330007_PERMIT FILE_20171231

U Division of Water Quality
Facility Number -L ' 1 i 0 Division of Soil and Water Conservation
0 Other Agency
TVDe of Visit: Com ce InsDection 0 ODeration Review O Structure Evaluation O Technical Assistance
for Visit: Of Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit; (p 2 Arrival Time: ® Departure Time: 112, 3 0 County:
Farm Name: y-44 t J,! r r►`
` Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: %CW n G
Phone:
Title: Phone:
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
Design Current Design Current
Capacity . Pop. Wet Poultry Capacity Pop.
Layer
Non -La er
Non-L,
Pullets
Other
Puults
Design Current.
Longitude:
Region:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ZfNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
N ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El
Na NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesrNo
NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: 33 - b Date of Inspection: .x (r
/ 2--
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
A
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes��No
No ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �- y �r fe
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
ONo ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
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 10 � 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 Rio ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes 0
.❑ NA
❑ NE
maintenance or improvement?
T
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
❑ 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): Cor / SD �� lj (? "��. 'S r ►`j r.-x s
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑Yes o
❑ NA
❑ NE
15. Does the receiving crap and/or land application site need improvement?
❑Yes ;;No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes �
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes rN
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ YesVN
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ 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 1" Rainfall Inspection Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? [:]Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [:]No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facilit Number: -0 7 1 Date of Inspection: $�
24. Did the facility tail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [;fNa ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewerllnspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No 0 NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer to question #): Explain any: YES answers: and/or any,:additional recommendations or"=any oth neotnimettts to ij Wi ;;
«,
Use"drawings of f, ity:to�better explain s' tuations (use additional pages as necessary).
(' g1S� D e br i S Yrz n� V ✓ �1-/ n n ►"os re ss'
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
-5, 70 L., e__
Phone: 71W y Z—O 0
Date: )— 160 1—
21412011

-to t Y
0
(Type of Visit: U ComplI ce Inspection U Operation Review U Structure Evaluation U Technical Assistance j
Reason for Visit: 2RRooutine 0 Complaint (--) Follow-up 0 Referral C-) Emergency 0 Other 0 Denied Access 11
Date of Visit: -2 ' ' 127 Arrival Time: Departure Time: County:
Farm Name: de Igw en- Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: 44 Title:
Onsite Representative: ✓j iln / :;tJY d AJh
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design
Current
Design
Current
Design Current
Swine
Capacity
Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
an to Finish
Layer
DairyCow
Wean to Feeder
Non -La ez
DairyCalf
F er to Finish
DairyHeifer
Farrow to Wean
b
Design
C*nrrent
D Cow
Farrow to Feeder
Dr, Poultr.
Ca aci
P,o
Non -Dairy
rrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Uther
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
o ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
[] NA
❑ NE
2. is there evidence of a past discharge from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facifi Number: - t Date of Inspection: �l
Waste Collection & Treatment
7E[—]
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
o ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ON ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ['2 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ 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
C2<0/❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[ ' ll� o _ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
Yes
Leo 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
VNo❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
YesrNo
❑ 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 1 " Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: Date of Ins ection--
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes o NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes o ❑ 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
D. 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
❑ No
❑ 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
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
jhc�s� 5'u�✓��
d��
h3a4'11 Dee �!j
aoa-I — /Ire
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 71 1 Zyo
Date: --!
21412015

V0 -:�A r 7 pe- 0_1
`1- r� -k 7
Type of Visit: 4 Corn nee Inspection V Operation Review U Structure Evaluation C) Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: Sao_ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Y)e-Y I JOe J q nr /1$rM%5 it LP t% 1--5' Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design
Current Design
Current
Design C►urrent
Swine
Capacity
Pnp. Wet Poultry Capacity
Pnp.
Cattle Capacity Pop.
Wean to Finish
La er
Dairy Cow
Wean to Feeder
Non -La er
I
I
airy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
Dr, Poultr
Ca acit
Pop.
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Qther
Turkey Poults
Other
10ther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ZrNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
No NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
NA
[] NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesrNor-1
NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ YesNA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: - 01 2 1 Date of Inspection: •�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
F - - ❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �� Q
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
LEI
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes 2rNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 0 No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 ibs. ❑ 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
El No NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑Yes
No NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑Yes
o ❑ 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 o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers eather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections udge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

FaZili Number: 3 - Date of Inspection: t? --
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes eNo
❑ NA
❑ NE
25. Is the facility t of compliance with permit conditions related to sludge? If yes, check
es ❑ No
❑ NA
❑ NE
riate box(es) below.
the ?ailure
to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes No
NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes o
❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA ONE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #): Explain any;YES answers and/or any,additional recommendations,or any other comments.:
Use drawings of facility -to better explain sit..uations°(u`se additional pages as necessary).'v
/-s CA
Reviewer/Inspector Name:
Reviewer/Inspector Signature: 57 zAy, C
Page 3 of 3
Phone: ?-I r- f( 2 0 0
Date: ? -(0 —1
21412015

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Richard Anderson
Creekside Farms
Rt 2 Box 166
Tarboro NC 27886
Dear Richard Anderson:
I ffl'�W'j
T/ •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRON MENT-AND-NarURAL-RESOURCE5
December 30, 1999
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 3� 3-7
,Edgecombe-County
.n
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial siudges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRR1, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
S;2,;
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Edgecombe County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50%b recycled/10% post -consumer paper

�n
0
/d Division of Soil and Water Conservation:'- Operation Review
Q Division of Soil and Water Conservation - Compliance Inspection
0 Division of Water Quality - Compliance'Inspection
j� Other:Ageiacy - Operation Review
Routine Q Complaint Q Follow-up of DIVQ inspection 0 Follow-up of DS%VC review Q Other
Facility Number r Date of Inspection d ,-5,
Timt,: of [nspvc ion ` Gl 24 hr. (hh:mm)
0 Permitted ❑ Certified (3 Conditionally Certified © Registered JE3 Not O mrational I Date Last Operated:
Farm Name: .... ..6.... .�G..S/..i........................................................................... County: ... �-p�f:��Q!�./�..�:..:........ .......... .............
Owner Name :................................. Phone No: .-..........
Facility Contact: ................................................................ .......l'itle: Phone No:
Mailing Address: ................. ........
Onsitc Representative: • ,(G fftC? .Q �� `-X err ..... Inlel;rator:.,.. 1 . d..........................................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
Latitude ' 1 r-�•6 Longitude s
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder li Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer 10 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area I0 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacacls
i
I.- Is any discharge observed from'any part of the operation'?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h. If discharge is observed, did it reach Water of the State? (Ifycs, notify DWQ)
c. If discharge is observed. what is the estimated flOW in gal/min?
d. Dues discharge bypass a lagoon system? (l1•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? El Spillway
Structut•c I Struct rc 7 Structure 3 Structure 4 Structure 5
identifier: � (�
1~rccboard (inches):........�...�.................. ........ ..`--............. .......................... .......... ....... ......................... I.. .......... ...,...............
....
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe. erosion,
seepage, etc.)
r°
❑ Yes �io
❑ Yes A No
❑ Yes iNo
❑ Yes ONO
❑ Yes ZNo
❑ Yes q No
[]Yes 12(No
Structure 6
❑ Yes JNo
Continued orr back
3/23/99
/,

Facility Number: — --) I Date of Inspection j G,
6. Are there structures on -site which are not properly addressed and/or inanaged through a waste management or
closure plan? ❑ Yes ONo
(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? Cl Yes �No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes po
Waste Anolication
10.
Are there any buffers that need maintenance/improvement?
❑ Yes )ZNo
11.
Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
El Yes
No
12.
Crop type [7 A
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 acrease for land application?
❑ Yes/
o
b) Does the facility need a wettable acre determination?
El
0
c) This facility is pended for a wettable acre determination'?
❑ Yes
?I',o
15.
Does the receiving crop need improvement?
❑ Yes
o
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.samp` forts)
❑ Yes
o
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yesto
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
N
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
/
(ie/ discharge, freeboard problems, over application)
❑ YesNo
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
'E�<o
24'.
Does facility require a follow-up visit by same agency'?
❑ Yes
25,
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
i
N+i iO4hticjris:or- d4bficier des •were .h4ed� clit-ring �this:visit; • Y:ott will •receive hq fukther •
... - rorresp ondence: about: this visit.
y: YES answers andh
cations: (use addition
,^. -m�,n �,��. fe.��-.�_ri' �1e �.ihE t „�:, ..,..:. s �.._ ..y,._,:. i .... ,, � d .'-�. �.k ,.•II'e 3.. {� i�ii'I"1. .r,. �tix i„µa.el, Pik > ,.4i;a{{.
-7, 12w- c- /yl,ok) i/EG-crAne-,J j/Ei. y 7`
U!L �- C S j 2 �' l%ISVv}� fNSP G T"/d •c/
Reviewer/Inspector Name, T- t K E F, ,
3
Reviewer/Inspector Signature:
Date:
3/23/99

Facility Number: — Mte of Wspection
Odor Issue's
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 O No
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 1'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 RfNo
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 ET No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes VrNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes Q No
.._ ,
If<lona oIDnlents an OI raWln�S: ` r F �tp� 4, +' y 2 E� �. f',
y
3/23/99

„....�,,,.,».,y„ . » - ,.. •a . ” • "7r • L'qM' .^k w -i % f� "m" .' N�•" .v r 1 - fy.• .-^�� !SM
Facility Number
Date of Inspection
Time of Inspection 1Lf 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm States: ❑ Registered El Applied for Permit (ex:.1.25 for I hr .15 min)) Spent on Review G
-93"6-rtitied ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated* ......................................................................................
FarmName: ... 'r:......p......! .::I '..........................................................: County:...c1s...:................................................
}} q
Land Owner Name:...]1 :..r.4 �'; . �� di . 1;4-S r.�. Phone No• ! t �� �� } �........................
............................................................................................:..............................................................
M
FacilityConctact...... ?..d1 -,...:....... .............................................. Title:................................................ Phone No:..........................................................
Mailing Address: .....::...............,............:....... `.. ............� ...:.. �: c.....?..............::�.�:..............:..:......�.�.:�............ ...................I ..........................
". 4, ;"r �W_ ; 4, n p !Z.Onsite Representative: ....:. .................... ........................................................... Integrator:........:...........................................................
CertifiedOperator:.....`..`...........c...:.5..(............................................................ Operator Certification Number:...............,.........................:
Location of Farm: , /-% ' - ,
Latitude � �' � « Longitude �' �•
Type of Operation and Design Capacity
GenI
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water`? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding'ponds).require
4/34/97 maintenance/improvement?
❑ Yes 0 No
❑ Yes [l No
❑ Yes , a
❑ Yes ENo
❑ Yes IJ No
❑ Yes ONo
❑ Yes 41,
❑ Yes YMO
Continued on back" I'."

. gl • t . _ � .n ., r'sv.."+i- " .c�yy Xr .:.r'' Vi a, ..—.e.,.. ,.. .mow. .,V. -� I ", — -- ,, .. . w . • .a. - : , ­ _x "; •.q,,; ry : t e
Facility Number: 3.
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 QI Q
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes . o
Structures (Laggons andl4r_Holding :Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes No
Freeboard (ft): 9ttrStructure
ucture 1 Structure 2 Structure 3 Stcture 4 Structure 5 Structure 6
.... /..... L)........ .....L ................ ............................ ............................
10. Is seepage observed from any of the structures? ❑ Yes Z 5No,�
l
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ff VNo
/
12. Do any of the structures need maintenance/improvement? El Yes
(If any of questions 9-12 was answered yes, and the situation poses an
..,.,immediate public health or environmental threat, notify DWQ)
v 13. .Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes ❑ o
',,Waste AVIRlication
14, Is there physical evidence of over application? ❑ Yes No
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type.. (.�:!..47n.5.�..T�!?'.?�..:.�...........................................................................................................................
16, Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes Na -
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes t o
/r
18. Does the receiving crop need improvement? ❑ Yes O NNo'
19. Is there a lack of available waste application equipment? El Yes �Nq
60
20. Does facility require a follow-up visit by same agency? ❑ Yes � .
21. Did Reviewer/Ins ector fail to discuss review/ins ection with on -site representative? ❑ Yes , o I
P P P
For CCxtified Facilities Only
22, Does the facility fail to have a copy of the Animal Waste Management Plan readily available? El Yes ONO
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes EI N9r'
24, Does record keeping need improvement? ❑ Yes ❑I No
Reviewer/Inspector NameHH
Reviewer/Inspector Signature:
Date: 5 ��
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

�QF W A rE9Q Michael F. Easley, Governor
li William G. Ross Jr., Secretary
�J North Carolina Department of Environment and Natural Resources
� y
0 .� Alan W. Klimek, P.E. Director
bivisi\olnyof Water Quality
- Fi 4+ ,1 ,J '•1'
March 10, 2006
Mr. Gregory A Sconyers
The Hanor Company of Wisconsin, LLC
Creekside Farm cy
6717 NC 97 W \
�.
Battleboro, North Carolina 27$09
Subject: Certificate of Coverage No. NCA23300,7'
Creekside Farm
Swine Waste Collection, Treatment,
Storage and Application System
Edgecombe County
Dear Mr. Sconyers:
In accordance with your application received on March 2, 2006 we are hereby forwarding to you this
Certificate of Coverage (COC) issued- to The Hanor Company of Wisconsin, LLC, authorizing the
operation of the subject animal waste collection, treatment, storage'and land application system in
accordance with NPDES General Permit NCA200000.
This approval shall consist of the operation of -this system including, but not limited to, the management
of animal waste from the Creekside Farm, located in Edgecombe County, with an animal capacity of no
greater than an.annual average of 5000 Farrow to Wean swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows.
The COC shall be effective from the date of issuance until July 1, 2007 and shall hereby void Certificate
of Coverage Number NCA233007 dated April 9, 2003. Pursuant to this COC, you are authorized and
required to operate the system in conformity with the conditions and limitations as specified in the
General Permit, the facility's CAWMP, and this COC. An adequate system for collecting and
maintaining the required monitoring data and operational information must be established for this facility.
Any increase in waste production greater than the certified design capacity or increase in number of
animals authorized by this COC (as provided above) will require a modification to the CAWMP and this
COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed General Permit. Since this is a new joint State and
Federal general permit it contains many new requirements in addition to most of the conditions contained
in the current State general permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay_ careful attention- to the record keeping
and, monitoring conditions in this hermit._ The Animal Facility Annual Certification Form must be
completed and returned to the Division of Water Quality_ by than March 1st of each year.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
tWt
Carolina
umlly
Aquifer Protection Section 1636 Mail Service Center
Intemet: www.newgt_Crquality.org Location: 2728 Capital Boulevard
An Equal Opportunity/AffiirmativeAction Employer-50% Recycled110% Post Consumer Paper
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

174
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215:6C, the Clean Water Act and 40 CFR 122.41 including civil penalties, criminal
penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual NPDES Permit by contacting the staff member listed below for information on
this process. Unless such a request is.made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at (919) 5714700. If you need additional information concerning this COC
or the General Permit, please contact Duane Leith at [phone].
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit NCA200000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
teiigh,Rdgional_Office;-Aquifer-P_rotection:Section
Edgecombe County Health Department
Edgecombe County Soil and Water Conservation District
AFO File
APS Central Files

x
Water Resources
Environmental Quality
September 1, 2017
The Hanor Company, Inc.
Creekside Farm
6717 NC 97 W
Battleboro, NC 27809
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
NC Dept of Enviro"NP&MMYRMAN
Director
SEP - 6 2017
Raleigh Regional Office
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS330007
Creekside Farm
Animal Waste Management System
Edgecombe County
Dear The Hanor Company, Inc.:
The Division of Water Resources (Division) received your sludge survey information on August
3, 2017. With the survey results, you requested an extension of the sludge survey requirement for
the Primary lagoon at the Creekside Farm facility. Due to the amounts of treatment volume
available, the Division agrees that a sludge survey is not needed until December 31, 2021 for the
Primary lagoon.
The next sludge survey for the Primary lagoon at this facility should be performed before
December 31, 2021.
Please call me at [phone] if you have any questions.
Sincerely,
- 11414r .
Miressa D. Garoma
Animal Feeding Operations Program
cc: Raleigh Regional Office, Water Quality Regional Operations Section
Permit File AWS330007
•p'>^Nothing Compares: --,.-
State of North Carolina I Environmental Quality I Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center I Raleigh, North Carolina 27699-1636
919-707-9129

J Lily 21, 2017
Mr. Wayne Barrett
The Hanor Company, Inc.
6717 Highway 97 West
Battleboro, North Carolina 27809
Subject: Notice of Deficiency
NOD-2017-PC-021 1
Permit No. AWS330007
Creekside Farm
Edgecombe County
Mr. Barrett:
ROY COOPER
MICHAEL S. REGAN
sect-ewr'
S. JAY ZIMMERMAN
Dii-eclnr
On July 10, 2017, Mr. Buster Towell of the Raleigh Regional Office, Division of Water Resources
conducted an annual compliance inspection at the Hanor Creekside Farm. The records review portion of
the inspection revealed the following: The last sludge survey recorded for this facility was dated October
9, 2015."
Permit Condition V. General Conditions "18. All facilities which are issued a Certificate of Coverage
(COC) to operate under this General Permit shall conduct a survey of the sludge accumulation in all
lagoons every year."
Please note that violations of your Certificate of Coverage and Certified Animal Waste Plan may be
subject to civil penalties of up to $25,000.00 per day. You should respond to this Notice in writing
within 30 days of your receipt. Your response should include the following Corrective Actions:
A current sludge survey using the latest form dated August 2008. Include all sketches and sludge
depth formula sheets if required.
If you have any questions regarding this Notice you may contact Buster Towell at [phone].
Sincerely,
Rick Bolich, L.G. Assistant Regional Supervisor
Division of Water Resources, Water Quality
Regional Operations Section
Cc: Edgecombe County Health Department
Edgecombe Soil & Water Conservation District
DWR AFO Central Files
RRO-WQROS
State of North Carolina j Environmental Quality I Water Resources I Raleigh Regional Oflice
1628 Mail service Center I Raleigh, North Carolina 27699-1628
919 791-4200

The Hanor Company of Wisconsin, LLC
6717 NC 97 West
Battleboro, NC 27809
Tel:: [phone]
Fax: [phone]
August 18, 2017 NC Dept of Environmental Quality
Mr. Rick Bolich, L.G
Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Mr. Bolich,
AUG 2 1 2017
Raleigh Regional Office
Subject:
Notice of Deficiency
NOD-2017-PC-0211
Permit No. AWS330007
Creekside Farm
Edgecombe County
Upon the discovery of Mr. Buster Towell's findings that a sludge survey had not been
done for the year ending 2016, we immediately completed a sludge survey.
We submitted those to your office, along with a request for an extension to not do a
sludge survey for the duration of the permit, because the lagoon's sludge accumulation
was 50% below the maximum amount allowed for storage.
If you have any questions you may contact me at [phone] ext 229.
Sincerely,
Wayne Barrett
Operations Manager

STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
Raleigh Regional Office
3800.Barrett Drive, Suite 101, Raleigh, NC 27609
919/571-4700
File Access Record
SECTION
TIME/DATE
NAME
REPRESENTING:
Guidelines for Access: The staff of theRaleigh Regional Office is dedicated to making public records in our
custody readily available to the public for review and copying. We also have the responsibility to the public to
safeguard these records and to carry out our day-to-day program obligations. Please rgad carefully the following
guidelines before slanina the form:
1. We prefer that you call at least a day in advance to schedule an appointment to review the files.
Appointments will be scheduled between 9:00 a.m. and 3:00 a.m. Viewing time ends at 5:00
p.m. Anyone arriving without an appointment may view the files to the extent that time and
staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you may
review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits. Cost
per copy is 10 cents for ALL copies if you make more than 25 copies - there Is no charge for
less than 25 copies; payment may be made by check, money order, or cash at the reception
desk. You can also be invoiced.
4. FILES MUST BE KEPT IN THE ORDER YOU FOUND THEM. Files may not be taken from the
office. To remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor
for which you can be fined up to $500.00.
5. In accordance with General Statute 25-3-512, a $20.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME COUNTY
2. v
3.
4.
5.
Sig a and N of FirnVBusiness Date Time In Time Out
Please attach a this lbim

Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number 3 -
0
Farm Name: ►
r 5 a � �—
On-Site Representative:j'
Inspector/Reviewer's Name: _►L e, -//
Date of site visit: 32 2 Z
Date of most recent WUP:
Operation is flagged for a wettable
acre determination due to failure of
Part 11 .ligibility item(s) F1 F2 F3 F4
Operation not required to secure WA
determination this time based on
exemption E1 E2 E3 E4
Annual farm PAN deficit: 3 9ir. a pounds
Ir ' ation System(s) - circle #: 1. hard -hose traveler; 2. enter -pivot syste - 3. linear -move system;
s nn er sy rmanent pipe 5. stationary span er system wlportable pipe;
6. stationary gun system w permanent pipe; 7. stationary gun system wlportable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D2/D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part 111. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part II. Complete eligibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part 111).
PART IL 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part 111.

Revised January 22, 1999
-icility Number -
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT I FIELD I TYPE OF TOTAL I CAWMP FIELD COMMENTS3
NUMBER NUMBER'.2 IRRIGATION ACRES ACRES %
SYSTEM
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system, If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER' - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.
I&

1;Diii iOn of Soil and Water'_Conservation'-30peration RCVICW� �! �3 ' ",
©'�V!Ooh.of
of Soil and Water Conservation - Compliance Inspection
Water Quality Compliance Inspection �k}r
[' Other 'Agency - Operation Review:' E i',,.,t. ` t
JURoutine O Complaint O Follow-up of DWQ inspection Q Follow-up of I)SIVC review 0 Other j
Fa y Number p 1)al:e of Inspection ?�
Time of Inspection 24 hr. (hh:mm)
Permitted © Certified © Conditionally Certified © 12egistered 113 Not Operaational Date Last Operated:
Farin Name: l �County:.................................................
.. `� �, �.......... �...................................................................... L.. .
Owner Name: i2 L, sir 4 w e� 2rS' V Phone No: %-Sz �- �Z ,S
.............................................................................................................j............7}....................
Facility Contact: ......5..,. ..'��...-e................................................'Title ...... Phone No: ..............................
Mailing Address Z 13 D JCLkk /'UL .L /
Onsite Representative:......""'...........�....... �...................................................... Integrator: :.......1 L 4✓. a..�L.......................................
Certified Operator: ............,'... �. f � .0 a Operator Certification Number: ,.........................................
....................................................I........................
Location of Farm: S � � � Z 7
Latitude Longitude
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder_ Cl Layer I I ❑ Dairy
❑ Fe rto Finish ❑ Non -Layer 1 10Non-Dairy
arrow to Wean Soo
❑ Farrow to Feeder 10 Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
El Boars Total SSLW
Number of Lagoons Z—, ❑ Subsurface Drains Present 110 Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part or the operation (If yes. notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Ficld ❑ Other
a. If discharge is observed, was the conveyance man-made'?
1). Irdischarge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. ll' discharge is observed. what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system?
2. Is there evidence of past discharge from any part of the operation'?
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & "Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate'?
Structure l Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes 0 No
❑ Yes
❑ Yes o
❑ Yes No
❑ Yes
❑ Yes N
❑ Yes ❑ No
Structure 6
Identifier:
...., r.. 77 ....'/
Freeboard(inches): ............Z.... 1.............................................. .................................... .................................... ....................................
1/6/99 Continued on back

11
Facility- her: 33 — b Bate 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 top of dike, maximum and minimum
liquid level elevation markings?
ZL
❑ Yes
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
11. Is there evidence of over application? ❑ Ponding ❑ Nitrogen ❑ Yes o
lz. Crop type C.t.n..1..G1!�!.0 'J./...•.
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. Does the facility lack wettable acreage for land application? (footprint)
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
l7. 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 certified operator in responsible charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
0 No:vioJations'or dehc' ieticj. s :were noted during Ois'visiL -You will:reu ive niY ftirttier
earrespaidei�ce; about: this ;visit.; . ; ; . ; . ; . . ; ; . ; ; . :.
❑ Yes o
❑ Yes � o
❑ Yes " 0
❑ Yes o
❑ Yes ZrNo
❑ Yes
❑ Yes N
El Yes No
ElYes o
❑ Yes
❑ Yes [�
❑ Yes No
Comments,{refer to question #)': Explain any, YES answers and/or any,recotitmin' dations or any other comments ' S 1
]4, 1
Use drawings of facility to.better, explairy situations. (use additional pages as necessary).;,
Reviewer/Inspector Name
Reviewcr/Inspector Signature: Date: 1116/99

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form 1 Survey
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Liquid Animal Waste Operations
The following questions have been completed utilizing information on file with the
Division. Please review the information for completeness and make any corrections
which are appropriate. If a question has not been completed by the Division, please
complete as best as possible. Do not leave any question unanswered.
Application Date: _ 5; 93nc
v
I. REQUIRED ITEMS CHECKLIST . C
PIease indicate that you have included the following required items by signing your initials in the space pr6vided next to each
item. Cn
1. One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
2. Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is disposed;
3. Two copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, one must be completed prior to submittal of a general permit application
for animal waste operations.
II. GENERAL INFORMATION:
1. Farm's name: Creekside Fauns _ _•
2.. Print Land Owner's name:
Land Owner's Mailing address. �r _ P - d I cy f 6_
N
co
M .
::0
3© rn
4n rn
mrn
o_
zrnc
�3rri
cCD
:aG
City: Tarboro NC Zip: 27886
Telephone Number: 823-4730
4. County where farm is located: EdgecoMhe
5. Farm Location (Directions from nearest major highway. Please include 5R numbers for state roads. Please include a copy
of a county road map with the location of the farm identififd): 9;6t34 � S,J T-L,6_(° ky.flt; (-0 1 i ( �"L_L.J tom?
6. Print Farm Manager's name (if different from Land Owner): Richard Lie K
7. Lessee's / Integrator's name (if applicable; please circle which type is listed): Appian Consult. Eng.
FORM: AWO-G-E 2/26/97 . Page I of 3

t�
III. OPERATION INFORMATION:
1. Farm No.-1
2. Operation Description: Swine operation
Farrow to Wean
5000 - Certified D 'sign Capacity
Is the above information correct? yes; On o. If no, correct below using the design capacity of the facility
Tvoe of Swine No. of Animals Type of, oultry No. of Animals Tvoe of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the fargi: o, of Animals
3. Acreage cleared and available for application: t ; Required Acreage (as listed in the CAWMP):
4. Number of Lagoons: �K ; Total Capacity: q tl� I { 5 W 7 Cubic Feet (0)
Number of Storage Ponds: ; Total Capacity: Cubic Feet (ft3)
5. Is animal waste being applied on any field which has subsurface drains? YES or N (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? YES or NO please circle one)
IV. 1C S CERTIFICATION:
I, (Land Owner's name listed in question U.2), attest that
this a plication for 1`*Pets 6rs _ (Farm name listed in question II.1)
has n reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all requiredsupporting information and attachments are not included, this application package
will be returnedlo me iimt
Signature Date
V . MAWAGER'S CERTIFICATION: (complete only if different from the Land Owner)
I, (Manager's name listed in question I1.6), attest that this
application for (Farm name listed in question I1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information'and attachments are not included, this application package -
will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORM: AWO-G-E 2/26/97 Page 2 of 3

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NORTH CAROLINA
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS —PLANNING AND RESEARCH BRANCH
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FEDERAL HIGHWAY ADMINISTRATION
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Operational and Maintenance Plan
For
Creekside Farms
Swine Sow Lagoon
ACE JN: 94-049B
Facility No 33-07
Cert. No N-000326

ke
WASTE STORAGE SYSTEM
OPERATION AND MAINTENANCE PLAN
The storage pond is composed of two lagoons. The primary lagoon contains the waste storage
volume. The secondary lagoon contains the temporary liquid storage and storage for a 25 year,
24 hour rainfall that enters the pond. The elevation to start pumping is 50.00 and will be
marked with a permanent marker. In order to maintain 5.7 months storage, the pond will need
to be pumped out completely.
The waste utilization plan shall be followed as shown in Attachment A. This requires samples
and testing of waste (see Attachment B) before land application. Waste shall be applied on
fields as shown on attached soils maps.
A fence will be constructed to prevent livestock from walking on the dam, therefore, preventing
a hazard for the livestock and damage to the dam.
The routine maintenance of this waste storage pond involves the following:
1. Maintenance of a vegetative cover on the embankment and in the emergency spillway:
Fescue is being established on these areas. Beginning the year after construction and each
year thereafter, the embankment and emergency spillway should be fertilized with 800
pounds of 10-10-10 per acre to maintain a vigorous stand.
2. Control of weeds, brush, and trees on the embankment and in the emergency spillway: this
shall be done by mowing, spraying , or chopping, or a combination of all three. This will
need to be done at least once each year and possibly twice in years favorable to heavy
growth of vegetations. You may check with the local Extension Agency or SCS office for
the latest information on spray material and the best time to apply them.
Maintenance inspections of this waste storage pondshould be made during the initial filling, at
least annually, and after every major storm. Items to be checked should include, as a minimum,
the following:
1. Emergency Spillway
a. erosion
b. sedimentation
c. weeds, small trees, logs, fences, or other obstruction that reduce channel capacity or
may block flow.
2. Embankment
a. settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
c. erosion
d. rodent damage
e. seepage or other leakage
f. condition and type of vegetation cover
Page 1

