100033_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

Type of Visit: 0 Compliance Inspection 0 Operation Review A Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral XEmergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: n- Departure Time: County: EWJJJVVI Ct— Region: W1
Farm Name: [Je, 1/ 5-La-W FGjfA2 Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Curren# Design
Swine C+apacity Pop. Wet Poultry Capacity
Wean to Finish La er
Current
Pop.
Design Current
Cattle Capacity Pop.
DairyCow
Wean to Feeder
I INon-Layer I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design
Dr P,ouit , C•_a aci
Lavers
Current
P.o
I
Dg Cow
Non -Dairy
Beef Stocker
Gilts
Non -La ers
113eef Feeder
Boars
1pullets
Beef Brood Co—
Turke s
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes NNo❑([ NAA E] NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: � 4?V(6WtTuY�
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify 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 ❑ No
❑ Yes XNo
❑ Yes 10 No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ONE
Page I of 3 21412015 Continued

[Facility N tuber: ® - Date of Inspection: !!6-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA [�rNE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA 0 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 fast survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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
❑ No
❑ NA
r NE
❑ Yes
❑ No
❑ NA
0 NE
❑ Yes
❑ No
❑ NA
P5 NE
❑ Yes [] No ❑ NA 0 NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA 2/ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA LANE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? Yes ❑ No ❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments:
Use drawings of facility to better explain'situations'(use additional pages as necesiary).
wyy6cw a -Wow U t 1 Y tibuS ' k � S'u sp ec
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Reviewer/Inspector Name:
Reviewer/Inspector Signs
Page 3 of 3
tor

Faci1i N.,pmber: jDate of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes ❑ 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: I
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 5
5. Are there any immediate threats to tegrity of any of the structures observed?
Yes ❑ No
❑ NA
❑ NE
(i.e., large trees, severe erosion, eepag)etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes 4 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 DWR
7. Do any of the structures need maintenance or improvement?
Yes [:]No
❑ NA
❑ NE
8. Do any of the structures 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
❑ Yes ❑ No
❑ NA
NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[—]Yes [:]No
❑ NA
NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes [—]No
❑ NA
NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
/9
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [] No ❑ NA rW NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [:]No ❑ NA NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA NE
acres determination? ]�
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
(Q NE
18. Is there a lack of properly 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
❑ No
❑ NA
® NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ No
❑ NA
M NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
[P 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
❑ No
❑ NA
60 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
41 NE
Page 2 of 3
21412015 Continued

Type of Visit jo Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint XFollow up O Emergency Notification O Other ❑ Denied Access
V
Facility Number /(% Date of isi
Permitted [j Certified 0 Conditionally Certified Registe _
Faun Name: ....._ ./�%.... lrf.1 •'�Z
Owner Name: ..... Lef.�_...(t./!f y .......�. .A4041 ._....... ..
Mailing Address:
Time:
1 Q Not Operational O Below Threshold
Date Last Opera or Above Threshold: ..
County: 1Q5
PhoneNo: ................ ..... _�...........� ._.. _..._.
FacilityContact: .. . .......................................................................... Title:.......................... ........................ Phone No............... ......... ................ ........
Onsite Representative:..... ... .... Integrator: ........................... ....
Certified Operator:
Location of Farm:
Operator Certification Number:
Swine []Poultry ❑ Cattle ❑ Horse Latitude ` " Longitude • & 64
Design Curient = s Desigi?i-Cnireaf T Design Cnrreat
Swine
Ca a Po Walation A`Poni1H.r
Ca
;
Cattle tl
cii P,o iioiii aci .t Po illation
-
❑ Wean to Feeder
m❑ Layer
~ ❑ Dairy
h Feeder to Finis
- ❑ Non -Layer
€:n Y
❑ Non -Dairy
tjFarrow
to Wean
❑Other
Farrow to Feeder
a
Farrow to Finish
TOW De5lgit CSpSQty0 g
Gilts
kk
I
Boars,
} s
r
r':Tota1 SSLW'
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 ONo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ONO
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway [:]Yes ONo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Idcn ti rter: ............................. .................................._..........................
Freeboard (inches):
12112103 Continued

J
EWE— tyNumber: /Q — :33 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes �No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ 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 ;2(No
8. Does any part of the waste management system other than waste structures require maintenancefimprovement? ❑ 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
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
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
Continents (refer to question'#) Eapiarn any YES aaswe�s an any X b� orany r cammenis:
Use drawings of facitg to better exglainsitnabons. {use addtttoaai pages as necessary) ' ❑Field Co Final NotesP
r
�,J 5 p,�G'��nJ �DueTED 1- �,� off✓ c4,E�-�' ,�SG�G, s
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,E
T
Reviewer/Inspector Name YN 4 ,Q/►JLy+l QuJC�}%�IQ
Reviewer/Inspector Signature: Date: / p
12112103 Continued

