240001_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

".� Ihvt of Water Qaalrty
b.
r
�v
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O'Routine O Complaint. O Follow up O Emergency Notitication_A:�Other
Date of Visit:
Facility Number 24 t
0 Permitted © Certified [3 Conditionally Certified © Registered
Farm Name:
Owner Name: .............�` cwrs....d.....4...DJ>.�q..............._...........
Facility Contact: .....................:........................................I............... Title:
U] Time: D 1 S
Not Operational 0 Below Threshold
Date Last Operated or Above Threshold: .........................
County:.... V S
PhoneNo:.............................................................. ....... ........... ......
Phone No: W ....
MailingAddress: ....................................................................................... .... ................. I ........ .... ......... .................. ................ ... ................................... ..........................
Onsite Representative:.... .. b..r. ...................................................................... Integrator: „ rem Y1S....
CertifiedOperator:................................................................................................................ Operator Certification Number:..........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 64 Longitude •
Design , ',Current
Ca aci ` Population
Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder
Farrow to Finish
;:'° ❑ Gilts
❑ Boars
..Poultry_ Cal
Current:.
,.;Population : Cattle
Numbei ofLagoons Subsurface Drains Present 110gin Area I[] Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes VNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes _LJ'No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ,dNo
c. If discharge is observed, what is the estimated flow in gal/min? tQ
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ZNo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes eNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ;J-No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
Identifier: ........ Fi11"1�............... ....... S .L.% ............ .............................
`7 Freeboard (inches): 3 3$
5100
❑ Spillway ❑ Yes ,E!rNo
Structure 4 Structure 5 Structure 6
..............................................................................................................
Continued on back

V
Facility Number: 2_9� Date of Inspection t
5. Are`there any immediate threats to the integrity of any of the structures observed? (te/ 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 LEerv­tl het 64C,7_0 ,'ger r-,UGj l
13. Do the receiving crops differ with those designated in the Certified
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
YV) eA 1�V44_
Waste Management Plan (CAWMP)?
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?
-Vorgtio is'er• ftrje hOm -wire loge• 04ritig NS'visiti • Y:00 WJj1•t &Viye too futft
corresponden& al a6u' f this visit:
❑ Yes No
❑ Yes -EfNo
❑ Yes 0 No
❑ Yes ,B'No
❑ Yes ,&No
❑ Yes ')2�No
❑ Yes .9 No
❑ Yes J2No ,
❑ Yes Jallo
[I Yes 1 'No
❑ Yes ,EfNo
❑ Yes ErNo
❑ Yes ErNo
❑ Yes JEfNo
❑ Yes _VNo
❑ Yes P No
❑ Yes _E] No
❑ Yes 02"No
❑ Yes E(No
❑ Yes PfNo
❑ Yes ,dNo
❑ Yes _,&No
Comments (refer & "question #) Fzpp aI ni any YES answers and/or any recommendi3tions ar_any at6te comments.
Use diravr mV'gf)facility to better ea piain'sittiatioius. {use,addrtionai: psg as necessary) °
.,_ _ "'s '.tea tea. a.y
Nafe: New 4Q have, -fie-�e6hn;cel s �c�al;s4 r8v;'w ,�lao, fol -eke
('�-� � `O r1 ��-,e rYt y� V 4 A ►� d r�q �
j ctp ea
s►� �z//o�a�
Was e P4r-1 S 1 51 vans
ro• Need �o ;.�,tj17 �r t:�Lle sjorfnklcrs en 6q k o� 2sr�e 13�oPre
Reviewer/Inspector Name
Reviewer/Impector Signature,
Date:
5100