•w_
OPERATION AND MAINTENANCE PLAN
FOR
SWINE WASTE MANAGEMENT SYSTEM
The purpose of this plan is to provide guidelines for carrying out the routine operation and
maintenance work needed to keep this swine waste management system functioning as
planned. Routine maintenance is considered to be normal good care of the system. Good
maintenance adds to beauty, usefulness, and permanence.
A. Maintenance
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and side slopes:
Fescue is being established on these areas. Beginning in 1996 and each year thereafter,
the embankment should be fertilized with 800 pounds of 10-10-10 per acre to maintain a
vigorous stand.
2. Control of brush and trees on the embankment. This may be done by mowing, spraying,
or chopping, or a combination of all three. This will need to be done at least once each
year and possibly twice in years favorable to heavy growth of vegetation.
Maintenance inspections of the lagoon should be made during the initial filling of the lagoon and
at least annually. Items to be checked should include, as a minimum, the following:
1. Waste Inlet Pipes
a. condition of pipes
(1) separation of joints
(2) cracks or. breaks
2. Pool Area
a. undesirable vegetative growth
b. floating or lodged debris
3. Embankment
a. settlement, cracking or "jug holes"
b. side slope stability - slumps or bulges
c. erosion and rodent damage
Page 2

+e_
4
B. Operation
Your animal waste management facility was designed for a total of 4,291,557 CF of
storage. The lagoon contains both permanent and temporary storage. The permanent
storage is not to be pumped in order to ensure that anaerobic action will occur. The design
includes permanent storage of one cubic foot per pound of steady state live weight.
The temporary storage portion of the lagoon includes capacity for the volume of waste
produced over 174 days, the amount of rainfall in a 25 year 24 hour storm event, and rainfall
in excess of evaporation. Your facility is designed for 174 days of temporary storage;
therefore, it will need to be pumped every 5.7 months. Begin pump -out of the lagoon when
fluid level reaches elevation 50.00 feet as marked by permanent markers. Stop pump -out
when the fluid level reaches elevation 42.5 feet. Only effluent from the secondary lagoon
should be used for irrigation in order to maintain the 20% reduction in the application rate.
The attached waste management plan should be followed. This plan recommends sampling
and testing of waste (See Attachment B) before land application. The waste material should
be analyzed before each application cycle to determine its nutrient content. A soil test of
the area of application should be made annually to insure the waste is applied as reasonably
and practically possible to recommended rates.
It is strongly recommended that the treatment lagoon be pre -charged to % its capacity to
prevent excessive odors during start-up. Precharging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be covered with effluent at
all times: The lagoon can be pre -charged by pumping water from Fountain Fork Creek or
other suitable water source.
The Clean Water Act of 1977 prohibits the discharge of pollutants into waters of the United
States. The Department of Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing this law.
1 primary lagoon volume
secondary lagoon volume
total
94049wss
3,031,000 CF
1,260,557 CF
= 4,291,557 CF
Page 3

.t
Producer:
Location:
Address:
Telephone:
Type operation:
Number of Animal Units
��5l.lk ��irr5
�o4EGos�nBE Coif
Zl5G
'SO
— FAe,&..J -1- We,n�
V000
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface and/or ground water.
The plant nutrients in the animal waste should be used to reduce the
amount of commercial fertilizer required for the crops on the fields
where the waste is to be applied. This waste should be analyzed
before each application cycle and annual soil tests are encouraged
so that all plant nutrients can be balanced for realistic yields of
the crops to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner. Always
apply waste based on the needs of the.crop to be grown and the
nutrient content of the waste. Do not apply more nitrogen than the
crop can utilize. Soil types are important as they have different
infiltration rates and leaching potential. Waste shall not be
applied to land eroding at greater than 5 tons per acre per year.
Do not apply waste on saturated soils or on land when the surface is
frozen. Either of these conditions may result in runoff to surface
waters. Wind conditions shou-ld'also be considered to avoid drift
and downwind odor problems. To maximize the value of nutrients for
crop production and .to reduce the potential for pollution, the waste
should be applied to a growing crop or not more than 30 days prior
to planting. Injecting the waste or disking will conserve nutrients
and reduce odor problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements
may be more or less based on the waste analysis report from your
waste management facility.
Amount of waste produced per year
!!�n�o� animal units X 3Zo3 waste/animal unit/year
/b, A'5, 00-1p / year
Amount of nitrogen produced per year
5p animal units X rj�¢ T_ lbs. N/animal unit/year =
27,,000,> � lbs. N/year .
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
zO o� eCPUC-rt'c.1 D u B 7a SeC k-h5.AAdO &Ai oo J
Z7,o�x o •8d = Dpo0 lb-, �lYr.r Page 4

The following acreage will be needed for waste application based on
the crop to be grown and surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Real. Lbs. N Acres Lbs. N Month of
# Type Yield Per Ac Utilized Application
M6 'tJ
G � 7 8 9
(�o.4
�y7 uAA
L!' {�S �/SC
-30O
7¢. Cr
2-2 1 380
!"pa1(- ! QG.,,
C-t'oA
e:",,,6SrAe_
Total Table 1
(Z7. 8
3B, 34.b
Table 2:
ACRES WITH
AGREEMENT
OR LONG TERM LEASE
Tract Field Soil
Crop Real.
Lbs. N
Acres Lbs. N Month of
# Type
Yield
Per Ac
Utilized Application
Total able I )V 8
Total Table 2
Total
i Z7.8
Amount of N Produced
Deficit
33,34�
38r 34�
Goo
!&!74Z
Your facility -is designed for j-7¢ days of temporary storage and
needs to have the temporary storage removed every 5,7 months.
Page 5

� � s
T Sz53
Taz,54
Where owners of animal operations do not have adequate amounts of
land to apply the waste, the producer must provide a written
agreement whereby another landowner has agreed to land apply or
allow land application on his or her land.
Call the Soil Conservation Service or Soil and Water Conservation
District office after you receive the waste anal-ysis report to
obtain the amount per acre to apply and the application rate prior
to applying the waste.
Narrative Operation:
See attached map showing the fields to be used for the disposal of
waste water.
Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate(In/Hr)
Application
Amount(In.)'
8
46A
0.40
-
30
r z
UoA I4o A
51v_ j 98 wuda
D. 4.0
1.30
Page 6

WASTE MANAGEMENT PLAN AGREEMENT
1 agree to carry out this waste management plan according to the
terms of the agreement. Failure to comply with the waste management
plan will automatically require any cost share funds to be refunded
to their souAce
f �� �i�.
l 4t �•, i Date:
Producer: C, � �.
I understan that Mr./Mrs. _ �j1A does not have
aiip.k.e landf to apply the aninal waste produced f-orp r i si/!-+er animal
operation. T have agreed to utilize the waste produced from the
operation and agree to carry out this waste management plan on land
that l own or operate. .
Recipient Landowner: N/A Date:
System Designer:„_���,,.ai
SWCD Representative:
Design Approval:
Date: 5/7S� q
Date: 7 2 rt
Date: 7 2
Page 7

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Attachment B
Page 1 of 3
North Carolina Agricultural :Extension Service
Agri -Waste Management
Biological and Agricultural Engin='ng North Carolina State Un versity
LIVESTOCK WASTE SAMPLING, ANALYSIS AND CALCULATION
OF LAND AFnLICATION BATES
James C. Barker*
I. SAMPLE COLLECTI0N
A. Semi -Solid Lot Manure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of manure from
different locations using nonmetallic collectors.
ii. Fxom storage
a. Collect about 2 lbs of manure from under the surface crust
avoiding bedding materials and using nonmetallic collectors.
B. Liquid Man -are Slurry
i. Under -slotted -floor pit
a. Extend a 1/2" nonmetallic conduit open on both ends into
manure to pit floor.
b. Seal upper end of conduit (e.g., by placing a thumb over end
of conduit) trapping manure that has entered lower end, remove
and empty slurry into .plastic bucket or nonmetallic, container.
c. Take subsamples from 5 or more locations or at least l quart.
d. Mix and add about 3/4 pint to nonmetallic sample container.
ii. Exterior storage basin or tank
a. Make sure manure has been well mixed with a liquid manure
chopper -agitator pump or propeller agitator.
b. Take subsamples from about 5 pit locations, from agitator pump
or from manure spreader and place in a plastic bucket.
Professor and Extension Specialist, Biological and Agricultural Engineering
Department, North Carolina State University, Raleigh, NC.
Paqe fO

Attachment B
Page 2 of 3
II. SAMPLE PREPARATION AND TRANSFER
A, Place sample into an expandable container that can be sealed. Rinse
residues from container with clean water but do not use disinfectants,
soaps, or treat in any other way.
B. Pack sample in ice, refrigerate, freeze, or transfer to lab quickly.
C. Hand -delivery is most reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and tape,
E. Commercial sample containers and mailers are also available. Contacts:
i. AFL Eastern Agricultural Lab, Inc. iii. Polyfoam Packers Corp.
7621 Whitepine Road 2320 S. Foster Avenue
Richmond, VA 23237 Wheeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co.
3315 Winton Road
R.al.eigh, NC 27604
Ph: [phone]
iv. NASCO
901 Janesville Avenue
Fort Atkinson, WI 53538
Ph: [phone]
F, Private analytical labs. are available, but sample analyses are costly.
G. Thg, NCDA provides this service for Korth Carolina residents.
i. Address: NQrth Carolina Department of Agriculture
Agronomic Division
Plant/waste/solution Advisory Section
AZug Ridge Road Center
P.O. Box 2:7647
Raleigh,, NC 2.76.11
Ph:. (919)73.3.26.55
Attn: Dr. Ray. Campbell
ii. Forward $4 along with the sample.
iii. Include the following. identification information with sample:
a. Livestock, species (dairy, swine,, turkey, etc.)
b. Livestock usage (swine -nursery.,, £iuishing; turkey -breeders,
brooderhou:se, grower., number. flocks grown on litter; etc.}
C. Waste type (dai;ry:-.lo.t. scraped manure, liquid slurry; swine -pit
slurry, lagoon ii.quid,. sludge; broiler -house litter, stockpile
iv. Routine analyses performed on all, samples: N, P, K, CI', Mg%, Na,
S, F'e:, Mm,, Znl. Cu,. B
v. Additional. analyses. performed upon request: DM, Mo, Cd:,. Ni, Pb
Page I 1

Attachment B
Page 3 of 3
I1. SAMPLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed. Rinse
residues from container with clean water but do not use disinfectants,
soaps, or treat in any other way. '
S. Pack sample in ice, refrigerate, freeze, or transfer to lab quickly.
C. Band -delivery is most reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and tape.
E. Commercial sample containers and mailers are also available. Contacts:
i. ALL Eastern Agricultural Lab, Inc. iii. Polyfoam Packers Corp.
7621 Whitepine Road 2320 S. Foster Avenue
Richmond, VA 23237 Wheeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co.
3315 Winton Road
Raleigh, NC 27604
Ph: [phone]
iv. NASCO
901 Janesville Avenue
Fort Atkinson, WI 53538
Ph: [phone]
F. Private analytical labs are available, but sample analyses are costly.
G. The NCDA provides this service for North Carolina residents.
i. Address: North Carolina Department of Agriculture
Agronomic Division
Plant/Waste/Solution Advisory Section
Blue Ridge Road Center
P.O. Sox 27647
Raleigh, NC 27611
Ph: [phone]
Attn: Dr. Ray Campbell
ii. Forward $4 along with the sample.
iii. Include the following identification information with sample:
a. Livestock species (dairy, swine, turkey, etc.)
b. Livestock usage (swine -nursery, finishing; turkey -breeders,
brooderhouse, grower, number flocks grown on litter; etc.)
c. Waste type (dairy -lot scraped manure, liquid slurry; swine -pit
slurry, lagoon liquid, sludge; broiler -house litter, stockpile
iv. Routine analyses performed on all samples: N, P, K, Ca, Mg, Na,
S, Fe, Mn, Zn, Cu, B
v. Additional analyses performed upon request: DM, Ho, Cd, Ni, Pb
Page 12

SPECIFICATIONS GUIDE
1. The Field Office must have documentation in the design folder that the producer either owns
or has long term access to adequate land on which to properly apply the waste. If the
producer does not own adequate land to properly dispose of the waste, he shall provide SCS
with a copy of a written agreement with an adjacent landowner allowing him use of the
adjacent land for waste application for the life expectancy of the production facility.
2. Waste shall be applied to meet the Nitrogen needs for realistic yields based on soil type,
available moisture -historical data, climate conditions, and level of management.
3. Animal waste shall not be applied to land eroding at greater than 5 tons per acre per year or
land that meets an approved Acceptable Management System i;AMSi.
4. Apply animal waste in split applications if more than 100 Iblac of available nitrogen is to be
used.
5. Waste shall be incorporated immediately after spreading on areas subject to flooding.
Waste is not to be applied on areas subject to flooding unless incorporation is used.
6. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur and in a method which does not cause drift from the site during application.
7. Waste shall not be applied to saturated soils or on land when the surface is frozen.
8. Apply waste to growing crops in such a manner that no more than 20 to 25 percent of the
leaf area is covered.
9. Animal waste shall not be applied to root crop vegetables during the current growing season
or to above the ground vegetable crops for one month prior to harvest.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a
high potential for leaching unless special precautions are taken to minimize leaching and
erosion. Waste nutrient loading rates on these soils should be held to a minimum and winter
cover crops planted to take up released nutrients.
11. Waste shall not be applied closer than 25 feet to surface water. This distance may be
reduced provided adequate vegetative filter strips are present.
12. Waste shall not be applied closer than 100 feet from water wells for human consumption.
13. Waste shall not be applied closer than 200 feet of dwellings other than those owned by the
landowner.
14. Waste shall be applied in a manner not to reach other property and public right-of-ways.
94049BSG.doc
Page 13

ANIMAL WASTE MANAGEMENT PLAN CERTIFICATION FOR NEW OR EXPANDED FEEDLOTS
Please return the completed form to the Division of Environmental Management at the address on the
reverse side of this form.
Name of farm (Please print):
Address: Route 2 Box 215C Tarboro NC 27886
Phone Number. 919 823-4730
County: Fdgecombe
Farm location: Latitude and Longitude:?' _a1'y.]Z°22j 412 (required). Also, please attach a copy of a
county road map with location identified.
Type of operation (swine, layer, dairy, etc.): Swine Sow Farm - Farrow to Weanlin
Design capacity (number of animals): 5000
Average size of operation (12 month population avg.): 5000
Average acreage needed for land application of waste (acres): 72 Coastal Bermuda Secondary Lagoon
TECHNICAL SPECIALIST CERTIFICATION
As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to
15A NCAC 6F .0005, l certify that the new or expanded animal waste management system as installed for the
farm named above has an animal waste management plan that meets the design, construction, operation and
maintenance standards and specifications of the Division of Environmental Management and the USDA -Soil
Conservation Service and/or the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC
2H.0217 and 15 A NCAC 6F .0001-.0005. The following elements and their corresponding minimum criteria have
been verified by me or other designated technical specialists and are included in the plan as applicable: minimum
separations (buffers), liners or equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for waste utilization. (or use of third party); access or ownership of ��opeF-W4�5te
application equipment; schedule for timing of applications; application rates; loading rates; and tp�1r,RnW,ol
discharge of pollutants from stormwater runoff events less severe than the 25-year, 24-hour sto
Name of Technical Specialist (Please Print): Bobby ."L•,joyner_, P,. E. = Z IL
_ � J L_ r% L
Affiliation: is Consulting Engineers, PA. -
Address (Agency): P.O. Box 7966. Rocky Mount. NC_27804
Phone Number:
Date: Janu
9, 1995 "e•,.B6'y 1.
I (we) understand the operation and maintenance procedures established in the approved animal waste
management plan for the farm named above and will implement these procedures. I (we) know that any
additional expansion. to the existing design capacity of the waste treatment and storage system or construction of
new facilities will require a new certification to be submitted to the Division of Environmental Management before
the new animals are stocked. I (we) also understand that there must be no discharge of animal waste from this
system to surface waters of the state either through a man-made conveyance or through runoff form a storm
event less severe than the 25-year, 24-hour storm. The approved plan will be filed at the farm and at the office of
the local Soil and Water Conservation District.
Name of Land Owner (Please Print): Richard Anderson ._
Signature: om &Ain 42az Date: q5
Name of Manager, if different from owner (Please Print):
Same
Signature: Dale:
Note: A change in land ownership requires notification or a new certification (if the approved plan is changed) to
be submitted to the Division of Environmental Management within 60 days of a title transfer.
DEM USE ONLY:ACNEW#
ACE P-38

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NORTH CAROLINA
I',' AS
PAEPARED BY THE
I 1W 1291
NORTH CAROLINA DEPARRTMENT OF TRANSPORTATION
ILIK—
DIVISION OF HiGHWAYS— PLANNING AND RESEARCH 3RANCH
1173
KEY TO COUNTY ROAD MOEPS
IN COOPERATION WITH THE
g5o W.Is 1022 low, 1005
1600 _Iagn 6,
U.S. DEPARTMENT OF TRANSPORTATION
ION
7
FEDERAL HIGHWAY ADMINISTRATION
sE SCALE
NOTE. MAP INCLUDES -ONLY STATE MAINTAINED ROADS
OR IMPORTANT NON -SYSTEM ROADS.
mjLfAGE NOT SHOWN ON FRONTAGE ROADS.
ROADS SHOWN AS OF JAN. 1, 1990, SCALE FOR ENLARGEM5?,17S

SWINE WASTE LAGOON
CONSTRUCTION RECORD CALCULATIONS
JN 94-049B
Edgecombe County
Creekside Farms
Route 2 Box 215C
Tarboro, NC 27886
Appian Consulting Engineers, P.A.
P. 0. Box 7966
Rocky Mount, NC 27804
28 June 1995
`11CA 19
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SEAL I
8421
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I s scs - A.— ,
t,noraa
LAGOON SUMMARY SHEET & TYPICAL CROSS-SECTION
TWO STAGE LAGOON
. f�r�j C..bf•-I�`�V�i�P
Top Width
fee- 6ofZZ1�5
Settled Top of Dam: 5r.7o t21� Construct Top of Dam
J5/ '00 (5a, Ct
/ Fill Yardage: r
1
Slopc Slope
Z,5(Pea•) Z,5(Pe I.)
Z, 0 (Sec )
Natural Ground Elev. +f Ii� 'p
Cut-off Trench ��
Depth determined by
SCS on site
Width depends on equipment --�
Elev . 50, }
Bent
spo'2.rS,
Q Treatment Volume
3, D31. 600 cu . ft .
Top of sludge
elev. 43.3�
Bottom Sludge Volume
elev.. 40.0
',,e Pipe Type & Size --
Start land application
eIev. O -
e------------ A - -----
Ft -do Temporary
�oppej slo Storage Volume o e f
2,p t771-7 cu ft zo
Bottom elev.
Seasonal'High Water elev. 40.00
Primary Treatment Volume Size: Length:5ee qAq Width — Total Cu. Yds.
Temporary Storage Volume Size: Length �gp,Z, Width 3(, Z Excay. —
Bench Mark Description:
Elevation:
F-lafr_: VoLurAe 9-60'v r, f, 37i.717GP Votome A -A,, g,_6 = !,z&ot557 cp CAN 8 Rafj 1W oP O, 10 `of
P260V OF Bot 9 BASS o-J5 VJ141 c N z 49 _ � '0_
General Information
Engineering Job Class:
Hazard Class: A
Animal Type: 15W10
Tvpe Operation: F-Ag,&o T;D Wf-AOL,�Ju,
mber of Animals: X�aaa
NOTE: If construction is not started
within one year, this plan is not valid
until a re-evaluation of the design and
flood plain safety hazards are made.
c a a �-1 P% ✓tt.
Lagoon for Animal Waste
��er✓���c r~eem5 Farm
C-d-.c�a►neE County
State
U. S. Department of Agriculture
Soil Conservation Service
Designed by: 'pgr--
Approved by:
Title:
Date:

IQO'Routine 0 Complaint 0 Follow-up of D%VQ ins ection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection
Time of Inspection o G 24 hr. (hh:mm)
0 Registered [3 Certified © Applied for Permit © Permitted JE3 Not Operational Date Last Operated:
FarmName: ....................... .............................................................................................. County:.....................................................................................
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
Facility Contact:..................................................... . Title: .... Phone No:
" Mailing Address: .............................�..f....�........�...........,.(..��..�.................................................................................................................... ..........................
Onsite Representative: .... I�CC rT!T.. '` -� l '.*. �. '"'"..................... Integrator:..........................................................................
.............. ................... ................... ............
Certified Operator; ................. ............................ Operator Certification Number;.....,,........,
Locution of Farm:
C
Latitude a 4 " Longitude • 6 �"
Design . -Current :Design ,Current...," Design Current
Swine ,r ' s.
Capacity Population Poultry vCapacity Population , €:Cattle " Capacrty` Populatioa, Y
❑ Wean to Feeder
"
❑Layer
❑Dairy
❑ Feeder to Finish
❑ Non -Laver
❑ Non -Dairy
Farrow to Weans.
❑ Farrow to Feeder
❑ Other
ElFarrow to Finish
Total De' Agn Capacity
❑ Gilts
-
❑ soars
Total Sk,
Number of.Lagoons l Holding Ponds'
❑ Subsurface Drains Present
❑ Lagoon Area
❑ Spray Field Area
t
g}
El No Liquid Waste Management System
rzN.
General
1. Are there any buffers that need maintenance/ improvement? ❑ Yes P�No
2. Is any discharge observed from any part of the operation? ❑ Yes �(No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes [/No
b. If discharge is observed, did it reach Surface Water? (if yes, notify, DWQ) ❑ Yes EY'No
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes FrNo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes P No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes 1o
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes C2 No
main ten ance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 0 No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes W No

,j1 . . 1
Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed!
Structures (Lw_,00ns.[1oldinz Ponds, Flush Pits, etc.►
9. Is storage capacity (freeboard plus storm storage) less than adequate?
P4
Structure 1 Structure ? Structure 3 Structure 4
Identifier: (�
.1... /...1................................................................................................................... ......
Freeboard (ft): .. .................. ..... !
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?
❑ Yes No
❑ YesNo
Structure 5 Structure 6
...............................................................
❑ Yes Mo
❑ Yes/ No
12. Do any of the structures need maintenance/improvement? 'Yes ❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14, Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
4
15. Crop type ........ ,/........................................................................................................................................................
lb. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
IT 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?
[3, No.violations' -u' deficiendei s were ntited;during this:visit. You.'Will receive ni o' irther- :
Ofres'pondence alfout this:visit..
❑ Yes j'No
❑ Yes ❑Po
.........................................
;1111es ❑ No
❑ Yes,,ZNo
❑ Yes o
❑ Yes (llo
❑ Yes ZNo
❑ Yes Z�No
❑ Yes tVO
❑ Yes ONo
❑ Yes gNo
❑ Yes VNo
;6 L)" - S,t(�fy `sy,.* ',Y' �e&1E23 :FSd::Sb N,.' i,'6..CS - t4rY. "'TE3"flJ .-. S�tGV `7�
Cot ents,(ref Ktb;:!; # Expta�n�any YES�answet•s aixd y reeannnaendatxons t%tr atty oP r'c4011 MM
Use drarvtngf facttty totietter a pl tto( eaddthonal;pa� as�necessaryAF
�. �t1 u- �r� j�CiMPrti �r Wi N �'c�✓S p,e Cf}c E� G� I° /il ;-� lr 4" 7—
ILgF Am.,m,C,v � �5 J'9— u.se-A r&1foL- y&vS
Cd 9— pOP 34 F 5 ) co s::7' c lGd P 99 [79 7/25/97
H
v(.�'Y.iie h '>.`> 1 __°� •§
Reviewer/Inspector Name s '1+� ; ry� f €
Reviewer/Inspector Signature: ►/�� �� i• Date:

0 D: _ ion of Soil and Water Conservation [:] Other Agency
Ey tvision of Water Quality
10 Routine O Complaint Q Follow-up 6f DWQ inspection Q Follow-up or DSWC review O Other
Date of Inspection
Facility Number d
Time of Inspection 24 hr. (hh:mm)
0 Registered [3 Certified [II Applied for Permit ermitted [3 Not O erationai Date Last Operated: . ..............
FarmName: ✓ , C e County: ,R............ .............................................
'.....G ..... '..... �`!r .I - .....................................................
Owner Name:..iv;.'�` (.. !............'".`5...................................... Phone No:. f...[..1......1 ......f ...�i�...,....................
Facility Contact: ... °.?.w.........��. ��rSA-�.. Title :......................... Phone No:.....................................,.............
��ff
Mailing Address:.....f z L , i6 l (? G �l4t �fr!:: {�.....AI.C� � ...................................................... ..........................
.............................................................................
OnsiteRepresentative:..�`"tv......i...?y"............................ Integrator: ....... .��......................................
Certified Operator*_'. ................. �..`...�.1. �! <iv�— 2,c �
..................................................................... Operator Certification Number:.........................................
Location of Farm: Z
r.......................................................................................................................................................................................................................................................................I
Latitude . =• C ' 0 « Longitude • =' 11 _ "'-'---
s
ent :
T tDesign Cureenf ;` b ,' Destgn :'' Current
Swure # �Ca}�agty Papul Poriltr y < f Capacity Po elation Cattle & , ' p Capacity;Papulatronk
-`
❑ Wean to Feeder
❑ Layer
°;<
❑ Dairy.
�.
❑ Fe r to Finish
El Non -Layer
❑Non -Dairy
arrow to Wean
.SOo.d
" } ❑ Other
❑ Farrow to Feeder
❑ Farrow to Finish
Total Design Capacity
El Gilts
<
❑Boars;
4
,,. 'Total SSLW
�'
Ntwsbe of Lagoons /
oldrng Ponds '
Subsurface
Drains Present
❑Lagoon Area ❑Spray Field Area
< yr ^
❑ No Liquid Waste Management System
§� R
ff
General
1. Are there any buffers that need maintenance/improvement? 0 Yes ZVN9,2. Is any discharge observed from any part of the operation? ❑ Yes
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ZNy
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ClYes o
c. If discharge is observed, what is the estimated flow in gaVinin?
d. Does discharge bypass a lagoon system? (If yes,,notify DWQ) ❑,yes dp o
3. Is there evidence of past discharge from any part of the operation? ❑Yes (o
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?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7/25/97
Continued on Lack

i.4
F acilit,� Number: —611
8. Are there lagoons or storage ponds on site which need to be properly closed'?
Structures(L, woons Holdin Ponds flush Pits etc.
9., Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3
Identifier:
Freeboard (ft): ................ aI.,... 0...f .............(]
Structure 4 Structure 5
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 Apoication
14. Is there physical evidence of over application'?
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
Cl Yes No
❑ Yes No
Structure 6
❑ Yes No
❑ Yes VO
[EllYes
❑ Yes ,1'o
❑ Yes o
­­11 ......... -.11-I.I.- ............ ­111.1.1..,.­� ........
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes Lj No
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/]nspector fait to discuss review/inspection with on -site representative?
❑ Yes
dl;NNo"_
N
orElYes�N:,',
El Yes
❑ Yes
❑ Yes
22. Does record keeping need improvement? ❑ Yes No
For Certified or_Permitted _Facilities -Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes N
24. Were any ditional problems noted which cause noncompliance of the Certified AW,MP? ❑ Yes N
25. W e any additional problems noted which cause noncompliance of the Permit'? ❑ Yes No
No.viofations-or deficiencies were -noted during this visit. 'You:wili receive no fdrthier
correspondence aboiet this visit.
I Comments.(refer to` questton #} Use drawings >, ExlatnAanYES answers and/or any rec`p
ucthto bctttins (usd:Page's ao5erexplan situatf fy mnmeceenssdaarytio)
ns or any`tither corn�nents. kl
.ax.
7I25/97

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E,, Director
June 26, 1998
Richard Anderson
Creekside Farms
Rt 2 Box 166
Tarboro NC 27886
1L1F_V__T
IT1 � •
2
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissuance of Certificate of Coverage
No.AWS330007
Creekside Farms
Swine Waste Collection, Treatment, Storage and
Application System
Edgecombe County
Dear Richard Anderson:
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on May 12, 1997. In accordance with the issuance of the revised General' Permit, we are
forwarding this Certificate of Coverage (COC) to Richard Anderson, authorizing the operation of the
subject animal waste collection, treatment, storage and land application system in accordance with
General Permit AWG100000. This approval shall consist of the operation of this system including, but
not limited to, the management of animal waste from the Creekside Farms, located in Edgecombe
County, with an animal capacity of no greater than 5000 Farrow to Wean and the application to land as
specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003, and shall hereby void
COC No AWS330007 dated May 12, 1997. The COC shall hereby incorporate by reference any specific
conditions of the previous COC issued to this facility. The purpose of this COC is to allow coverage
under the revised General Permit. Please review the revised General Permit (enclosed) and pay
particular attention to Condition II.10 regarding tree removal from lagoon embankments, Condition III.1
regarding inspection frequency of the waste treatment, storage and collection system and Condition III.6
regarding notification requirements for system failures, spills and emergencies. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS330007
Creekside Farms
Page 2
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Sue Homewood at [phone] ext. 502.
Sincerely,
for A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
Raleigh Regional Office, Water Quality Section
Edgecombe County Soil and Water Conservation District
Permit File

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
June 26, 1998
Berry Anderson Jr
Berry Anderson Farm
Rt 2 Box 215-C
Tarboro NC 27886
A01?WA
IT -0
NCDENR
NORTH C,AROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissuance of Certificate of Coverage
No.AWS330008
Berry Anderson Farm
Swine Waste Collection, Treatment, Storage and
Application System
Edgecombe County
Dear Berry Anderson Jr:
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on April 28, 1997. In accordance with the issuance of the revised General Permit, we are
forwarding this Certificate of Coverage (COC) to Berry Anderson Jr, authorizing the operation of the
subject animal waste collection, treatment, storage and land application system in accordance with
General Permit AWG100000. This approval shall consist of the operation of this system including, but
not limited to, the management of animal waste from the Berry Anderson Farm, located in Edgecombe
County, with an animal capacity of no greater than 4800 Farrow to Feeder and the application to land as
specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003, and shall hereby void
COC No AWS330008 dated April 28, 1997. The COC shall hereby incorporate by reference any
specific conditions of the previous COC issued to this facility. The purpose of this COC is to allow
coverage under the revised General Permit. Please review the revised General Permit (enclosed) and pay
particular attention to Condition II.10 regarding tree removal from lagoon embankments, Condition III.I
regarding inspection frequency of the waste treatment, storage and collection system and Condition 11�I.6
regarding notification requirements for system failures, spills and emergencies. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

t.
Certificate of Coverage AWS330008
Berry Anderson Farm
Page 2
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Sue Homewood at [phone] ext. 502.
Sincerely,
for A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
Raleigh Regional Office, Water Quality Section
Edgecombe County Soil and Water Conservation District
Permit File

