosion, ❑ Yes 0 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 10 No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
❑ Yes
W No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
V No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
(A No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
Z No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
X1 No
12. Crop type a z
Dv -
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
Rj 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
W No
16. Is there a lack of adequate waste application equipment?
❑ Yes
00 No
Re fired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
W 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
V1 No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
J4 No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
19 No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
INNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
❑ Yes
CoNo
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
LE No
viol tiniis:Qr . cj encae i re )iOteO 00ong 'sit, Yoir wi�1teeeiw 40 fluirtho
correspo dense: about: this Visit~
Comments. {refer to question #): Explain any!YES'aflswei-s. and/or, any.reeomn nslations or any other comtments:.�
r
use- o[fat �iiy tri better explaut ratttattans."(nse additional pages ats nary):44
7/01
Vt1`gt`]OVA
e y
AL
�vi�s 1 5�4 �+� L" A �-V 3 -fei� L"'Jv
C4 ,cf � r� t � u i +mil r r
Reviewer/Inspector Name
Reviewerllnspector Signature:
Date:
5)00

` Facility Number: Date of inspection a
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor 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 {j 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 [P No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ 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 permanenthemporary, cover? ❑ Yes ❑ No
Additionall Comments and/orDrawings'. - . _ =x'° _ :=...;77
5/00

Facility Number $ 34 (late of Visit: b1271Z001 Time: 14:5t) Printed on: 9/1812001
rO Not Operational Q Below Threshold
® Permitted ® Certified 0 Conditionally Certified ❑ Registered pate Last Operated or Ahove Threshold:. .................... .
Farm Name: Jadual...0Q45........................................................ .......... County: ftx1ilt.................................... --._...... W RO.......
Owner Name: ................ ................ ........ 'GQjdSbRrs?..HQ'g.JFAr 5........................ Phone No: 919-7.7. - 1 4........ ........... ............ --.......... _..... ........
MailingAddress: P..R.Q1.10.Q99....................................................................................... R1d5hQxR.NC...................................................... 2.7.53.2 ..............
FacilityContact:.............................................................................. Title: ............................................................... . Phone No:...................................................
Onsite Representative: Ccgrge,FFelXus............................................................................. Integrator. �Rld&klslx.R.l�Rgka1C[t1�......................
.... .........
Certified Operator:D.altliel.....................................VAR.Stluldykirm .......................... Operator Certification Number:2.414C....... ............ -.........
Location of Farm:
from Hway 11142 north, turn southeast on SR 1108 and travel --7 miles to path on right +
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 35 54 25 Longitude 77 0$ 25 u
❑ Wean to Feeder
® Feeder to Finish
11520
9300
❑ 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 ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify° DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® 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.-ease .......... .......... #Z.►wvest.........
Freeboard (inches): 24 27
nsm_;mr Continued

05103101
Facility Number: 8-34
Date of Inspection 612712001
Continued
Printed on: 9/18/2001
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 Coastal Bermuda (hay) Coastal Bermuda (Graze) Small Grain Overseed
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 or other 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 N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
Q No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #}; Explain any YES answers and/or any recommendat'sons or any other comments.
Use drawings of facility to better explain situations.(use addit'onal pages as necessary): []Field Copy ❑Final Notes
* Discussed IRR2 & waste sampling schedule requirements.
_
* Lagoon level records complete.
* Last waste analysis dated 4/25/01 with lagoon #1 at 2.3 lbs11000 gallons and lagoon #2 at 2.4 lbs/1000 gallons. Previous report dated
311101 with lagoon #1 at 2.3 lbs/1000 gallons and lagoon 42 at 2.7 lbs11000 gallons.
* Last soils report dated 6/12/00 with lime applied and copper and zinc indexes within acceptable range.
* 1RR2 records complete and balanced.
werllnspector Name Pat Hooper 252-946-6481 entered by Della Robbins
L
werllnspector Signature: Date:

or.03101
. Facility Number: 8--34 Date of Inspection 6127120�1
Continued
Printed on: 9/18/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ®No
❑ Yes ®No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
1
AIM

Type of Visit D Compliance Inspection Q Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine a Complaint a Follow up Q Emergency Notification Q Other ❑ Denied Access
Date of Visit: 12-21-200t1 Time: 913
Facility Number 8 34
d Not Operational Q Below Threshold
® Permitted ® Certified © Conditionally Certified [3 Registered pate Last Operated or Above Threshold:...........
FarmName:tadjAJAM..O.Qdh................................................. ............................................... County: lkltfic................... ............... ....... ........ WARD .......
Owner Name:.... ...................... _................. Goddaharo..kit7gYArau[1s........................ Phone No: 919.-17-313.4..........................................................
Facility Contact:
Tit le:
Phone No:
Mailing Address: �i]. �t.11i��9....................................................................................... Quld5bux.Q NC........................................._........... U.N;.............
Onsite Representative: AG oiCgc.PfGttuS............................................................................. Integrator:faQldSlxil.CQ.FaRg. axJ[TIS........ ... _.... ....._...........
Certified Operatnr:JQpAtllcl..................................... Mun.S.Wa&y..inr,&....................... .. Operator Certification Number:Z41.4(t.............................
Location of Farm:
from Hway 11142 north, turn southeast on SR 1108 and travel —7 miles to path on right i
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude 77 • 08 Z5 °
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? nla
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
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: .............. A.1............... .............. J.2............... ......................
Freeboard (inches): 37 40
rmn
❑ Yes ® No
Structure 6

5100
Facilitffiumber: 5-34 Date of Inspection 12-21- 0000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
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 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 Coastal Bermuda (Hay) Coastal Bermuda (Graze) Small Grain Overseed
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?
15. 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?
�1io violations or, _dehciencies,were:no,ted :during this visit - You: will receive no further
Continued on back
❑ 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
❑ Yes ® No
Records available for review. In very good order +
Waste analysis: 11-29-00: # 1=1.2, #2=1.1, 8-30-00: # 1=1.3, 42=1.6, 6-7-00: # 1=1.8, 02=1.9, 4-12-00: # 1=2.4, 42=3.6, 1-12-00:
41=2.5, #2=3.0
Soil Analysis up thru year 200 available. Lime has been applied as recommended.
Irrigation records are complete and balanced out.
Freeboard levels are recorded weekly.
The grounds are well kept.
Small grain is growing well. Cont. to Page 3
Reviewer/Inspector Name Lyn Hardison