Facility Number: — Date of Inspection 1 A
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 _ETNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ,21No
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 ONo
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,,B'No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
AdditionalComments ;ari or _ rawings:
A)ti4e = ihc�n7 � �'��►^D�ery,en-�S l�,v� i � Modc A4 4k%5; Ax uT l;_ j
ar c;r�lc s��; k[ers AAve be ii 1�is4GllrA' 4e peeve + fwas-f&
b c; rev) } h r p W ,� ; ,n a w c o1 A S oil f i e t A 4-11,,4 -`Lt. S r7►- � l e� ✓,
.!�
IS
Jct
l'j Qd eel r10�� o r� t �'i `N� Q ��`T - .s6� e �OL✓ Gi✓'G'� r vt
+ieCds Lave 6can r4led . An a:✓ ven+ ;,I 4'4e �';erd v)`4
+6 f G e ;i,l i Sl✓i - h5 J�9p0h W'h : C_A 11 ad beell 1e� �;�� kkS
teeY+ rlerejwed;►jee`ds 4o te. ?ro4edirJ -From Bows A FjctSk�oandl
In iScr �Q�h 1'?S�Gliled in mold Gi 1->i'CI� G raih�n� - 1/vn•
N o4e '• Jueed -16 p try- SVrr a rJS v n Ae r r l fC= r 4110[+ e M r4y l� octise s
;n+0 �a�oor�s; -1 �►: r S art so,�.lc. of -' �,Pes,
N e4 e : N eed 4o M on`I 4of z -1°'rX- on XOW IA Jaon '►h d met ke
Ae6eSsq� y �ajr��►ems qnd s u6>'�i ��,e ); p6 ,
ycr ol'�GordS ,I re
Tlie re ►s awl ex cell Q O s4te-d of be y'w t>A % a>,i d 4e
qre� arlekkAale h6Lf5fS nOrd 14�00;1s ;S nea417 )V11q.
5100

1Devtseon of Water Qualety=
s <
�1Devaston of Soil and Water Conservateon
- O Other Agency � -
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification OO Other ❑ Denied Access
Facility Number 24 1 Date of Visit: 11/9/2001 Time: 10:15
Q 'Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: Earjn#.17....................................................... ........................ County: ColtLU bats............................... }?4AG.......
Owner Name:.--------------------___-- �ru�L'�.QLCRC41in�.lAC.--------- Phone No: 9AQ-�23.1,Q84------------------------------
Mailing Address: PQ...80.x..4$.7.............................. .. WaraR..W.. c............................. .... Z83.9.8 ..............
............................................................ . .........................
FacilityContact: ................................................. ..........Title:.............................................-- Phone No: ......................................
Onsite Representative: Integrator: '
�ritit------------------------------------------- &cQ�u�s_Qf CaXQliuLa}7VS_----.-__._._.__.
Certified Operator:J,Qbexl.QIjygr....................$.Cilt;.................................. ...... Operator Certification Number: 2S 70.....................
Location of Farm:
North of Whiteville. On West side of SR 1700 approx. 0.1 mile South of SR 1703. A
® Swine ❑ Poultry ❑ Cattle ❑ Horse
g Dese n.. Currel
Swine acit _ Po ulat
Latitude 34 ' 25 1 00 °° Longitude 7i3 • 41 30
❑ Wean to Feeder
® Feeder to Finish
9200
❑ Farrow to Wean
® Farrow to Feeder
2200
❑ Farrow to Finish
❑ Gilts
❑ Boars
`Number dfLagoons 2 ® Subsurface Drains Present ❑Lagoon Area ® Spray Field Area
Holding Ponds l Solid.Traps El No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ 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? n/a
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 pgtential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:----------Em........... .......... staw--------------------------------------------------------------- ------------•-------------- ...........................
Freeboard (inches): 34 38
nc JAB tAI

wiu�iu!
a.unitnueu
Facility Number: 24-1 Date of Inspection 11/9/2001
5. Are there any immediate threats to the integrity of any of the structure_ s 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
® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
® No
9. Do any stuctures Iack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
N No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
N No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
N No
12. Crop type Coastal Bermuda (Graze) Coastal Bermuda (Hay) Matua
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
N No
15. Does the receiving crop need improvement?
❑ Yes
N No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
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?
(ief discharge, freeboard problems, over application)
❑ Yes
N No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24. Does facility require a follow-up visit by same agency?
❑ Yes
N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
N No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to q-EzpNip,4ny YES,answers and/or any-recomirtendations or.any other com.ments
T - -
Usedrawings of facility to better ezplam.situat�ons (use additional pages as ne essary) -
= Field Copy ❑ Final Notes
Note: Need to have the technical specialist review plan for the rate on the matua and make necessary modifications.
+
10. Need to install part circle sprinklers on back of zone 13 to prevent throwing waste out of field.
Note: Many improvements have been made at this facility; part circle sprinklers have been installed to prevent waste being thrown into
nods on a field that this problem had been noted on in the past. Some low areas in fields have been filled. An air vent in the field next
o the finishing lagoon which had been leaking has been repaired; needs to be protected from cows. A flashboard riser has been installed
in a major ditch draining farm.
Note; Need to put supports under pipes that empty houses into lagoons; this is on some of the pipes.
ate: Need to monitor z- i e on sow lagoon and make any necessary repairs and stabilize the pipe.
Reviewer/Inspector Name Stonewall Mathis _Chester: CobGale Stenberg
_.
ReviewerlInspector Signature: Date: 1 z l 0101