F_ Facility Number
Farm Status: ❑ R tered ❑ Applied for Permit
-®"Certified ❑ Permitted
❑ Not Operational Date Last Operated:
Date of Inspection
Time of Inspection f�0�� 24 hr. (hh:mm)
Total Time (in fraction of hours
(ex:.1.25 for 1 hr .15 min)) Spent on Review 7 0
or Inspection includes travel andprocessing)
FarmName: ... C..................r:... ........ n� `!^........................................................... Cou uty:... . t c7'."1
Land Owner Name;. J.& C `.!9 r j .... 19�: d as _ G�• ........... .............. Phone No: r l �... . ��.. �...y ? 3 -b
.....
Facility Conctact:....SfI 1,.�..:Q.................................................... T`itle:........
.................
.......
................ Phone No:..........................................................
Mailing Address:....... Z.....�.�`...f.C..G ....... C fide d ...........W.�-.... .....�.. 6..._..............._._.......................................
OnsiteRepresentative:....„.G ..........�..`�.a' d"'................................. Integrator:......L..T"`.`.........................................
Certified Operator:..... ................................................... Operator Certification Number:
Location of Farm: i /? / i i n
Latitude • 4 " Longitude • 6 16
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/34/97 maintenance/improvement?
❑ Yes No
❑ Yes No
❑ Yes N
❑ Yes No
❑ Yes ffNo
El Yes jNo
N
❑ Yes
❑ Yes
Continued on back

Facility Number: 33 ..1
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes Noo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes Ld'rio
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑Yes L�l]V0
Struct3ires fldagoons and/or Holding Pands)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes No
Freeboard (ft): Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
� .:.......... ......6:... �..... ............................ ............. ............ ......... _....ZVC
.
10. Is seepage observed from any of the structures? ❑ Yes11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes12. Do any of the structures need maintenance/improvement? ❑ Yes
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes :No
Waste Application
14. Is there physical evidence of over application? ❑ Yes
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type U.!. G S ��`�'`?��............. .!!�.. )........ ....................................................................... .........
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes o
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes EfNo
18. Does the receiving crop need improvement? ❑ Yes ;No
19. Is there a lack of available waste application equipment? ❑ Yes
20. Does facility require a follow-up visit by same agency? ❑ Yes No
2 L Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes o
For Certified Facilities Only
22, Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes 2<0
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
24. Does record keeping need improvement? ❑ Yes ❑ No
Comments (reamer to questionsq#){ w Explain°any YES answers and/or a%ny, recommendations or any'other comments
Use dawin s.of facile ,to better ex lain situations? use;addihonal- a es'as recess �:
..
Y
H
3.
Reviewer/Inspector Name
Reviewer/Inspector Signature: �,�, 7 Date:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

05
0 State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
April 9, 1997
CERTIFIED MAIL
RETURN RECEIPT UQUESIED
Richard Anderson
Creekside Farms
Rt 2'Box 215-C
Tarboro NC 27886
Farm Number: 33-7
Dear Richard Anderson:
7
C]EHNF�
Kc, D'RPT, O!r
tit ►tuo;�ai a �, HEALIft
& NATURAL RMURCES
APR 9 1997
MIS@,l OF 16U l MW AL +A�ASi irlt�ti
gj1AESVk.L[ Rt: AI 6FFtSE
You are hereby notified that Creekside Farms, in accordance with G.S. 143-215. IOC, must apply
for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has
>cir to submit the attached application and all supporting documentation. In accordance
with Chapter 626 of 1995 Session Laws (Regular -Session 1996), Section 19(c)(2), any
owner or operator who fails to submit an application by the date specified by the
Department SHALL NOT OPERATE the animal waste system after the specified date.
Your application must be returned within thirty (30) days of receipt of this letter. Failure to submit the
application as required may also subject your facility to a civil penalty and other enforcement actions for
each day the facility is operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package. The
signed original application, one copy of the signed application, two copies of a general location map, and
two copies of the Certified Animal Waste Management Plan must be returned to complete the application
package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Permits and Engineering Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any question concerning this letter, please call Mike Lewandowski at [phone]
extension 362 or Charles Alvarez with the Raleigh Regional Office at [phone]
Si erely,
A. Preston How , P.E.
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
APR 14 ; .J
D _PNR RACElGH rt_ci
6-; ICE
Telephone [phone] FAX (919f 733'07'19
50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mr. Richard Anderson
Rt. 2 Box 166
Tarboro, NC 27886
e��
�EHNR
Division of Soil and Water Conservation
May 13, 1997
SUBJECT: Operation Review Summaries
Creekside and Pollyridgge Farms
Facility Nos. 33-7 and 33-61
Edgecombe County
Dear Mr. Anderson,
On April 28, Operation Reviews were conducted of Creekside Farm, facility no. 33-7
and Pollyridpge Farm, facility no. 33-61. These Reviews, undertaken in accordance with G.S.
143-215.10D, are one of two visits scheduled for all registered livestock operations during the
1997 calendar year. The Division of Water Quality wilf conduct a second site inspection.
It was determined that no corrective actions are necessary as the result of these
Reviews, since waste was not being discharged to the waters of the State, and the animal
waste collection, treatment, storage and disposal systems were maintained and operated
under the responsible charge of a certified operator. Copies of the completed review forms
are enclosed for your information.
The reviews determined that the farms were operating in accordance with their
approved animal waste management plans. Please remember that you are required to obtain
either an amendment to your existin plan or a new waste utilization plan before any changes
are made in crop type or harvest method on land included in your plan. All land used for
nutrient application from animal waste systems must be included in the waste utilization plan.
The plan must be certified by either a designated technical specialist or a professional
engineer. For additional assistance with the flan,, please contact your local Soil and Water
Conservation District Office or local Cooperative extension Service Office.
The Division of Soil and Water Conservation appreciates your cooperation with these
Operation Reviews. Please do not hesitate to call me at 919/571-4700 ext. 208 if you have
any questions, concerns or need additional information.
SSiiinnc']erely,
11_
aWvz,,6 O&k
Margar O'Keefe
Environmental Engineer I
cc: Edgecombe Soil and Water Conservation District
Judy Garrett, Water Quality Regional Supervisor
DSWC Regional Files
John College, Hanor Farms
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, North Carolina 27609 NOC An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/ 100k post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
.lames B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Richard Anderson
Creekside Farms
Rt 2 Box 166
Tarboro NC 27886
Dear Richard Anderson:
May 12, 1997
r 0�
l0T
MAY i 4 I9F97 J
D[fINl7 RALElG II
Rf GIONAl 0F11Cf
A4
ARI
[DEHNF1
Subject: Certificate of Coverage No. AWS330007
Creekside Farms
Swine Waste Collection, Treatment, Storage
and Application System
Edgecombe County
In accordance with your application received on May 5, 1997, we are forwarding this Certificate of
Coverage (COC) to Farm No. 33-7, authorizing the operation of an animal waste collection, treatment,
storage and land application system in accordance with the State's General Permit (attached). This
approval shall consist of the operation of this system including, but not limited to, the management of
animal waste from the Creekside Farms with an animal capacity of no greater than 5000 Farrow to Wean
and the application to 141 acres of land. The facility shall be located in Edgecombe County with no
discharge of wastes to the surface waters.
The COC shall be effective from the date of issuance until December 31, 2001. Pursuant to this
COC, you are authorized and. required to operate the system in. conformity with the conditions. and
limitations as specified in the General Permit, the facility's Certified Animal Waste Management Plan
(CAWMP), and this COC. An adequate system for collecting and maintaining the required monitoring
data and operational information must be established for this farm. Any increase in waste production
greater than the certified design capacity or increase in number of stocked animals above the number
authorized by this COC will require a modification to the CAWMP and this COC and shall be completed
prior to actual increase in either wastewater flow or number of animals.-:z .
In accordance with General Statue 143-215.1OC, Animal Waste Management Plans shall include
the following components:
- A checklist of odor sources and best management practices to minimize these sources.
- A checklist of insect sources and best management practices to minimize these sources.
- Provisions set forth for acceptable methods of disposing of mortalities.
- Provisions regarding emergency action plans.
Your existing Certified Animal Waste Management Plan must include the above elements, by
December 31, 1998. Documentation of the certification must be available to inspectors onsite. Submittal
of the amended certification statement shall be required upon renewal of your permit coverage in 2001.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX'919-733-2496
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

PIease be advised that any violation of the terms and conditions specified in this COC, the General
Permit or the CAWMP may result in the revocation of this COC.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Andy Oakley at [phone] ext. 533.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
Raleigh-Regional_Qffi_ce, Water QualitySectiop
Edgecombe County Soil and Water Conservation District
Permit Files
Facilities Assessment Unit

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Richard Anderson
Creekside Farms
Rt 2 Box 215-C
Tarboro NC 27886
A��
�EHNR
November 13, 1996
SUBJECT: Operator In Charge Designation
Facility: Creekside Farms
Facility ID#: 33-7
Edgecombe County
Dear Mr. Anderson:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form'must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning his rec uirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincerely
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 27687, NOfvC
Raleigh, North Carolina 2761 1-7687 An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 W1. recycled/ 10% post -consumer paper
1�

JUL-14-1995 15; 26 FROM DEN W iTER WPL, [ TY SECTION TO
RRU P.02/02
Site Requires immediate uen6on-
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMEN-T
ANIMAL FEEDLOT OPERATTONS SrM VISITATION RECORD
DATE: f ' 1995
Time. 1, v
1" arras Name/Owner: L'
Mailing Address:
Counry.
Integrator. — — _ _—_- Phone:
On Site Representative: Phone:
Physical Address/Locatiort:
Type of Operation: wine Poultry Cattle
Design Capacity: Number of Animals on Site.
DEM Certification Number: ACE DENT Cer6ficarion,Numbea : ACNEW
Latitude: Longitude: Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of i Foot + 25 year 24 hour storm event
(appraaximtely l Foot + 7 inches) Yes or .No Acrual Freeboard: Ft. Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
Is adequate land available for spray'? Yes or No - Is the cover crop adequate? Yes or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria'? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
+c arirnal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
a,u3Tnal waste land applied or spray irrigated within 25 Feet of a USGS t�iap Blue Line's Yes or No
'.; ardmal waste discharged into waters of the state by inari-made ditch, flushing sys[tin, or urher
;iTrrifa.r !asap-tnitrie deYes or hio 11. Y- s. Please E.,,plain.
tt!c facility waintain adequate waste uianagvnictit records (volumes of ntanure, land apphtd.
spray irrigated on specific acreage with cover crap1" -Yes or No
• ., .. � _ �: ems:..
cc: Facility Assessment Unit
Signature
Use Attachments if Needed.
TOTAL P.02

.y
OPERATIONS BRANCH - WQ Fax:[phone] Mar 3 '97 8:49 P.02t02
ANZKXL WASTE XANAGMCWT PLAN C=TMFTCA'SIOX 1rOR MW OR =PANDED FEEDLO
PTaase return tho completad form to the Division of Haviroamatital XR?%ZgrWeAatf�
Z-ha xddseas on the raversa side of this foz=.
Name of fa (P1 ase print) :'8gve 4.,& S'an
Address: A.i-Z Xx 2 t.5
aY Phone No.: ' y/fJ 1j 349666 L;L'41
County: '
Farm locations: Latitude and Longitude:;3L` fir'/°''(required) ,
Please attach a copy of a county road map with location identified. -�
Type of operation (swine, layer, dairy, etc -).-
Design capacity (nurnbar of anima16) _ 'VOQ[ Q SOAOS _
Average size of operation (12 month population avg.):`'VR_019 JeW a 40-
Average acreage needed for'land application of waste (acres)I
>Q ai 7F===zRaerwwwwwzz�wwwwswae�==xamwwwwwwwwwwwssas�sa�:sa:s=:aeawwwws=s=swww��wwwwa�ww
Technical Spaci,atlisC Cwrtiificatioa
As a technical specialist, designated by the North Carolina Soil and Water
Conservation Commission pursuant to 15A NCAC 6F-0005, I certify that the new or
expanded animal waste management SYSZe n as installed for the farm named above
has. an animal wast:e .managemenc plan that meets the design, construction,
operation and maintenance standards and specifications of the Division of
Environmental Management and the USDA -Soil Conservation Service and/or the North
Caxol:i_na Soil grid Water Conservation Commission pursuant to 15A NCAC 2H.0217 and
15A NCAC 6F .'0001-.0005. The following elements and their corresponding minimum
criteria -hawse -been verified by we or other designated technical specialists and
are included in the plan as applicable: minimum sepa.raca;ons (buffers); liners or
equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for waste utilization (or use of third party); access
or ownership of proper waste application equipment; schedule for timing of
applications; application rates; loading races; and the control of the discharge
of pollutants from stormwater runoff events leas severe than the 25-year. 24-hour
stone.
'aame of Technical Specialist (Please Print):
Affiliation: C b&30r .'a I' U4.0 Se-
.<'
Address (Agency) ed y" v ape_ ACC. Phrze No.(4/-f jC i2-. ZEoa
Lr1 l r Date
-Signature--.
zasc==aww==�a=M=a am w wwwwwm a=s w am s am a== as ww s= m—awwwwc=sw w==maw=w=4A
owaer/hsaaz,ger Agreament
(we) understand the operation and maintenance procedures established .in'the
appr,;,veei animal wasr:e tranagement plan for the farm named above and will implemanr
these procedures.. I •(we) know that any addiL-.ional expansion to the existing
dcsignx capacity of the waste Lree.tment and storage system or construction of new
facilrGies will reguire a new certification to be submitted to the Division of
Lnviro=nental Management before the new ariimals are stocked. 1 (are) also
understand that there must be no discharge of animal waste from this system to
surface watem•s of the state either through a man-made conveyance or through
runoff From 4 storm event less severe than the 25-Year, 24-hour storm. The
approved plan will be filed at the fax= and at the office of the ioc:.l Soil and
Water Conservation District.
IIw
Nam* cf ]tanager, if/different from owner (Please print):
Signature: date-
Ii9ten A chaxxge in land ownership requires notification or a new certification
(if the approved plan is changedl to be suba�.itted to the Division of
Environmental Management within 50 days of a title transfer.
DEM USE ONLY: ACN'2W# -13
4
f. �551b6

11
i 1
1
7 State of North Carolina 3
Department of Environment and Natural Resources
3
Division of Water Quality /G
Animal Feeding Operations Permit Application Form (�'1
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
State General Permit - Existing Animal Waste Operations
aP
1. GENERAL INFORMATION:
1.1 Facility name: Creekside Farms
1.2 Print Land Owner's name: The HANOR Company of Wisconsin, LLC.
1.3 Mailing address: 6717 Highway 97 West
City, State: Battleboro NC Zip: 27809
Telephone number (include area code): (800 ) 882 -7038 (d,5j)-q43 703E
Physical address 1051 S Bowers Road
City, State: Hobgood, NC Zip: 27843
Telephone number (include area code): (a FJr� ) ��� w —0a
8 28 20i
1.5 County where facility is located: Edgecombe !
1.6 Facility location (directions from nearest major highway, using SR numbers for state r U):Y'•16 1„S Bowers Road,
•..r v1116E
Hobgood NC 27843
1.7 Farm Manager's name (if different from Land Owner): ?l OA /1 . �C011&1015
1.8 Lessee's/ Integrator's name (if applicable; circle which type is listed<<):
L9 Facility's original start-up date: / / l y Date(s) of facility expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility number: AWS33007
2.2 Operation Description:
Please enter the Design Capacity of the system. The "No, of Animals" should be the maximum number for which the waste
management structures were designed.
Type of Swine No. of Animals Tyne o1�Poultrx N . of Animals Tyne of Cattle No. of Animals
® Wean to Feeder 720 ❑ Layer ❑ Beef Brood Cow
❑ Feeder to Finish ❑ Non -Layer ❑ Beef Feeder
® Farrow to Wean (# sow) 4,628 ❑ Turkey ❑ Beef Stocker Calf
❑ Farrow to Feeder (# sow) ❑ Turkey Poults
❑ Farrow to Finish (# sow)
❑ Wean to Finish (# sow)
E Gilts 1,764
❑ Boar/Stud
❑ Other Type of Livestock on the farm:
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Milk Cow
No. of Animals: 7112
FORM: AWO-STATE-G-E 1/10/06
Page 1 of 5

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): N/A Required Acreage (as listed in the CAWMP): 272.40
2.4 Number of lagoons: 2 Total Capacity (cubic feet): 4,291,557 Required Capacity (cubic feet): N/A
Number of Storage Ponds: Total Capacity (cubic feet): Required Capacity (cubic feet):
2.5 Are subsurface drains present within 100' of any of the application fields'? YES or�00 (circle one)
2.6 Are subsurface drains present in the vicinity or under the waste management system? YES or(o(circle one)
2.7 Does this facility meet all applicable siting requirements'?
3. REQUIRED ITEMS CHECKLIST:
YES r NO (circle one)
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
Armbcants Initials
3.1 One completed and signed original and two copies of the application for Slate General Permit -
Animal Waste Operations; Y& —
3.2 Three copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied and a county road map with the location of the
facility indicated;
3.3 Three copies of the entire Certified Animal Waste Management Plan (CAWMP). if the facility
does not have a CAWMP, it must be completed prior to submittal of a permit application for
animal waste operations. A=
The CAWMP must include the following components. Some of these components may not have been required at the time
the facility was certified but should be added to the CA 1VMP for permitting purposes:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (PAN) produced and
utilized by the facility
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.)
3.3.3 A map of every field used for land application
3.3.4 The soil series present on every land application field
3.3.5 The crops grown on every land application field
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP
3.3.7 The PAN applied to every land application field
3.3.8 The waste application windows for every crop utilized in the WUP
3.3.9 The required NRCS Standard specifications
3.3.10 A site schematic
3.3.1 l Emergency Action Plan
3.3.12 Insect Control Checklist with chosen best management practices noted
3.3.13 Odor Control Checklist with chosen best management practices noted
3.3.14 Mortality Control Checklist with the selected method noted
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.); please be sure to include any site
evaluations, wetland determinations, or hazard classifications that may be applicable to your facility
3.3.16 Operation and Maintenance Plan
If your CAWMP includes any components not shown on this list, please include the additional components with your
submittal. (Composting, waste transfers, etc.)
FORM: AWO-STATE-G-E 1/10/06 Page 2 of 5

4. APPLICANT'S CERTIFICATION:
I, Gj' cti o rN � �� 14S rnQ-A r (Land Owner's name listed in question 1.2), attest that
this application for 1,Y2 2 j�Sr ci S (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are ompleted and that ' all required supporting information and attachments are not included, this application package
will be returnc a as incomplete.
Signature Date
T
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
(Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1. l )
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
ANIMAL FEEDING OPERATIONS UNIT
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-STATE-G-E 1/10/06 Page 3 of 5

6. SURFACE WATER CLASSIFICATION:
This form must be completed by the appropriate DWQ regional office and included as a part of the
project submittal information.
INSTRUCTIONS TO NC PROFESSIONALS:
The classification of the downslope surface waters (the surface waters that any overflow from the facility would [low toward) in
which this animal waste management system will be operated must be determined by the appropriate DWQ regional office.
Therefore, you are required, prior to submittal of the application package, to submit this form, with items 1 through 6
completed, to the appropriate Division of Water Quality Regional Aquifer Protection Supervisor (see page 6 of 10). At a
minimum, you must include an 8.5" by 1 l" copy of the portion of a 7.5 minute USGS Topographic Map which shows the
location of this animal waste application system and the downslope surface waters in which they will be located. Identify the
closest downslope surface waters on the attached map copy. Once the regional office has completed the classification,
reincorporate this completed page and the topographic map into the complete application form and submit the
application package.
6.1 Farm Name:
6.2 Name & complete address of engineering firm:
Telephone number: (
6.3 Name of closest downslope surface waters:
6.4 County(ics) where the animal waste management system and surface waters are located
6.5 Map name and date:
6.6 NC Professional's Seal (If appropriate), Signature, and Date:
TO: REGIONAL AQUIFER PROTECTION SUPERVISOR
Please provide me with the classification of the watershed where this animal waste management facility will be or has been
constructed or field located, as identified on the attached map segment(s):
Name of surface
Classification (as established by the Environmental Management Commission
Proposed classification, if applicable:
Signature of regional office personnel:
(All attachments must be signed)
Date:
FORM: AWO-STATE-G-E 1/10/06 Page 4 of 5

DIVISION OF WATER QUALITY REGIONAL OFFICES (9/05)
Asheville Regional APS Supervisor
2090 U.S. Highway 70
Swannanoa, NC 28778
[phone]
Fax [phone]
Avery
Macon
Buncombe
Madison
Burke
McDowell
Caldwell
Mitchell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Henderson
Yancey
Jackson
Fayetteville Regional APS Supervisor
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
[phone]
Fax [phone]
Washington Regional APS Supervisor
943 Washington Square Mall
Washington, NC 27889
[phone]
Fax [phone]
Beaufort Jones
Bertie
Lenoir
Camden
Martin
Chowan
Pamlico
Craven
Pasquotank
Currituck
Perquimans
Dare
Pitt
Gates
Tyrell
Greene
Washington
Hertford
Wayne
Hyde
Mooresville Regional APS Supervisor
610 East Center Avenue
Mooresville, NC 28115
[phone]
Fax [phone]
Raleigh Regional APS Supervisor
1628 Mail Service Center
Raleigh, NC 27699-1628
[phone]
Fax [phone]
Chatham
Nash
Durham
Northampton
Edgecombe
Orange
Franklin
Person
Granville
Vance
Halifax
Wake
Johnston
Warren
Lee
Wilson
Wilmington Region APS Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Anson
Moore
Alexander
Lincoln
Brunswick New Hanover
Bladen
Richmond
Cabarrus
Mecklenburg
Carteret Onslow
Cumberland
Robeson
Catawba
Rowan
Columbus Pender
Harnett
Sampson
Cleveland
Stanly
Duplin
Hoke
Scotland
Gaston
Union
Montgomery
Iredell
Winston-Salem Regional APS Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
Alamance
Rockingham
Alleghany
Randolph
Ashe
Stokes
Caswell
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
FORM: AWO-STATE-GE 1/10/06 Page 5 of 5

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Animal Waste Management Plan Certification
(Please type or print all information that does not require a sip -nature)
Wxistindl or New or Expanded (please circle one)
General Information: Permit No: AW53, o 7
Name of Farm: xgfixs , D;E F,v Facility No: --
Owner(s) Name: -rli nam x re,-,~4 y op j„f, co,.,�tr► .LLB Phone No: ft- LW - 7038
Mailing Address: 6717_ 9momoty V i+,/, sv . &=Loa aged NC 478Dg
Farm Location: County Farni is located in: F..rrrttee�.se NC
Latitude and Longitude: 35 $3 14�_4; I 77 zZ _L3.4b Integrator:
Please attach a copy of a county road snap with location identified and describe below (Be specific. road
names, directions, milepost, etc.): ATTAawao.
Operation Description:
Type of Swine No. of Animals
o Wean to Feeder 7Z0
o Feeder to Finish
o Farrow to Wean 4(-Z$
o Farrow to Feeder
o Farrow to Finish
o Gilts 1`764
o Boars
Type of Poultry No. of Animals
o Layer
o Non -Layer
Type of Beef No. o f Animals
o Brood
o Feeders
a Stockers
Other Type of Livestock:
Type of Dairy No. of Animals
o Milking
oDry
o Heifers
o Calves
Number ofAnimals:
Expanding Operation Only
Previous Design Capacity: Additional Design Capacity. Total Design Capacity:
Acreage Available for Application: 272 40 Required Acreage:. 27Z.40 _bripE i s 0-4 cmrs)
Number of waste structures: '. Total Capacity: 417-9I fS67 Cubic Feet (ft3)
Are subsurface drains resent on the farm: YES or NO lease circle one t 1w00
P fP ) p�srsN 1.400
If YES: are subsurface drains present in the area of the waste structures (please circle one or both as applicable)
Owner / Manager Agreement
i (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and storage
system or construction of new facilities will require a permit application and a new certification to be submitted to the Division
of Water Quality (DWQ) and permit approval received before the new animals are stocked. I (we) understand that there must
be no discharge of animal waste from the storage system to surface waters of the state unless specifically allowed under a
permit from DWQ and there must not be run-off from the application of animal waste. I (we) understand that run-off of
pollutants from lounging and heavy use areas must be minimized using technical standards developed by the USDA -Natural
Resources Conservation Service (MRCS). The approved plan will be filed at the farm and at the DWQ Regional Office and
the office of the local Soil and Water Conservation District (SWCD). I (we) know that any modification must be approved by
a technical specialist and submitted to the DWQ Regional Office and local SWCD and required approvals received from DWQ
prior to implementation. A change in farm ownership requires a permit application to be sent to DWQ along with a new
certification (if the approved plan is changed).
Name of
Signatu n
Name of
Signature: Date:
RECEIVED 1 DENR 1 DVVQ
Aquifer Protection "on
AWC - September 18, 2006 1 FEB 24 2011

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Technical Specialist Certification
LAs a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6H .0104, 1 certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Water Quality as specified in 15A
NCAC 2T .1300 (formerly 2H .0217) and the USDA -Natural Resources Conservation Service and/or the North Carolina Soil
and Water Conservation Commission pursuant to 15A NCAC 2T .1300 (formerly 2H .0217) and 15A NCAC 6F .0101-.0105.
The following elements are included in the plan as applicable. While each category designates a technical specialist who may
sign each certification (SD, S1, WUP, RC, 1), the technical specialist should only certify parts for which they are technically
competent.
H. Certification of Design
Treatment System �q.0 WO rtnn�Og"AAq��� A} Collection,, Storage,��,1 �
Check the appropriate box o�
a �®
Existing facilill without retrofit (SD or WUP) (WA Ar>w-�iED)
Storage volume is adequate for operation capacity; storage capability consistent with wage a
a New, expanded or retrofitted facility (SD) Any
90 01%
Animal waste storage and treatment structures, such as but not limited to collection syste o�*pt s,
have been designed to meet or exceed the minimum standards and specifications. �OOAdAQauaa,+i+oti'•..
Name of Technical Specialist (Please Print): 14A,- t4WA'W54C-+ , jE
Affiliation s - Wasrlr `Cecuroto6y L.-C. Date Work Completed: r rr
Address (1
Signature:
S) Land)
The plan pr
for waste m
Name of
Affiliatior
Address (Agency):
C) Runoff Controls from Exterior Lots
Check the appropriate box
n Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
ie No.: VI-859 9
T
o Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency):
Signature:
AWC - September 18, 2006
Phone No.:
RECEIVED / DENR 1 DWQ
Aquifer Protection Section
FEB 24 2011
FrXO"
C-0611
.6-1)

D) Application and Handling Equipment
Check the appropriate box
Existing or expanding facility with existing waste application equipment (WUP or 1)
Animal waste application equipment specified in the plan has been either field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the waste
management plan: (existing; application equipment can cover the area required by the plan at rates not to exceed
either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has been established;
required buffers can be maintained and calibration and adjustment guidance are contained as part of the plan).
New, expanded, or exigjn�cility without existing waste application equipment for spray irrigation. (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the plan
at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications
has been established; required buffers can be maintained; calibration and adjustment guidance are contained as part
of the plan).
New, expanded, or existing facility without existing waste application equipment for land spreading not usingspray
irri_aation. (WUP or I)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the plan
at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications
has been established; required buffers can be maintained: calibration and adjustment guidance are contained as part
of the plan).
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
I % } I I I h I R 4 ag
.. Emergency
SI, WUP, RC or I)
E) Odor Control, Insect Control, Mortality Manap_ement_ and Emeg,� i Aot7t�a�11�1
The waste management plan for this facility includes a Waste Management Odor Control Checklis n
Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both od n
been evaluated with respect to this site and Best Management Practices to Minimize Odors
Practices to Control Insects have been selected and included in the waste management platy t the
Management Plan and the Emergency Action Plan are complete and can be implemented by this
Name of Technical Specialist (Please Print): A AC ge
b1�GN,
•Nr,UUPuu6av"-
Affiliation. _ &go -1do rE TCNNaed6Y . 1-c. _ Date Work Completed:
Address (.
Signature
No.: -111-859-060
2 rl
F) Written Notice of New or Expanding Swine Farm
The following signature block is only to be used for new or expanding swine farms that begun construction after June
21, 1996. If the facility was built before June 21, 1996, when was it constructed or last expanded
1 (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners who
own property located across a public road, street, or highway from this new or expanding swine farm. The notice was in
compliance with the requirements of NCCS 106-805. A copy of the notice and a list of the property owners notified are
attached.
Name of Land Owner:
Signature:
Date:
Name of Manager (if different from owner):
Signature: RECEIVED / DENR! DWQ Date:
AWC -September 18, 2006 3 FEB 24 2011
�) C'.1
C-o5t1
Z%►s f r I

III. Certification of Installation
A) Collection Storage, Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed in
accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
N%�'t�va%�Roei,��f�,,'
B) Land Application Site (WUP) °��^� AR`,jJ
4� �.rs fp0O+ 9n
The cropping system is in place on all land as specified in the animal wait e l`n.
Name of Technical Specialist (Please Print): ) 44 iw6e lDOW-H M
Affiliation A&mi-_;y4xrr_ Ti���+.+o�ec�Y_ 1�+e. Date Work Com
OF
Address (Agency
Signature: -
No.: 9'/ 1 uJR57- cv—Gy
Date: ___Z- IB - I I
C) Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
Methods to minimize the run off of pollutants from lounging and heavy use areas have been installed as specified in
the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
D) APplication and Handling Equipment Installation (WUP or I)
o Animal waste application and handling equipment specified in the plan is on site and ready for use; calibration
and adjustment materials have been provided to the owners and are contained as part of the plan.
o Animal waste application and handling equipment specified in the plan has not been installed but the owner has
proposed leasing or third party application and has provided a signed contract; equipment specified in the
contract agrees with the requirements of the plan; required buffers can be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: ! DWQ
Aquifer Praleetlan
AWC - September 18, 2006 4 FEB $ 4 Nil

E} Odor Control, Insect Control and Mortality Management (SD, Si, WUP, RC
Methods to control odors and insects as specified in the Plan have been installed and a
mortality management system as specified in the Plan has also been installed and is operatior
Name of Technical Specialist (Please Print): 4t "g-sz'4cN le
Affiliation__ r„ I - "Ts �F1r ►occ�GY . t+-+c .Date Work Completed.
Address (Agency): QZ E:TTn $t, 624te-,&u NC- Phone No.:.
Signature:
2- IA -11
f7
"�'�aq �iLA7
nal. a
� � a
Please return the completed form to the Division of Water Quality at the following address:
Department of Environment and Natural Resources
Division of Water Quality
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the DWQ Regional Office and the local Soil and Water Conservation
District Office and to keep a copy in your files with your Animal Waste Management Plan.
RECEIVED I DENR I DWQ
Aquifer Protection Section
FEB 2 4 2011
Z-►B
AWC - September 18, 2006 5

Evaluation of Creekside Farms Waste System
Permit Number AWS33007 (NC DWQ)
Facility Name Creekside
Facility Owner The HANOR Company, Inc.
Existing Permitted Population
SSLAW
5,000 Sows Farrow to Wean 2,165,000 Ibs
Proposed Population
SSLAW
720 hd Nursery (30 Ibs/head)
21,600
Ibs
1,764 hd developing gilts (150 Ibs/hd)
264,600
Ibs
4,339 sows farrow to wean
1,878,800
Ibs
289 additional sows allowed due to boar credit 15:1)
-
lbs
2,165,000
Ibs
* No increase in steady state live weight.

