240019_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qua

Type of Visit A Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint Q Follow up O Emergency Notification FjOther ❑ Denied Access
Facility Number Date of Visit: une: �0
Not Operational 0 Below Threshold
Permitted © Ce !ed © Conditionally Certified [3 Registered Date Last Operate r Above Threshold: .........................
S.�Q........��......_./_.!1 .r _ County:. .� %� . Farm Name: ........ ........ _ ...._......._...... ....
........._.......
Owner Name: ............................. --. Phone No:
iling Address:
Facility Contact: .......... Title: ................. - - - one No: .... ........_... .................. ..........
A.75�lv
Onsite Representative:.... ,ejm �K...... �ljnIegrator: l�1..5t ......_.......................
r...... ..
Certified Operator: ---------------------------- ---------- _._. ..._. _.. - __.... Operator Certification Number:.... „,,............... •_
Location of Farm:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �� ��� Longitude �• �� �«
Egn _ Cnrrerr#` llesrg�u Current Y : a Fgn Current
Swine Cat acrt .~=Pa ulat,on Poiultiy=Ca aci 'Po ulafton , ,Cattle �Ca ara�Pu alatiom r _
Wean to Feeder ❑Layer y ❑Dairy
Feeder to Finish Non -Layer ❑ Non -Dairy
t
Farrow to Wean -s � - -
��_ _ {
Pf •4 i ...� 'Y � '4 €i YA
Farrow to Feeder Q p' ❑Other
Farrow to Finish W =�
Total Des>I0- Capacity
Gilts �u
Boars Total SSLW
=_ - Naaiber`of.Laigooas
Diseha es & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes eANo
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 JEINo
3_ Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes QNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes gNo
Structure I Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier: ............
Freeboard (inches): 2, T
12112103
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,
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 maintenancetimprovement?
S. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or pint
❑ Yes ZNo
❑ Yes )2r,10
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management
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?
,9Kes ❑ No
❑ Yes LR'&o
❑ Yes Ja<o
❑ Yes ZNo
❑ Yes ElrNo
WMP)4 ❑'Yes 0No
❑ Yes ONO
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ,'No
❑ Yes ,ErNo
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 )allo
❑ Yes '�:Wo
❑ Yes KNo
❑ Yes )21'No
;Gomir►ents (refer to questil ;t' Y YES swererrs and/or>any recoim meiidMons,or any offer comments. ;
`Use drawings of facihtyto better explawi sxte€h� {u$e additional pages necessary') Field COPY ❑Final Notes
nri %,D o o a (.t��� �+ �Sa iArj
r_o
n
Amo lAji'F �v f %�� ,✓�v F S6^- ris, � c. f}C ?�L /�o,/A /Q� 5� '
Z�PR o v'-_"
0 496F.4460
Reviewer/Ins ector Name `ex p --° ���
Reviewer/Inspector Signature:M44:�Date:
12112103 Continued

Fa ' ty Number: Date of Inspection
�T
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes XNo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WIT, checklists, design, maps, etc.) ❑ Yes No
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes E!rNo
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ONo
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes 12'No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
discharge, freeboard
❑ Yes O No
(ie/ problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes J27No
28. Does facility require a follow-up visit by same agency?
❑ Yes O fqo
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes j2TNo
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes ,ErNo
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey?
❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment?
❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
zc 1�1
Gem �'�� Gr�,�s No � f��,e✓����'o; �� G/� s7�
-
12112103

I
Type of Visit Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit O Routine O Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit: O Time:
Facility Number
Not O Werational 0 Below Threshold
0 Permitted ©Certified 0 Conditionally Certified 0 Registered Date Last Opera t or Above Threshold:
Farm Name: R County:�-�
Owner Name: R�t� Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: 6RE-3-50 d Integrator:'ERfl ) 0 5
Certified Operator:
Location of Farm:
Operator Certification Number:
[Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • a Longitude
L Wean to Feeder I
JL_j Layer
I
I
I JU Dai
❑ Feeder to Finish
JE1
Non -Layer
jr,10 Non -Dairy
❑ Farrow to Wean
Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSI.W
Number of Lagoons ❑Subsurface Drains Present ❑ Lagoon Area
❑ Spray Field Area
Holding Ponds 1 Solid Traps ❑ No Li uid Waste Mana ement System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
9Yes
❑ No
Discharge originated at: ❑ Lagoon i( Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
d(No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
)Yes
ElNo
c. If discharge is observed. what is the estimated flow in gat/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
❑ No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes
❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes
;#No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard (inches):
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,
❑ 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
El No
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 maintenancelimprovement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ 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
I5. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
Cl 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? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
❑ No
(ie/ discharge, freeboard problems, over application)
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
0 No violations or deficiencies were noted during this visit You will receive no further correspondence about this visit.
Catrtments:(re%rto question #) 'ExplaEn suy. YES answers nd/or aany recommendshons or any other commenes
..
UsedraiiAngs of facility ta'better eirplain.situateoas=(ose addidonai pages as iiecessarv):' ❑ Field Copv ` ❑ Final Notes
. .
arr,�5 i 5 r zonl an1,E Q PtLvc.J-
rw
Oler"5 `7�5 /4N�
Reviewer/Inspector Name - -
Reviewer/Inspector Signature: Date: t
05103101 U i Continued