05/03/oa
Facility Number: 24-1 Date of Inspection 11/9/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor 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?
Continued
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
rtiona : oniments an or ram s w—;... x- s
g "
Note: Overall, the facility, crops, and records are well kept. There is an excellent stand of bermuda and the area around the houses
and lagoons is neatly kept.
r

Division of Water Quality
Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit •Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up Emergency Notification O Other ❑ Denied Access
Hate orvisit: �GG `rime: ® Printed on: 7/21/2000
Facility Number
Q Not Operational Q Below Threshold
Permitted 0 Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold
Farm Name: ...........................................
C......n........................................................................................ County......�i... � ,f...
OwnerName:........................................................................................................................... Phone No:.......................................................................................
FacilityContact: ........................ Title:................................................................ Phone No:...................................................
MailingAddress: ..................................................................................................................... ..................................................................................... ..........................
OnsiteRepresentative:....}-e`� �``tS..�....�j�+.,_`..... Integrator: ......
�`'`..........................
............................
Certified Operator:_ .........................
..........................
Location of Farm:
Operator Certification Number:
❑ 5wine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �� ��° Longitude
.............. ............. .
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer JE1 Dairy
❑ Feeder to Finish ❑ Non -Layer 1 10 Non-Dairy
l _I
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
[3 Boars Total SSLW
LE
Number of Lagoons [[-]Subsurface Drains Present 110 Lag,,on Area 10 Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Dischar>:es & Stream Im acts
1. is any discharge observed from any part of the operation? XYes ❑ 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 Stale'? (if yes, notify DWQ) ❑ Yes ❑ No
c. if discharge is observed. what is the estimated flow in gal/min?
d. Dues discharge bypass a lagoon system'? (If yes, notity DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? )4Yes ❑ 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?
StrUCLUCC I - Structure 2 Structure
Identifier:........5��........................� ........................
Freeboard (inches):
5100
❑ Spillway
Structure 4
9Yes ❑ No
Structure 5 Structure 6
Continued on back

i
t
Facility Number: ` ` Date of Inspection Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ 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
11. Is there evidence of over application? ❑ Excessive Pending ❑ PAN ❑ Hydraulic Overload
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15- Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge'? 9Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes VNo
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'? ❑ Yes 'N(No
24. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
E: Rio yiolhtigris oe• def dencies Were h6fed• during tbis;visit' • Y:oii will -receive iii6 #', ther • : -
..,,................................•---•
corresondeirce: 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):
k %t
�VG N� - �1
ReviewertInspector Name kA _ - �9 39 , j —3'70Q Y—li-C
Reviewer/Inspector Signature: . Date: k)-- j—(x 5100

Facility Number: 7/21/2000
— Date of Inspection Q GU Printed
on:
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover?
❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional Comments and/orDrawings:
1-14� ---1 - A I
r'y
r> tCA-,
{
Zl-,j
G� VG��►� Q
1-4
l
5/00