0 Division of Water Quality
=-��cilityNumber -(d 3 3 0 Division of Soil and Water Conservation
— -- — Q..Other Agency
Type of Visit 0 Compliance Inspection 6operation Review 0 Structure Evaluation �0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
3 o f2r� Departure Time: County: Q �iNJW�Cf( -Region:
Date of Visit: l �� � Arrival Time: p
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
OnsiteRepresentative: 14a,,.ra" RAG—" tJSv,.1 M66MT kr-saOtegrator:
Certified Operator:
Back-up Operator:
Location of Farm:
:Swine,'
❑ Wean to Finish
❑ Wean to Feeder
© Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
"'. ❑ Farrow to Finish
❑ Gilts
❑ Boars
'Other
'i,❑ Other
Operator Certification Number:
Sack -up Certification Number:
Latitude: a o F--I = Longitude: = ° =1
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
I��'F ❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey Poults
�. ❑ Other __ _..
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population. .
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
I
Number of.Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
[L---]J N09 ❑NA
❑NE
El Yes
❑ Yes
L�J o ❑ NA
❑ NE
El Yes
No ❑ NA
❑ NE
12128104 Continued

Facility Number: 16 — 3 Date of Inspection t+ 30
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 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: _C A-(T,,J
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 2140
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes dNo Cl NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes fNNo ❑ 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 ,[_', 'No ❑ NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes u 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 El Yes 0 No ❑ NA ❑ NE
maintenance or improvement?
Waste_ Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes E2rNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. dyes ❑ No ❑ NA ❑ NE
(_(J Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
l2. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0 El NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
El Yes
W15 o ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
2�No ❑ NA
❑ NE
Comments (refer to question ft 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):
ZfrK IJAD STxT WVj1yJ06-,P vftAleED Sn) Otjf- A(La. 0.Tt, a/l) STIM 0PP6ST-1t)WOW D 4
RCCL-9 P t�, u..Co AT (LATE SLAW Ems- TH A,J FX L" • CoNVZU,)A1f
So „v►b c.ar•1 A P-6qs ON PASt vx-E �ZC- L D 140LD3d G, L;--' ?ULO-
i�C Q0 4GST i o ow a A 6rLk 6ry-,E W'T oN 21` e L. secC P 0119-z t�J (r S &O /W H C AT WI-006
to Sc SfT i-r FAtrks7 foLL ANIC. AL$e WHAT AazoMs T6 fl. _ Frocti+
Reviewer/Inspector Name juNW A y2Af fit, Phone: (AP
Reviewer/Inspector Signature:
pnvn 2 of 4
Date: DI3p/0 (o
12/2R/nd Continued

FacilityNumber: o -33 Date of Inspection i� a
Required Records & Documents ��
19. Did the facility fail to have Certificate of Coverage & Permit readily available? El Yes El No ❑ NA ENE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA Ls NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. Cl Yes ❑ No ❑ NA NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather CWNE
oodee
22. Did the facility fail to install and maintain a rain gauge? El Yes El No ❑ NA
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA (ZNE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA fNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No ❑ NA 217NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ❑ No ❑ NA
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No ❑ NA NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes � ❑ NA El NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document El Yes RNo0
❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes M No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative inunediately
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes LI No ❑ NA ❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes dN o ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes No ❑ NA ❑ NE
Additional Comments and/or Drawings:
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12128104

nTl
Facility Number 1 Q 3 Date of Visit: 03 Time:113 '
112 Not O erational 0 Below Threshold
O Permitted O Certi1fte
ed 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: Ii v W�t"t �G.�"'v County: U t vn sl,�/I� i
Owner Name: F. L v h, ri Phone No:
Mailing Address:
Facility Contact: Title:
Onsite Representative: „"j '� 1 �► ��`� r "1 _
Certified Operator:
Location of Farm:
Phone No:
Integrator: Y i v h ✓
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 u Longitude 0 4
'De ign Current
Swine .Cajeacity P,o ulation
Design Current Design Current
Poultry Ca acity P,o ulatlon Cattle Ca acity P,o ulatiou
❑
an to Feeder
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total DESIgn Capacit3
Tolal SSLW
❑
Feeder to Finish
❑
Farrow to Wean
❑
Farrow to Feeder
❑
❑
❑
Farrow to Finish
Gilts
Boars
Number of agoons
Heltling Ponds /Solid Traps
❑ Subsurface Drains Present ❑ La oon Area
❑ No Liquid Waste Management System
❑ Spray Field Area
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 P'No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: i
Freeboard (inches): 13Z
05103101 Continued

Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ZYes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? � Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes [--]No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PANT ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
1S. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design. maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ❑ No
20. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ❑ No
21. Did the facilin• fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems. over application) ❑ Yes ❑ No
23. Did Reviewer,gnspector fail to discuss reyiew/inspection with on -site representative? ❑ Yes,ZNo
24. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
© No violations or deficiencies were noted during this visit .You will receive no further correspondence about tliis visit.
is: (use atidtttona� pages as necessary) ❑Field Copy ❑Final Notes6
�. `7Ti-►e fa�ve-1 ha. s Sa►w%e seepajc loca4;o,1 s . 7T s AV's beeti. noAre,(
;-4ke Paso l?ho( ►'s 44e /.eason �a ✓ 4,04T y'1 i+7 spee1, #7.:n- does
AWe.)r �kq4 44ere i.t S-e3,nC' "s-le ;)n P uddle-r Q -/ Ae e%P 0' -l1 e
tfeY-e - q Le ,\ -A, a jTLddle Adlq� �D►--.141 d:=�c1,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
O5103101
Continued

