240100_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qua

Facility Niimher ®©
Type of Visit: Q Compliance In on U Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Q Routine Complaint Q Follow-up Q Referral Q Emergency Q Other Q Denied Access
Date of Visit: Arrival Time: 2p Departure Time: © County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: / t
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
Wean to Finish
can to Feeder
Laver Dairy Cow
Non -La er Dairy Calf
Feeder to Finish j
x
D ' Heifer
Farrow to Wean
Farrow to Feeder
;" Degign. Cgrreof. Cow
Po '. C+o Non-D '
Farrow to Finish I
ers Beef Stocker
Gilts
Non -Layers Beef Feeder
Boars
Pullets Beef Brood Cow
Turkeys
50
Turkey Poults k.
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 0 NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes NA [] NE
❑ Yes9�0�1:1 NA ❑ NE
Page I of 3 21412014 Contdnued

to
Facili Number: Z - jt3 Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes P40❑ NA [] NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): -`3 �—
Structure 2 Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc_)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
Structure 5 Structure 6
❑ Yes [TNo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ 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- ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [:]Yes FfNo ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes E:fNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [D(No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [:]Yes Q'No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
C] NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
Q No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ No
❑ NA
[✓'NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑Yes
g�N0
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA
E
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ No
❑ NA
&NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Su23YE
22. Did facility fail install
the to and maintain a rain gauge?
❑Yes
❑No
❑NA
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
D NA
]NE
Page 2 of 3
912412013 Continued

Faci2ty Number: I -to JDate of Inspection: n
24. Did the facility fail to calibrate waste application equipment as required by the permit? [] Yes ❑ No ❑ NA Ej WE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check [] Yes ❑ No ❑ NA E'NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NA ❑-9E_
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No E] NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 1 go ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes C fo' NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes [:]No ❑ NA ONE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes E rNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss reviewlinspection with an on -site representative? [] Yes rNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? [—]Yes EfNo ❑ NA ❑ NE
Comments (refer to -question ft Explain any YES answers and/or :iny additional"recommendations'or any other"corm ents. { -"
Use :drawings of facility, to better explain (use addrlional;pages;as necessa
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Reviewer/Inspector Name: Ok— P9 ---� { Phone; Ito 7 4 7-?P V
Reviewer/Inspector Signature: Date: 7 t .70
Page 3 of 3 21412011

of �Vafer'Qua1ity
�.oiaater Cvab
orm
Type of Visit 0 Compliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification Other p Denied Access
FFacility Number t7 Date of Visit: WNot
Tme: ?� rational O Below Threshold
pPermitted 13 Certified © Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: Y ./ �[l iL —:r 6gam s 1 � z County:
Owner Name: ��� j(`,�,L,� -Phone Not
Mailing Address:
Facility Contact: %%�� Titles one No:
Onsite Representative: -- - r��. 6_AGG .._._Z_�_ .._._.._._.. _ ._ Integrators
Certified Operator.
Location of Farm:
Operator Certification Number:
Swine ❑ Poultry p Cattle ❑ Horse Made Q• " Longitude •
Desna
Current Design
Get Dew Current
Swine capacitY
Population '' T Capacity
Po +Marion Cattle CapacKy Pbpulation
Wean to Feeder
Layer
I FaDairy
Feeder to Finish /
Non -Layer
1 13 Non Dairy
Farrow to Wean
Farrow to Feeder
Other
Farrow to Finish
Totamesipcapaty
Gilts
Boars
Total SMW
Number ofLagwons
Discharges &StreamImpa
1. Is any discharge observed from any part of the operation? ❑ Yes ONio
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man -trade? ❑ 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 ONO
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes firNo
Stfucture 1 Sgucture 2 Spuupture 3 Structure 4 Structure 5 Structure 6
Identifier:- #!_-
Freeboard (inches):
12112103 Continued