Facility Number: — f Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged till pipe or a permanent/temporary cover? ❑ Yes ❑ No
AdditionaUComments an . or ° ravings.-
1 � 1 IO 9 rn
ffIW % 4&45- PtImpeo ICR�D F
tYN /
A.
l ,
�47 POO CMG< ZZ�
&9CtC�Pt��rf4 �gJs� ��4f
�� P�� "l /C �5 � ✓ '/' � i r
r '
fi
5100

Time: 3C�
0 Permitted 0 Certified 0 Conditionalk Certified 0 Registered Date Last Operated or Above Threshold: d
Farm Name: c . D tQ✓ S'4v1 e fJ� rv"t s� C County: 1�0��/�"` V S
Owner Name: _ _ 14e y- berr4 5q ;--% Phone No:
Mailing Address:
Facility Contact: 1 +Title: Phone No:
Onsite Representative: SG' �G �'. NC✓ ✓ `fwA �� Integrator �
9 ✓ 0�
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' �• L�u Longitude 9 1
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 10No
Discharge originated at: ❑ Lap-oon ❑ 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 0 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ,ENO
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes J No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Frceboard (inches): 28
05103101 Continued

Facility Number: 2 � — 1 q
Date of Inspection /� 7
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or en-szronmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? .
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9_ Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes XNo
❑ Yes )2rNo
❑ Yes P110
❑ Yes ONo
❑ Yes 'PJ"No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ,Z—No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes /ElNo
12. Crop type �er►�clG�rn Nay Re-0,111P41Ke-aze Cry► �i+ ec41Soy6ecjnS. S' r"ej I Gr'A�F-,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 322rNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes )?fNo
b) Does the facility need a wettable acre determination? ❑ Yes ONO
c) This facility is pended for a wettable acre determination? ❑ Yes jZNo
15. Does the receiving crop need improvement? ❑ Yes ONO
16. Is there a lack of adequate waste application equipment? ❑ Yes lzfNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes )2TNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes 'No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes /lo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes g'No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes )zNo
24. Does facility require a follow-up visit by same agency? ❑ Yes �ONo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes jC2rNo
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Can��auents:y{refer tis questtQn #) .Explain any YE5 answers an any recommea�stsous or asty other COtisme s#s. 11.
Use drawings of facsltri W setter explasn situations. (use ai tsonal pages as neeessary) ❑ Field Corw ❑ Final Notes
r'--k- i s bJ� y1, (,i1eI rhs��'�iai e�. /tie SW;�e �ettse Area
IS I..le�i Iri/loln��LU/'Q�1 j Ile_ be,_rv,,,cta ;kjJen�ral i s ekGPl�e�i� • -T�ie
recel-d _f q,-e well Ike& , -Fhcre - P e-54-16b''sl_, 6e,- ,.udq
'r klof icy -a v @ -4\e hei r e a, ,--eat i yt Ae be ,r,M viol kw t-: e lGQ , and ,�?r St v a f ►.
i X ! AI �s. �a r l�cr rl ass awe-plclad (oow};•,.�ed�
H
Reviewer/Inspector Name-
Reviewer/Inspector Signature: Date: �Q
O5103101
Continued

w
Facility Number: 'Z
Date of Inspection lD /!
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor 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 anv evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, andlor public property)
29- Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes X'Vo
❑ Yes I?rNo
❑ Yes 'ONO
❑ Yes )2r-No
❑ YesNo
❑ Yes Rio
❑ Yes ❑ No
Additional Comments andlor Drawings: T
w e4o61 e a Gres de-fcro-(4e riati
rece �-AS kC/I a,G4:,o--d .'-ML5 !y . M,--< . -'a.-U e.- s0' y i sk7c 1'+ Ould keAv
"ve A po'e-cile t,,r446/e acre Pert e) , ^+ teO( b l-+m--cr
�onservc �f vh9 �-�
Ag OL )' n � 41, e? AAA - \ 4 W e l i ,,.^ '/' -�'q 41 l.4.1-1
AAik7 JA;, , ;4 ?-,good and er are e V F den 1 P\e4 n��f /C'G►'Q 1eo�
.17 v � ► -+)c �► � � ,� c v f GrcA j on spec+o, 1 n -De Ge" t be /- 2-QQ ¢ 44{•S
4o1 i^w, o-��1� �L14-�-�L�p✓e WGZ� h yd il-gcv�iG o v �f'r✓oaG��: 7 due
�..q �' -� i m2 � /-� L.v ct .5 Ytti y tJ � e � �� � �'� �•�.� �. o +'�� r�2 , -� Gtct �
a it e I 011 14,G,re S11,0C4Id 6/C M-PP 'e6Y ; t'1 A 7, Y 1wu r
q�e Y"Vles p-e� v-.^e -A1 Ate Ypko.,-P -kq"
Olt* gel- ev2h4 , -rt e ereviocts
fl�� ;-•cl,/4 wus Glue It, G ca pe orPvlls 4t,-q4 wel'e
�e4- Ttte eet4olP> .-u,e•^e no
j/ l�d j Gt't I d h. �a ✓ '�'�T n� �? t���, T ��l^J �i�f GS WL(�� 4i � f { J
05103101