I Reviewer/Inspector Signature: Date: 51001
Facility Number: 5-34 Date of Inspection 12-21-2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ® 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
34. 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
ie vegetation on dike walls is well established.
verall, the farm is well managed.
you have any questions, contact me @ 252-946-6481, ext. 31 &
Rao

Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation 1
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access
Date of Visit: 1Z1712001} Time. 1411t]
Facility Number 8 34
Q Not ❑ erational Q Relow Threshold
® Permitted ® Certified 0 Conditionally Certified [3Registered Date Last Operated or Above Threshold:...........
Farm Name: Il iai0..W.fkWL............................................ . 1>A.................................................. County: tlic..................................... .......... -- W...ARQ.......
OwnerName:.. ............................................... GQldsbaxsx.Hog.karuns...-----................ Phone No: ...........................................................
Facility Contact:
Title:
Phone No:
Mailing Address: t' ?.(lx.11tSlQ9....................................................................................... �rRldSktf]CR.IBC........
.... .................. I ......... ............. .............
Onsite Representative: Gong rein 5...........6............................................................ Integra(or:Cj.oWs oT.o.Rog.E..a7CXn.5......................................
Certified Operator:1).alticl..................................... Y.AIA.$.1Aa1dY..jAvjl.......................... Operator Certification Numher: 2,414.6--...........................
Location of Farm:
from Hway 11142 north, turn southeast on SR 1108 and travel-7 miles to path on right +
e
N Swine []Poultry []Cattle []Horse Latitude 35 • 59 254& Longitude 77 ' 08 ° 25
Design Current .
Swine Capacity Population
❑ Wean to Feeder
N Feeder to Finish
11520
10800
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design ;'.Current
Poultry Capacity Population Cattle Ca aci Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity E-1 1,520
Total SSLW 1,555,200
Number of Lagoons 2 ❑Subsurface Drains Present ❑ Lagoon Area ID Spray field Area
Holding Ponds 1 Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? ❑ Yes N No
Discharge originated at: [I 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 N No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes N No
Waste Collection & Treatment
4. is storage capacity (freeboard plus storm storage) less than adequate? Cl Spillway ❑ Yes N No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................... ................. ..... ........... .......... ........................ .... .................................... .................................... ....................................
Fecboard (inches): 40 38

5/00
Facillty Number: 8-34 DaIc of Inspection 12/7/2000
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 Avelication
10. Are there any buffers that need maintenance/improvement?
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Coastal Bermuda (Graze) Coastal Bermuda (Hay) Small Grain Overseed
Continued on back
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
❑ Yes
®No
❑ Yes
N No
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 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/ W11P, 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?
'No,'violations:or dehkiencies,'were noted "during this'visit: You will receive no further
correspondence about this.�isit.. . .: .
*OiC for facility is Daniel Martin Van Slaaldvinen cert# 24146.
*Waste analysis dated 11/29/00. Nitrogen is W 1 = 1.2 Ibs 1 1000 gallons
W2 = I.I ibs /1000 gallons
*Soil test dated 6/12/00. Lime applied at recommended rates.
*Lagoon level being recorded weekly as required by permit.
*Records are well organized.
32. Pull plugs
Reviewer/Inspector Name Martin Mclawhorn
❑ Yes N No
❑ Yes N No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No

Reviewer/inspector Signature: Date:
5/00
Facility Number: 8-34 Date of Inspection I 12/7/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ® 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 Iagoon? ❑ 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 IN No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
r.

isiagoi Waier•Qaxllty •'::: • - - _ r
Q Diviision of Sot? and Water Coasery anon
0 Other Agency .. :..
Type of Visit QQ Compliance inspection 0 Operation Review ❑ Lagoon Evaluation
Reason for Visit @) Routine ❑ Complaint 0 Foliow up Q Emergency Notification 0 other ❑ Denied Access
Date (&Vi'mit: 12-Z]-2t1011 Time: 913 Printed nrt: 12r18)2000
Facility lumber
Q Not Operational 0 Beim►• Threshold
Permitted 9 Certified M Conditionally Certified [__T� Registered Date Last Operated or Above Threshold: .........
Farm Name: 1uAian.__ .sxtds................_...._... _.... ......... .................... Count.: R rrtie...................._........... Vl<'ARO.......
Owner Name. ... ... . ........... .._._._.....---------- --- -Gidi dbox0io ....... Phone No: 919.-Tz8 31M•••••••-••-_•••••.........•-•••••_............•••-•••..
Facilit►• Contact: .... _..... .__......... ..... ........._...__ Title: .. Phone No:
Mailint; Address: Phi Rai.lQtlfJ9•••_.•-•-•••—•—._-........••••_.•---••••.--------- —------- _.._.._._- Qo1d3kt0zxt.NC..•-_•••••-•••••••....-•••••••••••...................• 215,17.•--..........
❑nsitr Hepresentati► e: GM=.Pt:=1...................... Integrator: i`xtlldahoirn-Hog.lFams................••••••••••....._.....
Certified Operator:,DanW ..... _.... ...__........... .�.. �.', t8�ld�luleit ....._._.....__.._.. Operator Certification Number:.2.U.4G
Location of Farm:
:'from Hwav 11/42 north, turn southeast on SR 1108 and travel —7 miles to path on right
3
® Swine ❑ Poultry ❑Cattle ❑horse Latitude 35 j' ` S9 25 ;u Imnrituc}r - 7 1 ` ' 08 25
Design Current
SA'ine Canacit►Ponulation
❑ Wean to Feeder
IN Feeder to Finish
❑ Farrow to Wean
11520
10100
❑ Fan -ow- to Feeder
❑ Farrow to Finish
❑ GiILfi
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer i] Dairy
❑ Nan -Laver ❑ Non-Dairy
❑ Other
Total Design Capacity 11,520
Total SSLW 1,5553P
Number of Lagoons �_. _ Z� ❑ Subsurface Drains Present ❑ Ln-p-m Area Spray Field Area
Ivlding Ponds ! Solid Traps JE1 No Liquid Waste Management S► stem
D�echar�e. cd Ztrratrs Itn�3ac:ts
1. is any discharge obsen ed from any part of the operation? El Yes ®No
Dicharee originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, ffdi:,:haree is ats.encd. ►►as The con► a amx man-inadZ' El Yes ®No
b. If di•vharee is observed_ did it reads x1'awr of the State? (If ve _ potih- I?WQ) El Yes 9 No
c- If distharce is oh:cn-ed. ►,fiat ilz the estininied f o%n ill *al'miu'? UIa
d. Does discharge brpa.,x a lagoon syi;tLm` (If !'es. notifl- DWQ❑ Yes ® No
2. Is there e6dence of past discharge from any part of the operation? ❑Yes X No
3. Were there any ad -verse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes Yj No
N! ante Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Stricnu•e I Structure ? Stricture 3 Structure 4
Identifier: ........... ...�-1........... ...._............. #.2.............. ....... ___ ....... _.__...... .......... ....... ..........
❑ Yes ® No
Structure 5 Stmotttre G
Ir:choard (inches) 12 .............................0............ ................. _............