Facility Number: Q Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4.6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/innprovement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN 0 Hydraulic Overload ❑ Frozen Ground
12. Crop type
13. Do the receiving crops differ with
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?
r'r r",,.,.,d. 7;..,.
Odor Issues
17. 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?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes No
❑ Yes No
❑ Yes 91 No
❑ Yes R(No
❑ Yes VNo
❑ Yes No
❑ Yes ONo
`J Yes wNO
❑ Yes )XNo
❑ Yes ❑ No
❑ Yes ❑ No
J&Yes ❑ No
❑ Yes oil No
❑ Yes 39No
❑ Yes VNo
❑ Yes );a No
❑ Yes )dNo
C (refer to quesfoipt #): E=dain &uy YES answers and/or any Pennumendatiamaranyotbercommunts.
Use drawings of fawilLLy to better .'(w addiflond pages as ne y): ❑ Feld Copy ❑ Final Notes
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m A� fe,-ezo PyL4
ReviewwAnspector Name ,� Aj
Reviewer/Inspector Signature• Date:
l2112(03 _, - Cowed

+ Facility Number: — Date of Inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, snaps, etc.) ❑ Yes No
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No
❑ 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 2) No
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes 2fNo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes W(No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes )ZfNo
28. Does facility require a follow-up visit by same agency? ❑ Yes XNo
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes�oNo
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, slip questions 31-35) PfYes ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 91No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes XNo
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes )(No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ,ETNo
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. es XNo
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall XInspection. After 1" Rain CSC
❑ 120 Minute Inspections ❑ Annual Certification Form
0 No violations or deficiencies were noted during this visit. You will receive no farther correspondence about dw visit.
Additional C.ommetits andit Draw
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12112103

•
Type of Visit JWCompliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification ARrOther ❑ Denied Access
Facility Number ld0 JA1 Itl Date of Visit:
0 Permitted 13 Certified0 Conditionally Certified 13 Registered
Farm Name: 1),41C 6
Owner Name:
Mailing Address:
Facility Contact: Title: }
Onsite Representative: c�4 Spy► ��}�� r �' �� �l f
Certified Operator:
Location of Farm:
V l O 3 Time: / 3
10 Not Operatianal 0 Below Thgjshold
Date Last Operated or Above Threshold:
County: C o ( "r`` & ` -4
Phone No:
Phone No:
Integrator• o p V..eS4&t%
Operator Certification Number:
❑ Shrine ❑ Poultry ❑ Cattle ❑ Horse Latitude L_J a Q4 0 " Longitude 0 • i o
Design Current
Design Current Design Current
Swine Capacity Po ulatlan
ultry
Capacity Population Cattle Capacity Population
❑ Wean to Feeder
❑ La er
❑ Dairy
❑ Feeder to Finish
1
10 Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
El Farrow to Feeder
Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons 10 Subsurface Drains Present
Holding Ponds 1 Solid Traps 10 No Liguld Waste Manasen
eeschaMa & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ LapoonxSvmv 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)
Z. 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
Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
,)ard (inches):
IM
iM FUN Area i
,dYes
❑ No
❑ Yes
❑ No
Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Structure 6
Continued

Facility Number: Z —i Date of Inspection 1 D
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 maintenancelimprovement?
8. Does any pan 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?
U725ft Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? Excessive Ponding ❑ PANXydraulic Overload
12. Crop type /!//J
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency sines ions as required by General Permit?
(ie' discharge. freeboard problems, over application)
23_ Did Rm iewer Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
,ZYes ❑ 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 JXo
❑ Yes ❑ No
❑ Yes ❑ No
© No violations or deficiencies were noted during this visit. You wilt receive no further correspondence about this visit,
�omme�s {refer % gaestidti`�:' Eiplam guy YES steers g>id/aara� � �r � oQbucr canteiut .
Use drawings of igdilty to better mWlain ins- (use addifina pages as necessary): ❑Field Copv ❑ Final Notes
- rnsrec-4,ryr d e r e ployo-ns e 4e+ 4 -o' f ylla Ve r-- l� n: �� �as�e ���td � •� �
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Reviewer/Inspector Name +=`" i' +i► µ`
ReAewedlnspector Signature: Date: q 92123
osm3roY
Ur rO nACd Wa.14,, a► -,A r�s i� n dj i -4 des condaued