Facility Number: Date of Inspection
Odor Issues
26_ Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
2& 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. 'Kere 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 permanenthemporary cover?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
El) --es ❑ No
❑ Yes ❑ No
Additional Comments and/or Drawings:
44C pc1�Q �� 4-AC 1 ��oQ•�t . �J p)q`, nee0f s Je 4e develvycd
aH d ; m p1 er1� eh-�epl �! s spa h as � dss ,' 6 � � .�-a s�D� fl•,� See�A�e .
T�e c•✓)e� �ve�t��c,� ��a�- lye �a1h2 $ee� �av>�� 416+�� L✓.'-j1,
-t�7je �d?e'1-�t*a� )�r UPGG�i+'iL, �v✓"rttGcka'1eS cr��t-�r �1�e �c,
►`p4�e� p e►'i rnt) �v� �4SS 9 D-�, Ae k oa " 5 � W q .
eyed, ,'o c c�j �a wu rd w ► 1
4D e!i✓r?;n Ode 44e se"e-. .Seeflo�e -ree,1 Ac> lc oirl , s
Q v; o l A4 an &¢ e err ; �rrd aCGD rd;n9 )y , Ae
z+ Icey �e�d A Alq;ce Of DpfiC.e �
11 / i'1�yI' 4r /JO��Le"
le�c✓ i+h Urde✓ ~i�D l�OGU'��T �IIP See ®t
+'1 The !J ���,�10�'1 � j,�v C G � v � � �' �t c•S 4Ae T6#►^i+'! S Ace), 1►-r Gnh-��tG� !-.i,�l, q�'}
e"9,�Iboq-- -#7E'
w a 1 j'' J 40 bear 1>4 e-k d' fl0 w v Zv,T
�r e09�l72c'r G3�d t� Pr �'IFGE�sGiY qG�; ans .�"�T �?�e� -)l0
6e do, qs sea n as oss J J� �a ee,�s r
L f �` l / d � � oee.is ct1enj .
��•An yet? �Dti' 014 r- 194r Tl 7�jVf Al ✓
Gdyt� � "1 P..aC� GDB�vc/'Ci � �tO "1 ►►� r'eS0/ V �%'!' q �,'.1' ? -S.S1� , /
05103101

Type of Visit 91 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint 0 Follow up O Emergency Notification A Other ❑ Denied Access
Facility Number Date of Visit: Y Time:
Not O erational Below Threshold
Permitted 0 Certified � Conditionally C ified [3 Registered Date Last Opera d or Above Threshold:
Farm Name: 1[ /�Lli S�� Y i��P1Y1.S� �/�Li County:
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:AALI
Certified Operator:
Location of Farm:
Title:
Phone No:
Phone No:
Integrator:
Operator Certification Number:
21 Swine ❑ Poultry ❑ Cattle ❑Horse Latitude a 6 " Longitude ' 1 Du
Swine
❑ Wean to Feeder
Feeder to Finish
Design
Ca achy
Current Design Cube t Design Current
P Pulation P�aultry Ca aci I?o ulation Cattle Ca aci Eo tulatiop
[] Layer IEJ Dairy
❑ Non -Layer I❑Non-Dai
❑ Other
Total Design Capacity
Total SSLW
❑ Farrow to Wean`
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons © ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / S©lid Traps ❑ No Li uid Waste Mana ement S stem
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes )2rNo
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
1 Is there evidence of past discharge from any part of the operation? ❑ Yes JZNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 1WNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes /1-' No
Structure 1 Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

1, . -.. ji
Facility Number: rQ — aj 7j Date of Inspection
a
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
J3"No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? -
❑ Yes
❑ No
I I. Is there evidence of over applic ion? Exces ' e Ponding ❑ P ❑ draulic Overload
❑ Yes
❑
12. Crop type
13. Do the receiving crops differ with those des' ted in the Certified Anima Waste M gement Plan (CAWMP)?
❑ Yes
o
14, a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reauired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
(ie/ discharge, freeboard problems, over application)
,WNo
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
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
13 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
.. z N`-- f,. ,, t ei $r, 4 -' g as 'is aK.. x ° - ..� %s .aa.',da +�. a'i.-+. �Y:. F 33: _'�i_TA-..-.
Comments_ (refer to questiaa #) Explain anvkYES answers andLor any recommeudarions dr+any:©ther comments. _ ,_
Use drawings of facil ty to b`etter�explarn situattons. (use-additi6nal_;pages'as necessar}) ❑ Field Copy ❑Final Notes
A
Al - a_ - ­
____ -_ ---
- ,�SP6 cYzD�•l ''ouc Fa la 4C'Al v2
F
014
-4�� � spa s u-
nspector Name
ERevOiewerl/lInspector
Signature: Date:
O5103101 Continued