Proposed Population Required Lagoon Volumes (633 Standard)
Number
Animal Type
SSLAW
Required Volumes (ft3/hd capacity)
Primary Lagoon Secondary Lagoon
Primary Lagoon
Volume (ft3)
Secondary Lagoon
Volume {ft3}
Total Lagoon
Volume (ft3)
720:1
hd Nursery (30lbs/head)
21,600 Ibs
45
15
32,400
10,800
43,200
1,764
hd developing gilts (150 Ibs/hd)
264,600 Ibs
225
75
396,900
132,300
529,200
4,339
sows farrow to wean
1,879,800 Ibs
435
215
1,897,478
932,891
2,820,370
289
additional sows allowed"
- Ibs
435
215
125,932
62,193
188,025
7,112
T
1 2,165,000 bs
1 2,442,6101
1,138,184
1 3,580,794
The "additional sows allowed due to the boar credit" is applied at a ratio of allowing one boar per 15 sows. Since sows are unnercesary, boars can be replaced by
sows at a 1:1 ratio. The Steady State Live Weight of the additional sows is already built into the farrow to wean sows' Live Animal Weight,
NRCS S90 Standard Requirements for Volume
Treatment and Sludge
Primary
Treatment (cf/sow)
Sludge (cf/sow)
Total Required (0)
4628 sow farrow to wean
290
74
1684592
720 hd nursery
30
7.5
27000
1764 hd gilt development
150
37.5
330750
TOTAL
2,042,342,00
Storage Volume
Feces, Urine and Excess Water
Min. Volume Required (180 day)
gaVday cf/day
4628 sow farrow to wean
7.2 gal/sow-day
5,997,988.00 801,803.09
720 hd nursery
0.5 gal/hd-day
64,900.00 9,662.52
1764 hd gilt development
2.5 gal/hd-day
793,800.00 106,115.90
TOTAL 916,581.51
Note: Storage volumes for rainfall in excess of evaporation and the 25 year-24 hour storm were not calculated due to a lack of
a survey of the existing lagoon system.
As -Constructed Lagoon Volumes
According to the existing Waste Utilization Plan (Appian Consulting Engineers, P.A.)
the following lagoon volumes are available in the existing system:
Primary Lagoon Volume 3,031,000 ft3
Secondary Lagoon Volume 1,260,557 ft3
TOTAL Lagoon Volume Available 4,291,557 113
Appian claims there is 67,500 cu. ft. of excess storage volume available in the primary.

k
Nutrient Management Plan For Animal Waste Utilization
This plan has been prepared for:
CreeJGside
The HANOR Cofnpany of Wisconsin
6717 Highway 97 West
Battleboro, NC 27809
800-882-7038
02-18-2011
This plan has been developed by:
Hal Langenbach
Agri -Waste Technology, Inc.
.5400 Etta Burke Court
Suite 200
Raleigh, NC 27606
919-8.59-0669
Developer Signature
Type of Plan: Nutrient Management with Both Manure and Fertilizer
GL xOG��4��,r CO5�3
d
�iYi�YYdlsm ,..:
Owner/Manager/Producer Agreement
1(we) understand and agree to the specifications and the operation and maintenance
procedures establishes] in this nutrient management plan which includes an animal waste
uti ' ation plan for the farm named above. I have read and understand the Required
ifications cone ing animal waste management that are included with this plan.
� " X%..,,, " td s Ir
Sin u (owe) Date
Cl/ "A 0 as <<
S' t e (rnanag r producer) Date
This plan Meets the minUnum standards and specifications of the U.S. Department of
Agriculture - Natural Resources Conservation Service or the standard of practices adopted
by the Soil and Water Conservation Commission.
Plan Approved By:"'��'
Technical Specialist Signature Date
Preview Database Version 3.1 Date Printed: 02-18-2011 Cover Page I
RECEIVED / DENR / DWQ
Aquifer Protection Section
FEB 2 4 2011

Nutrients applied in accordance with this plan will be supplied from the
following source(s):
Commercial Fertilizer is included in this plan.
S5
Swine Nursery Lagoon Liquid waste generated 137,520 gals/year by a 720 animal
Swine Nursery Lagoon Liquid operation. This production facility has waste storage
capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
317
Incorporated
544
Injected
599
Irrigated
344
Max. Avail.
PAN (Ibs) *
Actual PAN
Applied (lbs)
PAN Surplus/
Deficit (lbs)
Actual Volume
Applied (Gallons)
Volume Surplus/
Deficit (Gallons)
Year 1
344
4215
-3,871
1,683,445
-1,545,925
S7
Swine Feeder -Finish Lagoon Liquid waste generated 1,635,228 gals/year by a 1,764
animal Swine Finishing Lagoon Liquid operation. This production facility has waste
storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
3766
Incorporated
6468
Injected
7123
Irrigated
4094
Max. Avail. I
PAN (lbs) *
Actual PAN
Applied Qbs)
PAN Surplus/
Deficit (Ibs)
Actual Volume
Applied (Gallons)
Volume Surplus/
Deficit (Gallons)
Year 1
4,094
4352
-258
1,738,408
-103,180
---------------------- -------------------------------------------
Note: In source [D, S means standard source, U means user defined source.
* Max. Available PAN is calculated on the basis of the actual application method(s) identified in the plan for this source.
205932 Database Version 3.1 Date Printed: 02-15-2011 Source Page I of 2

S9
Swine Farrowing-Weanling Lagoon Liquid waste generated 14,823,480 gals/year by a
4,628 animal Swine Farrowing-Weanling Lagoon Liquid operation. This production
facility has waste storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
22875
Incorporated
39285
Injected
43264
Irrigated
24864
Max. Avail.
PAN (lbs) *
Actual PAN
Applied Obs)
PAN Surplus/
Deficit (lbs)
Actual Volume
Applied (Gallons)
Volume Surplus/
Deficit (Gallons)
Year 1
24,8.64
25326
-462
15,099,048
-275,568
Note: In source ID, S means standard source, U means user defined source.
* Max. Available PAN is calculated on the basis of the actual application method(s) identified in the plan for this source.
205932 Database Version 3.1 Date Printed: 02-15-2011 Source Page 2 of 2

The table shown below provides a summary of the crops or rotations included in this plan for each field. Realistic
Yield estimates are also provided for each crop, as well as the crop's P205 Removal Rate. The Leaching Index (LI)
and the Phosphorous Loss Assessment Tool (PLAT) Rating are also provided for each field, where available.
If a field's PLAT Rating is High, any planned manure application is limited to the phosphorous removal rate of the
harvested plant biomass for the crop rotation or multiple years in the crop sequence. Fields with a Very High PLAT
Rating should receive no additional applications of manure. Regardless of the PLAT rating, starter fertilizers may be
recommended in accordance with North Carolina State University guidelines or recommendations. The quantity of
P205 applied to each crop is shown in the following table if the field's PLAT :rating is High or Very High.
Planned Crops Summary
Tract
Field
Total
Acres
Useable
Acres
Plat
Rating
LI
Soil Series
Crop Sequence
RYE
P
Removal
(lbslacre)
A
Applied
(lbslaere)
CS
1
5.10
5.10
Medium
NIA
Wagram
Wheat, Grain
401)0,
20
NIA
Soybeans, Manurcd, Double Crop
23 bu.
18
NIA
CS
2
30.90
30,90
Medium
NIA
Norfolk
Wheat, Grain
60 bu.1
30
N/A
Soybeans, Manured, Double Crop
35 bu,
28
NIA
CS
3
7.60
7.60
Medium
NIA
Goldsboro
Wheat, Grain
65 bu.
33
NIA
Soybeans, Manurcd, Double Crop
38 bu.
30
NIA
CS
4
37.2
37.20
Medium
NIA
Goldsboro
Corn, Grain
130 bu.
57
NIA
CS
5
17.10
17.10
Medium
NIA
Goldsboro
Corn, Grain
130 bu.
57
NIA
CS
6
7.0.0
7.00
Medium.
NIA
Goldsboro
Corn, Grain
130 bu,
57
NIA
CS
7
29.40
29.40
Unknown
NIA
Foreston
Soybeans, Manured, Full Season
40 bu.
32
NIA
CS
8
79.20
79.20
Unknown
I NIA
Goldsboro
Sorghum, Grain
65 C
49
NIA
CS
9
1 58.90
58.90
Unknown
I NIA
Goldsboro
Tobacco, Flue Cured
3,400 lbs.
17
NIA
PLAN TOTALS: 272,40 172.40
205932 Database Version 3.1 Date Printed 2/15/201 I
PCs Page 1 of 2
NOTE: Symbol * means user entered data,

Po eenfialleachln -;
Technical Guidance
Low potential to contribute to soluble
None
2
nutrient leaching below the root zone.
>= 2 &
Moderate potential to contribute to
Nutrient Management (590) should be planned.
<_ 10
soluble nutrient leaching below the
root zone.
High potential to contribute to soluble
Nutrient Management (590) should be planned. Other conservation practices that improve
nutrient leaching below the root zone.
the soils availabte water holding capacity and improve nutrient use efficiency should be
> 10
considered. Examples are Cover Crops (340) to scavenge nutrients, Sod -Based Rotations
(328), Long -Term No -Till (778), and edge -of -field practices such as Filter Strips (393) and
Riparian Forest Buffers (391).
P ,4Tlradcx ,:.
Rating_
PManagernenlR¢corrtm.endglion;
0 - 25
Low
No adjustment needed; N based application
25 - 50
Medium
No adjustment needed; N based application
51 - 100
High
Application limited to crop P removal
> 100
Very High
Starter P application only
205932 Database Version 3.1 date Printed 2/15/2011
PCS Page 2 of 2
NOTE: Symbol * means user entered data.

The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan provides an estimate of the number of acres of
cropland needed to use the nutrients being produced. The plan requires consideration of the realistic yields of the crops to be grown, theirnutrient requirements,
and proper timing of applications to maximize nutrient uptake.
This table provides an estimate of the amount of nitrogen required by the crop being grown and an estimate of the nitrogen amount being supplied by manure or
other by-products, commercial fertilizer and residual from previous crops. An estimate of the quantity of solid and liquid waste that will be applied on each field in
order to supply the indicated quantity of nitrogen from each source is also included. A balance of the total manure produced and the total manure applied is
included in the table to ensure that the plan adequately provides for the utilization of the manure generated by the operation.
Waste Utilization Table
Year 1
1 raci
FIOIJ
Spume
ID
Soil Series
Total
Acres
Use.
Acres
Crop
RYE
Applic.
Period
itregen
PA
Nutrient
Req'd
OWA)
Comm
Fert.
Nutrient
Applied
Obs/A)
Res.
(lbs1A)
Appiic.
Method
Manure
PA
Nutrient
Applied
(lbs/A)
Liquid
ManumA
polled
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
N
N
1000
gal/A
Tons
1000 gals
tans
CS
i
Sv
Wagram
5.10
5.10
Wheat, Grain
40 bu.
911-4/30
93
0
0
brig,
31
18.48
0.00
94.26
0.00
CS
1
S5
Wagram
5,10
5.10
Wheat, Grain
40 bu.
9/1-4/30
93
0
0
Irrig,
31
12.38
0.0
63.15
0.00
CS
t
S7
Wagram
5.10
5. 101
Wheat, Grain
40 bu.
9/14/30
93
0
0
brig.
31
12.38
0.00
63.15
0.0
CS
?
S9
Wagram
5.10
5.10
Soybeans, Maaured. Double Crop
23 bu_
4/1-9/15
92
D
0
1 brig.
47
28.02
0.00
14290
0.0
CS
I
S7
Wagram
5.10
5.10
Soybeans, Manured, Double Crop
23 bu.
411-9/15
92
0
0
brig_
45
17.98
0.0
91.67
0.00
CS
2
S9
Norfolk
30.90
30.90
Wheat, Grain
60 bu.
911-4/30
125
2
0
Irrig.
62
36.96
0.00
1,142,16
0,0
CS
2
S7
Norfolk
30.90
3090
Wheat, Grain
60 bu.
9/1-4130
125
2
0
Irrig,
61
24.37
0.00
752,91
0.0
CS
2
S9
Norfolk
30.90
30.90
Soybeans, Manured, Double Cmp
35 bu.
411-9/15
137
0
0
Trig.
137
81.68
0.00
2,523.81
0.0
CS
3
S9
Goldsboro
7.60
7.60
Wheat, Grain
65 bu.
9/1-4/30
136
1
0
brig
45
26.93
0.0
203.89
0.0
CS
3
SS
Goldsboro
7.60
7.60
Wheat, Grain
65 bu.
9/1-4/30
136
1
0
Irrig.
45
17.98
0.00
136.61
0.0
CS
3
S7
Goldsboro
7.60
7.60
Wheat, Grain
65 bu.
9/14/30
136
1
0
Irrig_
45
17.98
0.00
136.61
0.0
CS
3
S9
Goldsboro
7.60
7.60
Soybeans, Manured, Double Crop
38 bu.
4/1-9/15
149
0
0
brig.
149
88.83
0.00
675.12
0.00
CS
4
S9
Goldsboro
37.20
37.20
Corn, Grain
130 bu.
2/15-6130
148
0
20
lrhg.
64
38.16
0.00
1.419.39
0.0
CS
4
SS
Goldsboro
37.20
37.20
Coro, Grain
130 bu.
2/15-/30
148
20
Irrig.
32
12.78
0.00
475.50
0.0
CS
4
S7
Goldsboro
37.20
37.20
Corn, Grain
130 bu.
2/15-6/30
148
0
20
hrig.
32
12.78
0.00
475.50
0.0
CS
5
S9
Goldsboro 1
17.10
17.10
Corn, Grain
130 bu.
2/ 15-6/30
148
a
30
Irrig.
64
38.16
0.00
652.4b
0.00
205932 Database Version 3.1 Date Printed: 2/15/201 t WtUT Page I of 2

Waste Utilization "Fable
1 car
Trac[
Held
Source
ID
Soil Series
Tool
Acres
Use.
Acres
Crop
RYE
Applic.
Period
itrcgen
PA
Nutrient
Req'd
(lbs/A)
Comm
Pert.
Nutrient
Applied
QbslA)
Res.
(fbs1A)
Appkc.
Mohod
Alanure
PA
Nutrient
Applied
ObsfA)
Liquid
ManuneA
pplied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
N
1000
gal1A
Tons
1000 gals
tons
CS
S5
Goldsbora
17.10
17.10
Corn, Grain
130 bu.
2/15-130
14S
0
20
irrig.
32
12,78
0-00
218.57
0.0
CS
5
S7
Goldsboro
17.10
17. 101
Corn, Crain
130 bu.
2115-6130
148
0
20
Irrig.
32
12.78
OJJO
218.57
0.00
CS
6
S9
Goldsboro
7.00
7.00
Coro, Grain
130 bu.
2115-6130
148
32
20
brig.
32
19,09
0.00
133.54
0.0
CS
6
S5
Goldsboro
7.00
7.00
Corn, Grain
130 bu.
2/15-6/30
148
32
20
Irrig.
64
25.56
0.00
178.95
0.00
CS
7
S9
Foreston
29.40
29.40
Soybeans, Manured, Full Season
40 bu.
411-9/15
156
0
0
Irrig.
1().4
62.00
0.00
1.822.88
0.0
CS
7
S5
Foresron
29.40
29.40
Soybeans, Manured, Full Season
40 bu.
411-9115
156
0
0
]Trig.
52
20.77
0.00
610.67
0.00
CS
8
S9
Goldsboro
79,20
79.20
Sorghum, Grain
65 CWT
3115-8/31
116
0
20
Irrig.
96
57.23
0.0
4.532.98
0.0
CS
9
S9
Goldsboro
1 58.90
58,90
Tobacco, Flue Cured
3,400
3115-6130
70
0
20
Irrig. 1
5
29.81
0.00
1,755,75
0.00
Total Applied, 1000 gallons
18,520.90
Total Produced, 1000 gallons
16,596.2?
Balance, 1000 gallons
-1,924.6-
Total Applied, tons
0.0
Total Produced, tons
0.0
Balance, tons
0.0
Notes: 1. In the tract column, -- symbol means leased, otherwise, owned. 2. Symbol * means user entered data.
205932 Database Version 3.1 Date Printed: 2/15/2011 WUT Page 2 of 2

The Irrigation Application Factors for each field in this plan are shown in the following table. Infiltration rate varies
with soils. If applying waste nutrients through an irrigation system, you must apply at a. rate that will not result in
runoff. This table provides the maximum application rate per hour that may be applied to each field selected to
receive wastewater. It also lists the maximum application amount that each field may receive in any one application
event.
Irrigation Application Factors
Tract
Field
Soil Series
Application Rate
(inches/hour)
Application Amount
(inches)
CS
I
Wagram
0.60
1.0
CS
1 2
Norfolk
0.50
1.0
CS
3
Goldsboro
0.50
1.0
CS
4
Goldsboro
0.50
1.0
CS
5
Goldsboro
0.50
1.0
CS
h
Goldsboro
0.50
1.0
CS
7
Foreston
0.50
1.0
CS
K
Goldsboro
0.50
1.0
CS
9
iGoldsboro
0.50
1.0
205932 Database Version 3.1 Date Printed 2/15/2011 1Af Page 1 of
NOTE: Symbol * means user entered data.

The Nutrient Management Recommendations table shown below provides an annual summary of the nutrient
management plan developed for this operation. This table provides a nutrient balance for the listed fields and crops
for each year of the plan. Required nutrients are based on the realistic yields of the crops to be grown, their nutrient
requirements and soil test results. The quantity of nutrient supplied by each source is also identified.
The total quantity of nitrogen applied to each crop should not exceed the required amount. However, the quantity
of other nutrients applied may exceed their required amounts. This most commonly occurs when manure or other
byproducts are utilized to meet the nitrogen needs of the crop. Nutrient management plans may require that the
application of animal waste be limited so as to prevent over application of phosphorous when excessive levels of
this nutrient are detected in a field. In such situations, additional nitrogen applications from nonorganic sources
may be required to supply the recommended amounts of nitrogen.
Nutrient Management Recommendations Test
YEAR
0
N
(Ibs1A)
P205
(lbs1A)
K2O
(Ihs/A)
Mg
(lbs/A)
Mn
(lbs/A)
A
(lbs1A)
Cu
(lbs1A)
Lime
(tonslA)
Trace
Field
CS
1
Req'd Nutrients
93
t}
11
0
0
{1
0
I
Acres App.
Period
5.i0 1
9/14130
Supplied By:
CROP
Wheat, Grain
Starter
0
[}
[}
u
[}
n
n
Commercial Fert.
0
n
0
0
0
0
0
1
Soil Series
Wagram
Residual
0
i
0
0
0
0
0
[}
RYF, ISample
Date
40 bit.
01-22-10
Manure
93
51
126
12
0
3
0
P Reuiuva]
Rating
20lbslac.
Medium
BALANCE
0
5 1
126
12
0
3
U
[]
Tract
Field
CS
2
Req'd Nutrients
I'S
u
0
0
u
u
[}
Acres App.
Period
30.90
9114/30
Supplied By:
CROP
Wheat, Grain
Starter
0
0
0
0
{}
u
u
Commercial Fert.
2
[}
0
0
0
0
0
0
Soil Series
Norfolk
Residual
01
0
0
0
0
u
0
RYE Sample
Date
60 bu.
01-22-10
Manure
123
na
169
14
0
2
H
0
P Rcmuval
IRating
30 lbslac.
Medium
BALANCE
0
661
169
14
0
2
n
0
Tract
Ficld
CS
3
Req'd Nutrients
136
0
30
0
0
0
0
Acres App.
Period
7.60
9/14130
Supplied By:
CROP
wheat, Grain
Starter
0
n
0
0
n
n
n
0
Commercial Fert.
1
u
0
0
0
n
n
0
Soil Series
Goldsboro
Residual
0
U
0
0
0
[I
n
0
RYE I Sample
Date
65 bu.
01-22-10
Manure
131
74
185
17
0
.3
0
0
P Rcntoval
Rating
33 lbslac.
Mcdium
BALANCE
0
74
155
17
0
[}
0
NOTE: Symbol * means user entered data.
205932 Database Version 3.1 Date Printed: 2/15/2011 NMR Page I of 3

Nutrient Management Recommendations Test
YEAR
]
N
(lbs/A)
P205
(1bs1A)
K20
(1bs/A)
Mg
(lbslA)
Mn
(IbslA)
Zn
(lbs1A)
Cu
(lbs1A)
Lime
(tonslA)
Tract Field
Cs
Req'd Nutrients
"
[r
0
0
u
0
0
n
Acres App.
Period
5.10
411-9115
Supplied By:
wvb�j��"
1` ¢ " ei...
CROP
Soybeans, Manured,
Double Crop
Starter
0
0
[t
0
0
0
n
0
Commercial Fert.
0
0
0
0
0
0
n
0
Soil Series
Wagram
Residual
0
0
0
0
0
0
0
0
RYE Sample Date
23 bu.
01-22-10
Manure
92
50
126
12
0
2
0
0
P Rcmoval
Rating
18 lbslac.
Medium
BALANCE
01
50
126
12 1
0
21
+)
0
Tract
Field
CS
2
Req'd Nutrients
137
0
0
0
1)
01
u
0
Acres App,
Period
30.90
411-9115
Supplied By:
CROP
Soybeans, Manured,
Double Crap
Starter
0
0
0
0
0
0
0
0
Commercial Fert,
0
01
0
0
0
0
ci
0
Soil Series
Norfolk
Residual
0
0
0
0
0
0
u
0
RYE sample
Date
35 bu.
01-22-10
Manure
137
73
187
17
1
3
1
0
P Removal
Rating
28 lbslac.
Medium
BALANCE
0
73
187
17
1
3
1
0
Tract
Field
CS
3
Req'd Nutrients
1.11)
f}
30
0
0
[)
0
Acres App,
Period
7.60
411-9/15
Supplied By:
CROP
Soybeans, Manured,
Double Crop
Startct
t)
u
0
01
u
u
u
[i
Commercial Fort.
0
0
0
0
0
0
u
0
Soil Series
Goldsboro
Residual
0
0
0
0
[)
0
0
0
RYE Sample
Date
38 bu.
01-22-10
Manure
149
801
204
t8
1
3
1
0
P Removal
Rating
30 lbslac.
Medium
BALANCE
0
80
174
18
1
31
1
0
Tract
Field
Cs
4
Req'd Nutrients
I aN
n
n
u
0
u
0
Acres App.
Period
37.20
2115-680
Supplied By:
CROP
Corn, Grain
Starter
t)
n
t)
0
0
0
0
0
Commercial Fort,
0
U
0
0
0
0
01
0
Soil Series
Goldsboro
Residual
20
0
01
0
0
n
0
RYE Samplc
Date
130 bu.
01-22-10
Manure
128
175
16
0
3
1)
0
P Removal
Rating
57 lbslac.
Medium
BALANCE
0
hN
175
16
0
3
u
0
Tract
I field
CS
5
Req'd Nutrients
148
0
0
0
0
0
0
n
Acres App.
Period
17,10
2/15-6/30
Supplied By:
CROP
Com, Grain
Starter
0
0
0
o
0
0
0
0
Commercial Fort.
0
01
0
0
0
0
0
0
Soil Series
Goldsboro
Residual
20
0
0
0
0
0
n
0
E sample Datc
F
130 bu.
01-22-10
Manure
128
68
175
l6
0
3
u
0
emoval
Rating
57 lbslac.
edium
BALANCE
0
68
175
l6
0
3
0
0
205932 Database Version 3.1 Date Printed: 2/15/2011 NMR Page 2 of 3

Nutrient Management Recommendations Test
YEAR
1
N
(lbs/A)
P205
(lbs/A)
K20
(Ibs/A)
Mg
(lbslA)
Mn
(1bs1A)
Zn
(Ibs/A)
Cu
(lbs/A)
Lime
(tonslA)
Tract I Field
CS
6
Req'd Nutrients
14X
0
0
0
0
0
0
0
Acres I App.
Period
7.00
2115-6l30
Supplied By:
CROP
Corn, Grain
Starter
a
0
0
0
[r
0
0
0
Commercial Fert.
32
0
0
0
0
0
0
0
Soil Series
Goldsboro
Residual
20
0
0
0
0
0
0
0
RYE I Sample
Date
130 bu.
01-22-10
Manure
96
52
132
12
0
2
11
0
P Removal
I Rating
57 lbs/ac.
Medium
BALANCE
0
52
132
12
0
21
0
0
Tract
Field
Cs
7
Req'd Nutrients
156
0
40
0
f1
0
0
1
Acres App.
Period
29.40
4/1-91B
Supplied By:
CROP
Soybeans, Manured, Full
Season
Starter
0
0
0
u
u
u
Commercial Fert.
0
01
0
u
n
0
1
Soil Series
Foreston
Residual
+)
0
0
0
0
0
RYE- Sample
Date
40 bu.
01-22-10
Manure
156
84
213
1i)
1
3
0
11
P Removal
Rating
32 Ibslac.
Unknown
BALANCE
0
84
173
19
1
3
it
al
Tract
Field
CS
8
Req'dNutrienis
Ilf'
II
40
[1
0
ol
0
U
Acres App.
Period
79.20
3i 15-8/3 1
Supplied By:
CROP
Sorghum, Grain
Starter
0
u
0
0
0
[r
0
0
Commercial Fert.
0
0
0
0
0
0
0
0
Soil Series
Goldsboro
Residual
20
0
0
Il
fl
Q
0
0
RYE Sample
Date
65 CWT
01-22-10
Manure
96
51
131
12
0
2
0
0
P Removal Rating
491bs/ac.
Unknown
BALANCE
0
51
91
12
0
2
0
0
ct Field
CS
9
Rcq'd Nutrients
70
;0
80
0
II
0
0
0
s App.
E
Period
58.94
1 3/15-6/30
Supplied By:
CROP
Tobacco, Flue Cured
Starter
0
n
0
0
0
01
0
0
Commercial Fert.
0
1
12
0
0
0
0
0
Soil Series
Goldsboro
Residual
20
0
0
0
0
0
0
0
RYE Sample
Date
3,400 lbs,
1 01-22-I0
Manure
50
27
68
6
0
1
0
0
P Removal
I Rating
17 lbslac.[Unknown
BALANCE
0
0
0
6
0
1
0
0
NOTE: Symbol * means user entered data.
205932 Database Version 3.1 Date Printed: 2/15/201 1 NMR Page 3 of 3

The Required Soil Test Values shown in the following table provide a summary of recommended actions that should be taken if soil tests indicate
excessive levels of copper or zinc. Fields that receive manure must have an annual soil analysis for these elements. High levels of zinc and copper
can adversely affect plant growth. Alternative crop sites must be used when the concentration of these metals approach excessive levels. Site life can
be estimated by dividing the amount of copper and zinc to be applied in Ibs/acre by 0.036 and 0.071, respectively and multiplying the result by 0.95.
By adding this quantity to the current soil index for copper or zinc, we can predict life of the site for waste disposal.
In addition to copper and zinc indices, this table also provides a summary of lime recommendations for each crop based on the most recent soil
sample. Application of lime at recommended rates is necessary to maintain soil pH in the optimum range for crop production.
Rerniirp.d Snil Te t Vnlue.q
Tract
Feld
Crop
pH
Lime Recom.
(tons/acre)
Cu4
Copper Recommendation
Zn-1
Zinc Recommendation
CS
1
Wheat, Grain
5.7
0.6
94
None
66
None
CS
1
Soybeans. Manured. Double Crop
5.7
0-0
94
None
66
None
CS
2
Wheat, Grain
6.5
0.0
64
1 None
9S
None
CS
2
Soybeans, Manured, Double Crop
6.5
0.0
64
None
9g
None
CS
3
Wheat, Grain
5.8
0.4
108
None
56
None
CS
3
Soybeans, Manured, Double Crop
5.9
0.0
108
None
56
None
CS
4
Corn. Grain
6.3
0-0
63
None
53
None
CS
5
Corn. Grain
5.9
0-0
75
None
fit
None
CS
6
Conn, Grain
5.9
0.0
91
None
57
None
CS
7
Soybeans. Manured- Full Season
5.7
0-6
44
None
50
None
CS
8
Sorghum, Grain
5.8
0-0
51
None
73
None
CS
9
Tobacco, Flue Cured
5.9
0.0
27
None
4o
None
-------------------------------------------------------------------------------------- -- — -- -
205932 Database Version 3.1 Date Printed: 02-15-2011 STV Page I of I