0 Dtvtsian of Soil;
OOtber Agency: .
Type of Visit ,p Compliance Inspection Q Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification Other ❑ Denied Access
Facility Number Date of Visit: Time:
10 erationai 0 Flelow Thmhuld
Q Permitted 0 Ce ed Q Conditionally Certified 0 Registered Date Last Operated r Above Threshold:
Farm Name: v f County: S
Owner Name: LPhone No:
Mailing Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Location of Farm:
P e No:
Integrator:
Operator Certification Number:
f Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Q' Q6 0" Longitude Q0 6 r�4
Design Current Design Current Design Current
Swine Capacity Population ltry Capacity Population Cattle Capacity Population
❑ Wean to Feeder I I IEJ Layer I Dairy
Feeder to Finish 1525470 1[] Non -Layer I ❑ Non -Dairy
Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons
Holding Ponds / Solid Traps
JU Subsurface Drains Present JIU Lagoon Area U Spray Field Area
❑ No Liquid Waste Manaeement System
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
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 l�q 1tction & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillwav
Structure i Structure 2 Structure 3 Structure 4 Structure 5
!ao ?tip/ol�//
Freeboard (inches):
05103101
❑ Yes ',,�No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ONO
❑ Yes ❑ No
❑ Yes YrNo
Structure 6
Continued

T:
I%%
Facility Number: 2 -Ion I Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
❑ Yes
❑ No
Immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
❑ 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 applica PPon? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overlo
❑ Yes
[I No
12. Crop type L/ /�A
S AL
II
13. Do the receiving crops differ with those desigriated in the Certified Animal Waste anagement Plan ( &WIMP)?
❑ 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
Reguired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes XrNo
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
113 No violations or deficiencies were noted during this visit You will receive no further correspondence about this visit.
v�Je- (�fcSE OF �oi✓Qt�z
Vp / 1OPOAy 10125103). _
.�NSP�cT�.� �vn1� fiitJf�H � o� C�ILGE�E
Reviewerllnspector Name K
Reviewer/Inspector Signature:
05IV3101
Field Copy ❑ Final Notes
/_ 17m ,pxl, St— AV'O 4 4-rf�
Date:
Continued

Facility Number. 7V — ff Date of Inspection TT
QQr Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
5
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [--]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Spn1 r S G2G#T t'vr,1 D ��� ©�}ScF_ Di Azrlw �
(�g E- 6V V ou)�j. �01� K DJ kF rPZ(,k, I4oLF_5 �ZGGeD
;L0
CIA �n-c���y 5 �Y-1 °� kv�
05103101
*r_r-z

❑ Division of Soil and Water Conservation [3Other Agency
Division of Water Quality
Rol
10 Routine O Complaint ® Follow-up of DWQ insection O Follow-up of IXSWC review O Other
Date of inspection iZ J o
Facility Number I---- �f� Time of inspection 24 hr. (hh:mm)
© Registered ® Certified [3 Applied for Permit U Permitted 113 Not O erational Date Last Operated: .... ......
_
Farm Name: ...... 1..- County: ..�„�..� .at.� n�..u71 .......................�,�„}.1.
OwnerName: ........U9_a..r,.!.............................................................. Phone No:.. .�.�.�.. �r �?........��..�,. .»....»...
FacilityContact: ......... -....... _................ .......................................... Title: ............ ....... .......... ................................. Phone No: ..................................
Mailing Address- .Z-12-1... ..... i. .c R.s�.-..,A.xa �^.... :.... ............... G , p .�0.�. Y. t, ... ...........� .... , xa.. 3,.7..
Onsite Representative:.... R.JArx.a..... ..►J ..^r.............................................. Integrator:....P.r.i_.S.i.a..rJt.4.........._.......................
..
Certified Operator: .................. ...................... ........ ............................................ ................ Operator Certification Number.....-)M. ...
Location of Farm:
....�.r t .....r.;•,1�,J� n. P..=13 II.1?. �..A.P.g..rs.xt+,r,a...
......% K..1Z.J.D.......................... ...... ................. ............... ......... ..
Latitude • 4 66 Longitude Q` 4 46
General
1. Are there any buffers that need maintenancetimprovement?
❑ 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 convevance man-made?
❑ Yes
❑ No
b. If discharge is observed, did it reach Surface Water? (If yes, noti€v DWQ)
❑ Yes
❑ No
c. If discharge is observed, what is the estimated flow in gal/ruin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
❑ No
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
❑ No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
❑ No
5. Dori any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
❑ No
7/25/97
Continued on bark