i*. ,..t
01Drvis�on of Water'Quahty
3� ; 0; �.D�v>sran of Soil and Water COnservaUon ' ' R
Y
O
... - w - r� _."'+ — _ *_ ♦�_. , stew "�- .rt fi L —
Type of Visit O Compliance Inspection t♦-Operation Review Q Lagoon Evaluation
Reason for Visit ♦ Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
I}aEe of �'isiE: RT5-40� l Time: : Dd
Facility Number 3
O Not O erational O Below Threshold
Permitted 13Certified ❑ Conditionally Certified [3 Registered Date Last Ope d or Above Threshold: .........................
.. l�l� r- ta-r.tom---- County: Ct W i
Farm Name:.......... r.....a.........................................
Owner Name:�}�.a..: Phone No:
Mailing Address: ..................................................
FacilityContact: .............................................................................. Title: .........................
Onsite Representative; `� ,,,,, ,,,,,,,,,Jt4,�,. • �/ .......
Certified Operator:........�j.... D.�....... �� o�
Location of Farm:
................................. Phone No:
...... ...... ......
integrator: P...,......
.. .................
Operator Certification tiumber:...l�
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude C�• C�` �«
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish ❑Nan -Layer L ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ GiIts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges S 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 ofthe Stag;? (if yes, notify DWQ)
c. It discharge a observed. what is the estimated flow in gal/min?
d. Does discharge bypass a kwoon system? tIi yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation'?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structurc I Structure 2 StRICture ; Structure 4 StrUCitlre 5
El Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes No
Structure 6
Icicntilicr: .............................................................................................................. ............................ I......
Frcchoard (inches}: Q
05103101 Confinued

- -4.
Facility Number: — Date of Inspection a -�
5. Are there any immediate threats to the integrity of any of the structures ohserved? (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? .
(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
j No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
j No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
[ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
j No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
ElYes
XNo
I2. Crop type t[, a _ /C' /fit — Q 6
13. Do the receiving crops differ with those des noted in the Certified Animal 4 aste Management Plan (CAWMP)?
❑ Yes
19 No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
�q Yes
❑ No
c) This facility is pended for a wettable acre determination'?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
El Yes
No
16. Is there a lack of adequate waste application equipment?
❑ Yes
j No
Re uired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
W
❑ Yes
No
10. Does the factltty fail to have all components of the Certified Animal aste Management Plan readily available.
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes � No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes KNo
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 J No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes j No
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ Yes KNo
24. Does facility require a follow-up visit by same agency? ❑ Yes j' No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
113 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 recommendations or any other comments.
:Use drawings of facility to better explain situations. (use additional pages as necessary): ❑ Field Copy ❑ Final Notes
d4a4 > 3--29~ao2 a3 a- o;>
< e t 1DetiCd > f - Z - Ca 4.e -4 !Q?4t�.�..:�.. ��►... 3" 1J rAr,,
lodes/-v., J-oz,:g 3_31-04Z
eepf. dN ��e ' It3
-X-1Uo Apf Aad e g�o /
Reviewer/Inspector Name
Reviewer/Inspector Signature: n yl _ Date:
O5103101
Continued

fi . - .'�
Facility Number: . 33 Date of Inspection — 6 Printed on: 5/4/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below�;$F, 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 0 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 eNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes kNo
32. Do the.flush tanks lack a submerged fill pipe or a permanent/temporary cover?}-1=es•--gNo
. _ _ 40. . omments an or Drawings.
— Re- Gkeck Wet A I a res a(l•scovore d Over ror
� �e �� � - �v� l ac ��s :. a� •ter 5 �� y . 5 x� wccP ^ � ��
%dial sNwetlo 7Z c
�.e�d# �` l�fai 4rre� = �•3��/�_�Nwu� = Smvn.
t acres= 511
Ord su,scsf tea, rK,�S ��e(�l Q�sJ
OSIO3101

[�-Division of Soil and Water Conservation Operation Review
0 Division of Soil Water Conservation Compliance Inspection
�Dtvision of Water Quality"' Compliance Inspection
r
.© Other Agency - Operation, Review
10 Routine O Complaint OFollow-up of DWQ ins ection Q Follow-up of DSWC review O Other
Facility Number }� Date of lnspectitria l ZG 4 q
Time of Inspection I ' 6 124 hr. (bh:mm)
M Permitted R3 Certified 13 Conditionally Certified © Registered 10 Not O erational7 Date Last Operated:
Farm Name: ............... ¢«... i> .... fnnt,�,...l1nC............................................. County: ....... 3Jnw-w-�'LL............................
Owner Name: ........................... Sr.........R:. ......... Phone No:....C, tD 2
1 f`��,�,,�......................................... )........ .....x.��.............. .
Facility Contact: .......-... C3ti �kY .....L.t� .. ...Title :........................... ..................................... Phone No:.................. .
I p
Mailing Address: 8Z 1.... 2�L..� W .V......... .. .. ..lAl�nX , 4.5.3.. hL..................... ]`�............ }..
f
Onsite Representative: ........i..S Q!r.....L� .41[.......................... Inte-rator: ! 14�5................... ...........................
1
Certified Operator:..... ..................TQ�.�.�!r.................. ... Operator Certification Number: ... iag....................
�.... .......
Location of Farm:
t.............. ....................
................. :.............. ..................................................................... ............ ................................................. .......................................................................
T
Latitude r ©` ®" Longitude EWE]
Swine Capacity Population
❑ Wean to Feeder
® Feeder to Finish
(, 400
LLJOO
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I ❑ Dairy
❑ Non -Layer I I ID Non -Dairy
❑ Other
Total Design Capacity 6q GG
Total SSLW -y1-cf, coo
:J
Number of Lagoons �� ❑ Subsurface Drains Present ❑Lagoon Area I0 Spray Field Area
Holding Ponds / Solid Traps I ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h. If discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system?
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): ........... �AI............................ ....................
❑ Yes 1� No
❑ Yes
E�No
❑ Yes
j� No
❑ Yes
® No
❑ Yes]
No
❑ Yes
No
❑ Yes
[] No
Structure 6
I /b/99 Continued on back