5/00 Continued on hark
)Facilit►' Number. 8-34 hate of Inspection 12-II-20t1U Printed (in. 42I28/2000-
5- Are there any immediate threats to the integrity of anv of the structures observed? (ie/ trees, Severe erosion_ ❑ Yes N No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? []Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any' of the structures need maintenance/improvement? ❑ Yes Ni No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
jA'a.7e Apnficatifkn
10. Are there any buffers that neck maintenmee/impro►,c.-utent? ❑ Yes N No
1 I. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Coastal Bcrmuda (Hay) Coastal Bermuda (Graze) Small Grain Overseed
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 land application?
❑ Yes
N No
b) Does the facility need a wettable acre determination?
❑ Yes
N No
c) This facility is pended for a wettable acre determination?
❑ Yes
® No
15. Does the recehring crop need improvement?
❑ Yes
® No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Reouired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readih' available?
i] Yes
X No
I& Does the facility- fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design. maps, etc.)
❑ Yes
N 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?
❑ Yes
N No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
N 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/Iaspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24. Does facility require a follow-up visit by same agent y9
❑ Yes
N No
25. Were any additional problems noted wltich cause noncompliance of the Certified AWMP?
❑ Yes
N No
M) violatiotas or deficiencies were noted during this visit : You win receive no further
correspondence about this visit.
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages -as. necessary):
R000rds available for rc"ew. In very good order +
Waste anah'sis: 11-29-00: #1=1.2, #2=1.1, 8-30-00: #1=1.3, #2=1.6, 6-7-00: #1=I.& #2=1.9, 4-12-00: #1=2A, #2=3.6. 1-12-00:
01=2.5- #2=3.0
Soil Analysis up thru year 20U:available. Lime has been applied as recommended.
Irrigation records are complete and balanced out.
Freeboard levels are recorded weekly.
The grounds are well kept. r
Small grain is growing well.
Reviewer/Inspector Name--

! R+e►�6ewerAnspector Signature: Date:. ._. 5100
Facility Number. 8-3.4 Date of in--pertion 12-21-21i[HI Printed on: 1212812000
Odfir is-ue•
26- Does the discharge pipe from the confinement building to the storage pond or lagoon rail to discharge at/or below Li Yes X No
liquid level of lagoon or storage pond with no agitation?
2T
Are there anv dead animals not disposed of properly within 24 hours?
I i Yes
E9 No
28.
Is there any midence of wind drifi during land application? (i.e, residue on neighboring vegetation, asphalt_
❑ Yes
St No
roads, building structure. and/or public properly)
29.
Is the land application spray cv.q= intake not located near the liquid surface of the lagoon?
❑ Yes
g 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 Jill pipe or a permaneuVternporary cover? ❑ Yes ❑ No
Additional Comments and/or Drawings:
The vegetation on dike walls is well established. A�
Overall, the farm is well mauaeed-
If you have any questions, contact me Ca. 252-946-6481. eA 31 K

Division of ater Quality r
0 Division of: Soil and Water Conservation • _ _ _ _ �` : •,�._�
- _ - - - -
Other Agency
of Visit 0,tompliance Inspection a Operation Review 0 Lagoon Evaluation
Reason for Visit 04 routine D Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number Date of Visit: Time: q i 3 Printed on: 7/2112000
rO Not Operational Q Below Threshold
Ef&rmitted W Certilied [3 Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: ...............
Farm Name: rtf .i ....woI ,A7: ......................... .... County: KC......................... ......... .... � 19� ....
Owner Name: l dl spa o dew Phone No
9 _ ei n�� fn� _ � �
Facility Contact: .�.+° ! ... '. ... I........................... Title. ................. �............................... Phone 1Lo:..--•--- .......-----..............
Mailing Address:... ta. Bp.y ...... unla `I... ... ..............�3 �r r a...---•• N e 5` ....
Onsite Representative: , `} Integrator (� ._..-
Certified Operator: ,xn.1 e ]......I R'n......... � .� 1 h e,.k............... Operator Certification Number: ...'
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • t « Longitude • 9 99
= Desip Current Design Current Destgit Current -
,�:
... Ca ci Po elation Poultry Capacity Population Cattle Population
Wean to Feeder ❑ Layer Dairy
Feeder to Finish j 15 p ❑Non -Layer ❑ Non -Dairy
Farrow to Wean .
Farrow to Feeder [I Other
Farrow to Finish Total Dt M Ca ad
gn
Gilts P ty.
Boars Total SSLW
s ❑Subsurface Drains Present ❑ Lag•w►n Area Spray Field Arcs
N" ber.4 Lagoons
Eiil
Ptiads'I.So4d T ❑ No Liquid Waste Management 5 stem
y
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes UNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes 2No
b, if discharge is observed. did it reach Water of the State? (If yes, notify DWQ) ❑ Yes O No
c. If discharge is observed. what is the estimated flow in gal/min? 0 )a—
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 [3-No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes [I-90
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: �r`5 .. 2................................... .....................
Freeboard (inches): 3-1 z-b
5/00 Continued on back