The following Lagoon Sludge Nitrogen Utilization table provides an estimate of the number of acres needed for
sludge utilization for the indicated accumulation period. These estimates are based on average nitrogen
concentrations for each source, the number of animals in the facility and the plant available nitrogen application
rates shown in the second column.
Lagoon sludge contains nutrients and organic matter remaining after treatment and application of the effluent. At
clean out, this material must be utilized for crop production and applied at agronomic rates. In most cases, the
priority nutrient is nitrogen but other nutrients including phosphorous, copper and zinc can also be limiting. Since
nutrient levels are generally very high, application of sludge must be carefully applied.
Sites must first be evaluated for their suitability for sludge application. Ideally, effluent spray fields should not be
used for sludge application. If this is not possible, care should betaken not to load effluent application fields with
high amounts of copper and zinc so that additional effluent cannot be applied. On sites vulnerable to surface water
moving to streams and lakes, phosphorous is a concern. Soils containing very high phosphorous levels may also
be a concern.
Lagoon Sludge Nitrogen Utilization Table
Crop
Maximum
PA-N Rate
lb/ac
Maximum Sludge
Application Rate
1000 gal/ac
Minimum Acres
5 Years Accumulation
Minimum Acres
10 Years Accumulation
Minimum Acres
15 Years Accumulation
Swine Farrow ing-W eanling Lagoon Sludge - Standard
Corn 120 hu
150
13,16
137.13
274.27
411,40
I lay h ton R.Y.F.
300
26.32
68.57
137.13
205.70
Soybean 40 bu
160
14.04
128.56
257.13
385.69
Swine Nursery Lagoon Sludge - Standard
Corn 120 bu
1501
13.16
1.83
3.67
5.50
Flay. 6 ton R.Y.E.
00
26.32
.92
1.83
2.75
Soybean 40 bu
16o1
14.04
1.72
3.44
5.15
Swine Feeder -Finish Lagoon Sludge - Standard
Corn 120 bu
150
13.16
22.11
44.2.1
66.34
I lay 6 ton R.Y.C.
300
1 26.32
11.06
22.11
1 33.17
Soybean 40 bu
160
14.041
1 20.73
41.46
62.20
---------------------------------------------------------------------------------------------
205932 Database Version 3.1 Date Printed: 02-15-2011 Sludge Page 1 of I

The Available Waste Storage Capacity table provides an estimate of the number of days of storage
capacity available at the end of each month of the plan. Available storage capacity is calculated as the
design storage capacity in days minus the number of days of net storage volume accumulated. The start
date is a value entered by the user and is defined as the date prior to applying nutrients to the first crop in
the plan at which storage volume in the lagoon or holding pond is equal to zero.
Available storage capacity should be greater than or equal to zero and less than or equal to the design
storage capacity of the facility. If the available storage capacity is greater than the design storage
capacity, this indicates that the plan calls for the application of nutrients that have not yet accumulated.
If available storage capacity is negative, the estimated volume of accumulated waste exceeds the design
storage volume of the structure. Either of these situations indicates that the planned application interval
in the waste utilization plan is inconsistent with the structure's temporary storage capacity.
WasteAvailable
Source Name JSwi:n:e:Farrowing-Weanling Lagoon Liquid
Design Storage Capacity (Days)
Start Date 9/1
180
Plan Year
Month
Available Storage Capacity (Days)
1
1
63
1
2
46
]
3
26
4
103
!
5
180
6
178
I
7
147
8
116
l
9
104
i
10
91
1
I
61
i
12
30
* Available Storage Capacity is calculated as of the end of each month.
---------------------------------------------------------------------------------
205932 Database Version 3.1 Date Printed: 02-15-2011 Capacity Page I of 3

Avaiinhlr Wactf-. 4tns•avP C ananity
Source Name
Swine Feeder -Finish Lagoon Liquid
Design Sterage Capacity (Days)
Start Date
9/1
180
Plan Year
Month
Available Storage Capacity (Days)
1
1
149
1
2
152
1
3
152
1
4
180
1
5
164
1
6
134
1 1
7
103
1
8
72
l
9
42
1
10
117
i
11
180
1
12
149
* Available Storage Capacity is calcuiated as of the end of each month.
205932 Database Version 3.1 Date Printed: 02-15-201 1 Capacity Page 2 of 3

Availahle Waste Storage Canacitv
Source Name
Swine Nurse Lagoon Liquid
Design Storage Capacity (Days)
Start Date
9/1
180
Plan Year
Month
Available Storage Capacity (Days)
I
1
149
l
2
180
1
3
180
1
4
180
1
5
180
1
6
150
]
7
119
1
8
88
]
9
58
1
10
180
1
11
180
12
149
* Available Storage Capacity is calculated as of the end of each month.
205932 Database Version 3.1 Date Printed: 02-15-2011 Capacity Page 3 of 3

Required Specifications For Animal Waste Management
1. Animal waste shall not reach surface waters of the state by runoff, drift,
manmade conveyances, direct application, or direct discharge during
operation or land application. Any discharge of waste that reaches surface
water is prohibited.
2. There must be documentation in the design folder that the producer
either owns or has an agreement for use of adequate land on which to
properly apply the waste. If the producer does not own adequate land to
properly dispose of the waste, he/she shall provide evidence of an
agreement with a landowner, who is within a reasonable proximity,
allowing him/her the use of the land for waste application. It is the
responsibility of the owner of the waste production facility to secure an
update of the Nutrient Management Plan when there is a change in the
operation, increase in the number of animals, method of application,
receiving crop type, or available land.
3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs
for realistic crop yields based upon soil type, available moisture, historical
data, climatic conditions, and level of management, unless there are
regulations that restrict the rate of applications for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons per acre
per year. Waste may be applied to land eroding at more than 5 tons per
acre per year but less than 10 tons per acre per year provided grass filter
strips are installed where runoff leaves the field (see USDA, NRCS Field
Office Technical Guide Standard 393 - Filter Strips).
5. Odors can be reduced by injecting the waste or by disking after waste
application. Waste should not be applied when there is danger of drift
from the land application field.
6. When animal waste is to be applied on acres subject to flooding, waste
will be soil incorporated on conventionally tilled cropland. When waste is
applied to conservation tilled crops or grassland, the waste may be
broadcast provided the application does not occur during a season prone
to flooding (see "Weather and Climate in North Carolina" for guidance).
205932 Database Version 3.1 Date Printed: 2/15/2011 Specification Page 1

7. Liquid waste shall be applied at rates not to exceed the soil infiltration
rate such that runoff does not occur offsite or to surface waters and in a
method which does not cause drift from the site during application. No
ponding should occur in order to control odor and flies.
8. Animal waste shall not be applied to saturated soils, during rainfall
events, or when the soil surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner
that the crop is not covered with waste to a depth that would inhibit
growth. The potential for salt damage from animal waste should also be
considered
10. Nutrients from waste shall not be applied in fall or winter for spring
planted crops on soils with a high potential for leaching. Waste/nutrient
loading rates on these soils should be held to a minimum and a suitable
winter cover crop planted to take up released nutrients. Waste shall not
be applied more than 30 days prior to planting of the crop or forages
breaking dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall comply with
the following; The outer perimeter of the land area onto which waste is
applied from a lagoon that is a component of a swine farm shall be at least
50 feet from any residential property boundary and canal. Animal waste,
other than swine waste from facilities sited on or after October 1, 1995,
shall not be applied closer that 25 feet to perennial waters.
12. Animal waste shall not be applied closer than 100 feet to wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings other
than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and.
public right-of-ways.
205932 Database Version 3.1 Date Printed: 2/15/2011 Specification Page 2

15. Animal waste shall not be discharged into surface waters, drainageways,
or wetlands by a discharge or by over -spraying. Animal waste may be
applied to prior converted cropland provided the fields have been
approved as a land application site by a "technical specialist". Animal
waste shall not be applied on grassed waterways that discharge directly
into water courses, and on other grassed waterways, waste shall be
applied at agronomic rates in a manner that causes no runoff or drift
from the site.
lb. Domestic and industrial waste from washdown facilities, showers, toilets,
sinks, etc., shall not be discharged into the animal waste management
system.
17. A protective cover of appropriate vegetation will be established on all
disturbed areas (lagoon embankments, berms, pipe runs, etc.). Areas
shall be fenced, as necessary, to protect the vegetation. Vegetation such as
trees, shrubs, and other woody species, etc., are limited to areas where
considered appropriate. Lagoon areas should be kept mowed and
accessible. Berms and structures should be inspected regularly for
evidence of erosion, leakage, or discharge.
18. If animal production at the facility is to be suspended or terminated, the
owner is responsible for obtaining and implementing a "closure plan"
which will eliminate the possibility of an illegal discharge, pollution, and
erosion.
19. Waste handling structures, piping, pumps, reels, etc., should be inspected
on a regular basis to prevent breakdowns, leaks, and spills. A regular
maintenance checklist should be kept on site.
20. Animal waste can be used in a rotation that includes vegetables and other
crops for direct human consumption. However, if animal waste is used on
crops for direct human consumption, it should only be applied pre -plant
with no further applications of animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and bottom
elevations of the temporary storage (pumping volume) of all waste
treatment Iagoons. Pumping shall be managed to maintain the liquid level
between the markers. A marker will be required to mark the maximum
storage volume for waste storage ponds.
205932 Database Version 3.1 Date Printed; 2/15/2011 Specification Page 3

22. Waste shall be tested within 60 days of utilization and soil shall be tested
at least annually at crop sites where waste products are applied. Nitrogen
shall be the rate -determining nutrient, unless other restrictions require
waste to be applied based on other nutrients, resulting in a lower
application rate than a nitrogen based rate. Zinc and copper levels in the
soils shall be monitored and alternative crop sites shall be used when
these metals approach excessive levels. pH shall be adjusted and
maintained for optimum crop production. Soil and waste analysis
records shall be kept for a minimum of five years. Poultry dry waste
application records shall be maintained for a minimum of three years.
Waste application records for all other waste shall be maintained for five
(5) years.
23. Dead animals will be disposed of in a manner that meets North Carolina
regulations.
205932 Database Version 3.1 Date Printed: 2/15/2011 Specification Page 4

NUTRIENT MANAGEMENT and
WASTE UTILIZATION PLAN
SUPPLEMENTAL INFORMATION
N,C, Practice Job Sheet: NC-590-633
Prepared for:` _ _
0
Farm:
WHAT IS NUTRIENT MANAGEMENT?
The conservation practice* Nutrient
Management, is managing the amount,
source, placement, form and timing of the
application of nutrients and soil amendments
to achieve realistic production goals, while
minimizing nutrient movement to surface or
ground waters. The practice, Waste
Utilization, is using agricultural waste such as
manure or wastewater in an environmentally
sound manner. These practices are jointly
accomplished through the development of a
Nutrient Management/Waste Utilization Plan,
which is normally part of a broader
Conservation Plan that addresses multiple
natural resource concerns on the land.
PURPOSE OF NUTRIENT MANAGEMENT
and WASTE UTILIZATION PRACTICES
Your nutrient management/waste utilization
plan is intended to accomplish one or more of
the following objectives:
• To budget nutrients for plant production.
• To properly utilize manure or organic by-
products as a plant nutrient source.
• To minimize the delivery of agricultural
nutrients to surface and ground water
resources.
• To maintain or improve the physical,
chemical, and biological condition of the
soil.
Tract:: Date:/__J_
• To utilize agricultural wastes for
livestock feed or as an energy source.
CONTENTS OF THE NUTRIENT
MANAGEMENT! WASTE UTILIZATION
PLAN
The information provided in this Job
Sheet and the attachments meet the
minimum requirements for a Nutrient
Management Plan for USDA-NRCS
purposes. This Nutrient Management
Plan includes:
1 A plan map and soils map for the area
planned (these may be part of the
overall Conservation Plan).
2. Location of designated sensitive areas
or resources (streams, wells,
sinkholes, etc.) and any associated
nutrient application setbacks, etc.
3. Your planned crop rotation.
4. Results of soil, plant, water tests.
5, Results from Phosphorus Loss
Assessment Tool (PLAT) or Leaching
Index (LI) as required.
6. Realistic yield expectations for the
crops in the rotation, and their source
if other than default values approved
for N.C.
7. Recommended nutrient application
rates for nitrogen, phosphorus, and
potassium, as well as timing, form,
NC Practice Job Sheet: NC-590 (August, 2003) Page I

K
and method of application and
incorporation, if applicable.
This Job Sheet (or comparable
information), that provides the following:
• General requirements of this practice,
as well as additional requirements to
meet the natural resource protection
purposes listed above.
• Additional considerations specific to
this plan.
• Operation and maintenance
information associated with this
practice.
Because this Nutrient Management Plan
includes agricultural organic sources,
additional items are required in the plan to
ensure proper waste utilization:
• Waste Utilization Agreement (if
applicable)
• Waste Utilization Third Party
Agreement (if applicable)
• Additional engineering design and
operating information for waste storage
structures, transport, and application
system, as applicable. These designs,
and the instructions for operating these
structures, is an integral component of
your overall Nutrient Management/
Waste Utilization Plan.
• Emergency Action Plan to prevent
overtopping or other discharges from
storage structures or facilities, as
applicable.
This plan was developed based on the current
NRCS 590 and 633 standards and Federal,
state, or local regulations or policies.
Changes in laws or regulations may
necessitate a revision of the plan.
BASIC REQUIREMENTS FOR WASTE
UTILIZATION
General
All manure and organic residues must be
applied according to a nutrient management
plan (see the following section, "BASIC
REQUIREMENTS FOR NUTRIENT
MANAGEMENT')
You are required to acquire and comply
with all federal, state, or local permit
requirements related to the handling and
application of manure or organic
materials.
The nutrient management/waste
utilization plan must address all organic
waste generated at or brought to the
facility. A Waste Utilization Third Party
Agreement must exist to address all
organic waste not handled by the nutrient
management/waste utilization plan.
Manure or organic wastes will not be
applied to the following areas:
• surface waters,
• wetlands, unless constructed as a
component in a waste treatment
system,
• soils subject to frequent flooding
during the period when flooding is
expected,
• frozen, snow-covered, or saturated
soils,
• within 200 feet of a dwelling other
than those owned by the producer,
• within 100 feet of a well,
• within 25 feet of surface waters, or
• within any other setbacks as identified
by federal, state, or local laws or
regulations (e.g. NC General Statute
prevents swine lagoon effluent from
being applied within 75 feet of a
residential property boundary or
perennial stream or river if the facility
was sited on or after October 1995.)
Manure or organic wastes will be applied
in a manner not to reach surface waters,
wetlands (unless constructed as a
component in a waste treatment system),
property owned by others, or public right-
of-way.
Sludge that accumulates in waste storage
structures must be analyzed prior to land
NC Practice Job Sheet: NC-590 (August, 2003) Page 2

application. Adequate provisions (available
land and/or third party manure agreements)
must exist to ensure sludge is applied in
adherence to all nutrient application
requirements. All federal and state guidance
regarding the proper testing, handling,
planning, and application of sludge must be
followed for regulated operations.
Since compliance with all applicable North
Carolina laws is the responsibility of the
producer, you should consult the most current
version of the Guidance Memo for
Implementing the Environmental Management
Commission's Regulations for Animal Waste
Management for questions.
ADDITIONAL_ REQUIREMENTS FOR
PROVIDING LIVESTOCK FEED
If applicable, all agricultural wastes or other
organic residues used for feedstock must be
handled in a manner to minimize
contamination and preserve its feed value.
Chicken litter stored for this purpose must be
covered. A qualified animal nutritionist shall
develop rations that utilize animal wastes.
ADDITIONAL REQUIREMENTS FOR
PROVIDING A SOURCE OF ENERGY
If your facility is to be used for energy
production, all energy producing components
of the system are included in the Nutrient
ManagementlWaste Utilization Plan and
provisions for the utilization of residues of
energy production identified. Your Nutrient
Management Plan includes the use of these
residues, if applicable.
BASIC REQUIREMENTS FOR NUTRIENT
MANAGEMENT
General
Application of nutrients must comply with all
applicable Federal, state, and local laws and
regulations.
The realistic yield expectations (RYEs) in
this plan are based on one or more of the
following:
• Default values approved by the N.C.
Interagency Nutrient Management
Committee that incorporate soil
productivity information, yield data,
and research with North Carolina
soils, and cropping systems.
Additional information on the default
values may be found at:
www.soil.ncsu.edu/nm,pincnmwa/rrrdex.htm
• Documented actual yield data from
the site, determined by the average of
the highest three yields of the last five
consecutive specific crop harvests.
(For forage crops, determine the
average of the highest three years of
the last five years.)
• A fertilization rate recommended by
North Carolina State University may
be used in cases where no yield data
or approved RYE values exist for a
crop.
• An RYE inferred from a similar crop
on a soil with similar physical and
chemical features may be used for
new crops or in the absence of other
RYE data. This inferred RYE may
ONLY be specified by a certified
Nutrient Management planner.
Erosion, runoff, and water management
controls have been planned, as needed,
on fields that receive nutrients.
Soil Testing
This nutrient management plan has been
developed based on current soil test
results (no older than three years).
Soil samples must be collected and
prepared in accordance with North
Carolina State University or the North
Carolina Department of Agriculture and
Consumer Services (NCDA&CS)
Agronomic Division standards or
recommendations.
NC Practice Job Sheet: NC-590 (August, 2003) Page 3

Soil test analyses can be performed by any
laboratory or program that is certified by the
North Carolina Department of Environment
and Natural Resources (NCDENR), Division of
Water Quality, Laboratory Section,
NCDA&CS Agronomic Division uses the
Mehlich-3 extractant process for soil testing.
Growers who utilize other laboratories must
request the use of the Mehlich-3 methodology
to ensure the test results are compatible with
North Carolina's nutrient management
planning and assessment tools. For statewide
consistency, all laboratories used must
provide fertilization recommendations using
guidelines and methodologies as referenced
at the NCDA&CS website:
www.ncacir.com/8gronomi/obook.htm
Growers are encouraged to use a laboratory
that is supported by field research within the
state.
Soil testing shall include analysis for all
nutrients for which specific information is
needed to develop the nutrient plan.
Plant Tissue Testing
Tissue sampling and testing, when used, shall
be done in accordance with North Carolina
State University or NCDA&CS standards or
recommendations.
Manure Testing
Nutrient values of manure and organic by-
products shall be established for planning
purposes based on laboratory analysis,
acceptable default values, or historic records
for the operation.
When determining actual application rates, a
laboratory analysis is required. State
regulations require that waste be tested within
60 days of utilization for some operations. In
the case of daily spreading, the waste must be
sampled and analyzed at least once a year.
Acceptable laboratories include the
NCDA&CS Agronomic Division, or others
certified by the NCDENR.
Field Risk Assessment
A field -specific assessment of the
potential for phosphorus transport from
each field (or groups of similar fields)
have been conducted, using the North
Carolina Phosphorus Loss Assessment
Tool (PLAT)
PLAT assesses the potential for
phosphorus (P) to be transported from the
site to surface water through each of the
four primary loss pathways:
• sediment -bound P transported
through erosion,
• soluble P transported through
surface runoff,
• soluble P leached through the soil
profile, and
• non -incorporated source P
transported through surface
runoff.
Based on the assessment of each loss
pathway, PLAT produces a single rating
for each field. As shown below, this
rating will identify whether nitrogen or
phosphorus shall be the rate -determining
element in developing the planned
application rate for manure.
PLAT Rating
I Nutrient Application Criteria
OW
Nitrogen -based manure
application.
MEDIUM
Nitrogen -based manure
application.
HIGH
Manure application limited to
phosphorus removal from site
in harvested plant biomass.
VERY HIGH
No additional manure
application to be specified in
plan for the site.
On all sites, regardless of the PLAT
rating, starter fertilizers may be
recommended in accordance with NCSU
guidelines or recommendations.
NC Practice Job Sheet: NC-590 (August, 2003) Page 4

In some cases, specific conservation practices
that reduce the potential for phosphorus
transport have been incorporated into PLAT.
Examples include buffers or filter strips,
ponds, water table management, and residue
management and conservation tillage.
Similarly, soil erosion rates, either existing or
planned, have been incorporated into your
PLAT analysis. This information is shown on
the PLAT results enclosed. Because the
management of the site actually affects the
PLAT rating, all practices identified on the
PLAT analysis (including any required to
achieve the specified erosion rate) must be
either already installed or included in a
Conservation Plan for the Nutrient
Management Plan to be approved.
Nutrient Application Rates
Recommended nutrient application rates are
based on North Carolina State University or
NCDA&CS recommendations that consider
current soil test results, RYES, and
management.
Liming material shall be applied as needed to
adjust soil pH to the specific range required by
the crop or crops in the rotation for optimum
availability and utilization of nutrients.
The application amount and rate (inlhr) for
liquid wastes (e.g. applied through irrigation)
shall not result in runoff from the site. The
application shall not exceed the field capacity
of the soil.
The planned rates of nutrient application are
shown on the attached sheets. These rates
have been computed as follows:
Nitrogen Application - When the plan is
nitrogen -based (a PLAT rating of Low or
Medium), the application rate of manure or
organic by-products shall be based on the
recommended nitrogen rate using the RYE
for the site (or a rate recommended by
NCSU or NCDA in the case of crops
without established RYEs). This may
result in an application rate for other
nutrients that exceeds the soil test
recommendation.
When the plan is being implemented
on a phosphorus standard (a PLAT
rating of High or Very High), manure
or other organic by-products shall be
applied at rates consistent with the
phosphorus application guidance
below. In such situations, an
additional nitrogen application from
non -organic sources may be required
to supply nitrogen at the rate
recommended by the RYE.
• Within the limits allowed by PLAT,
manure or other organic by-products
may be applied on soybeans at rates
equal to the estimated removal of
nitrogen in harvested plant biomass.
All nitrogen rates for hay production
are for pure grass stands. Due to the
nutrient recycling by grazing animals,
the planned nitrogen rate per unit
yield for hay crops shall be reduced
by 25% for the portion of the expected
yield that is removed through grazing.
Phosphorus Application — When
manure or other organic by-products
are used, the planned rates of
phosphorus application shall be based
on the PLAT rating for the site, as
follows:
Low or Medium Rating — The
planned manure or organic by-
product application rate is based
on the nitrogen needs of the crop.
High Rating — The planned
manure or organic by-product
application rate is limited to the
phosphorus removal rate of the
harvested plant biomass.
Very High Rating — No additional
manure or organic by-product
application is specified in the plan.
NC Practice Job Sheet: NC-590 (August, 2003) Page 5

On all sites, regardless of the PLAT rating,
starter fertilizers containing nitrogen,
phosphorus, and potassium may be
recommended in accordance with North
Carolina State University guidelines or
recommendations.
A single application of phosphorus applied
as manure or organic by-product may be
made at a rate equal to the recommended
phosphorus application or estimated
phosphorus removal in harvested plant
biomass for the crop rotation or multiple
years in the crop sequence.
• When such single applications are
made, the rate shall:
♦ not exceed the recommended
nitrogen application rate during the
year of application, or
♦ not exceed the estimated nitrogen
removal in harvested plant bio-
mass during the year of application
when there is no recommended
nitrogen application, or
♦ not be made on sites with a Very
High PLAT risk rating.
• Potassium Application — Planned
potassium application rates should
match the soil test recommended rates
as closely as possible. (This is
particularly critical in situations where a
potentially harmful nutrient imbalance
in crops or forages may occur, such as
grass tetany). When using manure or
other organic sources, the addition of
potassium from non -organic sources
may be required.
• Other Plant Nutrients - The planned
rates of application of other nutrients if
applicable are consistent with North
Carolina State University or the
NCDA&CS guidelines or
recommendations.
Nutrient Application Timing
Timing of nutrient application shall
correspond as closely as possible with
plant nutrient uptake characteristics, while
considering cropping system limitations,
weather and climatic conditions, and field
accessibility. Nutrients shall not be
applied to frozen, snow-covered, or
saturated soil.
Manure or organic by-products shall not
be applied more than 30 days prior to
planting of the crop or forages breaking
dormancy.
For nutrients applied through irrigation
systems, application equipment should be
properly calibrated to ensure uniform
distribution of material at planned rates.
Plan Review and Revision Period
A thorough review and revision (if
needed) of the nutrient management plan
shall be conducted on a regular cycle, not
to exceed five years.
Heavy Metals Monitoring
For animal waste, including sludge, zinc
and copper concentrations shall be
monitored and alternative crop sites for
application shall be sought when these
metals approach excessive
concentrations. The following criteria and
actions are provided:
ZINC
Mehlich-3Index
Action
Zn-I
300 (21 Ibslac)
Peanuts are very sensitive to
zinc, and application on peanuts
should be limited. Seek
alternative sites when possible.
The risk of zfnc toxicity is
greater with low soil pH and has
been seen at Zn-I as low as
300,
500 (35 lbslac)
Critical toxic level for peanuts.
Cease application on peanuts. "
2,000 (142
Caution: Seek alternative sites
Ibslac)
when possible for all crops. "
3,000 (213
Critical toxic level for all crops.
NC Practice Job Sheet: NC-590 (August, 2003) Page 6

Mehlich-3 Index
&ctlon
Cu-1
2,000 (72 Ibslac)
Cautlon: Seek alternative sites
when possible for all crops. '
3,000 (108
Critical toxic level for all crops.
lbs/ac)
Cease application on all crops.'
' Maintain pH at 6.0 on these
When sewage sludge is applied, the
accumulation of potential pollutants (including
arsenic, cadmium, copper, lead, selenium,
and zinc) in the soil shall be monitored in
accordance with the US Code, Reference 40
CFR, Parts 403 and 503, and applicable state
and local laws or regulations. Additional
information on heavy metal criteria for sewage
sludge may be found in Land Application of
Sewage Sludge, EPA1831-B-93-002b
publication number at:
http://www. a oa. goylnpdes/pubs✓sludge. pdf
ADDITIONAL REQUIREMENTS FOR
MINIMIZING DELIVERY OF NUTRIENTS TO
SURFACE AND GROUND WATER
In areas that have been identified as impaired
with agricultural nutrients being a likely
source, an assessment shall be completed of
the potential for nitrogen or phosphorus
transport from the site. (The streams/water
bodies in this category are listed in the USDA-
NRCS Field Office Technical Guide, Section
I.)
❑ NO
This nutrient management plan IS NOT in
an area where surface waters are
impaired, with agricultural nutrients
identified as a likely source. The teaching
Index (LI) is not required.
❑ YES
This nutrient management plan IS in an
area where surface waters are impaired,
with agricultural nutrients identified as a
likely source. The Leaching Index (LI)
is included in this plan.
While the results of the LI does not affect
your planned nutrient application rates,
some additional conservation practices
may be specified in the plan to reduce the
risk of nutrient movement from the field, if
applicable.
IMPORTANCE OF MANAGING
NUTRIENTS
Nitrogen and phosphorus are water
soluble elements and either or both may
be components of organic and inorganic
fertilizers. In soluble forms, both can
move with water as leachate down
through the soil, or over the soil surface
as runoff after rainfall. While nitrogen and
phosphorus exist in different forms and
may move through different transport
processes on the same site, they both
can have detrimental effects on both
surface and shallow ground water quality.
As an example, excess nutrients can
result in accelerated eutrophication with
severe algal blooms and fish kills.
Because of the topography, hydrology,
and other factors in the state, the
environmental problems from excess
nutrients reaching surface water may not
be exhibited near the contributing source,
but rather create water quality problems
far downstream. Consequently, the
Neuse River Basin, Tar -Pamlico Basin,
the Chowan River, the watershed of the
B. Everett Jordan Reservoir, and the
watershed of the New River in Onslow
County are listed as Nutrient Sensitive
waters in North Carolina.
Nitrogen: Nitrogen applied as fertilizer or
organic material is transformed into
nitrate and can move with the water
moving downward into the shallow ground
water and eventually to surface waters.
(Relatively small amounts of nitrogen
reach our surface waters through rainfall
runoff. ) The Leaching Index (LI) is a
NC Practice Job Sheet: NC-590 (August, 2003) Page 7

required part of the nutrient management plan
in some areas of the state with surface water
impairments. The Ll uses soils information
and local climate data to assess the potential
hazard from leaching of nutrients. The results
of the LI analysis and recommended actions
are included in your nutrient management
plan, if applicable.
Phosphorus: Research in recent decades
indicates that, with high soil phosphorus
levels, phosphorus has more potential to be
transported off -site than recognized in the
past. Phosphorus can be transported in
several ways: (1) attached to soil particles
leaving the field through erosion, (2) in soluble
form leaving the field in surface runoff, and (3)
in soluble form leaching downward through
the soil profile, and eventually into surface
water. Unlike nitrogen, the most likely
transport pathway for phosphorus varies by
site, and depends upon such Factors as soil
erosion rate, soil phosphorus levels, texture of
soils, existence of buffers, and other factors.
In N.C., PLAT is the tool used to assess
potential excessive phosphorus losses. The
results of the PLAT analysis and
recommended actions are included in your
nutrient management plan, if applicable.
If a site receives a PLAT rating of Low or
Medium, then applying manure at rates based
on the nitrogen needs of the crop is allowed.
It is important to realize that this may result in
phosphorus being applied at rates that
significantly exceed the crop's phosphorus
removal rate. In these cases, the planned
nutrient application rate is not sustainable,
and eventually a PLAT rating of High may be
reached.
OPERATION & MAINTENANCE
You are responsible for safe operation and
maintenance of this practice, including all
equipment. The following Operation &
Maintenance should be conducted:
1 Review the plan annually to determine if
adjustments or modifications to the plan
are needed. (The S.B. 1217
interagency group guidelines
accepted by the N.C. Division of
Water Quality for .0200 operations
specify a plan revision when there are
changes in crops or cropping patterns
that utilize more than 25 percent of
the nitrogen generated by the
operation.) As a minimum, nutrient
management plans shall be
thoroughly reviewed every five years
and revised if necessary. The next
review will be performed in
2. Protect fertilizer and organic by-
product storage facilities from weather
and accidental leakage or spillage.
3. Ensure proper calibration of
application equipment to ensure
uniform distribution of material at
planned rates.
4. Inspect and maintain the equipment
and facilities used to implement the
Nutrient Management/Waste
Utilization Plan regularly. Any needed
repairs should be made in a timely
manner.
5. Review the Emergency Action Plan, if
applicable, annually.
6. Records should be maintained for five
years, or for a period as required by
other Federal, state, or local
ordinances, or program or contract
requirements. To ensure adequate
information exists to support sound
nutrient management, NRCS
recommends the following records be
included:
Soil test results and
recommendations for nutrient
application,
* Quantities, analyses and sources
of nutrients applied (When the
actual rates used exceed the
recommended and planned rates
on inorganic fertilizer plans,
NC Practice Job Sheet: NC-590 (August, 2003) Page 8

records should indicate the reasons for
the differences, e.g. inability to acquire
custom blended fertilizer.}
• Dates and method of nutrient
applications,
Crops planted, planting and harvest
dates, yields, and crop residues
removed,
• Results of water, plant, and organic by-
product analyses, and
• Dates of review and person performing
the review, and recommendations that
resulted from the review.
NOTE: State laws or regulations may
define record -keeping requirements for
some operations.
7. Ensure that workers are protected from
and avoid unnecessary contact with
inorganic fertilizers and organic by-
products. Protection should include the
use of protective clothing when working
with plant nutrients. Extra caution must be
taken when handling ammonia sources of
nutrients, or when dealing with organic
wastes stored in poorly ventilated
enclosures.
S. Properly dispose of material generated by
the cleaning of nutrient application
equipment. Excess material should be
collected and stored or field applied in an
appropriate manner. Excess material
should not be applied on areas of high
potential risk for runoff or leaching.
9. Properly dispose of or recycle nutrient
containers according to state and local
guidelines or regulations.
NC Practice Job Sheet: NC-590 (August, 2003) Page 9