1
Facility Number Date of Visit: 6/13/2000 Time: 1630 Printed on: 6/15/2000
p Not nperationalp BelowThreshold
Permitted p Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: ........................•
FarmName: EarAa.#1.7........................................................................................................... County: lColumbus......................................... . ?illy.........
Owner Name: ................................................... Brjawja..&of.lCu.olitla,jne,,................. Phone No: 9.106.291-298.4 ..........................................................
FacilityContact: ...............................................................................Title:............................................................... Phone No:
MailingAddress: PO..Box..4$.7............................................................................................ W..arsax... NE.......................................................... 283 8..............
Onsite Representative: Ous.Simmons..Tad,d.Ro.we.Eaderic Jbyes............. Integrator: Bxown.'.s..a1.GarWjna,.Ltc,.................................
Certified Operator: Raderick..W ........................ BaYRS ................................................ Operator Certification Number:20209............................
Location of Farm:
---------------
5 ;1xQ0..urQss,.fxQm..t j s ...............................;, Ituitcyi:ll�.......................................................................................................................................................
® Swine p Poultry p Cattle p Horse Latitude ®• ©� ®u Longitude ®0
Design
=Current = Design Currents s Design Current
Swine Poult_ Cattle
Capacity Population rY" , Capacriy Population � Capacity Population
p can to Feeder
p Layer
p airy
r
® Feeder to Finish
Fp
-.
p Non -Layer
p , on- airy
arrow to can,
_.
- Other
®Farrow to Feeder
=
Total Desl_P Ca acl 11400
' t3�
g
p Farrow to Finis
.
p Gilts
w Total $SLW 2,390,400
p Boars
N
- Number of Lagoons © ` ® u
su ace rams risen p agoon rea ® pray ie rea
PQ Holdr g Ponds / S adU ps No
Liquid Waste Management System
uiscnarges & stream impacts
1. Is any discharge observed from any part of the operation? p Yes p No
Discharge originated at: p Lagoon p 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 Water of the State? (If yes, notify DWQ) [3 Yes p 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) p Yes p No
2. Is there evidence of past discharge from any part of the operation? ® Yes p No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? 0 Yes p No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: Fig[►jAingSjQW
............. ................................... .................................... .... :...............................
Freeboard (inches); ...............18............................. .2.1................ ................. ................... ................................... .... :.............................
:
® Yes p No
Structure 6

I cility Number: iT I Date of Inspection ® Printed on: 6/15/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, E3 Yes p No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? p Yes p 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?
p Yes
p No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
N Yes
p No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
p Yes
p No
Waste Application
10. Are there any buffers that need maintenance/improvement?
p Yes
p No
IL Is there evidence of over application? p Excessive Ponding N PAN p Hydraulic Overload
® Yes
p No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
p Yes
p 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?
p Yes
p No
c) This facility is pended for a wettable acre determination?
p Yes
p No
15. Does the receiving crop need improvement?
p Yes
p No
16. Is there a lack of adequate waste application equipment?
p Yes
p No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
p Yes
p No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
p Yes
p No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
p No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
p No
21. Did the facility fail to have a actively certified operator in charge?
p Yes
p No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
p No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes
N No
24. Does facility require a follow-up visit by same agency?
13 Yes
p No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
1V.0 viotations,or idefiewnxies.were:voted *during: t_ h_is_ vis_ it.: Yaw will veceivtr na f_ urther.: .
19..
•.eorrespofldei ice iNoirl; this:visit::..::.:..:.::..::.:::..:..:..:.... .
Reviewer/Inspector Name

Facility Number: 24_I Date of Inspection ® Printed on: 6/15/2000
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 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 p No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, p Yes p 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 13 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 p No
31. Do the animals feed storage bins fail to have appropriate cover? p Yes p No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? p Yes 13 No
10.(cont) stops on them. People who do the spraying need to be sure to installthe heads with stops in the appropriate location to
prevent waste from being thrown into the woods.
11. PAN overappiications occurred as follows:
For Bermuda `99 season:
Field Hydrant Overapplication amount (lbs/acre)
1 4 15.2
5 9,10 55,62
7 11,13 42,114
11 : 28B, 29 102,59
a
Soybeans `99 season were overapplied on Field 9 Hydrants 22 and 24 by 126.5 lbs/acre and 25.36 lbs/acre respectively.
For Small Grain `9912000 season:
Field Hydrant Overapplication amount (lbs/acre)
---------------------------------------------------------------------------------
1 3,4,5 20.84, 92.07, 97.61
2 2 25.22
3 1 26.12
4 6,7 23.46, 27.27
5 9,10 126.34, 90.53
6 14,15,16,17 17.41, 23.38, 26.22, 27.95
7 11,12,13 3.3, 10.09, 53.94
8 19,20,21 3.34, 83.55, 58.06
9 22,23,24,25 11.98, 134.68, 46.91, 64.79
10 26, 27, 28A 35.33, 31.85, 11.62
11 289, 29, 30 233.81, 66.88, 18.74
19. IRR-2's indicate that field 6 is bermuda graze; this should be changed to soybeans in accordance with waste plan and crop in
field. The small grain `99/2000 IRR-2's show the beginning PAN as 75, but this should be 50 according to waste plan. Make sure
at all beginning PAN allowances on IRR 2's match the waste plan.