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 19 Date of Visit: 12/3/2001 Time: 13:20
Q Not Operational Q Below Threshold
® Permitted ® Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: . __
Farm Name: ......................................................... County: C.QkZWbjM ............................... 3'.4JRQ ._..
Owner Name: Ibe�L - - --- ----- - S1s�iu-- - - - ---------- - - - -- Phone No: 4�Q_CS_�441-------- - - --- - ----- -----
Mailing Address:..7.S.. xa�sy.��ne.kaxm.�d............................................................... B.01t.n..N .C....................... ......... 7.8.423 ..............
Facility Contact:...........................................................Title Phone No
Onsite Representative: erb��Ci5� Rin._SiZrlyEulBrb$riSSDn _ Integrator:
Certified Operator. Marli.,I.................................. Rrissm .............................................. Operator Certification Number: I6.9Z9.............................
Location of Farm:
I. miles northwest of Bolton, on Hwy. 211. west side. +
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 a 14 i 3U u Longitude 78 ' 26 i 30 u
Dest n Current ,.... Desi 'o Current g_ Design Current
g _
Ca 'aci . Po"ulation `Poultry_ T_Capacity Population Cattle Capacity Population_
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
® Farrow to Feeder
2000
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons . 1 ❑ Subsurface Drains Present ❑ Lagoon Area JOSpray Field Area
T;. Molding Ponds/`Solid Traps' ❑ No LiquidWaste 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
'I
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ............. 1------------- ..-----•--•--------•-
Freeboard (inches): 42

UJ/UJ/Ul
Facility1 umber: 24--19
Date of Inspection 12/3/2001
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improverent?
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 N Hydraulic Overload
12. Crop type Corn, Soybeans, Wheat Coastal Bermuda (Hay) Small Grain Overseed
uunttnueu
❑ Yes N No
❑ Yes N No
❑ Yes N No
® Yes ❑ No
❑ Yes N No
❑ Yes N No
N Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? N Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
6
16. is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over. application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
N Yes ❑ No
❑ Yes N No
❑ Yes N No
❑ Yes N No
N Yes ❑ No
❑ Yes N No
❑ Yes N No
® Yes ❑ No
❑ Yes N No
❑ Yes ❑ No
❑ 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 uest�on # E`
( 9 ) �xpla�n any YE5 answers andlor ony=recommendations or any other comments
- , s �" ❑ Field,«.�:�:.:.��
Use drawmgs;of fae�lity to better explarn sttnatiogs (use additional pages as necessary) Copy ❑Final Notes ..
a
11. There is some ponded waste in a dead area of that part of field 1 which is designated for Bermuda and there is also some waste in the
adjacent waterway which empties into the woods nearby; no evidence of waste was seen in the woods; ponding and/or runoff of animal
rite is not allowed. There have been some irrigation events which exceed the maximum allowed application amount of 1 inch per acre
per 24 hour period, some as much as 1.46 inches per acre within a 24 hour period on hydrant 14 on the 2001 com; exceedances of the
maximum allowed application amount are not allowed.
14. The facility needs a wettable acres determination and a waste utilization plan written based on the wettable acres determination. Also
e application records need to be kept according to the wettable acres determination. Currently, the IRR-2's are claiming more acreage
an shown in the waste plan and also exceeds 75 percent of the total acreage in the field.
Reviewer/Ins ector Name Stone 8 1 Maths _'� 'Gale S#enber
P
Reviewer/Inspector Signature: Date: J Z l n O

05/0-3/01 Continued
Facility Number: 24-19 Date of Inspection 12/3/204I
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
Iiquid 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 ommeats ad . or�.rawWgs �• .. - _ -- W ;- - �_ _ �,� -
7. Need to remove trash from lagoon. AL
8. The air vent on hydrant 5 is leaking and a puddle of waste surrounds it. The air vent should be repaired/replaced and leaks
prevented. u
15. Need to get better drainage and improve the stand of bermuda in the dead area of field 1.
19. Mr. Swain needs to document when he makes back to back pulls on the same hydrant; currently, Mr. Swain shows a total time
of application on his field record as if one event has occurred and Ms. Barber splits the time of application into multiple events on
e IRR-2's. Mr. Swain needs to show the time of application for each event. Need to be sure to record freeboard levels on a week/
basis; it appears that this has gotten better in the recent past. Mr. Swain needs to sign all application records (field records and
IRR-2's) to verify that he is in agreement with the records.
2. An April 4, 2001 freeboard level record shows the lagoon at 17 inches of freeboard. I checked the database and it does not
appear that this was reported.
Note: Spilled feed near feed bins needs to be cleaned up and disposed of in the landfill.
U