Facility Number: Z
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lag_oons.Holdine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
❑ Yes ❑ No
❑ Yes ❑ No
Structure 5 Structure 6
Identifier
Freeboard ............................
{ft):...........................................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes ❑ No
11. is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of W.MP, or runoff entering waters of the State, notify DWQ)
15. Crop type ............................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ No violations or dericiencies were noted during this visit. You will receive no farther
Correspondence about this visit.
.N Yes ❑ No
10 Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
& Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explains situations. (use additional pages as necemry):
F0 l i e w v p iJ i d r t- W d.j
t Ip.tv -- ILf. .s v e o— �
n D-t� �R L.vt CO �r f�! 4 �-CL d +ti LtLO a
i i Tti e d Y. ,^0 b l �•r+'� 2
tih. G �" !7 � � v� Tt �L-0-L� • S � s 6 L'�d`]v 1-cL l..t �. �-�"� ' ''ti^ '�'vy( ` q l ,p� � {-O L 0 r r e { f
e, w
p 1 e o.-s e. c o A 4, c t' �b i .t iLr i c t o r�-i c o�-d f e ,— t v, �e R[
6 Le. v I. A-p— f-V a t 4�
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: , __ JL o A,_y "N , H a , Date:

10 Routine 0 Com faint 0 Folbw-up of DWQ Inspection QYollow-up of DSWC review 0 Other
Date of inspection 3/19/97
Farilily Number 24 1t14 .fie of hmpection 14:t10 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: CertMW ,� „�„„� __...�__ . __ (ex:1M for 1 hr 15 min)) Spent on Review
Farm Name: MiuMe.&L-2.» Countl . fib. A�Ilt
Owner Name: Mad------ Bndim_—_.... __.... _»_... Phone No: 2jfi:fi5MM ____.__ _..�
Mailing Address: 2AZLFkh=LAIIU Rd Chadbwun-NC---- 23M
Onshe Representative: Mir___ _Y __ .___ Integrator rudAn Farms
Certitled Operator Operator CerMcation Number. 12252
Location of Farm:
Latitude ®a Longitude ®• 51 41
Not Operational I Date Last Operated:,,,,_��.��_______.��„_„.___�...�_
General
1. Are there any buffers that need maintenancelrrnprovescentT ❑ Yes 0 No
2. Is any discharge observed from any part of the operation?
a. If discharge is observed, was the conveyanceman-made?
b. If discharge is observed, did it reach Surface Water? (ifyes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other thann from a discharge?
5. Does any part of the; waste management system (other than lagoons/holding ponds) require
❑ Yes ® No
❑ Yes 0 No
❑ Yes ® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No

6. Is facility not in eomplianoe with any applicable setback criteria?
7. Did the facility fail to have a certified operator in responsible charge (if inspection after I/l/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Sim—etumDons and/or Holden Ponds).
9. Is structural Fceboard less than adequate?
Freeboard (ft): Lagoon 1 Lagoon 2
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 ma umcchmprovement?
Lagoon 3
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste Ap�n
14. Is there physical evidence of over application?
(If m excess of VW, or runoff entering waters of the State, notify DWt)
15. Crop type--caASta1___..............______Ec�1�...�..._._.�...�....
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crap need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities O.*
20. Does.the facility fail to have a copy of the Animal Waste Managemcrit Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did ReviewerAnspector fail to discuss rewew/nspeetiom with owner or operator in charge?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Lagoon 4
❑ Yes ® No
CO 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
I I J12. Severe erosion on inner wall (channels up to 1 ft. deep) of lagoon needs to be corrected immediately. Erosion around hog houses
also needs to be oorrected. Areas need to be filled and seeded to prevent firffiw damage.
19. No irrigation equipment present. Facility is in the process of purchasing equipment
rr
Reviewer/Inspector Name
Reviewer/Inspector Signature: CA,...�,.._.,., ��- [(i�¢. �,� oA_ 3 2