Crop Notes
The following crop note applies to field(s): 4, 5, 6
Corn 1: CP, Mineral Soil, low -leachable
In the Coastal Plain, corn is normally planted when soil temperatures reach 52 to 55 degrees fahrenheit.
Review the Official Variety "green book" and information from private companies to select a high
yielding variety with the characteristics needed for your area and conditions. Plant 1-2" deep. Plant
populations should be determined by the hybrid being planted. Increase the seeding rate by 10% when
planting no -till. Phosphorus and potassium recommended by a soil test can be broadcast or banded at
planting. When planting early in cool, wet soil, banded phosphorus will be more available to the young
plants. An accepted practice is to apply 20-30 lbs/acre N and 20-30 lbs/acre phosphorus banded as a
starter and one-half the remaining N behind the planter. The rest of the N should be applied about 30-40
days after emergence. The total amount of N is dependent on soil type. When including a starter in the
fertilizer program, the recommended potassium and any additional phosphorus is normally broadcast at
planting. Plant samples can be analyzed during the growing season to monitor the overall nutrient status
of the corn. Timely management of weeds and insects are essential for corn production.
The following crop note applies to field(s): 3.
Wheat: Coastal Plain, Mineral Soil, low -leachable
In the Coastal Plain, wheat should be planted from October 20-November 25. Plant 22 seed/drill row foot
at 1-1 1/2" deep and increase the seeding rate by 5% for each week seeding is delayed beyond the
optimum time. See the seeding rates table for applicable seeding rate modifications in the current NCSU
"Small Grain Production Guide". Also, increase the initial seeding rate by at least 10% when planting
no -till. Adequate depth control when planting the wheat is essential. Review the NCSU Official Variety
"green book" and information from private companies to select a high yielding variety with the
characteristics needed for your area and conditions. Apply no more than 30 lbs/acre N at planting.
Phosphorus and potash recommended by a soil test can also be applied at this time. The remaining N
should be applied during the months of February -March. The total N is dependent on the soil type. Plant
samples can be analyzed during the growing season to monitor the nutrient status of the wheat. Timely
management of diseases, insects and weeds are essential for profitable wheat production.
--------------------------------------- -----------------------------------------
205932 Database Version 3.1 Date Printed: 02-15-2011. Crop Note Page 1 of 4

The following crop note applies to fieid(s): 2
Wheat: Coastal Plain, Mineral Soil, medium leachable
In the Coastal Plain, wheat should be planted from October 20-November 25. Plant 22 seed/drill row foot
at 1-1 1/2" deep and increase the seeding rate by 5% for each week seeding is delayed beyond the
optimum time. See the seeding rates table for applicable seeding rate modifications in the current NCSU
"Small Grain Production Guide". Also, increase the initial seeding rate by at least 10% when planting
no -till. Adequate depth control when planting the wheat is essential. Review the NCSU Official Variety
"green book" and information from private companies to select a high yielding variety with the
characteristics needed for your area and conditions. Apply no more than 30 lbslacre N at planting.
Phosphorus and potash recommended by a soil test report can also be applied at this time. The remaining
N should be applied during the months of February -March. The total N is dependent on the soil type.
Plant samples can be analyzed during the growing season to monitor the nutrient status of the wheat.
Timely management of diseases, insects and weeds are essential for profitable wheat production.
The following crop note applies to field(s): l
Wheat: Coastal Plain, Mineral Soil, medium leachable
In the Coastal Plain, wheat should be planted from October 20-November 25. Plant 22 seed/drill row foot
at 1-1 1/2" deep and increase the seeding rate by 5% for each week seeding is delayed beyond the
optimum time. See the seeding rates table for applicable seeding rate modifications in the current NCSU
"Small Grain Production Guide". Also, increase the initial seeding rate by at least 10% when planting
no -till. Adequate depth control when planting the wheat is essential. Review the NCSU Official Variety
"green book" and information from private companies to select a high yielding variety with the
characteristics needed for your area and conditions. Apply no more than 30 lbs/acre N at planting.
Phosphorus and potash recommended by a soil test report can also be applied at this time. The remaining
N should be applied during the months of February -March. The total N is dependent on the soil type.
Plant samples can be analyzed during the growing season to monitor the nutrient status of the wheat.
Timely management of diseases, insects and weeds are essential for profitable wheat production.
The following crop note applies to field(s): 9
Flue -Cured Tobacco, Coastal Plain: Mineral Soil, low -leachable
In the Coastal Plain, flue -cured tobacco is normally transplanted from 15 April to 15 May. Review the
NCSU Official Variety "green book" and information from private companies to select a high yielding
variety with the characteristics needed fro your area and conditions. The transplants are usually spaced
from 18-24" in the row on rows 44-48" wide. Tobacco should be planted to a depth of a least halfway the
stem making sure the bud is not underground. At transplanting to 10 days after transplanting, apply a
base fertilizer containing no more than 40 lbslacre N and all the phosphorus and potassium as
recommended on the soil test report. This fertilizer application is normally banded beside the plants. The
remainder of the N should be banded about 2 weeks after the first fertilizer application. The total N
needed is dependent on soil type. Plant samples can be analyzed during the growing season to monitor
the overall nutrient status of the tobacco. Timely management of diseases, weeds, and insects along with
proper topping and sucker control are critical for flue -cured tobacco production.
205932 Database Version 3.1 Date Printed: 02-15-2011 Crop Note Page 2 of 4

Grain Sorghum
The following crop note applies to field(s): 8
The following crop note applies to field(s): 7
Soybeans -Full Season, Coastal Plain: Mineral Soil, low -leachable
The suggested planting dates for soybeans in the Coastal Plains are from April 20-May 20. Review the
NCSU Official Variety "green book" and information from private companies to select a high yielding
variety with the characteristics needed for your area and conditions. Plant 2-4 seed/row foot for 7-8"
drills; 4-6 seed/row foot for 15" rows; 6-8 seed/row foot for 30" rows and 8-10 seed/row foot for 36"
rows. Increase the seeding rate by at least 10% for no -till planting. Seeding depth should be 1-1 1/2" and
adequate depth control is essential. Phosphorus and potash recommended by a soil test report can be
broadcast or banded at planting. Soybeans produce their own nitrogen and are normally grown without
additions of nitrogen. However, applications of 20-30 lbslacre N are sometimes trade at planting to
promote early growth and vigor. Tissue samples can be analyzed during the growing season to monitor
the overall nutrient status of the soybeans. Timely management of weeds and insects is essential for
profitable soybean production.
The following crop note applies to field(s): 3
Double -Crop Soybeans, Coastal Plain: Mineral Soil, low -leachable
Double -crop soybeans should be planted as early in June as possible with planting completed by July 4th.
When no -tilling soybeans in small grain straw, it is essential to manage the straw to achieve adequate
plant populations. Review the NCSU Official Variety ".green book" and information from private
companies to select a high yielding variety with the characteristics needed for your area and conditions.
Plant 2-4 seed/row foot for 7-8" drills; 4-6 seed/row foot for 15" rows; 6-8 seed/row foot for 30" rows
and 8-10 seed/row foot for 36" rows. Increase the seeding rate by at least 10% for no -till planting.
Seeding depth should be 1-1 1/2" and adequate depth control is essential. Phosphorus and potash
recommended for the soybeans can be applied to the wheat in the Fall. Soybeans produce their own
nitrogen and are normally grown without additions of nitrogen. However, applications of 20-30 lbs/acre
N are sometimes made at planting to promote early growth and vigor. Tissue samples can be analyzed
during the growing season to monitor the overall nutrient status of the soybeans. Timely management of
weeds and insects is essential for profitable double crop soybean. production.
205912 Database Version 3.1 Date Printed: 02-15-2011 Crop Note Page 3 of 4

The following crop note applies to field(s): 2
Double -Crop Soybeans, Coastal Plain: Mineral soil, medium leachable
Double -crop soybeans should be planted as early in June as possible with planting completed by July 4th.
When no -tilling soybeans in small grain straw, it is essential to manage the straw to achieve adequate
plant populations. Review the NCSU Official Variety "green book" and information from private
companies to select a high yielding variety with the characteristics needed for your area and conditions.
Plant 2-4 seed/row foot for 7-8" drills; 4-6 seed/row foot for 15" rows; 6-8 seed/row foot for 30" rows
and 8-10 seed/row foot for 36" rows. Increase the seeding rate by at least 10% for no -till planting.
Seeding depth should be 1-1 1/2" and adequate depth control is essential. Phosphorus and potash
recommended for the soybeans can be applied to the wheat in the Fall. Soybeans produce their own
nitrogen and are normally grown without additions of nitrogen. However, applications of 20-30 Ibs/acre
N are sometimes made at planting to promote early growth and vigor. Tissue samples can be analyzed
during the growing season to monitor the overall nutrient status of the soybeans. Timely management of
weeds and insects is essential for profitable double crop soybean production.
The following crop note applies to field(s): 1
Double -Crop Soybeans, Coastal Plain: Mineral soil, medium leachable
Double -crop soybeans should be planted as early in June as possible with planting completed by July 4th.
When no -tilling soybeans in small grain straw, it is essential to manage the straw to achieve adequate
plant populations. Review the NCSU Official Variety "green book" and information from private
companies to select a high yielding variety with the characteristics needed for your area and conditions.
Plant 24 seed/row foot for 7-8" drills; 4-6 seed/row foot for 15" rows; 6-8 seed/row foot for 30" rows
and 8-10 seed/row foot for 36" rows. Increase the seeding rate by at least 10% for no -till planting.
Seeding depth should be 1-1 1/2" and adequate depth control is essential. Phosphorus and potash
recommended for the soybeans can be applied to the wheat in the Fall. Soybeans produce their own
nitrogen and are normally grown without additions of nitrogen. However, applications of 20-30 Ibslacre
N are sometimes made at planting to promote early growth and vigor. Tissue samples can be analyzed
during the growing season to monitor the overall nutrient status of the soybeans. Timely management of
weeds and insects is essential for profitable double crop soybean production.
205932 Database Version 3.1 Date Printed: 02-15-2011 Crop Note Page 4 of 4

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Fiery t
5.t
Field 2 ti
30.9
Dawn By. Julie Peele
Revrewed B,'. Hal Lannenbaeh
D,[e 9b+n

EMERGENCY ACTION PLAN
P14ONF NJ iMRFR S
D WQ
EMERGENCY MANAGEMENT SYSTEM
SWCD
NRCS
This plan will be implemented in the event that wastes from your operation are leaking,
overflowing, or running off site. You should not wait until wastes reach surface waters or
leave your property to consider that you have a problem. You should make every effort to
ensure that this does not happen. This plan should be posted in an accessible location for all
employees at the facility. The following are some action items you should take.
1. Stop the release of wastes. Depending on the situation, this may or may not be possible.
Suggested responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B. Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. Evaluate the application rates for the fields where runoff occurred.
C. Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
D. Leakage from flush systems, houses, solid separators -action include:
December 18, 1996

a. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators.
e. Repair all leaks prior to restarting pumps.
E. Leakage from base or sidewall of lagoon. Often this is seepage as opposed to
a. Dig a small sump or ditch away from the embankment to catch all seepage, put
in a submersible pump, and pump back to the lagoon.
b. If holes are caused by burrowing animals, trap or remove animals and fill holes
and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon bottom
as soon as possible.
2. Assess the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters'?
b. Approximately how much was released and for what duration?
c. Any damage noted, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
h. How much reached surface waters?
3. Contact appropriate agencies.
a. During normal business hours, call your DWQ (Division of Water Quality) regional office;
Phone - - . After hours, emergency number: 919-733-3942. Your phone call
should include: your name, facility, telephone number, the details of the incident from item
2 above, the exact location of the facility, the location or direction of movement of the spill,
weather and wind conditions. The corrective measures that have been under taken, and the
seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS phone number -
c. Instruct EMS to contact local Health Department.
d. Contact CES, phone number - - , local S WCD office phone number - - , and
local NRCS office for advice/technical assistance phone number - -
4. If none of the above works call 911 or the Sheriffs Department and explain your problem
to them and ask that person to contact the proper agencies for you.
2 December 18, 1996

5. Contact the contractor of your choice to begin repair of problem to minimize off -site
damage.
a. Contractors Name: _
b. Contractors Address:
c. Contractors Phone:
6. Contact the technical specialist who certified the lagoon {MRCS, Consulting Engineer, etc.
a. Name:
b. Phone:
7. Implement procedures as advised by DWQ and technical assistance agencies to rectify
the damage, repair the system, and reassess the waste management plan to keep
problems with release of wastes from happening again.
December 18, 1996

Insect Control Checklist for Animal Operations
Source Cause BMPs to Minimize Insects Site Snecific Practices
quid Svstems
Flush Gutters • Accumulation of Solids Flush system is designed and operated sufficiently to
remove accumulated solids from gutters as designed;
move bridging of accumulated solids at discharge
Lagoons and Pits • Crusted Solids Maintain► lagoons. settling basins and pits where pest
breeding is apparent to minimize the crusting of
solids to a depth of no more than 6 - 8 inches over
re than 301/oof surface.
Excessive Vegetative • Decaving vegetation Maintain vegetative control along banks of lagoons
Growth andother impoundments to prevent accumulation of
decaying vegetative matter along eater's edge on
impoundment's perimeter.
Feeders 0 Feed Spillage EY Design. operate and maintain feed sy stems(e.g..
bunkers and troughs) to minimize the accumulation
�f decaving wastage.
Clean up spillage on a routine basis (e.g., 7 - 10 da}
interval during summer: 1 5-30 day interval during
ter).
Feed Storage • Accumulation of feed residues Reduce moisture accumulation within and around
immediate perimeter of feed storage areas by
insuring drainage away from site and/or provid ing
uatecontainment (e.g., covered bin for
ra,ver's grain and sine tar high moisture grain
Inspect for and remove or break up accumulated
solids in filter strips around feed storage as needed.
AMIC - November 11.1996, Page I

Source Cause BMPs to Minimize Insects Site Specific Practices
Animal Holding Areas • Accumulations of animal wastes Eliminate low areas that trap moisture along fences
and feed wastage andyher locations where waste accumulates and
rbance by animals is minimal.
Maintain fence rows and filter strips around animal
holding areas to minimize accumulations of wastes
(i.e. inspect for and remove or break up
accumulated solids as needed.
Dry Manure Handling • Accumulations of animal wastes O Remove spillage on a routine basis (e.g.. 7-10 day
Systems interval during summer. 15-30 day interval during
winter) where manure is loaded for land appl ication
/� O PFdWIOadequate drainage around manure
I{/ stockpiles.
O Inspect for an remove or break up accumulated
wastes in filter strips around stockpiles and manure
handling areasas needed.
For more information contact the Cooperati ve Extension Service, Department of Entomology, Box 7613, North Carolina State University, Raleigh. NC
27695-7613
AMIC - November 1 1.1996, Page 2

Mortality Management Methods
(check which method(s) are being implemented)
❑ Burial three feet beneath the surface of the ground within 24 hours after knowledge of
the death. The burial must be at least 300 feet from any flowing stream or public
body of water.
Rendering at a rendering plant licensed under G.S. 106-168.7.
❑ Complete incineration
❑ In the case of dead pout tryonly, placing in a disposal pit of a size and design
approved by the Department of Agriculture.
❑ Any method which in the professional opinion of the State Veterinarian would make
possible the salvage of part of dead animal's value without endangering human or
animal health. (Written approval of the State Veterinarian must be attached)
December 18, 1996

Swine Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Soecific Practices
Farmstead • Swine Production vegetative or wooded buffers;
/Recommended best management practices;
2 Good judgement and common sense
Animal body surfaces • Dirty manure -covered animals Dry floors
Floor surfaces • Wet manure -covered floors lotted floors;
jv�vaterers located over slotted floors;
eders at high end of solid floors;
Scrape manure buildup from floors;
l7 Underfloor ventilation for
Manure collection pits • Urine; rl'Frequent manure removal by flush. pit recharge. or
• Partial microbial decomposition scrape,
derfloor ventilation
Ventilation exhaust fans • Volatile uses; maintenance;
• Dust ;�F�
Efficient air movement
Indoor surfaces • Dust V�,ed
shdown between groups of animals;VZ
additives:
C ' Cd covers;
d delivery downspout extenders to feeder
co v ers
Flush tanks • Agitation of recycled lagoon liquid O Flush tank covers. . j /1
while tanks are filling l7 Extend fill to near bottom of tanks with anti -siphon �l1 T �
vents
Flush alleys • Agitation during wastewater 0 Underfloor flush with underfloor ventilation n � A
conveyance I v
Pit recharge points • Agitation of recycled lagoon liquid Extend recharge lines to near bottom of pits with
while pits are filling anti -siphon vents
Lift stations • Agitation during sump tank filling O Sump tank covers
and d rawdown V
AMQC - November 11, 1996. Page 3

Source Cause BMPs to Minimize Odor Site Specific Practices
Outside drain collection or • Agitation during wastewater l7 Box covers
junction boxes conveyance "
End of drainpipes at lagoon • Agitation during ►wastewater O Extend discharge point of pipes underneath
conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emission; —/Proper lagoon liquid capacity;
• Biological mixing; 3 orrect lagoon startup procedures;
■ Agitation ;'inimum surface area -to -volume ratio;
;��Minimum agitation when pumping:
O Mechanical aeration;
O Pdoven biological additives
Irrigation sprinkler nozzles • High pressure agitation; rieate on dry days with little or no wind:
0 Wind drift;�Xinimum recommended oneratine pressure:
intake near laizoon liquid surface:
Storage tank or basin • Partial microbial decomposition; O Bottom or midlevel loadinu:
surface s Mixing while filling; O Tank covers:
• Agitation when emptying O Basin surface mats of solids:
Settling basin surface • Partial microbial decomposition. O Extend drainpipe outlets underneath liquid level:
• Mixing while filling; 171 Remove settled solids resularly
• Agitation when emptying 1
Manure. slurry or sludge • Agitation when spreading: r I Soil injection of slurry/sludges:
spreader outlets • Volatile gas emissions rl Wash residual manure from spreader after use;
_0
rl Proven biological additives or oxidants
Uncovered manure, slurry • Volatile gas emissions while drying 1•1 Soil injection of slurrylsludges:
or sludge on field surfaces I'l peril incorporation within 48 hrs.;
Snread in thin uniform lavers for rapid drvina:
n PA'nven biological additives oT oxidants
Dead animals • Carcass decomposition Proper disposition of carcasses
AMOC - November 11, 1996, Page 4

Source Cause BMPs to Minimize Odor Site Snecific Practices
Dead animal disposal pits • Carcass decomposition rl Complete covering of carcasses in burial pits: r /�
rl Proper location/construction of disposal pits fv j j
Incinerators • Incomplete combustion r-1 Secondary stack burners f `�
Standing water around • Improper drainage; Grade and landscape such that Nvater drains away
facilities • Microbial decomposition of organic from facilities
matter
Mud tracked onto public • Poorly maintained access roads Farm access road maintenance
roads from farm access
Additional Information: Available From:
Swine Manure Management; .0200 Rule/BMP Packet
Swine Production Farm Potential Odor Sources and Remedies. EBAE Fact Sheet
Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment; EBAE 128-88
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment: EBAE 129-88
Lagoon Design and Management for Livestock Manure Treatment and Storage. EBAE 103-88
Calibration of Manure and Wastewater Application Equipment. EBAE Fact Sheet
Controlling Odors from Swine Buildings; PIH-33
Environmental Assurance Program: NPPC Manual
Options for Managing Odor: a report from the Swine Odor Task Force
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings
AMOC - November 11, 1996, Page 5
NCSU, County Extension Center
NCSU -BAE
NCSU-BAE
NCSU - BAE
NCSU - BAE
NCSU - BAE
NCSU - Swine Extension
NC Pork Producers Assoc.
NCSU - Agri Communications
Florida Cooperative Extension

Form IRR-i
Lagoon Liquid Irrigation Field Record
For Recording Irrigation Events on Different Fields
Farm Owner Facility Number -
Spreader Operator
Date
-Irrigation Time
Number of

V
Form 1RR-2
Tract #
Field size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field #
Lagoon Liquid Irrigation Field Record
One Form for Each Field Per Crop Cycle
Facility Number -
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Crop Type Recommended PAN
Loading (lb/acre) = (B)
(11 (7) (3) (M (5) (6) (7) (8) (9) (10) (11)
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN I
(lb/1000 gal)
PAN Applied
(Iblacre)
(8) x (9)
1000
Nitrogen Balance 2
(lb/acre)
(B) - (10)
Start Time
(hr:min)
End Time
(hr:min)
Total Minutes
(3) - (2)
# of Sprinklers
Operating
Flow rate
(gal/min)
Total Volume
(gallons)
(4) x (5) x (6)
Volume per Acre
(gal/acre)
(7)
(A)
Crop Cycle "I-otals I I
Owner's Signature Operator's Signature
Certified Operator (Print)
Operator Certification #
1 NCDA Waste Analysis or Equivalent or NRCS Estimate. Technical Guide Section 633.
2 Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (1 1) following each application event.

Form SLUR-1
Slurry and Sludge Application Field Record
For Recording Slurry and Lagoon Sludge Application Events on Different Fields
Farm Owner Facility Number
Spreader Operator
Date Field Size Application # of Loads Volume of Loads (2)
ftwi/dd/vr) (acres) Per Field
(I ) Sl = soil incorrx,rated (disked): BR = broadcast (surface applied)
(2) Can be Found in operators manual for spreader. Contact a local dealer if %ou do not have pour osrner's manual.
All

Form SLUR-2
Tract #
Field size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field #
Slurry and Sludge Application Field Record
One Form for Each Field Per Crop Cycle
Facility Number
Spreader Operator
Spreader Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Crop Type Recommended PAN
Loading (lb/acre) = (B)
ill !71 f2\ fdl trN tAl 171 M
Date
mm/dd/ r
# of Loads Per Field
Volume of Loads(1)
Total Volume
(gallons)
? x 3
Volume per Acre
(gals/acre)
; A
Waste Analysis(2) PAN
lbs/1000 gals
PAN Applied
(lbs/acre)
_ 1000
Nitroeen Balance(')
(lbs/acre)
B - 7
Crop Cycle TotalsI
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator Certification #
(1) Can be found in operator's manual for the spreader. Contact a Iocal dealer ifyou do not have your owner's manual.
(2) See your animal baste management plan for sampling Frequency. At a minimum, waste analysis is required within 60 days of land application events,
(3) Enter the value received by subtracting column (7) from (13). Continue subtracting column 17) from column (8) following each application event.
is

The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface and/or ground water.
The plant nutrients in the animal waste should be used to reduce the
' amount of commercial fertilizer required for the crops on the fields
where the waste is to be -applied. This waste should be analyzed
before each application cycle and annual soil tests are encouraged
so that all plant nutrients can be balanced for realistic yields of
the crops to be grown.
Several factors are important in implementing your waste utilization
' plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner. Always
apply waste based on the needs of the crop to be grown and the
' nutrient content of the waste. Do not apply more nitrogen than the
crop can utilize. soil types are important as they have different
infiltration rates and leaching potential. Waste shall not be
applied to land eroding at greater than 5 tons per acre per year.
Do not apply waste on saturated soils or on land when the surface is
frozen. Either of these conditions may result in runoff to surface
waters. Wind conditions should also be considered to avoid drift
' and downwind odor problems.. To maximize the value of nutrients for
crop production and to reduce the potential* for pollution, the waste
should be applied to a growing crop or not more than 30 days prior
to planting. Injecting the waste or disking will conserve nutrients
and reduce odor problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements
may be more or less based on the waste analysis report from your
waste management facility.
Amount of waste produced per year
W animal units X 3Zo3 waste/animal unit/year W
Lr0:51 COO_ �lyear
Amount of-nitrogenoduc ea
= animal units X rj•¢ lbs. N/animal unit/year
)v, Z7, DQg„, lbs . •N/ year
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
-ZOis
l expuGnok► Du7�F) Tb S�o.�,�,[Y l,.�o• � rtECENEi7 f pENR 1 DWQ
AqllifPr S%rrlfRf`t'i111 CPdIOn
��W r. Page 4 MAR 3 0 2009

4
The following acreage will be needed for waste application basad on
the crop to be grown and surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Real. Lbs. N Acres Lbs, N Month of
Type Yield Per Ac Utilized Application
V. �D '1 v i Ape-,,. /Gt-r
51. Tr
19 Z r 4'
P
Ff 3. Z
Total Table 1
.
Iz7.8
7,51560
Table 2:
ACRES WITH
AGREEMENT
OR LONG TERM LEASE
Tract Field Soil
Crop Real.
Lbs. N
Acres Lbs. U Non['^, of
I Type
Yield
Per Ac
Utilized Applica4:.o-.
i
I
o
as S 0
Total able 1
Total Table 2
Total
I Z7. 8
Amount of N Produced
24, GOO
Deficit L
q
Your facility is designed for I-74days of temporary Stc,raq(.
needs to have the temporary storage removed every 5.7
Pace 5

�TSZS�
T8254
Where owners of animal operations do not have adequate amounts or
land to apply the waste, the producer must provide a written
agreement whereby another landowner has agreed to land apply or
allow land application on his or her land.
Cali the Soil Conservation Service or Soil and Slater Conservation
District office after you -receive the waste analysis report to
obtain the amount per acre to apply and the appljcar.ron rato pro ­
to applying the waste.
Narrative Operation:
li7�t!J �_ �'��'�►� � /�. � F:��a��ii/n.r:��I��II�V���7tE�L/F,� 3��uArS�ltr..
i
i •mot 1� • L
See attached snap showing the fields to be used for the disposal cf
waste water.
Application of Waste by Irrigation
Field
No.
Soil Type
crop
Application
Rate(in/Hr)
Application
zrount(rn.)
6
Gro A
CO RN�
i het { s
0.40
L-
a
A llo
D.40
3U
0
Page 6

WASTE MaNAGrACHT
PLAN 8GREEMZNI
I agree to carry out this waste management
plan according to the
terms. of the
agreement. Failure to
comply with the waste management
plan will automatically require any
cost share funds to be refunded
'
to their souAce
-rD?ts
Producer:
(�- LL "Pate:
I understan
that Mr./Mrs. 11.A----
does not have
ample land to
apply .the animal waste
produced from his/her animal
operation. I
have agreed to utilize
the waste produced from the
t
operation and
agree to carry out this
waste management plan on land
that I own or
operate.
Recipient Landowner:Date:
System Designer: Date:
SWCD Representative: _�_�Date :
Design Approval: AtL Date:
•
Page 7