R:EIVFEJUN 0 9 200U
B
To: WiRO DWQ - Stoney Matthis
From: FRO DSWC - Trent Allen
Please review the comments section of the attached farm. This
farm needs a follow-up visit by DWQ.

O Division of Water Quality '
0 Division of Soil and Water Conservation
O Other Agency'
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 24 1 Date of Visit: 5-24-2000 Time: 14:00 Printed on: 6/7/2000
1= Not O erational O Below Threshold
® Permitted ® Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold:..... ..............
Farm Name: Farm.0.7..................
Owner Name:
County: CWmWhus...
W. jR0.........
Ia:s.at.Carlaliata,.Im!<................... Phone No: 9.10:-293.-.2_984 ..........................................................
Facility Contact: ar19mktDAY.1s.................................................... Title:........
Phone No:
Mailing Address: M..B.0i.41£T......................................................... ... ..... W. 'axsaw..N.C........................................ ..... 28398 .............
Onsite Representative:TQ.M.Rowe.......................................................................... Integrator• �xRmq .�.A� ��► ttltu�aa.imp....................
Certified Operator. Radux &M........................... Hum .................. I.............................. Operator Certification Number:ZQZQ,9 ................
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 25 6 00 a Longitude 78 • 4I G 30
Design Current
Design Current
Design Current
Swine
Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
❑ Layer
❑ Dairy
® Feeder to Finish
9200
❑ Non -Layer
❑ Non -Dairy
Farrow to Wean
Farrow to Feeder
2200
❑ Other
Farrow to Finis
Total Design Capacity
11,400
Gilts
oars
Total SSLW
2,390,400
Number of Lagoons 2 ® Subsurface Drains Present ❑ Lagoon Area 119 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 ® 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
e. If discharge is observed, what is the estimated flow in gal/min9 n/a
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'l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: CxTuiSl3ex.......... ...:.......
Freeboard(inches)...............24...............................25...............................................................................................................................................................
Continued on back

Facility Number: 24-1 Dare cif Inspection 5-24-2000 Printed on: 6/7/2000
5. Are (here and 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
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ® Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ® Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ® PAN ❑ Hydraulic Overload ® Yes ❑ No
12. Crop type Coastal Bermuda (Graze) Small Grain Overseed Soybeans Wheat
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 uired 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?
(ief discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: Nd- iol'atious:or deficiencies-were:n;oted during this visit: ;Yon: will receive no ftirthe"r : • ;
: :correspondence abouf this:visit::::.. :
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
® Yes ❑ No
❑ Yes ®No
❑ Yes ®No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
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):
8- Some hydrants had standing waste around them. Repair the hydrants to prevent ponding or runoff. y
10- Some of the solid set sprinklers are next to the woods and do not have stops on them. This allows the sprinklers to turn 360
throwing waste into the woods. Stops need to be placed on all these sprinkler heads to prevent throwing waste into the woods.
15- Make sure to clean the areas where cows have been feed in the bermuda spray fields and establish bermuda back in these areas.
Reviewer/Inspector Name ,Trent Allen
Reviewer/Inspector Signature:
Date:

Facility Number: 24-1 Date of Inspectidn 5-24-2000 Printed on: 6/7/2000
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 lagoon? ❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional Comments and/or Drawings:
18- Make sure to put all lagoon designs in the farm book.
+
2- Need to notify DWQ of the over application problems.
11- Crops in 99' were over applied on by as much as 100 lbs/acre of nitrogen on bermuda.
Soybeans were also over applied on by as much as 126 Ibs/acre of nitrogen.
Crops in 2000 were over applied on by as much as 177.65 lbslacre of nitrogen.
Over applications will be referred to DWQ.
Small Grain over application for 2000 pumping season.
small grain Field # Hydrant # amount over
---------------------------------------------------------------------------------------------------
2 2 34.65
3 1 26
1 3 20.84
1 4 78.99
1 5 55
4 6 23
4 7 23
5 9 96.25
5 10 63.81
7 13 19.68
9 23 84.68
9 24 22.27
9 25 14
10 26 35.33
10 27 31.85
t0 28A 11.62
I I 28B 177.65
11 29 49.42
11 30 15.06