tt �
r
_� ` []Drv�sion of Soil'and WaterConsei ationOperafion Revkew ''�t
0`Di tnsion of Soil and Water;Conservahon W-Compliance Inspection , *� r
_ - ®,Dron of Water Qual►ty Compliance Inspection - "
r
iher Agency: Operatron;Revrew':
JoRoutine Q Com taint Q Follow-up of DWQ inspection V Follow-u of DSWC review Q Other
Facility Number 2 j Date of Inspection (Q I LD
Time of Inspection 8 3G 24 hr. (hh:mm)
© Permitted 0 Certified [3 Conditionally Certified E3Registered [3 Not Operational I Date Last Operated:
Farm Name:.............Carher e- �qr-,+-is- County:....C:aIG"1f�v.5....................... .......................
..........................................................................
OwnerName:......'`'e r. e �. ...............`SLv. `3.!.' 1................... Phone No:.......................................................................................
Facility Contact: ....... Title: Phone No:
Mailing Address:
Onsite Representative: ,, 0 V-b [ rt SL ,q 1 Soy! yr. q '! !^ Integrator: ,, ro ny o� (igrn �� +.��t.................
Certified Operator: ................................................. ...................... ............................. Operator Certification Number:............ ....................
Location of Farm:
Latitude • 4 46 Longitude ' ° "
�-Desigri -'Current`
_Swine, CanaciN Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design •-Cd rent'`° = Desllp Current
Poultry Ca acity7 .Po ulation.-,- , Cattle
p __ Capaci " Po ulation
I❑ Layer ❑Dairy
[] Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capildty, ,
.:Total SSLw, -
Number of Lagoons 1❑ Subsurface Drains Present ID Lagoon Area I0 Spray Field Area
Holding Ponds'/ Solid Traps 10 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?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes El 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 19 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Freeboard(inches): q 3.................................... ................................... .................................... .................................... ......................... I...........
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,Nu - r: 2 y — f Gj Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?'
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
❑ Yes
❑ No
® Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This "facility is pended for a wettable acre determination? ❑ Yes ❑ No
15.
Does the receiving crop need improvement?
❑ 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?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
'�4violatiosor &fcindig •merenoted. during tiisvisit.'. w:i:ll
f:u:rt.h:er6nee
•'
:Y:o:u::r:c:e:ve::no:
rroiidece:a' f thsisitoepibiv.....:.....::.:
Comments (refer to question #):.Explain any_ YES answers and/or any recommendations or any- comments =
T of t necessary) �;`
Use.drawmgs of facttyTto'better;explaitt`sttuaUons (use addtttonal pages as r ^
1 +� s p ec� ; o -. p ¢ Y F'o I� •�-t ed qs q �011 o t�J c�� m� J7 S l,J G 5��2 ! /O O i �-t sre C4; a n .
AJaT�= CaraW�� �Lr�S Q-x���1(e� cleOlU'foGt ��� ��a W"-S4C
e.5 C'kO ��a.�, W�,'c�, t+.a�s ►10lcd ah 5712,1,141O . � -owe►- bia.t g1're
eW.nd-Of
jPY-o6lc—tf - �eGor •�, e�1 s'l ��a � 9�ow¢s �,���nd Gl e�no�t ort
1. C ,,,41"a 1 t„ Jeed ��� � 1111 1-1)404t% f._)a �! S . e►veve �r'o 54 71-4or"I 1.1000" .
Reviewer/Inspector Name C y j Y._. .� f S- 31
Reviewer/Inspector Signature: T kLg1_b (p Date: 6 / l .S/ O /J

'�'i,.. � Hay {` •'��-'�` T - .
art.
rRECEi V
JUN 4 9 20OU
BY:
MTo: WiRO DWQ - . Stoney Matthis
.
DSWC - Trent AllenPrA
P
-�'FRO
'f.,� _
_ .. e� ;_,__
•.per_.
q
Please rev�ew'the comments section of the attached farm. This
farm needs a follow up visit by DWQ.
rl.
O

O Division frf Wate1• Quality
Division of Soil and Water Conservation
O Other Agency
Type of Visit O Compliance Inspection OO Operation Review O Lagoon Evaluation
(Reason for Visit OO Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 24 i9 Date of Visit: 5-2b-2D00 Time: 8:30 Printed on: 6/7/2000
O Not Operational O Below Threshold
® Permitted ® Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: Car usxur-Eart[nt5hic................................................................ ....... County: Calumbu..................... ................... WIIiO.........
OwnerName: Ucirbul.................................. Swaim ........................................................... Phone No: 910-65 :8 41................................_..........................
Facility Contact: R..W.R l:................................................................. Title:
Phone No:
...................................................
Mailing Address: 75.Grmy.Laja6FA rxn..ltd............................................................... 89110.U.A.0 ............................................................. ZR423 .......
Onsite Representative: S!]it3a.13a�tber.............................................................................. Integrator:l3rQ�Y]u.'..Rt.Caxcllxlla�lalC................................
Certified Operator:.Wjlllalm X........................... S.waill................................................ Operator Certification Number:1,69.75 .............................
Location of Farm:
IN Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 ' 19 L 30 u Longitude 78 • 26 L 30 ff
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
ID Non -Layer
ILI Non -Dairy
El Farrow to Wean
Farrow to Feeder
2000
❑ Other
Farrow to Finis
Total Design Capacity
2,000
(jilts
Total SSLW
1,044,000
Boars
Number of Lagoons 1 ❑ Subsurface Drains Present ❑ Lagoon Area JEJ 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 man-made? ❑ Yes ® No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. if discharge is observed, what is the estimated flow in gal/min? ?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ® Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
....................................................................................................................................................................................................................
Freeboard(inches)................41...................................................................................................................................................................................................
Continued on back

Facility Number: 24-19 Wte of Inspection 5-26-2004 Printed on: 6/7/2000
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 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 lackadequate, 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 (Hay) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: No•violations;or defciencies•were;noted:d'uring•tliis w;You; will:reCeive uo furtliex
corresDon denee aboui 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 #): 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):
Id- The operation review was conducted on 5-26-2000 and the discharge looks to have occurred the night before. A discharge pipe
clogged and the waste came out of a clean out on the backside of the hog house. The waste ponded and made its way to culverts under
the farm path leading to a ditch. The ditch ran 400 to 500 feet behind the lagoon and waste was seen in the total length of the ditch.
Re owner stated the ditch fanned out into a swamp in the woods. DWQ was notified of the discharge and a referral will be sent.
The inside wall of the lagoon needs to be mowed and maintained. Vegetation needs to be established on all bare areas of the lagoon
ill for erosion control. The trash in the lagoon needs to be removed as soon as possible and prevent it from getting back in the
1W
Reviewer/Inspector Name Trent Allen
Reviewer/Inspector Signature: Date:

Facility Number: 24-19 Date of InspgctjoV 5-2[i-2000 Printed on: 6/7/2000
Odor issues 4
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® 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, mussing 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
The area where the discharge occurred had bad drosion caused by water coming from the roof tops leading to the culverts. This
-a needs to be repaired and seeded. This may help contain waste if the pipes clog and a discharge occurs again.
115- Need to spray for weeds in the bermuda spray fields.
J

O Division of Soil and Water Conseryatton Operation Review
©.Division of Soil and Water Conservation Compliance Inspection
- Division of Water Qahty Compliance Inspection
g Y p..
= Other A enc O eration Review
L0 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review AD Other
Facility Number Z Date of Inspection (j
Time of Inspection / 24 hr. (hh:mm)
U Permitted [3 Certified © Conditionally Certified © Registered 1E3 Not O erational Date Last Operated:
Farm Name: Co r YL G �"jf 0ij G ! of e ►�1,� County: .......C101 !4 US ........................................
........................................... ...................
Owner Name:................................................... He-r b e,Y� f ,JGi ► h
..................................................... Phone No:
FacilityContact: .............................................................................. Title:.......
FlailingAddress: ......................�............................................................................
Onsite Representative :........................ 1'1 vl SD�f
............ ...........................................
Certified Operator: ...................... ........................ .
Location of Farm:
........ I ............................. Phone No:
..............................�.7................................................. ..........................
Integrator..... 1.]..1ow.Y1. t.....�T..... 1..►'j i......
Operator Certification Number: ..............................
A
.........................................................................................................................................................................................................................................................................
Latitude 0 4 Longitude ' «
Design Current Design;, Current ;' Design Current
Swine Capacity Population ''Poulfry : Capacity Population ' Cattle Capacity Population,
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Par -row to Finish
❑ Gilts,
❑ Boars
❑ Layer
❑ Dairy
❑ Non -Layer
❑ Non -Dairy
❑ Other
-
Total Design 'Capacity
Total-SSLW
- JNatnber of Lagoons ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
_ -
Holdtng-Ponds LSolid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made.'?
b. If discharge is observed, did it reach Water of the State? (If yes, notify-DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: t
Freeboard(inches): ...........Z.6 ...............................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
❑ Yes ❑ No
Continued on back

Facility N mber: Z — j Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7_ Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
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?
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?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0 �'Vo yiol'aii6iis:oi deficiencies' •VtT'rp' it9ted diWing #his:visit: Y:oft will- . eceiye fio fui-thgr
.corres............ _ . _ .:..... .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ;&No
❑ Yes ❑ No
❑ Yes ❑ No
Comments{refer to,question #) Explainvany YES answers and/ or_any recommendations orany ot>zer eam;rnents
Use'.drawings of facility to better explain-srtuations {use additional,_pages as necessary) .—,� , = a ,
A.
Hulp/i ct7je oYA La oar �� r4y nS L�t'on
l ,y l �
�:r�vves�;q q4r_ tr-o.' f65s;61& dZ-5rk4ey-- - Al> sins a evPwAO
o'r dsGtroy-ye Aot.(^d doei►l AS��0t,o
Reviewer/Inspector Name I
Reviewer/Inspector Signature:
Date:
3/23/99

J ..
. ❑ DSWC Animal Feedlot Operation Review '
®DWQ Animal Feedlot Operation Site Inspection
Q.ltoutine O Cum Taint Follow-u of D«'t ins ection O Follow-u of DSWC review O Other
Date of Inspection l IJ
Facility Number
Time of Inspection I Z: 24 hr. (hh:mm)
13Registered P Certified © Applied for Permit ;l Permitted [l Not Operational I Date Last Operated:
Farm Name: .......I DPW. .°00.-A. :............6n, ..................... County: C-01VAlvi..................
Owner Name: Y.....skiff .. Phone No: ,•L4lG�. .:.nl..............................................
,3cr... Phone Na:
..............I......1.7...........
Facility Contact: .......... 4........Kn'5"rm:................................ Title: xYltt n�a..
�liailing Address:...... .5.....6rG... .�.... -Sri ...... M.......!�._....... I ........... I .......... ...... .................................... $`i+r. ......
�` t ..
Onsite Representative: ......
,1'!�Jr?.VAL..... h.1"4,5.S!'t7`............................. ......................... Integrator:... 1't�r::i1�... •-...........
' Certified Operator.......... ...... ..........6-1m5Bt......... ---------................................ Operator Certification Number:.....1 k9j9 . i....
Location of Farm:
��r,...........a,�......sa.......rest.......,. ,tl....orb....H....zs...........r�.1��............o.....:. y.............................................
......................................................................................................................................................................................................................................................................... .
Latitude Longitude �• ��
a wine uapactty
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder o
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design ' Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I I ❑ Dairy
❑ Non -Layer I I I JE1 Non -Dairy
❑ Other
Total Design Capacity .
Total SSLW
Number of Lagoons 1 Holding'Ponds ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spra_r Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
2. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed. was the conveyance man-made? ❑ Yes ❑ No
b. if discharti-e is observed, did it reach Surface Water? (If yes. notify DWQ) ❑ Yes ❑ No
c, if discharge is observed, what is the estimated flow in gai/min?
d. Does discharge bypass a lagoon system? (It yes, notify DWQ) ❑ Yes ❑ No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ❑ No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ❑ No
maintenance/improvement?
ti. Is facility -not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ❑ No
7/25/97
Continued on back