Facility Number: — 3 Date of Inspection Imo- -' Printed on: 7/21 /2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6, Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes &Ko
(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 GI-K10
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes &1•Io
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes R'No
Waste Aonlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes �+10
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes [],�qo
12. Crop type 'b e_T VVk tj a. � (A tit Cnn i► r l i �_ � feet , R j au n �� l s
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes [ o
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)
21 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?
• U. Rio'A61h'fi0gs:rl+r do*s rv'qre h*0(ed* 0'0*6* }g �his;visit: • Yot0' ij6 furftf
caries oritience: albaut this Visit: . .. .... .
❑ Yes 2No
❑ Yes (3No
❑ Yes �Io
■ u110
❑ Yes B No
❑ Yes ENo
❑ Yes 9+Io
❑ Yes KO
❑ Yes [ No
❑ Yes [T�j0
❑ Yes (]/No
❑ Yes Eldo
❑ Yes U/No
❑ Yes dNo
Comn nts (refer to cluestian #): Explain any YES answers and/or any recommendations or any other eon nestts: �- -
Use dtrawiiags of facility to better explain situatiions: (use additional pages as necessary): - -
Wes{- G`-xa 9c°' S lt-2�-av, �`I = I.� �+�s ', ►+ z.- 1A 140 164,
6 --I-oa : t � t. �Q-l.9 lk's 1, 4--t 7-eo -- * t � x..t � x �. k t 6 .G 6c 3D1
�. �-1- � �rt,u. zaD� L.: rum tti+�.a.- k�.ac-r a-�c-�-�..cQ a-� f►-�c.b,,r-.w,s��
_ W Uk
err-ac-f A'A.
Reviewer/Inspector Name I__'j KL _ O,->r •! .-S&
Reviewer/Inspector Signature: aV4 r 4 . Date: ! 2- 2.1-00 5100

Facility Number: q — 3 t Dine 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
E140
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
2-9-o
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
Q-Ko
30.
Were any major maintenance problems with the ventilation fan(s) nested? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
P"No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
[9I0
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
dKh'onaFComments and/or Drawings•.
A.
A ral r -cam OA-1-3 (Q
A' L� atA- kaA,, c a*,,,- � ,
95-0--911-b- (14 -CI-)'14 3 + 8'
3/23/99

Facility Number S 34 Date of Inspection 12-20-99
Time of inspection 1210 24 hr. (hh:mm)
® Permitted ® Certified p Conditionaily Certified p Registered p Not O erational Date Last O crated:
p ...... ..............
Farm Nome: 1`i1.[IimL.W..sltllL9........................ .........................................................................
County: Bexite............... ....................... W. A-D----...
Owner Name:....... ............... ............................ G01dsbmu 1 agXArrw............---......... Phone No:
Facility Contact: irgc_ etIin-................................_.............. Title: EmiramentaLMAmm....------. Phone No: 212.- -jLN...................
Mailing Address: Pii.Box 1Qfl09----..----.---.---- ........... ................................... ............ Goldal oro.NC--•---------------------------------------------------- 17532 .............
Onsite Representative: Geo...Pettmj........................................................................ ... Integrator: Gs11d�I�l�.kIQg.Pat�71x................------••----...------..
Certified Operator: Jerry.. . ...................... ...... Iml....................... ... Operator Certification Number: .17.71.5 .............................
Location of Farm:
-- rti.H�r�Y.1.1.192.auurtlt.�t�unu.au�b�e�#.oxt.,SS.l..lil8.�tnd3rax�l.�Z.mil�.�tsx.pathan.right---------------------•-��-------.._..-�-----�-----�-------------.....-----��-----�---
................................................................................................... ...•••...•••..•••••.••••••••••...••••••................................................ . •.......•.•••...•••...••••••... ......
Latitude 35 ' 59 25 k Longitude F-7-7-1 • F 4874 F25 u
Design Current
Design Current
Design Current
Swine Capacity..Population
Poultr,V
Capacity Population Cattle
Capacity Population.
❑ Wean to Feeder
❑ Layer
❑ Dairy
I
I
-
® Feder to Finish
11520
9160
❑ Non -Laver
❑ Non -Dairy
❑ Farrow to Wean
Farrow to Feeder
Oth❑
T.
❑ Farrow to Finish
I
_
Total Design Capacity
11,520
❑ Gilts
Tota1.SSLW
1,555,200
❑ Boars
Ej
Number of Lagoons 2 [[]Subsurface Drains Present ❑ Lagoon Area 10 spray Field Ama
Holding Ponds I 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: ❑ 1-agoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes N No
b. If discharge is ohu:n'ed_ did it reach Water of the State? (If yes. notify DWQ) ❑yes ®No
e. If discharge is observed, what is the estimated flo-w iu galfntiu? nla
d. Does discharge bypass a lagoon wstcrn? (If yeti, not& 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 Stnicture 2 Structure: 3 Structure 4 Structure 5
Idcntil icr:..............#.1.............................. #1 .............. ............
Freeboard (inches):...............17 .................. ............. 3 ::..............
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erasion,
seepage, etc.)
3/23/99
❑ Yes
N No
❑ Yes
® No
❑ Yes
N No
❑ Yes
N No
Structure 6
❑ Yes
N No
Continued on back