Facility Number: to — 3 Date of Lnispection Z� q
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ER 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 [N 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 f tNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? Yes [P No
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings? I ❑ Yes 5 No
Waste Aunlication
10.
Are there any buffers that need maintenancehinprovement?
❑ Yes
W No
11.
Is there evidence of over application? ❑ Ponding ❑ Nitrogen
❑Yes
54 No
12.
Crop type ............... C%SG v.0..................................................................................... ......................................................................................................................
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? -
❑ Yes
W No
14.
Does the facility lack wettable acreage for land application? (footprint)
❑ Yes
D9 No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment'?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (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 certified operator in responsible 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?
0_ N-o.violations.or. deficien' cies.were'noted. daring.this.visit:..You Vvill.re�eive nog furl iei-...:
• cori-espaidehee: about.: this visit.. .........:.:.:.:.:.:.:.:.:.:.:.:.:. .:. .
..........................................................
Comments (refer to question #): Explain any YES answers and/or any recommendations `or any other comments.,e a
Use drawirigs of facilityto better explain -situations. (use additional pages asnecessary)
❑ Yes No
❑ Yes No
❑ Yes U No
❑ Yes NNo
G5 Yes ❑ No
❑ Yes No
❑ Yes [ No
❑ Yes [� No
❑ Yes Wo
❑ Yes Q No
AL
1 J
$. �it'aS akta5 ;Y CAL)- St} V-4' ke. refs tt.� '10 �rcvtjt �Ofw''E CJn�w O_ 0 rccr-ivin
CJrD� .} �
Reviewer/inspector Name
Reviewer/Inspector Signature:
Date:
1 /6/99

Division of Soil and Water Conservation 0 Other Agency
Division of Water Quality
&Routine O Complaint O Follow-uti of D' V0 inspection O Follow-up of DSWC review O Other j
Date of Inspection
Facility Number
Time of Inspection P.• 24 hr. (hh:mm)
© Registered Mertified [] Applied for Permit o Permitted JE3Not0peratinnal Date Last Operated:
Farm Name: •.. I ........ �i�!V.f3 ! ........... . ......................... County: ......... 3r V.. ..............................
Owner Name:.....l..I..K......... .......�ir f.......... �.d1..t.'.?....P-7.................... .............. Phone No:.........Z,r7. - ..... .............................
Facility Contact: ... TA.1�..,%s'-�2.....fr. ✓i.�7�. Title: I f'.k.�r..% — Phone No: ...................................................
Mailing Address: ......... .)-o, .1..........&L.11............:..�, .�r�,r�-----.�„�......... r..........N.z-
OnsiteRepresentative:......:.�..�E �....�.r%. `....... ............... Integrator: ......................................................................................
�� L t✓n �J
Certified Operator:....... r.. ..�(j.............................................................. Operator Certification Number.....11P.1.1.15.5 ...............
Location of Farm:
0
'o
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes L3 No
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what'is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes lD No
❑ Yes ® No
❑ Yes G) No
❑ Yes 91 No
Cl Yes 0 No
❑ Yes ® No
❑ Yes ® No
❑ Yes 0 No
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes ® No
Continued on back

F acility-Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ® No
Structures (Lagoons.11olding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ONo
Structure 1 Structure ? Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft): ........ -..... .............................................
10. Is seepage observed from any of the structures? ❑ Yes 9 No
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)
r
15. Crop type ........t" Guy ...
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 reviewlinspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 No.violations or. deficiencies were'noted-during this.visit..Youmill receive no further
correspondence about this'visit'.-"
Yes ] N0
® Yes ❑ No
❑ Yes EQ No
❑ Yes ® No
......................................
❑ Yes
® No
❑ Yes
Ea No
❑ Yes
® No
❑ Yes
© No
❑ Yes
[N No
❑ Yes
© No
❑ Yes
[] No
❑ Yes ® No
❑ Yes © No
❑ Yes (+ No
Ca ents (refer to:question #) Expla><n any �'ES answers and/or'any r-eeo`nmendatrorrs or any other comments: .: Y
Usedrawings of faciltty to:better;explain sttuattons (a'sc additional ne pages as cessa
l mT�'j 1V £F.Of is 4rsyh(s.fv t,arr ti
'r �,Rq,� A�£r� S (�ilcavi� Z-�4-G.�-�a, v� � �� t�✓�CL,
7125/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