© Division of Soil and` -Water Conservation . Operation Review.=
Division of.Soil an&Water-Conservation .Compl ancelnspecti6h "' " F
,- Division of Water.Qualtty Compliance ;Inspection µ _
- ,
Otlei Agency Operation Revtew�,
r
0 Routine _Q Complaint Q Follow-up of DWQ inspection Q Follow -tip of DSWC review 0 Other
Facility Number Date of Inspection jQ
Time of Inspection 1 10,95- 124 hr. (bh:mm)
Permitted [3 Certified © Conditionally Certified 0 Registered Not O erational Date Last Operated:
8!'Otjrt.-i �� r"'` r Count edl v%bUr
Farm Name: ............................... .......................................... y--......I.......
Owner Name:.......................QrOiJni OT......Phone No:
�r° !: rv,
..... ....................................................................... ......
FacilityContact: ........................................--------.............................. Title:................ ... Phone No:..............
MailingAddress: .......................................................................................................................................................................................................... ..........................
Onsite Representative:..... y.... V' ,16 h............................................... Integrator:..... u,d. G..............................................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
................................................................................................................................................................................................:........................................................I...............
Latitude Longitude 0 • �` �"
Design Current . y,; ._Design Current. 2 r y Design Current
Swine` Capacity Population Poultry Capacity Population Cattle m Capacity Population .`
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
�Num, ber of Lagoons. ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds.'/Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance than -made'? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If ycs, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Ducs discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: j;—" n + $Ae It
Freeboard(inches): , , ...............................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc-)
3/23/99 Continued on back

Facility Number: Date of Inspection
6. 7Are 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 Anglication.
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16..Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18- Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (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?
(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?
a........................ . ...............................
:violations or de#iciencies -were note during this;visit: You ;will reoeiye do #'nether
" rorresponnencis visit.
Coniinerits,(refer to:,question #)::Explain any YES answers and/oir.any recommendations oi-anysother eoihimeats
Else;drawtngs of faciltty to bett&" xplam situations (use additional pages as.necessary) a
.- .:.
Vr�r``r,G+A+r1� �r1aY
Lj,,STe OpStIrveA In 4;4(y,eS J.,ceV4 ?6 SPV'AyF;CFd geleaas.
�„ a9oori S+�urr�v rA j 1 ✓t•-�qr�`� �t i S �a�d ,
Reviewer/Inspector Name _ f�-e_.�cIA
❑ 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 R3 No
❑ Yes ❑ No
❑ Yes ❑ No
Reviewer/Inspector Signature:
Date:
3/23/99

Site Requires Immediate Attention:
Facility No. _
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
. DATE:
Time -
Farm Name/Owner: _Rra W ";I -S dEj��► rL4. ,Z 1 jYOGJ �bl�er/'Pr
Mailing Address: ��u g wg �SR?.J A16 2
County:
.Integrator: IsJ /'! d -,es r:a A 14 ,_ _ Phone: _9)�0 9 36 a d -
On Site Representative: d f Phone: _
Physical Address/Location: lr o �S w � _7�z%� /a e C
Type of Operation: Swine Poultry Cattle
Design Capacity: �?,o - Number of Animals on Site: _
DEM Certification Number: ACE DEM Certification Number: ACNEW
�._atitude: Longitude: Elevation: __A Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) or No Actual Freeboard: Ft. &P Inches
Was any seepage observed from the lagoon(s)? Yes of sWas any erosion Observed? Ye.s o i To
. is adequate land available for spZe
r No Is the c ver cz adequate? Yes r No
' Crop(s) being utilized: 060 _ -°;Q_ --- w
Does, the facility meet SCS minimum setback criteria? 200 Feet from Dw llr2�� or Rio
100 Feet from Wells? 0e o_ N' ':
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yts or 'a
Is animal waste Iand applied or spray irrigated within 25 Feet of a l SGS Map Bi';ie Line? 'i es r.:r c
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes o No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied.
spray irrigated on specific acreage wi cover crop)? e or No
Additional Comments: �a r r`cf -,-1t F, e'-_--
cc: raciu[y Assessment Uni[
use A[t?cnments it lVeeciea.