Facility Number. s-34 Date of inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Apptication
10. Are there any buffers that need maintenancelimprovement?
11. Is them evidence of over application? ❑ Excessive Ponding ❑ PAN
Printed on 12121/99
12-20-99
❑ Yes
N No
❑ Yes
® No
❑ Yes
® No
❑ Yes
N No
❑ Yes
® No
❑ Yes
N No
12. Crop type Coastal Bermuda (Graze) Coastal Bermuda (Hay) Small Grain Dverseed
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 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?
lb- Is there a tack of adequate waste application equipment?
Required Records & Documents
17. Bail 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?
(iel WIT, checklists, design, maps, etc.)
19. Does record keeping need improvement? (iel 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?
(icl discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss reviewlmspection'r-ith on -site representative?
24. Does facility require a follow-up visit by same agcncy?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
N6 violations: vr'deficiencies. were. rioted:during this visit:: You will:receive 'no ftirtheir. .
correspondence about this ►visit.: :::: : :: :: : : -
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes CO No
❑ Yes N No
❑ Yes N No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
Comments (re€er to question #):: Explain any YES -answers -and/or any recommendations or anv other comments.
Use drawings of facilityto better. explain situations: (use additional pages as necessary):
Records available for review. DSWC conducted the wetted acre determination (#14). f
Waste analysis: I0-6-99 - 4 1 = 1.7 lbs, # 2 = 2A lbs; 8-4-99 - # 1 = 2.9 lbs, # 2 = 3.2 lbs
Waste, soil, freeboard and irrigation records are up to date.
Area received approx. 18" of rainfall in Sept. `99. The storm caused several areas to wash away in the diversion areas. When weather
permits, these areas may need to be reworked.
Vegetation on dike wall and in sprayfield are in good condition.
The records are well established and organized.
Small fire on a portion of dike wall of lagoon # 1 due to recycle pump electric box shorted out. CONT. PAGE 3
V"
S-HardisRe Reviewer/Inspector Name
RPviawPrfrncnnrfnrCianRtnrai

Printed on 17121l99
Facility Number: B-34 Date of inspection 12-20-99
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atior below ❑ Yes ® No
liquid level of lagoon or storage pond with no agitation?
27. Arc 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
3 l . T)o the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanentitemporary cover? ❑ Yes ® No
Aantttonal Comments anUlor. Drawings:
The recycle line and one outlet line was affected_ Repairs were been made at time of inspection.
Old hay noted onsite.
Overall, the farm was Found satisfactory,
If you have any questions, contact me at 252-946-6481, ext 318.

_ .
a Division of Soil and Water _Crrnse -►watiori' Operation'Revievr 4,
_ �; _�,U pi►ision of Soil and Water Conser►a- .Compliatiie;inspection� 7ihision of Wa#er; ali -. Cndii liaiaee Zits cation. _� • - `',;' - �- _� - =' �° �= - -- 5`
c
- - Y
P P
i_
:. 13 Other Agenc = Q ei;d6ri`Re►�iew
-.._ _. ... ..- _�Y....- - — .. .. .:v" = � •:'fir
'Routine 0 Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number Date of Inspection-
- Time of Inspection 24 hr. (hh:mm)
Q�Krmitted EKertified [3 Conditionally Certified 0 Registered 113 Not O erationat Date Last Operated:
FarmName: ....�.-........ .1-n. .Ln......ti!I -.-.ov .nn........................................................... County: ...
Owner Name: ............................ Rl?� ?!' ... .... 7��r...... Phone No:....�. .'....... ............. -..............
Facility Contact: Aie-'V .... ... sue.. .. ... ... Title: ��!ly!,ronr.�t+� .Phone No:.............�.�z4—s--L.................
�] .......... ................... Uf �,
Mailing Address: ,~;7;,� :. 4 ?f'.V-.... ���.❑❑� 9........................................................... ....... GA.I.A aro.................`s1..C........... ..AX,]
❑nsite Representative:.... . ' ....T. ........ ....I ............ .. Integrator: I+ t baro...... .....,. ....
Certified Operator:....... IFq....... � Operator Certification Number ........�.. ..... ram............
Location of Farm:
Latitude • ` `• Longitude • ' °'
- Design Current ,- r Design Current Design Current -- -:
3wme
❑ Wean to Feeder
Ej-f�eeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
l 1520
Number of Lagoons 2. ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Hotding;Punds 1. Snlid 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'?
h. If discharge is observed, did it reach Water of the State? (If ycs, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min'!
❑ Yes 2-No
❑ Yes ['No
❑ Yes EJ'No
ev f R•
d. Does discharge bypass a lagoon system'? (If yes, notify UWQ) ❑Yes ►[ No
2, Is there evidence of past discharge from any part of the operation? ❑ Yes allo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ERI�o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes Ri�o
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? (iel trees, severe erosion, ❑ Yes dNo
seepage, etc.)
3/23/99 Continued on back

Facility Number: — Date of InspectioD it v -19
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
El Yes
[ZNo
(If any of questions 4-5 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
Yes
ElP
-RKo
D
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
VNo
Waste application
10: Are there any buffers that need maintenance/improvement?
❑ Yes
21fio
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
[YNo
12- Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
B'No
VAA
14. a) Does the facility lack adequate acreage for land application? p -
❑ Yes
❑ No
b) Does the facility need a wettable acre determination? 'G
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
El Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
00
16. Is there a lack of adequate waste application equipment?
❑ Yes
O No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
SIN
18- Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
❑ Yes
[krNo
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
0 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
[KNo
(ic/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
ONO
24. Does facility require a follow-up visit by same agency?
❑ Yes
FfNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
[J'No
Ia yinlati¢ns or deticieri... were n4rtied di j)g 4his:visiL - Y:oi) will-reeeiye do further -
,,........ ........... ...... ..
correspondence. about_ this Asit_ .
_ . ....... ....... ...... _
Comments (refer to question ft Explain'airy.YES'answers:and/or'.any recomrti_endationi or.any aiher cauunerits.`:`.:
Usedrawingsof. facinty to'better explain:sitpations: (uscadditional: a es as necessary PJ _ - -
'al
--2. /fir-¢_
�r n �"� ►`, a?.� E1ic ;` -Z ;3. fib,
t:1aa-�L o'..��: r tAYr�a� p -, &abt,
7� 11 QR ti �C� + > � 'r 7t+ �c.r.. t' ` _q q . -X-L_ A4Yr'r.+ ca-4.c.d.[sQ
Reviewer/Inspector Name - _
Reviewer/Inspector Signature: Date:
3/23/99