Facility Number: 7-4
--
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,11olding Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure l Structure 2 Structure 3 Structure 4
Identifier:
Freeboard(ft): ............ !A...........................................................................................................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
❑ Yes ❑ No
Yes ® No
Structure 5 Structure 6
15. Crop type...........�LSL11fe.........................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is -there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Onl •
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
0 No
❑ Yes
❑ No
❑ Yes
❑ No
.......................................
Yes
❑ No
❑ Yes
❑ No
0• No.violations•or. deficiencies,were-noted-during this;visit. You.wiII receive nn ftirtlier
correspondence: about this.visit:• . • _ -.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
G©mmee#s€trefer to yues4on #):, Explatn any YESaitswers andlor ally recvmitend#iotis oiany other carinttents'
Usetfwittgs uff cihty to be#ter explain situatons(use add�tros�al pages as neessa)�
'x
�. �-�.5�. 4.A.s tns��;e.,�� �r�z�,Oar z-a.�o�... t.�,��t•She�iJ �. ro�e,rcr? t� w r�spo»z��C�
tZ' �S tiUO�� 1YtinhL-�'10� ����V►{ Y�►� ►yeci� d`C{�aia'ec1.
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Atti.M�w` ►J4 C k I�Lw� IS G�1 Si rL •
7/25/97
w
zg MEN
Reviewer/Inspector Name
rA
Reviewer/Inspector Signature- Date: C 3

Site Requires h_:riiediate AtLenron:
DIVISION OF EWIRONN-iENT'r-AL N-T
L T!/1-%L FEEDLOT 0PER.ATI0 S SITE VISIT:A.TION REC0 RD
D� TE- '�
Time: ll • 3 0
Fwz-ri Nan�e,Owner. r �es4-A GF d4 7/
1t?ilina AdcirzSs: 4S (p
A
Coun-Lv: _(14?Cu� u c
n J
On Site RePreseni ve:
C O LD 64 4u Phone: _64(Z
-Iig-69
Pil,isical , d rZSsiLoca� --ion:
�4V' -)4
1
gi'U
:
�f w ?6 - drt I s s Ac g�
N014 701.
T,:roe o� dce.Gwcn: S«pie
Pout_ i C ��e
lofvvr� rr94fs
II
DeSi�-1 C3'CciIV- b00a
_-
Oc�y L•~ : 0= _' ____�fs C� .2:
S'
!! �4
V �.` -
DE�,s_ACE
DE3•i Cep=- �-o� \����e_:
.�_CNH,Vv
LcT:—
Dces the L W es_ La_s:oon n?Vc silliicien `Ce00aria 0 f I F c o 7 - V-1:-- 2 :0L- ,.=01ii_ e%,e.
u_o.______._ l F '0:. i in c es; Y s of U '. .U�l F1e��o �. t F.. Inc"es 013
LF.5�.�✓ara 'J.'yam �:� =4 iaC'"_1on. S C` 0 Y'Gc D-S`._i;j C•-',.._ .� �`•-?S C,_ ` `iJ.!_fZ
i s 3C= =� !-and ioi Sii2 '? �j0_- `.O l - C0' C_ -
Does iixe `aci it mtff SCS t;.`nu_um seiDacti CH.--n .? 200 F-:�.=: No
100 Fee_ . e"I?o
is wuse s:oc_tiy ilea wiL ui 100 P'e.._ o uSGS Blue-
is vvasie l :G c%?Dlled or Su.rav 25 Fee: a I C M `'I:,c T ? Yes -r C
is wasie Lischi -ca3 into v4C:e-�s of oV-_...._1-...nC� :C _ is .-.c Si? — Or Q_n`r
Sit=,iE`' L !-� cC� LieViCeS? Y 4s o4� L Yes, Pl2wEe
Does acequa_e wasic C a Z^.
S-, -- i—i -?_2'rt on s_ ecilic aC:23Ce �xiLh cOver con.)? Yes 0-.
IVII Gir+
. 1 A5 7a `L l vx�e- .r

r

N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
COMPLAINT/EMERGENCY REPORT FORM
WILMINGTON REGIONAL OFFICE
Received by: 5 � I` C 'Pr- IL Date/V.: a
R„P,1qe.,. y, Complaint: mot.:
Camplainant:
Address:
Ccnrplaint or Incident:
-4a
rn�� ai � � � F' `"- � '� S l-v�JC.l1i _ �a.fi-y✓. n n._s,..�e -- � C7at-�iS o-Q
Time and Date Occurred: K0-0 h Cy ot� -4i — r.� ors all-?
Location of Area Affected:
Surface Watersinvolved: !/ Groun�terInvolved: Other:
Other Agencies/Sections Notified:
Investigation Details:
Investigator: Date:
EPA Region 1V (404)W-"2 Pesticides 733-3536 Emergency Management 733-3867 Wildlife Resources 733-7291
Solid and Hazardous Waste 733-2178 Marine Fisheries 726-7021 Water Supply Branch 733-2321 U.S. Coast Guard MSO 343-4881
127 Cardinal Drive Extension, Wilmington, N.C. 28405-3845 40 Telephone [phone] • Fax [phone]
An Equal Opportunity Affirmative Action Employer