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Attaclirnent 0
Page 1 of S
North Carolina Agricultural Extension Service -
Agri -Waste Ma--n-agement
Biological and Agricultural Engincering North Carolina State University
LIVESTOCK QASTE SAMPLiNC, ANALTSiS AND CALCULLTION
OF LARD APPLICATION BATES
James C. Barker*
I. SAME COLLECTION
A. Semi -Solid Lot Hanure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of manure from
different locations using nonmetallic collectors.
i.i. From storage
a. Collect about 2 lbs of manure from under the surface crust
avoiding bedding materials and using nonmetallic collectors.
B. Liquid Man=e Slurry.
i. Under -slotted floor pit
RECEIVED / DENR 1 DWQ
AgtjifP,r Protection SACtion
a. Extend a 1/2" nonmetallic conduit open on both ends into MAR 3 0 2009
manure to pit floor.
b. Seal upper and of conduit (e.g., by placing a thumb over end
of conduit) trapping manure that has entered lover and. remove
and empty slurry into plastic bucket or nonmetallic container.
c. Take subsamples from S or more locations or at least 1 quart.
d. Kix and add about 3/4 pint to nonmetallic sample container.
ii. Exterior storage basin or tank
M
a. Hake sure manure has been well mixed with a liquid manure
chopper -agitator pump or propeller agitator.
b. Take subsamples from about 5 pit locations, from agitator pump
or from manure spreader and place in a plastic bucket,
Professor and Extension Specialist, Biological and Agricultural Engineering
Department, North Carolina State University, Raleigh, NC.
Page 10

ACtachment B
Page 2 of 3
Il. SAVLE PREPARATION AND TRANSFER
A, Place sOop7.e into an expandable container that can be sealed. Rinse
residues from container with clean voter but do not use disinfectants,
soaps, o; treat in any other way.
B. Pack sample in ice, refrigerate, freeze, or transfer to lab quickly.
C. Hand -delivery is most reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and cape.
E. Commercial sample containers and mailers are also available. Contacts:
i. A&L Eastern Agricultural, Lab, Inc. iii. Polyfoam Packers Corp.
76Z1 Uhitepine B.oad 2320 S. Foster Avenue
Sichmond, VA 23237 Aheeling, IL 60090
Ph: [phone] Ph: [phone]
it. Pisher SCienVific Co. iv. HASCO
33] 5 Vinton R.gad 901 .Zanesville Avenue
$gisigh, NG 27694 Fort. Atkinson, W1 53538
n- : [phone] Ph: [phone]
�, FrivAU4 analytioal 14ba are available. but sample analyses are costly.
g, Tho NSA providaa this service for North Carolina residents.
i. Address: NQVVU Gargl.ina Department of Agriculture
Agmgznomic Division
rlan4/ua,ste/golution Advisory Section
41-4e: Ridge 1koad Ceuter
RI. Q. Pox 17647
Ra!44h, Ne Z7611
ft:. (919)73.3.2655
Attr�: Ds . Rai- Campbell
U. Foulard $4 along 14th the sample,
Include the fQ1j9r&ing- idQPtif` caation information with sample:
a. Livestock Apecies (daLlry. mvtwa, turkey, ate.)
b., "v@,stoc.k u44ge (swina-auraery,„ finishing.;' turkey -breeders ,
larooderhquae, grower, number irlaeks grown on litter; etc.)
c. WAs:t4 type (ds#Ky,1o.t scr,&W- manuro, liquid; slurry.; swine -pit
slurry., lagoon liquid,, sladge; broiler-hause litter, stockpile
iv. Routine analyses performed on all. samples: N. P. K.. Ca, Mg., Ha.
S, Fa. Mn. Zn. Cu, B
v. Witional ap&lyses performed upon raqu,es.t: DH. No. Cd,„ Ni, Pb
Page 11

Attachment d
Page 3 of 3
i1. SABLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed. Rinse
residues from container with clean water but do not use disinfectants,
soaps, or treat in any ocher way.
B. Pack sample in Lee, refrigerate, freeze, or transfer to lab quickly.
C. Hand -delivery is most reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and tape.
E. Commercial sample containers and mailers are also available. Contacts:
i. AFL Eastern Agricultural Lab, Inc. iii. Polyfoam Packers Corp.
7621 Vhitepine Road 2320 S. Foster Avenue
Richmond, VA 23237 Vheeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co.
331� Winton Road'
Raleigh, NC 27604
Ph: [phone]
iv, NASCO
901 Janesville Avenue
Fort Atkinson, VI 53538
Ph: [phone]
F. Private analytical labs are available, but sample analyses are costly.
C. The NCDA provides this service for North Carolina residents.
i. Address: North Carolina Department of Agriculture
Agronomic Division
Plant/Waste/Solution Advisory Section
Blue Ridge Road Center
P.O. Box 27647
Raleigh,'NC 27611
Ph: [phone]
Attn: Dr. Ray Campbell
U . Forward $4 along with the sample.
iii. Include the following identification information With sample:
a. Livestock species (dairy, swine, turkey, etc.)
b. Livestock usage (swine -nursery, finishing; turkey -breeders,
brooderhouse, grower, number flocks grown on litter; etc,)
c, Raste'type (dairy -lot scraped manure, liquid slurry; swine -pit
slurry, lagoon liquid, sludge; broiler -house litter, stockpile
iv. Routine analyses performed on all samples: N, P. K, Ca, Mg, Na,
S, Fe, Mn, Zn, Cu, B
v, Additional analyses performed upon request: DX, Ho, Cd, Ni, Pb
Page 12

SPECIFICATIONS GUIDE
1. The Field Office must have documentation in the design folder that the producer either owns
or has long term access to adequate lend on which to properly apply the waste. If the
producer does not own adequate lend to properly dispose of the waste, he small provide SCS
with a copy of a written agreement with an adjacent landowner allowing him use of the
adjacent land for waste application for the life expectancy of the production facility.
2. Waste shall be applied to meet the Nitrogen needs for realistic yields based on soil type,
available moisture, historical data, climate conditions, and level of management.
3. Animal waste shall not be applied to land eroding at greater than 5 tons per acre per year or
land that meets an approved Acceptable Management System (AMS).
4. Apply animal waste in split applications if more than 100 Ib/ac of available nitrogen is to be
used.
5. Waste shall be incorporated immediately after spreading on areas subject to flooding.
IWaste is not to be applied on areas subject to flooding unless incorporation is used.
B. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur and in a method which daps not cause drift from the site during application.
7. Waste shall not be applied to saturated soils or on land when the surface is frozen.
8. Apply waste to growing crops in such a manner that no more than 20 to 25 percent of the
leaf area is covered.
9. Animal waste shall not be applied to root crop vegetables during the current growing season
or to above the ground vegetable crops for one month prior to harvest.
' 10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a
high potential for leaching unless special precautions are taken to minimize leaching and
erosion. Waste nutrient loading rates on these soils should be held to a minimum and winter
' cover crops planted to take up released nutrients.
11. Waste shall not be applied closer than 25 feet to surface water. This distance may be
reduced provided adequate vegetative filter strips are present.
12. Waste shall not be applied closer then 100 feet from water wells for human consumption.
' 13. Waste shall not be applied closer than 200 feet of dwellings other than those owned by the
landowner.
' 14. Waste shall be applied in a manner not to reach other property and public right-of-ways.
940496Sa.doo
Page 13

ANIhAAL !MM19 MANAGEMENT PLAN CERTIFICATION FOR N W OR EXPAN ED FEEDLOTS
Please return the completed form to the Division of Ehvleonmental Management at the address on the .
reverse side of this form.
game of farm (Please
Phone Number. 1919) 829-4730 _
County: Edg rgmbe T
Farm location: Latitude and 1_ongilude:_W _cat _3, VV_Ue2Z �LU (required). Also, please attach a copy of a
county road map with location Identified.
Type of operallon (swine, layer, dairy, etc.): Swine Sow Farm Farrow to Weanling
Design capacity (number of animals): 5000
Average size of operation (12 month population avg.): 50QQ
Average acreage needed for land application of waste (acres):
TECHNICAL SPECIALIST CER77FICATION
As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to
15A NCAC 6F .0005, t certify that the new or expanded animal waste management system as installed for the
farm named above has an animal waste management plan that meets the design, construction, operation and
maintenance standards and specifications of the Division of Environmental Management and the USDA -Soil
Conservation Service and/or the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC
2H.0217 and 15 A NCAC 6F .0001-.0005. The following elements and their corresponding minimum criteria have
been verified by me or okber designated technical specialists and are included in the plan as applicable: minimum
separations (buffers); liners or equivalent for lagoons or waste storage ponds; waste storage capacity: adequate
quantity and amount of land for waste utilization (or use of third party); access or ownership of PAoper►wpPte
application egtripment; schedule for timing of applications; application rates; loading rates; and tpl'qnt$o4l�f
discharge of pollutants from stormwater runoff events less severe than the 25-year, 24-hour stopb jq�,•,�•••�•••..`� �i''••,
�oFess�o� 2
",me of Technical Specialist (Please Print): Bobby L�:: Jvyrier•,�..P, E. y'� 4s, �•�.�
,illation: P'
A `
Address (Agency):
1 Phone Number. - f 9191 932-7VW
January 9. 1995 ''•,.
OPMER%MAKAGER
I (we) understand the operation and maintenance procedures established in the approved animal waste
management plan for the farm named above and will Implement these procedures. I (we) know that any
additional expansion,to the existing design capacity of the waste treatment and storage sys em or construction of
new facilities will require a new certification to be submitted to the Division of Environmentol MahA9ement before
the new arilmals are stocked. I (we) also understand that there must be no discharge of animal waste from this
system to surface waters of the state either through a man-made conveyance or through runoff fo�}�Ia,��sto
event less severe than the 25-year, 24-hour storm. The approved plan will be flied at the fatlm and atoiat o
the local Soil and Water Conservation District. I
Name of Land Owner (Please Print): ' -
Date:_. 1'2 ~ q _ -- - —
Name of Manager, if different from owner (Please Print): Same
Signature: I Date:
Jkl.,tE A change In land ownership requires notification or a new certification (if the approved plan is changed) to
be submitted to the Division of Environmental Management within 60 days of a title transfer.
RECEIVED I DENR I DW(,PEM USE ONLY:ACNEW#
Aquifer prntec�j.0n Section
ACE P-38
MAR 3 0 2009

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SWINE WASTE LAGOON
CONSTRUCTION RECORD CALCULATIONS
JN 94-049B
Edgecombe County
Creekside Farms
Route 2 Box 215C
Tarboro, NC 27886
Appian Consulting Engineers, P.A.
P. 0. Box 7966
Rocky Mount, NC 27804
V
28 June 1995
RECEIVED 1 DENR / DVVU
AgtlifPr PrntanHnn ZoCt,on
MAR 3 0 2009
_ s SEAL
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Operational and Maintenance Plan
For
Creekside Farms
Swine Sow Lagoon
ACE JN: 94-049B
0
RECEIVED
p DER In
qu fPrP+SP°
MAR 3 0 2009
JAN 3 a T, 03

WASTE STORAGE SYSTEM
OPERATION AND MAINTENANCE PLAN
The storage pond is composed of two lagoons. The primary lagoon contains the waste storage
volume, The secondary lagoon contains the temporary liquid storage and storage for a 25 year,
24 hour rainfall that enters the pond. The elevation to start pumping is 50.00 and will be
marked with a permanent marker. In order to maintain 5.7 months storage, the pond will need
to be pumped out completely.
The waste utilization plan shall be followed as shown in Attachment A. This requires samples
and testing of waste (see Attachment B) before land application. Waste shall be applied on
fields as shown on attached soils maps.
A fence will be constructed to prevent livestock from walking on the dam, therefore, preventing
a hazard for the livestock and damage to the dam.
The routine maintenance of this waste storage pond involves the following:
1. Maintenance of a vegetative cover on the embankment and in the emergency spillway:
Fescue is being established on these areas. Beginning the year after construction and each
year thereafter, the embankment and emergency spillway should be fertilized with 800
pounds of 10-10-10 per acre to maintain a vigorous stand.
2. Control of weeds, brush, and trees on the embankment and in the emergency spillway: this
shall be done'by mowing, spraying , or chopping, or a combination of all three. This will
need to be done at least once each year and possibly twice in years favorable to heavy
growth of vegetations. You may check with the local Extension Agency or SCS office for
the latest information on spray material and the best time to apply them.
Maintenance inspections of this waste storage pond should be made during the initial filling, at
least annually, and after every major storm. Items to be checked should include, as a minimum,
the following:
1. Emergency Spillway
a. erosion
b. sedimentation
c. weeds, small trees, fogs, fences, or other obstruction that reduce channel capacity or
may block flow.
2. Embankment
a, settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
c. erosion
d. rodent damage
e. seepage or other leakage
f, condition and type of vegetation cover
Page 1 RECEIVED I DENR 1 DWQ
pAPIO'r Prniection
""Qction
MAR 3 0 2009

OPERATION AND MAINTENANCE PLAN
FOR
SWINE WASTE MANAGEMENT SYSTEM
The purpose of this plan is to provide guidelines for carrying out the routine operation and
maintenance work needed to keep this swine waste management system functioning as
planned, Routine maintenance is considered to be normal good care of the system. Good
maintenance adds to beauty, usefulness, and permanence.
A. Maintenance
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and side slopes:
Fescue is being established on these areas. Beginning in 1996 and each year thereafter,
the embankment should be fertilized with 800 pounds of 10-10-10 per acre to maintain a
vigorous stand.
2. Control of brush and trees on the embankment. This may be done by mowing, spraying,
or chopping, or a combination of all three. This will need to be done at least once each
year and possibly twice in years favorable to heavy growth of vegetation.
Maintenance inspections of the lagoon should be made during the initial filling of the lagoon and
at feast annually. Items to be checked should include, as a minimum, the following:
1. Waste Inlet Pipes
a. condition of pipes
(1) separation of joints
(2) cracks or breaks
2. Pool Area
a. undesirable vegetative growth
b. floating or lodged debris
3. Embankment
a, settlement, cracking ors jug holes"
b. side slope stability - slumps or bulges
c, erosion and rodent damage
Page 2

A
B. Operation
Your animal waste management facility was designed for a total of 4,291,557 CF of
storage. The lagoon contains both permanent and temporary storage. The permanent
storage Is not to be pumped in order to ensure that anaerobic action will occur, The design
includes permanent storage of one cubic foot per pound of steady state live weight.
The temporary storage portion of the lagoon includes capacity for the volume of waste
produced over 174 days, the amount of rainfall in a 25 year 24 hour storm event, and rainfall
in excess of evaporation. Your facility is designed for 174 days of temporary storage;
therefore, it will need to be pumped every 5.7 months. Begin pump -out of the lagoon when
fluid level reaches elevation 50.00 feet as marked by permanent markers. Stop pump -out
when the fluid level reaches elevation 42.5 feet. Only effluent from the secondary lagoon
should be used for irrigation in order to maintain the 20% reduction in the application rate.
The attached waste management plan should be followed. This plan recommends sampling
and testing of waste (See Attachment B) before land application.. The waste material should
be analyzed before each application cycle to determine its nutrient content. A soil test of
the area of application should be made annually to insure the waste is applied as reasonably
and practically possible to recommended rates.
It is strongly recommended that the treatment lagoon be pre -charged to % its capacity to
prevent excessive odors during start-up. Precharging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be covered with effluent at
all times. The lagoon can be pre -charged by pumping water from Fountain Fork Creek or
other suitable water source.
The Clean Water Act of 1977 prohibits the discharge of pollutants into waters of .the United
States. The Department of Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing this law.
1 primary lagoon volume = 3,031,000 CF
secondary lagoon volume — 1,260,557 CF
total 4,291,557 CF
94049wss
Page 3

AWT
Im
AgrMasteTechnology, Inc.
5400 Etta Burke Court
Raleigh, North Carolina 27606
Phone: [phone]
Fax:[phone]
www.agriwaste.com
Email: awt®agriwaste.com
MEMORANDUM
TO: Mr. Neal Jordan, The Hanor Company, Inc.
XCOPY: Mr. Dave Wade, The Hanor Company, Inc.
Mr. Hal Langenbach, AWT
FROM: Jeff Vaughan
SUBJECT: Grain Sorghum at the Creekside Swine Facility
Q : C C
1 D. AUG N, r
CC
IED PROFESSION ' `O�'
AGRONOMIST/011FlED
(ROPADVISER �'
O � 1
February 27, 2009
It is my understanding that grain sorghum may be a crop option for the Creekside Swine
Facility in 2009. This crop has a similar growing season to corn in NC.
The application window for sorghum would be similar to corn, or from about mid -
February to mid -July depending on when the crop is planted. The nitrogen uptake
amounts for the soils at Creekside would range from 67 - 116 lbs N/ac depending on the
field. The phosphorus uptake amounts for the soils at Creekside would range from 26 -
49 lbs PzOs/ac depending on the field. The nutrient uptake spreadsheets would need to be
updated with field specific application amounts if grain sorghum is actually grown at
Creekside. We can assist with these updates if they become necessary.
Please contact me with any questions, concerns, or comments.
RECEIVED / DENR / DWQ
Aquifer Frntertinn Gpction
MAR 3 0 2009

Client: HANOR-IC
Revised: 404/2008
By. JV
Soil
Field #
Acres
Series
1
5.1
Goldsboro
2
30.9
Goldsboro
3
7.6
Gddsbom
4
37-20
Goldsboro
5
21.OD
Goldsboro
6
7.00
Goldsboro
7
29AD
ForestordRains)W agram
8
79.20
GOldsboro/Norfolk
9
58.90
GoldsborcYNorfolk
1
5.1
Goldsboro
2
30.9
Goldsboro
3
7.6
Goldsboro
4
37.20
Goldsboro
5
21.D0
Goldsboro
6
7.00
Goldsboro
7
29,40
ForeslonlRainslWagmm
a
79.20 GoldsborolNorfolluWagram
9
56.90
Goldsboro/Norfolk
276.3
Indicates an assumed R.Y.E.
Nitrogen
Produced from Effluent
So" - Farrow to Wean
# of animal units:
Ibs Wanimal unit;
Ibs N produced:
Nursery Site
# of animal units:
Ibs Nlanimal unit:
tbs N produced:
rdF Site
# of animal units;
Ibs Nfanimal unit:
Ibs N produced;
Boar Stud Site
# of anima; units:
Has Wanimal unit:
Ibs N produced:
Total Ibs N Produced from Effluent:
Deficit (-YSurplus (+) Utilized (Ibs):
The Hanor Company, Inc.
Creekside
2008 Nitrogen Uptake Spreadsheet
Nitrogen
Soil
Field
Slope
Realistic
Unlu
Removed
ibs N
Total N
Applic.
Type
Symbol
*A
Crop
Yield
Acre
Ibs/unit
per ac.
(Ibs)
Period
Sandy Loam
GoA
0-2
Soybeans
38
Bu
3.91
148.58
757.76
Apr -Sept 15
Sandy Loam
GoA
0-3
Soybeans
38
Bu
3,91
148.58
4591.12
AprSept15
Sandy Loam
GoA
0-4
Soybeans
38
Bu
3.91
148.58
1129.21
AprSept15
Sandy Loam
GOA
0-5
Soybeans
38
Bu
3.91
148.58
5527.18
AprSept15
Sandy Loam
GoA
0-6
Soybeans
38
Bu
3.91
148.58
312D.18
Apr-Sept15
Sandy Loam
GoA
0-7
Soybeans
38
Bu
3.91
148.58
104D.06
Apr -Sept 15
Loamy sand
Fo, Ra, W aB
0-6
Tobacco
2683
Ibs
0.031
83.17
2445.29
Mar 15 - Jun 30
Loamy sand
GoA, NoA, NoB
0-6
Tobacco
3311
Ibs
0.03
99.33
7866.94
Mar 15 - Jun 30
Loamy sand
GoA, NoA, NoB
OS
Tobacco
3311
Ibs
0.03
99.33
5850.54
Mar 15 - Jun 30
Sandy Loam
GoA
0-8
Wheat
2
Tons
50
10D.00
510.00
Sept -Apr
Sandy Loam
GaA
0-9
Wheat
2
Tons
50
100.00
3090.00
Sept -Apr
Sandy Loam
GoA
0-10
Wheat
2
Tons
50
100.00
760.00
Sept -Apr
Sandy Loam
GoA
0-11
Wheat
2
Tons
50
100.00
3720.00
Sept -Apr
Sandy Loam
GoA
0-12
Wheat
2
Tons
50
100.00
2100.00
Sept -Apr
Sandy Loam
GoA
0-13
Wheat
2
Tons
50
100.00
700.00
Sepl-Apr
Loamy sand
Fo, Ra, W aB
OS
Loamy sand
GoA, NoA, NoB
0-6
Loamy sand
GoA. NOA,NDB
0-6
Total Ibs N utilized:
43208.26
Weighted
Average:
156.38
Nitrogen
Produced_ from
Sludge
Sludge
#
Ibs N
Year
WL Avg.
Ibsfunk
Animals Produced
Acres
1 156.3816982
0.88
50W
4400
28.13628482
5000
3 156.3816982
0.88
5D00
13200
84.40885446
5.4
6 156.3816982
0.88
5D00
26400
168.8177089
27000
9 156.3816982
0.88
5000
39600
253.2265634
1 156.3816982
0.076
0
0
0
0
3 156.3816982
0.076
0
0
0
0.48
6 156.3816982
0.076
0
0
0
0
9 156.3816962
0.076
0
0
0
1 156.3816982
0.37
0
0
0
0
3 156.3816982
037
0
D
0
2.3
6 156.3816982
0.37
0
0
0
0
9 156.3816982
0.37
0
0
0
1 156.3816982
0.61
0
0
0
0
3 156.3816962
0.61
0
0
0
3.7
6 156.3816982
0.61
0
0
0
0
9 156.3816982
0.61
0
0
0
2T000.00
Total Ibs N Produced from Sludge in 3 years:
13200.00
16208.26
Defcit (-YSurplus (+) Utilized (Ibs):
3008.28

Client HANUR-NC
The Hanor Company, Inc.
Ramsed: 12118/2008
Creekside
By: JV
2009 Nitrogen
Uptake Spreadsheet
NkfWn
lbs N
Soil
Solt
Field
Slope
Realistic
Unit)
Removed
lbs N
per ac.
Total N
Appllc-
Fleld0 Acres
Series
Type
Symbot
%
Crop Yield
Acre
IbalunN
perac. 10%Reductlon
(Ibs)
Period
1 5.1
Goldsboro
Sandy Loam
GoA
0-2
-ate Season Con 130
Bu
1,14
14820
133.38
68024
Jun 10 -Aug 15
2 30.9
Goldsboro
Sandy Loam
GOA
0-3
_ate Season Con 130
Bu
1.14
14820
133.38
412144
Jun 10-Aug 15
3 7.6
Goldsboro
Sandy Loam
GoA
0-4
-ate Season Can 130
Bu
1.14
148.20
133.38
1013,69
dun 10 -Aug 15
4 37-20
Goldsboro
Sandy Loam
GoA
D-5
-ate Season Con 13D
Bu
1.14
14820
133.38
4961,74
Jun 10 -Aug 15
5 21.00
Goldstooro
Sandy Loam
GoA
0-6
,ate Season Can 13D
au
1.14
14820
133.38
2900.98
Sun 10-Aug 15
6 7.00
Goldsboro
Sandy Loam
GOA
D-7
.ate Season Con 13D
Bu
1.14
US20
133.38
933.66
Jun 10 -Aug 15
7 29-40 ForsstorvRainsMagram
Loamysand
Fo. Ra, Wa6
D-6
_ate Season Con 100
Bu
1.15
121.90
109.71
322647
Jun 10-Aug 15
8 79.20
GoldsborotMrfotic
Loamysand
GoA, NokNoE
M
-ate Season Con 122
6u
1,14
139DO
125.17
9913.62
Jun 10-Aug15
9 58.90
Goldsborort4odo&
Loamysand
GOA, NOA,NoB
0-6
-ate Season Can 122
Bu
1,14
139.08
t25.17
7372,63
Jun to -Aug 15
1 5.1
Goldsboro
Sandy Loam
GOA
Q-8
Wheat 2
Tons
50
100,00
510.DO
Soo -Apr
2 30.9
Goldsboro
Sandy Loam
GOA
0-9
Wheat 2
Tons
50
t0D.o0
309000
Sept -Apr
3 7.6
Goldsboro
Sandy Loam
GoA
0-10
Wheat 2
Tons
50
100,00
76000
Sept -Apr
4 37.20
Goldsboro
Sandy Loam
GOA
0-11
Wheat 2
Tons
50
10D00
MOM
Sept -Apr
5 21.01)
Godsooro
Sandy Loam
GOA
0-12
Wheat 2
Tons
50
10D.00
21DD.00
SW -Apr
6 TOD
Goldsboro
Sandy Loam
GoA
0-13
Wheat 2
Tons
50
10000
700.00
Sept -Apr
7 29.40 ForestorVRainsANagram
Loamysand
F0. RD. WSB
0-6
Wheat 2
Tons
50
100.00
294D.00
Sept -Apr
8 79.20 WdsbarolNaiolklWagrar
Loamysand
GOA, NOA, NOB
0-6
Wheat 2
Tons
50
10000
7920,00
Sept -Apr
9 58-90
GOddsborGR4orfdk
Loamysand
GoA, NOA, NOB
D-6
Wheat 2
Tons
50
100DO
5890,00
Sept -Apr
276.3
Total ft N utilized:
62653A7
Weighted
Average:
226.76
` Indicates an assumed R.Y.E.
Nitrogen
Produced from Effluent
Nitrogen
Produced from Sludge
Sludge
a
ItisN
Year WL Avg-
Ibstund
Animals
Produced
Acres
Sows - Farrow to Wean
I 226.75BB53
0.88
5000
4400
19.40387303
9 of animal units:
500D
3 226.758853
0.8a
50%
13200
5821161909
ft Wanimat unit;
5 4
6 226.759653
0.88
5000
26400
116,4232382
the N produced:
2700D
9 226.758853
0.88
5000
39WO
174.6348573
Nursery Site
1 226.759853
0.076
0
0
0
of animal units:
0
3 226,755853
0.076
0
0
0
lbs N/animat unit:
0.48
6 226,758853
0,076
0
0
0
lb$ N produced:
0
9 226.75W53
0.076
0
0
0
OF Site
1 226.758853
0.37
0
0
0
A of animal units:
0
3 226.758853
0.37
0
0
0
Ibs N7animat unit:
2-3
6 226.758853
0.37
0
0
0
IDS N produced:
0
9 226.75BB53
0.37
0
0
0
Boar Stud Site
1 226.758853
0.61
0
0
0
0 of animal unils:
0
3 226.758553
0.61
0
0
0
MM Nlanuaal unit:
3.7
6 226.75W53
0.61
0
0
0
Ito N produced:
0
9 226.758853
G-61
0
0
0
Total l s N Produced
trom Effluent
27000.00
Total Ibs N Produced from Sludge in S years:
13200.00
Deflcit (4Surplus (*) Utilized {Ibo�
3WS3.47
22453A7

Phosphorus Loss Assessment Tool Completion
A ._
Name of Facility:_ ee Facility Number: - 1
,,II �11
Owner(s) Name: Tk1�-_kwip i � � c - L 3 t crime ri L L.(.. Phone No: LIN `7i Fs
Mailing Address: �_ o
Check the appropriate box below, and sign at the bottom:
No fields received a high or very high rating.
❑ Yes, the fields listed below received a high or very high rating:
Field Number Size (Acres) _ Rating (High or Veil High)
Please use as many additional attachment forms (PLAT-A-12-15-05) as needed for additional fields.
By completing the above section and any additional attachments and by signing this form, the facility
owner and Technical Specialist acknowledge all application fields were evaluated using the Phosphorus
Loss Assessment Tool. All necessary calculations were completed to conduct the Assessment. A copy will
be kept on site with the Certified Animal Waste Management Plan. Any future modifications must be
approved by a technical specialist and filed with the Soil and Water Conservation District prior to
implementation. Waste plans with fields having a high or very high rating will have to be modified to
address phosphorus loss by the next permit cycle beginning July, 2007.
Owner Name: �=�~ ��'�".F�
�� y 1/1,
l - �el'iy
Owner Signature: "'- �yfi � Date: d " &i
Technical Specialist Name: r" F ✓!
Technical Specialist Signature: 2<1
a Date:
Affiliation: ^EAeCzDfn '6W' SLR C'mp Phone No: -as':z
Submit this form to:
NC Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
PLAT-12-I5-05
RECEIVED ! DENR ! DWQ
Aquifer Prott-rfim Section
MAR 3 0 2009

3CANAT version: 1.95
PLAT Results For: Edgecombe 8/21/2006 11:43:00 AM
INPUTS
�aiendar Year:
2006
2ounty:
Edgecombe
Producer Identifier:
Hanor
tract Number:
8254
Field Number:
1
Soil Series:
GOA: Goldsboro fine sandy
loam, 0 to 2 percent slopes
Crop:
Corn (Grain) : Conventional Tillage
Fertilizers:
Swine -Lagoon liquid
Yearly Applied Amount:
5.42 ac in
Lb P205:
53.4 lb
Application Method:
All other surface
applications
Soil Loss:
2 t/ac/yr
Receiving Slope Distance
30-49 ft
Soil Test 0" - 8"
262
WV_Factor (DATABASE)
1.3
Soil Test 28" - 32"
19
WV_Factor (DATABASE)
1.3
Artificial Drainage System:
NO
Hydrologic Condition:
GOOD
OUTPUTS
PT-17ICULATE P - 5
SOLUBLE P = 19
LEACHATE P - 5
SOURCE P = 19
TOTAL P RATING = 48 (MEDIUM)

VCANAT Version: 1.95
PLAT Results For: Edgecombe 8/21/2006 11:43:23 AM
Caiendar Year:
County:
Producer Identifier:
Tract Number:
Field Number:
Soil Series:
Crop:
Fertilizers:
applications
Soil Loss:
Receiving Slope Distance
Soil Test 0" - 811
WV -Factor (DATABASE)
Soil Test 28" - 32"
WV Factor (DATABASE)
Artificial Drainage System:
Hydrologic Condition:
PP - T'ICULATE P = 5
SOLUBLE P - 20
LEACHATE P = 5
SOURCE P - 19
INPUTS
2006
Edgecombe
Hanor
8254
2
GOA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Corn (Grain) : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 5.42 ac in
Lb P205: 53.4 lb
Application Method: All other surface
2 t/ac/yr
30-49 ft
283
1.3
18
1.3
NO
GOOD
OUTPUTS
TOTAL P RATING = 49 (MEDIUM)