Facility Number: — Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes 2(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 WNo
28- Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 03"'Na
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 ®'fio
30, Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blades), inoperable shutters, etc.) ❑ Yes 5JNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 9NO
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes [9No
- . Moon Comments and/or Drawings:-_.
r .4� ...
►�-ec.- j4y,_�� a-,. c>Gc.� +F
�
6 r�-�vc� fit' r+ .r►�.�5�.- 9� b- 4� �
. 3/23/99

t3Registered ■ Certified p Applied for Permit M Permitted 13 Not 0pest:ona Date Last Operated:
Farm Name: Indian.K..onds................. ............................. County: Bertie WARO
Owner Name: ....... ....... •................................... Golds.baro.HogFarmc.......... ....... ---•- Phone No: 9.11.. 7S-3130...----•---.........................------...............
Facility Contact: George.Pdtu.&................................................Title: EnxrionmizaUl_Manager........... Phone No: 919-.7.2&313u........ -..............
Mailing Address: P..O..Qox.1000g....................................................................................... Goldsbiara.N.0......................................... ... 27-53Z........
Onsite Representative. Geoxge.P.ettus............................................................................ Integrator: Goldshura.Hog.Farms .......................................
Certified Operator:dparxy.W T.eel.................................................... Operator Certification Number: 17..21S ......... -................. ..
Location of Farm:
Latitude © • ®° ©" Longitude ©r ®©�
M ..
i; auTati swine-�-Cpacity : Papon C ' " acity. Population s' C
❑Wean to Feeder
® Feeder to Finish
p Farrow to Wean
❑ Farrow to ee er
❑ Farrow to Finish
p Gilts
❑ .Soars
E3 Layer
E3 Non -Layer
I
El
l.
Ewa
rw
--_ .tea ..
De
._. a. :Total- n}CaP aci
11,520
=Total SSLWw
,
1►Inmher a£.Lagoans l H_64i g iq -.. II p p ago 13 pray :
.:,...:. , .........:..Liquid
vaste Manage
stem -
❑d Y
General
1. Are there any buffers that need maintenance/improvement? p Yes ® No
2. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: p Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ®No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) 13 Yes Cl No
c. If discharge is observed, what is the estimated flow in gal/min? nla
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) p Yes ®No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ®No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ®No
5. Does any part of the waste management system (other than lagoons/holding, ponds) require ❑ Yes ® No
maintenan cclimprov em ent?
G. Is facility not in compliance with any applicable setback criteria in effect at the time of design? p Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ® No
7/25/97 Continued an bark

8. Are there lagoons or storage ponds on site which need to be properly closed? p Yes ® No
Structures (Lazoons,Holdine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? p Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: #__. #..._._ . - • •................. _..... _ ........... ......_ .........._.�.........-......._
Freeboard(ft):... _... _... -4 0....----------.............2M...... ...................... ......... ............ ._............................
I0. Is seepage observed from any of the structures? p Yes ® No
11. Is erosion, or any other threats to the integrity of any of the structures observed? p Yes ® No
12. Do any of the structures need maintenance/improvement? p Yes ® No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
w 13. Do any of the structures lack adequate minimum or maximum liquid level markers? _ _ _ _ _ _ _ . _p Yes ® No.
Waste Application
14. Is there physical evidence of over application? p Yes ® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ...... Cnasta1Bcrmuda.Grass....... 5m.alI.Grain.s.W1=t,Rar1cy,.........................................................
16. Do the receiving crops differ with those designated in4the Anon}al Waste Management Plan (AWMP)? p Yes ® No
17. Does the facility have a lack of adequate acreage for land application? p Yes ® No
18. Does the receiving crop need improvement? p Yes N No
19. Is there a lack of available waste application equipment? p Yes ®No
20. Does facility require a follow-up visit by same agency? p Yes ® No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? p Yes ® No
22. Does record keeping need improvement? p Yes ® No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? p Yes ® No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? p Yes In No
25. Were any additional problems noted which cause noncompliance of the Permit? p Yes ® No
[• i eps•t�r a cie s:�e1-�-note -att sW.s-t: OUw• ••rewived rt-er-:-
:: t~nt-res�itiaderice about f its visi't::::::::: :: ::. • . ' . ' ::: • . ' :::. :::.. . '
� Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:

❑n of Sail and Water Conservation ❑ Oth
erAgencyDivisiv �
y ® Division of Water Quality �W
Routine O Complaint Q Follow-up of DWO inspection Q Follow-up of DSWC review Q Other
Facility ;umber
Date of Inspection -1 D --98
� 3
Time of Inspection �� 24 hr. (hh:mm)
El Registered M Certified E3 Applied for Permit IN Permitted JE3 Not Operational I Date Last Operated:.......... .7 �
Farm Name: ....... a-_r to f"tk...... Yvaos.................................................................... County:...... ...... Tsr.K:!L.................
..
Owner ...1�5e .... ritx. +..................... Phone No: .... 911`g-.778-.- ..'-?...................................
Facility Contact ... Title:................................................................ Phone No: ...... .................. .....-.....................
Mailing Address: 2 A:33x..�L.......1 pt'_-�O.q..................................................................... G'9115.14.r,¢ ................. 9.............. •........ 275...��..,..
Onsite Representative:... A... e p>fi Integrator: ....... "..................................................................
Certified Operator..... 1til... .7R ... Operator Certification Number:........ i.1.7,1.,r'............
Location of Farm:
Latitude ' 0' 0" Longitude 0• 04 'C
Design Current
sime. Capacity Population
❑ Wean to Feeder
® Feeder to Finish
1192D
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design. Current Design Current
.Poultry Capacity Population Cattle Capacity Population.
❑ Layer ❑ Dairy
❑ Non -Layer JE1 Non -Dairy
❑ Other
Total. Design Capaty ci
Total SSLW
Ntm*er`of. Lagoons 1 Holding Pon& ID Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
2. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes ® No
c. If discharge is observed, what is the estimated flow in galltnin? 4 (e"_
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes ® No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes lR No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes W No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes 6� No
mai me nanceli mpro ve me nt?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes NJ No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes NJ No
7/25/97