Site Requires Immediate Attention: tS
Facility No. y -[2
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SUF, VISITATION RECORD
3 t DATE:
A, Time: .Q
�4 Farm Name/Owner: 4
ti Mailing Address: Gd County:
tY:
Integrator. Arga S
QQL On Site Representative: a ✓
-� � \'Physical Address/Location: rc u 7L/,7 Z 6 r
0/ & ���
�.. Sf �11. P1/1 VZO Aj ee—
Phone:
Phone:
)� Type of Operation. Swine Poultry Cattle /
v 1 Design Capacity: Q0 �Dl (A Number of Animals on Site:
L DEM Certification Number. ACE DEM Certification Number: ACNEW
Latitude: Longitude: Elevation: Feet
�r Circle Yes or No
Ca Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
�s
Qapproximately 1 Foot + 7 inches) Yes o o Actual Freeboard:Ft. Incises
fiWas any seepage observed from the lagoons).lam -r No Was anv erosion observed? C!qs or No
�z3
Is adequate land available for spray? Yes or No Is the co er crop adequate7 Y s
Crop(s) being utilized: l " W�L S r .�
Does the facility meet S CS minimum setback criteria? 204 Feet from Dwellings? or No
100 Feet from Wells? e or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes of
Zsl�' Is animal waste land applied or spray irrigated within 25 Feet of a US Map Blue Line? Yes or
�.
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices?fie% or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
pspray irrigated on specific acrea7z691_1jr
with cover c7)f-
? Yes or No
it Additi na1 Co en, o Q v CS /'0 kale
I -P r2 r
v
F_n_
�
v s
Inspector acne
cc: Facility Assessment Unit
fo
S
�n
e
Us-2 Attachments if Needed.

Site Requires I _, ediate Attearion:
: Facility No. zq -1 q
DIVISION OF ENVIRONMENTAL MANAGEMEti-T
AN11MAL FEEDLOT OPERATIONS STTE VISITATION RECORD
DATE: " ZZ _ , 1996
Time:
Far_ : Name/Owner: -0 /�N � ,S �a,�7 rf� �y�� tlC�a�RT
Mailina Address: R T 1. f3 o x q(o. n 6 b I `{-off Z8 qZ3
CoUri r.y: U 1L) "V t 1? V s _
inte?-ator. i��a�Y, _ _— — Phone: _ Z-9 S(, o-o
On Site Representative: H6Gg,'_Ci Phone: GAS S " S�
Physical Address/Locadon: M- 7)C r-1")!j Z 1 1 —2,1u ; )004-T H . is6 14010
Type of Operation: Swine `� Poultry Cattle
Design Capacity: ZOiJ() Number of Animals on Si-.!:
DEtii Certification Number. ACE DEM C=cation Number: ACNEW
Larir-de:
Longitude:
Circle Yes or No
Elevation: Fee:
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot _ 25 year 24 hour storm eve -at
(approximately 1 Foot + 7 inches) Yes o Actual Freeboard: __J_Ft. Inches
Was any seepage observed from the laQoon(s)? Yes K!P Was any erosion_ observed? (e o
Is ad_auare land available for spray?or No Is the cover croo adequate? es r No
Crop(s) being udlized:� �oAvdq . 'S'A' �.4zr.,--i(D A4owe r4�s
Does the facility meet SCS minimum setback criteria? 200 Fee: from Dwellings?V or No
100 Feet from Wells?(eD or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Sueam? Yes orel;:Nc
Is ardmal waste land applied or spray irrigated within 25 Feet of a USGS I'vIap Blue Line? Yes or
Is anal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or(�_Tp If Yes, Please Explain.
Does the facility maintain adequate waste management records (volu Les of manure, land applied,
spray irrigated on specific aczea_se with cove: crop)? Ye's ot0
Additional Comments: Cnwd.4,A�7 d:0h A,./,o D /,se-e- s_
446m)A✓ A95 k%i�2 ti 1­cc ed. _ adn°7'-54 D/P� _ ey.rJ Tv
!1
et&t ° Utt:y a, /-r - ! .. -a- NAG✓ 0 vt e- _ lie .-s a.<S o
'Ile �u r� :�!✓ �, C. - v� 4 S �c w -� v `ice V Q�; - —
Insp ..nor Nam
mature
cc: Facility Assessment Unit
lase Auncl=, nts if Nzeded.

•
Site Requires 1=,-.diate Atten.,don:
Facility No. -1,1
DIVISION OF ENVIRONMENNTAL MANAGEN ENT
A1�lAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: , 194
�fr Time: 3 : J0
Farm Name/Owner : /�T �. r h er= ' SW '�i P 0 A .
Mailing Address:
County: L©(y�•'S
Integrator ��7 vJ�- i &4 1" .O Ag- 1(1 r _ Phone:
On Site Representative: _Ax ` i S w0 V V'% Phone:
Physical Address/Locador: l �• '� �s tr
Type of Operation: Swing Poui Cattle
Design Cat)acirv: ay_co Number of Animals on Site:
DEM Cerdfication Number: ACE DEM Certification Number: ACNT)XT
Laritude: ° Longitude: Elevarion: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient ueeboard of I Foot _ 25 veg 2^- ho>>r stotrn event
(aut)roximately 1 Foot - 7 inches) or No Actual Freeboard: _2_Ft. -Inches
Was any seepage observed zrom the lagoon(s)? Yes o 1 'O as any �rrjEior. abs,-:ti'ed? C7 y T o; No
J
Is adecuate lard available fo= spray?/�YVor No - Is the v r crop ade ua:-'es or
Crou(s) being udiized: D%fZ/`ea S—
Does the facility me t SCS minimum se:back c-lteria? 200 Feei from Dwe-Hn3s`vor No
100 Feet from V eds? or N0
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stre� ~�? Yes or
Is animal waste land applied or spray irrigated vvidiin 25 Fee: of a USGS Mad Blue Line'? Yes o,e5z
Is animal waste discharged into waters of th,_ stare by man-made ditch, f Lshnna system,, or otheT-
similar than -made devices? Yes or(w, If Yes, Please Expla,i.
Does the facility maintain adequate -waste management records (volumes of manure- lard app;aea,
spray irrigated on specific creage with crve: cr_Qp)? V3 or No
Additional Comments: a rra 4-j
,�5oec:or \r• e LQnartLe
cc: Facility Assessment Unif
�)h5
s,- AiTa_. ln;(fnis if Nc:'Jt 1.