NORTH CAROLINA
Department of Environmental Qual

Water Resources
Environmental Quality
August 24, 2017
CERTIFIED MAIL 7013 2630 0002 0760 9305
RETURN RECEIPT REQUESTED
Ila Raye Lundy
1027 Bell Swamp Rd
Winnabow, NC 28479
Subject: NOTICE OF DEFICIENCY
NOD-2017-PC-0225
Administrative Code 15A NCAC 2T . 13 04
Bell Swamp Farms, Inc., Facility 10-33 Permit No. AWS100033
Brunswick County
Dear Ila Lundy:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
On July 13, 2017, staff of the NC Division of Water Resources (DWR) received a referral from Sam
Edwards with the NC Department of Agriculture (NCDA) concerning compliance issues at the Robert Ward
Farm. A review of farm records by NCDA revealed deficiencies in complying with your Certified Animal
Waste Management Plan (CAWMP).
You are hereby notified that, having been permitted to have a non -discharge permit for the subject animal
waste management system pursuant to 15A NCAC 2T .1304, you have been found to be deficient in
complying with your Certified Animal Waste Management Plan (CAWMP) and the Swine Waste System
General Permit No. AWG100000 as follows:
Deficiency 1:
Failure in land applying accordance with Condition 1. 3. of the Swine Waste System General Permit No.
AWG 100000:
The facility's COC and its CAWMP are hereby incorporated by reference into this General Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards (federal, state and
local) in effect at the time of siting, design and certification of the facility.
The Permittee must assess and record, on an ongoing basis, the effectiveness of the implementation of the
CAWMP. The Permittee must make "major changes", "revisions," or "amendments" to the CAWMP, as
defined in Section VII, "Definitions," of this General Permit, .in order to address any changes needed to
maintain compliance with the facility's COC and this General Permit. "Major changes," "revisions," and
"amendments" to the CAWMP must be documented, dated, and included as part of the CAWMP. "Major
changes " and "revisions" to the CAWMP shall be submitted to the appropriate Division Regional Office
within thirty (30) calendar days of the "major change" or "revision.!' "Amendments" are not required to be
submitted to the Division Regional Office unless specifically requested by the Division. If field, riser or
pull numbers are changed, an explanation shall also be submitted and include a description of how the new
numbers relate to the old numbers.
>` Nothing Compares7,
State of North Carolina I Environmental Quality I Water Resources
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
910-796-7386

Any violation of the COC or the CAWMP shall be considered a violation of this General Permit and subject
to enforcement actions. A violation of this General Permit may result in the Permittee having to take
immediate or long-term corrective action(s) as required by the Division. These actions may include but are
not limited to: modifying the CAWMP; ceasing land application of waste; removing animals from the
facility; or the COC being reopened and modified, revoked and reissued, and/or terminated.
On July 13, 2017, staff of the NC Division of Water Resources (DWR) received notification of compliance
issues in a referral from a NCDA Inspector, after they reviewed the records and documentation for the
Robert Ward Farm and found that this facility was not in compliance by pumping outside the corn crop
window of 2/ l 5 thru 6/30. Pumping records show irrigation events on corn crop field 1 on 7/8/16, 7/14/16,
7/ 18/ 16 and corn crop field 4 on 7/5/ l 6, 7/ 10/ 16, 7/ 17/ 16.
Required Corrective Action for Deficiency 1:
Please provide to our office, a description of the corrective action taken to resolve this issue.
You are required to provide a written response to this Notice by September 25, 2017. Please.include. -
in your response all corrective actions already taken and a schedule for completion of any corrective actions
not addressed.
You may wish to contact your County Soil & Water Conservation District Office, County Extension office,
a qualified technical specialist, and/or a professional engineer for any assistance they may be able to
provide.
If you have any questions concerning this Notice, please contact me at [phone].
Sincerely,
Jim Gregs gI Supervisor
Water Quality Regional Operations Section
Wilmington Regional Office
Division of Water Resources, NCDEQ
cc: WQROS CAFO Unit
Mamie Caison, Brunswick County Soil and Water Conservation District
Kraig Westcrbeek, Smithfield LLC
Robert Ward, Farm Manager
Greer Moore, Farm Records Manager
Sam Edwards, NC Department of Agriculture and Consumer Services
DWQ Wilmington Animal Files 10-33
G:IWQIShared\ANIMALSIBRUNSWICK12017110-33 NOD
Page 2 of 2

Only, • Insurance Coverage Provided)
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m 1 For
dellvery information visit
f� C��OAL US-E
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NC DEQ/DWR
water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405
7013 2630 0002 0760 9305
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1027 Bell Swamp Road
Winnabow, NC 28479
U.S. POSTAGE» PITNEY BOWES
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COMPLETE THIS SECTION'•
■ Complete items 1,arIMIde.
a Sig
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■ Print your name and address on the reverse
140�, 7�
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
C. Date of Delivery
B ed by (Printed Name)
} or on the front if space permits.
t. Article Addressed to:
b D s delivery address different froth stern t 7 ❑ Yes
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❑ Return Receipt for
2. Amide Number {Transfer from service labs!}
❑ Collect on DeOvery Merchandise
❑ coned on Deilvary Resticted Denvery ❑. Signature Corrfimraffon-
❑ bmmd Vo q Signature Coofkmatton
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;i PS Form 3811, July 2015 ISSN 7530-02-MO-9053
Domestic Return Receipt -
r'