Facility Number: g — 3 c�
8. Are there lagoons or storage ponds on site which need to be property closed? ❑ Yes JB No
Structures La dons ioldin fonds F'lu h Pits etc.
9. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes Ef No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (ft):..---...... ........................... 3y
10. Is seepage observed from any of the structures?
11. is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ,1. �.kr L7t .......0 -- .�'�....�:�
15. 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 Onl►
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes ® No
❑ Yes 0 No
❑ Yes JRNo
❑ Yes ® No
Y
'�tNYes No
0° No.violations-or- deficiencies. were -noted -during this; visit.- You,''ill recei've-ino ftirilie'r
correspondence about this visit.,
❑ Yes EWNo
❑ Yes . EINo
❑ Yes [A No
❑ Yes ®.No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes 91 No
❑ Yes ®,No
❑ Yes S No
Cots:: refer:to:. ues#an'# :.;E. laid'an :;� answers an or an i�cctui�ue iil�tiui s or ari :iitlier camiuerif� =�:,� � ,�
..........
[ y »;' )
Use rs ai iht - #r ,better latn;miu' .8 torm iiise.additi s=F
.......... Y ............ .. (.......:.. .
. _ neeessa
_..una
T
,. .. ........ ... e.. .. ....-..........: ...:....
-Z1,Ce A
A -"r-1
�t-
'�' 7125197
Reviewer/Inspector Name 7.
n.
Reviewer/InspectorSignature: Date: f -l07q

N
Facility Number Date of Inspection
Time of Inspection ® 24 hr. (hh:mm)
p Registered ■ Certified p Applied for Permit 0 Permitted in Not 0perationa Date Last Operated:
Farm Name: Indiaut H'.amds...............................................•-----•---.................................... County: Bertie WARO
Owner Name: ................................................... GaIdsba o.HagEarms-----.---..I........... Phone No: 9.I9-7.7fi 313A----....................................---..----.
Facility Contact: IlaxU. nricin............................................
....Title: Heald.Sex:xicemau .......................... Phone No: 919.E 2t9163........................
Mailing Address: FQ..boa[.].QQQ9....................................................................................... Galdshara.KC ....................................................... 27532..............
Onsite Representative: Daxld.GuAin...................................................-...........-............. Integrator; GoldsUm-Hog.F.arms.......................................
Certified Operator:Jcrty..W ............................... Teel..................................................... Operator Certification Number: 1TT15.............................
Location of Farm:
Latitude © 0 ©« Longitude ©■ ®©«
eSi
Swine--:. w<. Ca ace Po nlat�on - ;::Pool
- p. tye p}':'_..TCapacity"PopuIatEon =Cattle;'µ-'Capacity.�:Pnpuiatiop=+.`=
rl Wean to Feeder
Feeder to mis
_.
[3 Farrow to Wean
13 Farrow to Feeder
13 Farrow to Fmis
Gilts
-
Boars
General
1. Are there any buffers that need maintenancelimprovement? 0 Yes N No
2. Is any discharge observed from any part of the operation? p Yes ® No
Discharge originated at: p Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made? p Yes ® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) p Yes H No
c. If discharge is observed, what is the estimated flow in gal/rain?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) p Yes ® No
3. Is there evidence of past discharge from any part of the operation? p Yes H No
4. Were there any adverse impacts to the waters of the State other than from a discharge? p Yes N No
S. Does any part of the waste management system (other than lagoons/holding ponds) require 13 Yes ® No
maintenance/improvement?
b. Is Facility not in compliance with any applicable setback criteria in effect at the time of design? p Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? p Yes ® No
7/25197

Facklity Number: _34 Date of Inspection
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,HoldinQ Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) Iess than adequate?
Structure I Structure 2 Structure 3
Identifier: ........Lago=1................ Lagoari.2 ........ .............................
Freeboard (11): 2.8 2.1
10. Is seepage observed from any of the structures?
Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
p Yes N No
p Yes ® No
Structure 5 Structure 6
15. Crop type ...... C,aa W.Bmmuda.(hay.)i ............. •................................................... ...........................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
p Yes
N No
p Yes
N No
p Yes
H No
p Yes
® No
® Yes
p No
q . o -vioLations.ar creneies•were.no a wring this visit:. ou wy .receive nor further . .
e'rreS�iod�rie abu�i> jtiS : :.:.:.... .
13 Yes ® No
p Yes N No
p Yes ®No
p Yes ®No
p Yes ®No
p Yes ® No
® Yes p No
p Yes ® No
p Yes ® No
p Yes ® No
Reviewer/Inspector Name a : a upper
Reviewer/Inspector Signature: Date:

outine 0 Uomplaint p o ow -up of IM2 inspection p Follow-up of DSWC review p other
Facility Number Date of Inspection
Time of Inspection 0 24 hr. (hh:mm)
Farm Status: G Registered p Applied for Permit
■ Certified E Permitted
p Not Operational I Date Last Operated:
Farm Name: Indian Woods
County:
Owner Name: Goldshoro.1ftEAMM................ -..... Phone No: 9,19_772-3130..... ................ ...............................
Facility Contact: JGra ge.Eeftu.&........._......_..._....—..._.__..Title: EnYironmemml.Managder..._...... Phone No: ..... ............._.........
Mailing Address: PQ.1IU.101102........... ._........._._....... ............. ...... Z25,3z....... .......
Onsite Representative: Daxid.Garkin................................ ----......._.... Integrator: Galdsbnrte.Hog.Faxms... ...... .....
_. _.. .
Certified Operator:Operator Certification Number:17115.............................
Location of Farm:
Latitude ©• ®' ©� Longitude ©• ®' ©u
e of ❑ ration _ =x -
P Design . :Current ., k ; _ _ Design _ _Current - y' Design 'Current
M . = .
- �...,.. Z - Cattle ` :Swine .-• ;a_:;Capacity -Population; Poultry`1' .' Capacity=Population -} -=::capacity Population
Wean to Peeder
Feeder to Finish
13 Farrow to Wean
13 arrow to Feeder
Farrow to Finish
[3 Other
Layer p airy
Non -Layer ` p Non — airy
•_�-:� = ::Total DesignCapacity: - _ -
r - _ -
- _ :o- =T�ta1 SSLW
==Number of Lagunus'1 Holding Poi
= p u sur ace rams resen agoon Area p pray �e rea
. N -
_- . -
General
I. Are there any buffers that need maintenance/improvement? p Yes ® No
2. Is any discharge observed from any part of the operation? 0 Yes N No
Discharge originated at: p Lagoon 17 Spray Field p Other
a. If discharge is observed, was the conveyance man-made? p Yes p No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) p Yes p No
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) 13 Yes p No
3. Is there evidence of past discharge from any part of the operation? [3-Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? p Yes ® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require p Yes N No
mamtenance/iinprovement?
4/30/97