N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
COMPLAINT/EMERGENCY REPORT FORM
WIIH12jGT0N R3G102ULL OFFICE Date/Time:
Emergency: Complaint: County:
Report Received From: G ✓L ,e _ VI-k C, r
Agency: ;7: / k A�LS4 - Phone No.
complainant; `yi c v 5
Address: I-- Phone No.
Complaint or Incident:
/,y Yv
Time and Date Occurred: 1_)ez 4.0ee ,�-e-�
Location of Area Affected: r o ,- X
IV,4/- 5 4,er Svc .
Surface Waters Involved: X Groundwater Involved:
N
Other Agencies/Sections Notified: a (1 Gv7-q
Investigation Detail s:Q,1� �.-4_ �d �-�4V
Cow)
Date:
• EPA Region IV [phone] Pesticides 733-3556
Emergency Management 733-3867 Wildlife Resources 733-7291
Solid and Hazardous Waste 733-2178 Marine Fisheries 726-7021
Water Supply Branch 733 -2321 U.S. Coast Guard MSO 343 -4881
127 Cardinal Drive Exzeaaion, Wdmingtna., N.C. 29405-3945 0 Teiryhone 919-395-39M • Fsx 919-350-2064
An EgtW Oppornruiry Affirmuive Amon Employer

6W
0
•
•

JUL-14-1995 15:22 FROM DEM WATER OUALITY SECTION TO
WIRO P.��iG2
Site Requires Immediatc Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
' ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
bT' DATE: 7 — M , 1995
1A0 Time: J_ _
Farm Name/Owner- _LptN 12 a sn ► s� i—f+�L r-� 2 S U A r •.
Mailing Address: 1 GO dL c-
�� ¢
County: V U
Integrator. "'� `s S Phone:
On Site Representative: _ Phone:
Physical Address/Location: _ NC_ W Y _ A) n_Got t -
Type of Operation: Swine Poultry Cattle 1poo"(-5
Design Capacity: Number of Animals on Site: cws 7� f 15
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: " 11 ' 5 75" Longitude: 7 b " __ Z_ " 1 e-2 Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon h e cient freeboard of I Foot + 25 year 24 hour storm event
(approximately l Foot + 7 inches) Ye),f
No Actual Freeboard: -13—Ft. In
"i Was any seepage observed from the lagoon(s)? Yes o No as any erosion obs d? s or 10
Is adequate land available for spray? Ye or No _ Is the cover crop adequate? Yes r a o
t�
Crop(s) being utilized: 2 DA-
Does the facility meet SCS mdum setback criteria? 200 Feet from Dwellin s Ye>r No
100 Feet from Wells? es r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters he state by mart -made ditch, flushing system, or ether
similar roan -made devices? Yes o _ _ If Yes, Please Explain.
Does the facility maintain adequate was management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: ysic
L 3 14 S
0 k "
Inspector Name
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

JUL--14-1995 15:22 FROM DEM WATER QUALITY SECTION TO
WIRO F.02/e2
•
Site Requires Immediatc Attention:
Facility No. -
DiVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 71 - R 9 , 1995
Time: I Z - Tokn
__
Farm Narae/Owner.
Mailing Address: 64 (b J es I-,), W ,-Ve N L, u-�-
County: _Colo M.60
Integrator. Pre -A Phone:
On Site Representative: 4," yna-t%6( E�J q v�S _ _ _ Phone: 61c&- 6y 1
Physical Address/Location: 6W H4 ­7 y i t__ror+h 5i o4 C'vrrke5 &-Znck
Type of Operation: Swine Poultry _ Cattle F47 r rvw''to W e� C 3 co er-
Design Capacity: OdO SOWS Number of Animals on Site: a�� I �_ SoGO-Y
DEM Certification Number: ACE_ DEM Certification Number: ACNEW !
Latitude: ' _" Longitude:
Circle Yes or No
Elevation: Feet
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) e or No Actual Freeboard: _Ft. Inches
Was any seepage observed from the. lagoon(s)? Yes o6 Was any erosion observed? Yes 010
Is adequate land available for spray? or No Is the cover crop adequate? �or No
Crop(s) being utilized:
Z
Does the facility meet SCS minimum setback criteria? 200 feet from Dwellings?(5or No
100 Feet from Wells? Z�Rbr No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes 0(3�
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes 065
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or c If Yes, Please Explain.
Does the facility maintain adequate waste mmagernent records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Uee or No
Additional Comments:
Inspector Name
N
Sib ature
cc: Facility Assessment Unit
Use Attachments if Needed.