Ke;
Water Resources
Environmental Quality
September 28, 2017
CERTIFIED MAIL 7013 2630 0002 0760 9312
RETURN RECEIPT REQUESTED
Ila Raye Lundy
1027 Bell Swamp Rd
Winnabow, NC 28479
Subject: NOTICE OF DEFICIENCY
NOD-2017-PC-0225
Administrative Code 15A NCAC 2T .1304
Bell Swamp Farms, Inc., Facility 10-33 Permit No. AWS100033
Brunswick County
Dear Ila Lundy:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
On July 13, 2017, staff of the NC Division of Water Resources (DWR) received'a referral from Sam
Edwards with the NC Department of Agriculture (NCDA) concerning compliance issues at the Robert Ward
Farm. A review of farm records by NCDA revealed deficiencies in complying with your Certified Animal
Waste Management Plan (CAWMP).
You are hereby notified that, having been permitted to have a non -discharge permit for the subject animal
waste management system pursuant to 15A NCAC 2T .1304, you have been found to be deficient in
complying with your Certified Animal Waste Management Plan (CAWMP) and the Swine Waste System
General Permit No. AWG100000 as follows:
Deficiency 1:
Failure in land applying accordance with Condition 1. 3. of the Swine Waste System, General Permit No.
AWG 100000:
The facility's COC and its CAWMP are hereby incorporated by reference into this General Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards (federal, state and
local) in effect at the time of siting, design and certification of the facility.
The Permittee must assess and record, on an ongoing basis, the effectiveness of the implementation of the
CAWMP. The Permittee must make "major changes", "revisions," or "amendments" to the CAWMP, as
defined in Section V11, "Definitions," of this General Permit, in order to address any changes needed to
maintain compliance with the facility's COC and this General Permit. "Major changes," "revisions," and
"amendments" to the CAWMP must be documented, dated, and included as part of the CAWMP. "Major
changes " and "revisions" to the .CAWMP shall be submitted to the appropriate Division Regional Office
within thirty (30) calendar days of the "major change" or "revision." "Amendments" are not required to be
submitted to the Division Regional Office unless specifically requested by the Division. If field, riser or
pull numbers are changed, an explanation shall also be submitted and include a description of how the new
numbers relate to the old numbers.
��"Nothing Campares7,_._
State of North Carolina I Environmental Quality I Water Resources
127 Cardinal Drive Extension, Wilmington, North Carolina 2SQ5
910-796-7386

Any violation of the COC or the CAWMP shall be considered a violation of this General Permit and subject
to enforcement actions. A violation of this General Permit may result in the Permittee having to take
immediate or long-term corrective action(s) as required by the Division. These actions may include but are
not limited to: modifying the CAWMP; ceasing land application of waste; removing animals from the
facility; or the COC being reopened and modified, revoked and reissued, and/or terminated.
On July 13, 2017, staff of the NC Division of Water Resources (DWR) received notification of compliance
issues in a referral from a NCDA Inspector, after they reviewed the records and documentation for the
Robert Ward Farm and found that this facility was not in compliance by pumping outside the corn crop
window of 2/15 thru 6/30. Pumping records show irrigation events on corn crop field 1 on 7/8/16, 7/14/16,
7/18/16 and corn crop field 4 on 7/5/16, 7/10/16, 7/17/16.
Required Corrective Action for Deficiency 1:
Please provide to our office, a description of the corrective action taken to resolve this issue.
You are required to provide a written response to this Notice by October 30, 2017. Please include in
your response all corrective actions already taken and a schedule for completion of any corrective actions
not addressed.
You may wish to contact your County Soil & Water Conservation District Office, County Extension office,
a qualified technical specialist, and/or a professional engineer for any assistance they may be able to
provide.
If you have any questions concerning this Notice, please contact me at [phone].
Sincerely,
Jim'' rd on giohal Supervisor
Water OrraTity Regional Operations Section
Wilmington Regional Office
Division of Water Resources, NCDEQ
cc: WQROS CAFO Unit
Mamie Caison, Brunswick County Soil and Water Conservation District
Kraig Westerbeek, Smithfield LLC
Robert Ward, Farm Manager
Greer Moore, Farm Records Manager
Sam Edwards, NC Department of Agriculture and Consumer Services
DWQ Wilmington Animal Files 10-33
G:1WQ1SharedIANIMALSIBRUNSWICK12017110-33 NOD
Page 2 of 2

(Domestic Mail Only; No Insurance Coverage Provided)
r For delivery information visit our webalte at www.usps.como
_ OFF! ILL USE
r _
r
i
_ I
PS Form 3500, August 2006 See Reverse for instructions

Yvarer Duality section
127 cardinal Drive Extension '
Wilmington, NC 28405
RECEIVED/NCDENR/DWR
OCT 10 2017
7013 2630 0002 0760 9312
Ila Raye Lundy
U.S. POSTAGE>> PITNEY 80WES
0�3�9
• , 28405
02 9YY $ 006.560
000 3399346 SEP. 28, 2017.
Water Quality Regional 1027 Befl Swamp Road lstiVn;�'
Operations Section Winnabow, NC 28479
Wilmington Regional Office _
NIXIE Z'76 FE 1 0010j05117
RETURN TO SENDER
NOT DELIVERABLE AS ADDRESSED
U Rl h p{ TR -L 'IV''" B i L 'b1 "V Il T1'S'1h L
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X
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0 Addressee'
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
8. Received by fibrisd Name)
G. Date of Delivery I`
i or on the front tf space permits.
I
1. Article Addressed to.,
D. Is delivery address different from Item 1? ❑ Yes 1
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Ps Form 3811, July 2015 P5N 7530-02-000-9053
Domestic
Return Receipt 'p