IFacihty Number:
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?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or Holding Ponds)
9. is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard 00: Structure 1 Structure 2 Structure 3 Structure 4
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
p Yes
® No
p Yes
® No
p Yes
® No
p Yes
® No
Structure 5
Structure 6
p Yes
® No
13 Yes
N No
p Yes
M No
p Yes
® No
p Yes
® No
15. Crop type ... _Coa~staiB&.rmuda.CLrass.._. _.__ ....... ____ _ _ _-•-----•_.. _ ... .
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 i Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Flan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes N No
p Yes ®No
13 Yes ®No
13 Yes ®No
p Yes ®No
E3 Yes ®No
p Yes ® No
p Yes M No
24. Does record keeping need improvement? ® Yes p No
Reviewer/Inspector Flame Ho;ya;
Reviewerllnspector Signature: Date:

nimaeratiba',Reyiew=
❑ DSWC Al'=Feedlot Q
............. .
s
P -
» ;
M
�DW Anlmal Feedlot erativn ;Slte Ins eettvn
Q n ... P.
KYRoutine Q Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Date of Inspection iG Facility Number
Time of Inspection ED 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ❑ stered ❑ Allied for Permit (ex:1.25 for 1 hr .I5 min)) Spent on Review
Certified @'lrerr tted or Inspection includes travel andprocessing)
❑ Not Operational Date Laslt. 1Uperated:.... -- .... _.. .._. w I�... ...._.... ............. _........
Farm Name:..w.... .z .......... 1,21.14 � ... -- ... _.............. County: ... r..... ._......... ..... . .....
Land Owner Name:.. AkP.5... c- ....... .... Phone No: q.L_.l..:37-8-73Ca0
Facility Conctact:..._ 4�. r� r�T�!. .... Title. t{�..._. Phone No:..
Mailing Address: 2 d .`.. _. 00 CL...... — .... _..... ... ...._ ...... Q. � V ....� .... C Z
Onsite Representative :......... ... � Ula...... Z-c . &Lt►
Certified Operator:.... -:7TC.LL ............. _....._ ... Operator Certification Number�Z �s�..... _ ..
Location of Farm: U
Latitude ®+ 6 �5 .J u Longitude Z "7 • 96
Type of Operation and Design Capacity
b....
....." .... ...
. « :�',..:ws.,;.,;:._.' .......,: rrent ...u.na: <�est ttrrent.:» �;:�:-�:,�::_F;<,�,;�:n;-u'
..rt::Ponit ,.w::- Cattle"., ::,::2T.
ra.
R`,.:='----�;='�`Ca act =:'Po ulatton:... rY....._.,.,. Ca acitv.:-Pa uiation���' � act _:Poulati6-`
❑ an to Feeder - �❑ Layer❑
-Non-La er Non -Dairy
eeder to Finish a.p ❑
Farrow to Wean �, ...
Farrow to Feeder :Total"Des1 . Ca aci
Farrow to Finish
4- -
. dTvtal SS NVOther
ri
p ....: Subsurface Drains Present lyurober of Lagoons:-rHaldixt Ponds: ❑
res Lagoon ASpray Fi
".eld Area
- _»R
�.-..e� -- ...$�•.,. ,:»rs. ......... .... ».,,
General �
I. Are there any buffers that need maintenance/improvement? El Yes UP4o'
2. Is any discharge observed from any part of the operation? ❑ Yes 9410
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes [j'&o
b. If discharge is observed, did it reach Surface Rater? (If yes, notify DWQ) ❑ Yes B<o
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 allo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes _�.1, N�o
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes !�' o
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes 'o
4/30/97 maintenance/improvement? Continued on back

Facility Number:..---.
11
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
'o
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
B
SLrug,tures fllagoons -and/or folding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
Io
Freeboard 01): Struct e l Struc ure 2 Structure 3 Structure 4 Structure 5
Structure 6
��� 5��Q _ .. ... __... ..... _...._.�...._ _.
�
._.............
�.....
10. Is seepage observed om any of the struc_ires?
❑ Yes
[91qo
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
9<o
12. Do any of the structures need maintenance/improvement?
❑ Yes
Ko
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
Waste APPlication
14. Is there physical evidence of over application?
El Yes
,, ,,,��
p,Y1vo
(If in excess of WMP, or runoffenterin waters of the State, notify DWQ)
15. P type0 [ ��e1 !Wt!............. .......... -_..... .._.... ..... ......... .._......... ..... .._..... .._................................. ..
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
ENo
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
NKO
18. Does the receiving crop need improvement?
❑ Yes
& O
19. Is there a lack of available waste application equipment?
❑ Yes
0<0
20. Does facility require a follow-up visit by same agency?
❑ Yes
Ko
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
�'No
For Certif d.Eacilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
Ro
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
OKO
24. Does record keeping need improvement?
"
❑ No
COto question #!) e Explain' any YES answers andlor: any recommendations or any other. caniments:
Ilse drawings of facility to better explain situations: (use addittonal.pages as necessary)
l i `� c]Z nt u i v►�Ct UJc I�st2 j` o _ tl�o� C&n� ^ -
tR]Oi s i S �4t t ► 5 yY F Vz +_ tlZ& d_
-6 %
4
eol�ec#�cQ R-�'m.�(S�ko �rr� y '�. v-L ►-�.�r,r+►�t,s
k o
ot, sd�e►..� �► `
ca•t9S
1Je .
-- 'lY"a�
C]
�
b r ; ;,;..a,:.
Reviewer/Inspectorame ......,....�. ,�.. ., , ... �.,.�.:..... :. ....:...�;:::.,m:„, • ::a �� �s-�.:::.....
Reviewer/Inspector Signature: OA— _ Date: - 19 - T7
cc. Division of Water Quality, Water Quality Section, Facility Assessment Unit 4130/97

I
I

Higher Yields
Vegetation
Acreage
Other
p Request to be removed p Removal Confirmation Recieved
Comments 1 1.1111
Regional DWQ Personnel Assigned to Facility
Date Record Exported to Permits Database