JUL-14-1995 15:22 FROM DEM WATER QUALITY SECTION! TO
W I RO P . 02i02
Site Requires Immediate Attention:
Facility No. --aEl
DIVISION OF ENVIRONMENTAL -MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE; , 1995
Time:
Farm Name/Owner. &OW N3 -k:t 12 A- t E 1 W1s N
Mailing Address: Q X 4-S UJa LS 0J t-J c- Z 8-51
County: CLLS
Integrator: _ i!3 W 0 S _ - _ Phone:
On Site Representative: _ _ _ _ __ Phone:
Physical Address/Location: 67&#A dF ?-a A-r-f-40 1 0
Type of Operation: Swine Poultry Cattle
Design Capacity: S r X ""t-[7 r- I 41- to*umber of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: 3 ; - '' Longitude: - 2L ' ��' �� Elevation: __-__Feet
fi c6 R07171 S''6 Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm, event
(approximately 1 Foot + 7 inches) Yes r No Actual Freeboard:n _3 Ft. Inches
iWas any seepage observed from the lagoon(s)? Yes OWas any erosion observed? Yes CO
Is adequate land available fo7�AOAZc.,,fA�
? Yes or� Is the cover crop adequate Yes No
Crops) being utilized: i
Does the facility meet SCS rnuumum setback criteria? 200 Feet from Dwellings . es - r No
100 Feet from Wells Yes ' r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes r No
Is animal waste land applied or spray irrigated within 25 ,Feet of a USGS Map Blue Line? Ye-c or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes o If Yes, Please Explain.
Does the facility maintain adequate waste management records ( mes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or o
Additional Comments:.
t K16
Inspector Name
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

NORTH CAROLINA
Department of Environmental Qual

Type of Visit: ta'Compliance Insp� 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit: 0 Routine Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: c Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: S mot, Integrator:
Certified Operator:
Back-up Operator:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
Design Curren Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Finish La er
esign Current
Cattle Capacity Pop.
DairyCow
Feeder
Non -La er
DairyCalf
o finish
DairyHeifer
UFarrowo Wean
o Feeder
o Finish
Design Current
D . I;ouIt . Ca aci Po
La ers
Non -Layers
Cow
Non -Dairy
Beef Stocker
Beef Feeder
Boars
Pullets
Turkeys
Turkey Poults
Other
Beef Brood Cow
Other
Other
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 No ❑ NA ❑ NE
❑ Yes [:]No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page I of 3 21412015 Continued

Facility Number: 71 - jDate of Inspection:
n
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 i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 5O (,/ F n IS
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
S. 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? -
❑ Yes[]"Co ❑ NA ❑ NE
❑ Yes L1 "o DNA ❑ NE
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[o:]
NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 0<0 0 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA Q T'5E
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA [2 1
❑ 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?
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
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
0 NE
❑ Yes
❑ No
❑ NA
[:]Yes
[:]No
❑ NA
P
❑ Yes [:]No ❑ NA
[—]Yes ❑ No ❑ NA
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [:]Yes [:]No ❑ NA
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA
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 KNE
❑ 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 ,Er/
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA NE
,L—.C—d, iv E
Ld E
NE
6--NE
Page 2 of 3 21412015 Continued

]Facility Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA 2 "E
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA �1,A1E—
the appropriate box(es) below. 77^^
❑ 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 ErNFE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No Ej- T.`❑ 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 the drains exist at the facility? If yes, check the appropriate box below.
❑A 1' ❑L
❑ Yes [3 TTo ❑ NA ❑ NE
❑ Yes to �❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA grgE
❑ NA _2 ` E
pp ication Field agoonlStorage Pond ❑ Other.
32. Were any additional problems noted which cause non-compliance of the permit or CAWNT? ❑ Yes No ❑ NA ❑ NE
33. Did the ReviewertInspector 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 .0 � -- E I NA ❑ NE
Comments (refer to question #):-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 necessary).
e1
�Cl /�
f J
Lv 5 Po t,,f c f C P,,1 c,4 w L6
9 S 1 7 kz— e_'l jo rA
�n 5 1 114- //' r'-_ I C_ tr4. C_/ 4,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
AP,%n R7120-7
Phone: 7 �G730V
Date: S Q
21412015