Water Resources
Environmental Quality
September 28, 2017
CERTIFIED MAIL 7013 2630 0002 0760 9312
RETURN RECEIPT REQUESTED
Ila Raye Lundy
1027 Bell Swamp Rd
Winnabow, NC 28479
Subject: NOTICE OF DEFICIENCY
NOD-2017-PC-0225
Administrative Code 15A NCAC 2T .1304
Bell Swamp Farms, Inc., Facility 10-33 Permit No. AWS100033
Brunswick County
Dear Ila Lundy:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
On July 13, 2017, staff of the NC Division of Water Resources (DWR) received ' a referral from Sam
Edwards with the NC Department of Agriculture (NCDA) concerning compliance issues at the Robert Ward
Farm. A review of farm records by NCDA revealed deficiencies in complying with your Certified Animal
Waste Management Plan (CAWMP).
You are hereby notified that, having been permitted to have a non -discharge permit for the subject animal
waste management system pursuant to 15A NCAC 2T .1304, you have been found to be deficient in
complying with your Certified Animal Waste Management Plan (CAWMP) and the Swine Waste System
General Permit No. AWG100000 as -follows:
Deficiency 1:
ov
Failure in land applying accordance with Condition I. 3. of the Swine Waste System, General Permit No.
A WG 100000:
The facility's COC and its CAWMP are hereby incorporated by reference into this General Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards (federal, state and
local) in effect at the time of siting, design and certification of the facility.
The Permittee must assess and record, on an ongoing basis, the effectiveness of the implementation of the
CAWMP. The Permittee must make "major changes", "revisions," or "amendments" to the CAWMP, as
defined in Section VII, "Definitions," of this General Permit, in order to address any changes needed to
maintain compliance with the facility's COC and this General Permit. "Major changes," "revisions," and
l"amendments" to the CAWMP must be documented, dated, and included as part of the CAWMP. "Major
changes " and "revisions" to the CAWMP shall be submitted to the appropriate Division Regional Office
within thirty (30) calendar days of the "major change" or"'revision." "Amendments" are not required to be
submitted to the Division Regional Office unless specifically requested by the Division. If field, riser or
pull numbers are changed, an explanation shall also be submitted and include a description of how the new
numbers relate to the old numbers. � Nothing Cempares7; ..,_.
State of North Carolina I Environmental Quality I Water Resources
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
910-796-7386

tf
Any violation of the COC or the CAWMP shall be considered a violation of this General Permit and subject
to enforcement actions. A violation of this General Permit may result in the Permittee having to take
immediate or long-term corrective action(s) as required by the Division. These actions may include but are
not limited to: modifying the CAWMP; ceasing land application of waste; removing animals from the
facility; or the COC being reopened and modified, revoked and reissued, and/or terminated.
On July 13, 2017, staff of the NC Division of Water Resources (DWR) received notification of compliance
issues in a referral from a NCDA Inspector, after they reviewed the records and documentation for the
Robert Ward Farm and found that this facility was not in compliance by pumping outside the corn crop
w;-dow -of 2/1.55 , ij 611330. Pumping records s show irrigation events on corn crop field 1 on 7/8116, 7/14116,
7/18/16 and corn crop field 4 on 7/5/16, 7/10/16, 7/17/16.
Required Corrective Action for Deficiency 1:
Please provide to our office, a description of the corrective action taken to resolve this issue.
You are required to provide a written response to this Notice by October 30, 2017. Please include in
your response all corrective actions already taken and a schedule for completion of any corrective actions
not addressed.
You may wish to contact your County Soil & Water Conservation District Office, County Extension office,
a qualified technical specialist, and/or a professional engineer for any assistance they may be able to
provide.
Ifyou have any questions concerning this Notice, please contact me at [phone].
Sincerely,
Jirri-Grep-i2 & egic ial Supervisor
j Water Qqa ity Regional Operations Section
\" Wilmington Regional Office
Division of Water Resources, NCDEQ
cc: WQROS CAFO Unit
Mamie Caison, Brunswick County Soil and Water Conservation District
Kraig Westerbeek, Smithfield LLC
Robert Ward, Farm Manager
Greer Moore, Farm Records Manager
Sam Edwards, NC Department of Agriculture and Consumer Services
DWQ Wilmington Animal Files 10-33
G:IWQtiSharedlAN1MALSIBRUNSW1CK12017110-33 NOD
Page 2 of 2

V
October 4t', 2017
REF: NoD's for 10-33 / 10-05
Mr. Gregson,
This letter is in response to the NOD's my farms (10-33 and 10-05) received on 9/28/17,
for irrigating on my 2016 corn crop outside of the crop application window, as specified
in my Nutrient Management Plan (2/15 — 6/30). In the future I will take action to notify a
crop specialist / agronomist; and get written approval before irrigating outside of the crop
window, as listed in my NMP. I will place any agronomist notes and recommendations
in my farm files. Also, my com crop yield for the 2016 growing season averaged 215
bushels/acre. All crop yields are recorded, and in my on -site farm records.
Thank you,
Gene Ward
REC M,MCDEHR/M
OCT 10 2017
`:Hater Quality Regional
Operations Section
Wilmington Regional Office