MCANAT'.Version: 1.95
PLAT Results For: Edgecombe 8/21/2006 11:31:01 AM
Calendar Year:
County:
Producer Identifier:
Tract Number:
Field Number:
Soil Series:
Crop:
Fertilizers:
applications
Soil LOSS:
Receiving Slope Distance
Soil Test 0" _ 8"
W\_Factor (DATABASE)
Artificial Drainage System:
Hydrologic Condition:
PARTICULATE P =
2
Soo TJBLE P =
7
LEACHATE P -
0
SOURCE P =
19
INPUTS
2006
Edgecombe
Hanor
8254
3
GOA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Corn (Grain) : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 5.42 ac in
Lb P205: 53.4 lb
Application Method: All other surface
2 t/ac/yr
30-49 ft
102
1.3
NO
GOOD
OUTPUTS
TOTAL P RATING = 28 (MEDIUM)

JCANAT Version: 1.95
?LAT Results For: Edgecombe 8/21/2006 11:31:40 AM
INPUTS
"a-Lendar Year: 2006
:ounty: Edgecombe
?roducer Identifier: Hanor
Pract Number: 8254
Field Number: 4
Soil Series: GOA: Goldsboro fine sandy loam, 0 to 2 percent slopes
�rop: Corn (Grain) : Conventional Tillage
Fertilizers: Swine -Lagoon liquid
Yearly Applied Amount: 5.42 ac in
Lb P205: 53.4 lb
Application Method: All other surface
applications
Soil Loss: 2 t/ac/yr
Receiving Slope Distance 30-49 ft
Soil Test 0" -- 8" 102
WV -Factor (DATABASE) 1.3
Artificial Drainage System: NO
Hydrologic Condition: GOOD
OUTPUTS
PARTICULATE P = 2
SO* TJBLE P = 7
LEACHATE P = 0
SOURCE P - 19
TOTAL P RATING = 28 (MEDIUM)

,dCANAT •Version: 1..95
PLAT Results For: Edgecombe 8/21/2006 11:32:29 AM
INPUTS
Ca-Lendar Year: 2006
County: Edgecombe
Producer Identifier: Hanor
Tract Number: 8254
Field Number: 5
Soil Series: GOA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Crop: Corn (Grain) : Conventional Tillage
Fertilizers: Swine -Lagoon liquid
Yearly Applied Amount: 5.42 ac in
Lb P205: 53.4 lb
Application Method: All other surface
applications
Soil Loss: 2 t/ac/yr
Receiving Slope Distance 30-49 ft
Soil. Test 0" - 8" 93
WV Factor (DATABASE) 1.3
Artificial Drainage System: NO
Hydrologic Condition: GOOD
OUTPUTS
PARTICULATE P = 2
SOT�UBLE P - 7
LEACHATE P = 0
SOURCE P = 19
TOTAL P RATING = 28 (MEDIUM)

NCANAl-Version: 1.95
PLAT Results For: Edgecombe 8/21/2006 11:35:25 AM
Ca_,endar Year:
County:
Producer Identifier:
Tract Number:
Field Number:
Soil Series:
Crop:
Fertilizers:
applications
Soil Loss:
Receiving Slope Distance
Soil Test 0" - 8"
WV Factor (DATABASE)
Artificial Drainage System:
Hydrologic Condition:
PARTICULATE P = 2
SnT,UBLE P - 8
LEACHATE P = 0
SOURCE P = 19
INPUTS
2006
Edgecombe
Hanor
8254
6
GoA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Corn (Grain) : Conventional Tillage
Swine --Lagoon liquid
Yearly Applied Amount: 5.42 ac in
Lb P2O5: 53.4 lb
Application Method: All other surface
2 t/ac/yr
30-49 ft
105
1.3
NO
GOOD
OUTPUTS
TOTAL P RATING = 29 (MEDIUM)

Z
Type of Visit C Comp ' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: _..1 County: Region:
Farm Name: f'+�� ��ZQ Owner Email:
Owner Name: Phone:
Mailing Address: '
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: G re Q Pz 'g A10
Back-up Operator:
Location of Farm:
Title:
Phone No:
Integrator:
Operator Certification Number -
Back -up Certification Number:
Latitude: F7o [� - [= « Longitude: ❑ o = i =
il
Design Current
Design C+urrent
Design C«urrent
Swine Capacity Population
Wet Poultry Capacity Population
C►attle Capacity Population
❑ Wean to Finish
❑ Layer
❑ DairyCow
❑ Wean to Feeder
7—V LL-
❑ Non -Layer
❑ DairyCalf
❑ Feeder to Finish
❑ DairyHeifer
❑ Farrow to Wean I <_06Dry
❑ Farrow to Feeder
❑ Farrow to Finish
El Gilts
❑ Boars
Poultry
❑ Layers
❑Non -La ers
El Pullets
❑ Turkeys
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑Beef Feeder
❑ Beef Brood Cow
Other
❑ Other
❑ Turkey Poults
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made'?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes P4o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes FNo
NA ❑ NE
ElYes NA El
❑ Yes NA ❑ NE
Page 1 of 3 12128104 Continued

V Facility Number: —
Date of Inspection L
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: S "
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No A ❑ NE
❑ Yes ETNo ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes 2<No A ❑ 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 tify DWQ
7. Do any of the structures need maintenance or improvement? ElYes o ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes U,r o ❑ 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 ZrNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes L,�'N0 NA ElNE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ElYes No ElNA ❑ 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 Area
12. Crop type(s) S/
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
Cl Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
12 o ❑NA ONE
El ❑NE
LQ
N NA El
Ho ❑NA ❑NE
❑ No ❑ NA ❑ NE
�F'rro'8! �-i.i 6.. h5?' - .' -- -X .4
Comments (refer to1:question=#) ; Ezplaingany,YI1S answers and/or any recommendationsl ny other comments.: , *
`Use drawmgs?of facilityeto°better exploit[ situatins (use additional pages as necessar a _ �j
Y)' p p 1�
.fy_'. .. t i
F7-
-. F i"7 �7,F y g#1$
Reviewer/Inspector Name ���.' ;�i Phone:— cle:, 06
Reviewer/Inspector Signature: G S Q {C ld boa Z- Gj Date:
I2128104 Continued

Facility Number: — Date of Inspection t
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes E? o ❑ NA ❑ NE
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 El Other
21. Does record keeping need improvement? 1f yes, check the appropriate box below. ❑ Yes Z rNoO NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections
0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? ElYes 12<0 ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 1 N ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes FNoO
A ❑ NE
26. Did the facility fail to have an actively certified operator in charge'? ❑ Yes A ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ YesA ❑ NE
Other Issues
28, Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Addktional,Comments' and/oi Drawings
T
Page 3 of 3 12128104

Type of Visit: ZC10 lance Inspection O Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ~/ r Arrival Timer Departure Time: County: Region:
Farm Name: y sd P Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: /j /s&-rjgn zcsrQs !!,U/ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current
Design Current
Design Current
Swine
Capacity Pop.
Is
Wet Poultry Capacity Pop.
Cattle Capacity Pop.
Wean to Finish
La er
DairyCow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design C*urrent
D Cow
Farrow to Feeder
Ilr�y.1'ouitr, Ca aci No
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
O[her
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes 6No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
yNo[]
❑ NE
b. Did the discharge reach waters of the State'? (If yes, notify DWR)
❑ Yes
NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
N NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation'?
❑ Yes
o ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No ❑ NA
❑ NE
of the State other than from a discharge`?
Page 1 of 3 21412015 Continued

Facilit ,Number: 33 - 017 Date of Inspection: ' f
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
o ❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �— f� 7 r�
5. Are there any immediate threats to the integrity of any of the structures observed'?
❑ Yes
No NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t at, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes �`Noo❑ NA ONE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ 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): Coy ol r 8h2'
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
El Yes
N ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ YesVNo
NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application'?
El Yes
1` J N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
[] Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available`? If yes, check
❑ Yes❑
VNo 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 I Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall InspectirNo
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge`. ❑ Yes❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes❑ NA ❑ NE
Page 2 of 3 21412015 Continued

acilit .Number: - Date of Inspection: 7 r !
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Kf No ❑ NA ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [] Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes c ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes �No NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes;No ❑ 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?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33, Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes .❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to questions#): Explain any YES`answers and/or any additional recommendationsor any other comments. -
Use drawings of facility to better explain situations (use additional pages as necessary).
i-
V �'fZ c�� rrg-�r ,fin✓ ,�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: -7 1 y 2-0 0
Date: 7 — r 9—/ C
21412015
Page 3 of 3

JQ4outine O Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review O Other
Facility mber Date of Inspection
Time of Inspection ?A hr. (hh:mm)
ermitted U.Certified 13 Conditionally Certified © Registered 10 Not O erational Date Last Operated:
Farm Name: ..11 S...�........r:� '_ County:..t!t fl�r... ...... ..... ................. ...........
/ � v
Owner Name: ......
..fl *'.......... . .dr....................................... Phone No:.......................................................................................
FacilityContact : ......................... .............................. Title:................................................................ Phone No:...................................................
Mailing Address: ....................
.............. ....................................................................
Onsite Representative:.. f..l..f...�.�.................................................................... Integrator: ...... lZ/i�..................................
Certified Operator: ............ ................ 5.!' �.. �~................................... ................... Operator Certification Number:..........................................
Location of Farm:
.........
Latitude f 66 Longitude 0 ' 46
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 ycs, 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 Structure 6
Identifier: `'
Freeboard(inches): Z �. ( 15. r�.................................................................................I.......I...................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ yes No
seepage, etc.)
3123/99 Continued on back

V
Facility Number: - 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 o
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public stealth or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes N
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Aaalication
10. Are there any buffers that need rraintcnancehmprovemcnt? ❑ Yes
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes No
12. Crop type Y^
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
14. a) Does the facility lack adequate acreage for land application? ❑Yes TNV�FNo
b) Does the facility need a wettable acre determination? El Yesc) This facility is pended for a wettable acre determination? ❑ Yes15. Does the receiving crap need improvement? ❑Yes16. Is there'a lack of adequate waste application equipment? ❑ Yes
Required Records & Documents
IT. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes o
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
20: Is facility not in compliance with any applicable setback criteria in effect at the time.of design? ❑ Yes io
21. Did the facility fail to have a actively certified operator in charge? ElYes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes N
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 5No
24. Does facility re a follow-up visit by same agency? El Yes
25. Wer y additional problems noted which cause noncompliance of the Certified AWMP? El Yes
�VQ•yiormiois;or- Ofickodos •wire wed. ¢offt NsAsit, • ;Y:oo will•;eoiye Od turtr
rresnoridence: abbuf this visit: .......:........: co .................. .

Facility Number: 3 Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes 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 N
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
J

aeilify Number:' — Date of Inspection �J
Printed on: 41;-,'4/?-000
r€p•yiblatiOOs•or dW ieflcie$.jvO e•ao(eO dutiog•fbas: visit; Yeu'wil� ee�iv -nq fn� then
:co xiss ondence abnik this:visit: ::: ::...... ..............
❑ Field Notes ❑ Final Copy
Additional Comments an or rarnngs ' r
l,,`
7 Y 3 3 s
-7-7
z2
k6 6Pq
5- 0'9
rtb-
• 1
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

L
f Visit Com ' nce inspection Q Operation Review Q Lagoon Evaluation
n for Visit Routine Q Complaint Q Follow up Q Emergency Notification Q Other ❑ Denied Access
F y Number Date of Visit: vs crime: =
NNot O erational Q Below Threshold
Permitted © Certified © Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: iGlf:.. "...'..:.........r............................................................... County:
.............................................................. .
OwnerName:........................................................................... ................
Facility Contact: ..............................................................................Title:.......
MailingAddress: .........................................................................................
Phone No:
............................................ Phone No:...................................................
OnsiteRepresentative:.................................................................................................... Integrator:......................................................................................
Certified Operator: .....13.....�.�.. �z! ���...................................... .... Operator Certification Number:..........................................
Location'of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �� ��� Longitude
Design' ° Current Design Current i` "Design ,Current �" q
. �CSwine 'Capacity Population Poultry Ca aci "Population Cattle a acl : Po `rilatloe` °,;
❑ Wean to Feeder ❑ Layer 10 Dairy
❑ Fe0er to Finish ❑ Non -Layer ❑ Non Dairy
arrow t0 Wean p 9 d iias � Ga I'�r
❑ Farrow to Feeder ; ❑Other
�] Farrow to Finish Total (Design Cabadty , �'`
+, ;
❑ Gilts;
❑Boars TOW SSLW f
Number of Lagoons ❑ Subsurface Drains Present 1111 Lagoon Area ❑ Spray Field Area
Ponds Holdi' g' 1$ohd�Traps ; ❑ No Liquid Waste Management System n
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/ruin?
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
❑ Yes.
❑ Yes
❑ Yes iQ No
❑ Yes 016V
❑ Yes ❑Tio�
❑ Yes ❑-ill
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑
Structure 1 Su`..•uct r• 7 Structure 3 Structure 4 Structure 5 Struclure
Identifier; ...............................................Z............... ................................... ...
................................. .................................... ....... .............................
Freeboard (inches):
5100 Continued on back

Facility Number: �3 Date of Inspection z d Printed on: 1/9/200
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspectorfarl 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: yi¢1aliq s o dgf c�ei��ie ire � ed ..F> g .. Moir. . .. eat. . *o *
lt�s:...��r • .I
6irisporidence: about: this visit: • ..... ................... I ......
1
❑ Yes No
❑ Yes a
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes
❑ Yes No
❑ Yes �Q N
El Yes N
❑ Yes N
❑ Yes No
❑ Yes No/
❑ Yes ❑,N'O
❑ Yes amo
❑ Yes ❑❑❑ Yes �
N
❑ Yes
❑ Yesiaxx
Yes
❑ Yes
Yes
❑ Yes
v h + l7 ri4 Li/1 /'Yi!j'Y/ S ' g �!• �� �Z �� i�•L G (f /�.+G4 J.r LZ ✓l�'"7'�..� i
J, A6 1` Q s e v i-
/ €t I I€. �� . 3 �,1: Spa t S3 3 ;$ £ �, i� �. IH E ! dS� s
ReviewerAnspector Name �, � -._� 13 3, , 4a. , t s, „� r
.
Reviewer/Inspector Signature: Date: -9Zz 51 b / _ 5/00

Facility Number: 3 Date of Inspection 6 Printed on: 1/9/2001
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
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 0
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes 0
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 o
❑ Yes
❑ Yes ❑ No-
5100

IType of Visit 0 Com nce Inspection O Operation Review 0 Lagoon Evaluation I
Reason for Visit Routine O Complaint Q Follow up O Emergency Notification Other ❑ Denied Access
F ility Number O Date of Visit: % /�f 0�'hTime:
rO Not Operational 0 Below Threshold
Permitted 0 Certified D Conditionally Certified [3Registered Date Last Operated or Above Threshold:
Farm Name: C' ►'.� �5 / _•I � - --_ fZ2— k- - _ County:
Owner Name:
Mailing Address:
Phone No:
Facility Contact: _ iz'. a.,t r J 47".Sl' Title: Phone No: ��-}}
Onsite Representative: Integrator: P-1-'-f _! /—
Certified Operator: 3 % �Z ` C Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Worse Latitude 1 " Longitude 0
Design Current
Design Current Design Current
Swine Capacity Population
Poultry
Capacity, Population Cattle Capacitv Population.
❑ Wean to Feeder i
JE1 Layer
❑ DaiEX 1 1?'
❑ Fce_Jff to Finish
ILI Non -Layer
I ❑ Non -Dairy
arrow to Wean
❑Other
T -
❑ Farrow to Feeder
u
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars I I
Total. SSLW
r
Subsurface Drains Present IILJ Lagoon Area ILJ Snrav Field Area
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:
Freeboard (inches): 41
05103101
❑ Yes 0<0
❑ Yes No
El Yes No
❑ Yes No
ElYes No
❑ Yes o
❑ Ye No
Structure 6
Continued

Facility Number: — 011 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
rNo
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
El Yes
o
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
o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
o
Waste A,Rplication
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 my-TS-m !� r.J:2/ -1 .5 -
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
[_ o
;o
14. a) Does the facility lack adequate acreage for land application?
ElYes
I
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
o
16. is there a lack of adequate waste application equipment?
❑ Yes
kI'N0
Required Recgrds &Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
ON o
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Ye No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
4d Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
{�!iZ
21, Did the facility fail to have a actively certified operator in charge?
❑ Yes
E o
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
Yes
El�
,,�
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
El
24. Does facility require a follow-up visit by same agency?
❑ Yes
FN
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
El Yes:�/
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
T.W. as?`-„ q!` ��i-
Com�i►ents (refer to.gaestio)Cxplam any YES;answers and/or any recommendations or anytofher comments. .,, f
Usn wings of fac lity to hefiter Earplain sitpatio . (us ;ail`ditio airp-ages as ne' ce ar L }
❑ Field CoPv ❑Final Nates
kV'i_ /-t.Sj-r Z —12 -p 7. Jkj r) ora-, /H Sti a Z
� s f--W jo? /
Imo✓ ttj e%4 r ,� � .� av
� 6-0� � �s ,�-� b e G 1�► h o wf C Q ¢ b.- � s�
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: / Z
O5103101 Continued

Facility Number: 3 — Date of Inspection %J D
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Arc there any dead animals not disposed of properly within 24 hours?
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32, Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes L�No
❑ Yes l N
El Yes No
❑ Yes ;No
ElYes o
❑ Yes No
❑ Yes o
Additional Comments:,and/or Drt iwings:
r
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 Date of Visit: 7/ i Time:
Q Not Operational O Below Threshold
Permitted OCertifted
%%13 Conditionally Certified [3Registered Date Last Operated or Above Threshold: .........................
FarmName: ...... ..,l fz .t :..:......I �.r2i:•.-.............................................. County:.....................................................................................
Owner Name:
Mailing Address:
Phone No:
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
Onsite Representative: Integrator:
Certified Operator: .---•.1...�.....5. r........................................... Operator Certification Number:..........................................
Location of Farm:
❑ Swine [3Poultry [3Cattle [3Horse Latitude Longitude �• �' �"
Discharg
e
originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes Flo
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes 2<0
c. If discharge is observed, what is the estimated flow in gaUrnin?
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? [ISpillway
Structure 1 Strru�ct�ure 2 Structure 3 Structure 4 Structure 5
Identifier: ............�Y.�.. { }...........:.`'.4.............. .................................... ................................... ................................... .......
i�
Freeboard (inches):
12112103
❑ Yes eNo
❑ Yes No
❑ Yes No
❑ Yes o
Struct e 6
Continued

Facility Number:' 3 — 07 Date of Inspection 7 /
5. Are there any immediate threats to the integrity of any of the structures observed? (iic/ trees, severe erosion, ❑ Yes eNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes Id�o
closure plan?
(If any of questions 4.6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes r/N<o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes o
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes E— No
11. Is there evidence of over application? If yes, check the appropriate box below. ElYes L o
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type vl
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
14. a) Does the facility lack adequate acreage for land application? ❑ Yes No
b) Does the facility need a wettable acre determination? ❑ Yes
c) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? ❑ Yes N
16. Is there a lack of adequate waste application equipment? ❑ Yes No
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 o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
r . fa^..;.;. «:::t,p'e,.:lfsa..,.fp, t.r'�.�15:��?:ifiit:ia:': ti4.�F^`.s...�,E , _ ..,.a,3:.3 8--Et{i:l'iida7dili .,,,..:.�,.. Y sb. a,N,.: E.M.i':i" �d.di£,"•"•l:�e.2 }� a.:7(7,,etd:.-0iN>i13?'"?i€h!."if. r J ..':i@nrk:E!trG#83Z:ii�YrY:N. s...9�:en:3M,��:P X"tir� E€' .s _ `Ir if i
Comments`(refer,to:question:#) .jjExpla n' ' n0*�YES.answers'snd/ . .... grecommenrlabons or any othercomments F 1¢ ' ;=E31i;1 `< ..,.,h sr:.•• h '' ::i ¢l; a r C5
q�Uttse drw�ngs dadfsfatlity tQ'bel1t#er�ex55glain{Egsivaiaons {use. EaddS�honalp(a(gesfss{netessary)•k�'`:jj{(❑ Field Copy ❑ Final Notes
.s.:,!'-.l,.,r°..�.,d.w�,th.z>.w»...tszr�:...tF:�. �.rr."�:.ist#'zL`?`�r:,.._.�.,��.�.n..fL�,ce:�d'=s>r.,�i�t€L•.¢rws-,is.=�_xi?c�:tEriY.�sr,.�',..,�t�.3,it�6..,�Mz;JS,.�:t,;.i.�°.z.t�?li,irt?pt3¢}�:>�i-#�,.:,"3d;?:.F_��r{3fai�`�i:.iiri�x>...��sia,�,.e,
T
z€ a'�irril E! s.r€iF�fa �" �
,:i' ,,
Reviewer/Impector Name .. .lG,r
Reviewer/Inspector Signature: Date:
12112103 Continued

Facility.Number: " — Date of Inspection /
Required_ Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes o
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes
;�
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes;�O
❑ 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 o
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes 0
26. Fail to notify regional DWQ of emergency situations as required by General Permit? f
(iel discharge, freeboard problems, over application) El Yes VO,
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes Lf
28. Does facility require a follow-up visit by same agency? El Yes
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes V
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) Yes ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form [:]Crop Yield Form ❑ Rainfall ❑ Inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Type of Visit 06compance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: C,2'ks' �v �J4J2v� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: J�0^ T
Back-up Operator:
Location of Farm:
Swine
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: 0 c 01 Longitude: 0 ° = , = "
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
❑Nan -La ei -
❑ Wean to Finish
❑ Wean to Feeder
El Feeder to Finish
❑ F ow to Wean
Farrow to Feeder
0 (i
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other - - -
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turke Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population .
❑
Daia Cow
❑
Dairy Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures: El
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes eNo ❑ NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes�No ❑ NA ❑ NE
❑ Yes rNo
❑ NA [I NE
El Yes El NA ElNE
El Yes❑ NA ❑ NE
12128104 Continued

Facility Number: 33 —4)
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
Z "/
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
ElYes N�O'NA ❑ NE
El Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes FNo
NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ YesDNA ❑ 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 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNoIZ6�NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) f_5
t
J Gs 4 151'
01
13. Soil type(s) (� 1 it J e T�) (/,(` - —�':::�
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination, El Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
NA
N ❑ NA
o ❑ NA
No ❑ NA
No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
„ rvtu3T*E�� r .� �4'3,#� s !i. J" �Si ..k�"� �4,.. i�
Comments (refer to question#) Explain any YESjanswers,and/or,any recommendations or any other comments.
4 Sin6-1aF Ya.t S �d .S
Use drawings of facrGtyh to,betteriexp_lain situahons:�(use adciitionai,pages$as nece'ssaey,):
s..a aft
Reviewer/Inspector Name
`, .. Phone:
Reviewer/Inspector Signature: a— tf
c—
Date:
12/281U4 Continued

Facility Number: —42 Date of Inspection �{
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [2rNo ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El 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 ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections eather Code
i
22. Did the facility fail to install and maintain a rain gauge? El Yes N NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ YesjN;V[fin]
0 NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes
NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes NA ❑ NE
1-1
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ YesZNo
NA ❑ NE
Other issues
28, Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
XTdiii naEiConnRnents acid/or Drawings` t 3 _ �
r; - p .�
f r
-, S� s.c ) fl.4'
S.
v
12128104

tip division of Water Quality �j'.(� n 7
Facility Number C) 'j O Division of Soil and Water Conservation
Q Other Agency
Type of Visit Com lance Inspection Q Operation Review Q Structure Evaluation Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Ar ival Time: 2� Departure Time: County: Region:
rr_
Farm Name: C - iel Owner Email:
Owner Name:
Mailing Address:
Physical Address: _
Facility Contact:
Onsite Representative:
Certified Operator: C'w e
Sack -up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Phone:
Title:
Phone No:
Integrator:
Operator Certification Number:
Sack -up Certification Number:
�o
Latitude:
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
I�—! ❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Longitude: = ° = I
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dal
❑
Beef Stocket
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
Z. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes "NoNA El NE
[I Yes��NoFDI NA ❑ NE
❑ Yes N ❑ ❑ NE
❑ Yes NA ❑ NE
❑ NE
12128104 Continued

Facility Number: — O Date of Inspection tJ`'
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
identifier: 7�
Spillway?:
Designed Freeboard (in):
Observed Freeboard
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
No NA ❑ NE
(ic/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes
No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
thrtnotify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes
NNA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [] Yes
No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
o NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Dritl ❑ Application Outside of Area
12. Crop type(s) !�y / 3
. L f.
13.
Soil type(s)
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ❑ NA
El NE
15.
Does the receiving crop and/or land application site need improvement?
WNo.1
El YesNA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes NA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes A
Fo
❑ NE
l8.
Is there a lack of properly operating waste application equipment?
El Yes ❑ NA
❑ NE
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):
•
Reviewer/Inspector Name Phone: �'� fi Lev
Reviewer/Inspector Signature: 4 S i-le Date: 0
12128104 Continued

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

FadilttyNumb&
3
p
i2roivision ofWater:Quality,,' "
0 Division of Soil and Water Conservation
0 Other Agency ..
Type of Visit LQ Co ante Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit Routine Q Complaint Q Follow up Q Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: 3 2-O0 Arrival Time: 1 _ Departure Time: County:
Farm Name: _ ��1�� r 7 Owner Email:
Owner Name:
Mailing Address:
Phone:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: JI Operator Certification Number:
Back-up Operator:
Location of Farm:
wme' '
WeantoFinish
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
ler;
Other
Back-up Certification Number:
Region:
Latitude: = c = & = is Longitude: = ° = d 0
en Current Design '.:Current
:ity Population . ': •Wet Poultry Capacity .'Population Cattle
❑ La er
�' ❑Non -Layer
1 Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ Turkey Poults
❑ Other
❑ Dairy Cow
❑ Dairy Calf
❑ Daia Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
je.
Number of Structures ,
F •, �I
Discharp,es & Stream I_mpacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes E2 <oo NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes FNo
NA ❑ NE
❑ Yes NA ❑ NE
❑ Yes NA ❑ NE
12128104 Continued

Facility Number: — Date of Inspection 4L
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): � �� aj Z It
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes �No
NA ❑ NE
❑ Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes RINNo ❑ NA ❑ NE
❑ Yes �NoO NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit`? El Yes�No
NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ON NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ElApplication Outside of Area
12. Crop type(s) 00— A` j
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
0 No. ❑ NA ❑ NE
No ❑ NA ❑ NE
L�J N6 ❑ NA ❑ NE
[JNq�❑ NA ❑ NE
j[3NNo ❑ NA ❑ NE
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):,
r
Reviewer/Inspector Name - - - -- Phone:
Reviewer/Inspector Signature: .Q� Date: �l O
Page 2 of 3 12128/04 Continued

Facility Number: Date of Inspection D
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes 0 No ❑ NA ❑ NE
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 El Maps El Other
21.
Does record keeping need improvement? If es check the appropriate box below.
p g p Y�
❑ Yes
IQNo ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑ Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No E] NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakcrs on irrigation equipment?
❑ Yes
No '❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
Lr N ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
�(N 'El NA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
El YesTNo
❑ NA
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El Yes
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional, Comments and/or Drawings:
�S' L i h -(x al D� G 9Icy. Lam,
Q - ! v�
L.. �.+� l ow :.2 � � � I'1^ � .. r yin w.. Vd�,,.� � .. "� rr� �a�� ¢.. � S' h'+ /-F � � f � • .� e.
rr
Page 3 of 3 12128104

Type of Visit 0 Compl' nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: (Z Arrival Time: 0 Departure Time: County: Region:
I
Farm Name: (7- Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: ��,,
Certified Operator: �2z !
� -uw- 0\
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: [= c =1 0 « Longitude: = c = i
Design Current Design f Current Design Current
Swine Capacity Populat on Wet Poultry Carp %y ah.Pop�ulatton Cattle Capes rc ty Population
❑ Wean to Finish ❑ La er ❑ Dairy Cow
❑ Wean to Feeder
❑Non -La er
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
Dry Poultry ❑ Dry Cow
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑ Pullets El Beef Feeder
❑ Beef Brood Co
❑ Boars
❑ Turkeys
Other
❑ Other
❑ Turkey Poults
❑ Other Number of Structures:
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 040_ o NA ❑ NE
❑ Yes 2No I] NA ❑ NE
❑ Yes [Xlo ❑ NA ❑ NE
[]Yes
❑ Yes
❑ Yes
❑ NE
❑ NE
❑ NE
Page I of 3 12128104 Continued

Facility Number: 3 --
Date of Inspection E
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No A El NE
ElYes No ❑ NA ❑ NE
Structure 5 Structure 6
ElYes No A ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes N NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit`? ❑ Yes No A ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑Yes No El NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes eNo a A ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ 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 Area
12. Crop type(s) 6-0Y-n
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No NA
[I NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? [3 Yes
eNo ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
��?�.�� -. - ...
Comments r fer to question4#)t Expla rn any YI S nswets and/or an recommend ns or any other comments.
(�yUse draw�ngs.of fac�lrty ppto better explatn:situat�otis.,{ust additional pages as... +++anecessary,)•
T
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

7
Facility Number: ] —O Date of Inspection
Required
Records & Documents
Did the facility fail to have Certificate of Coverage & Permit available?
19.
readily
❑ Yes
No A
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21.
Does record keeping need improvement? If es, check the appropriate box below.
P g Y
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections, ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
B-No E] NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes No ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
0<o___E1 NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes
2< ❑ NA,
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
�No A
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
o ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Add itional'Comments.indlor Drawings-,i
i
Hi
Page 3 of 3 12128104

Facility Number
I
ivision of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit co ante Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit Routine OComplaint OFollowup OReferral OEmergency 00ther El Denied Access
Date of Visit: L % Q Arrival Time: /, Z Departure Time: County:
Farm Name: +' i1-12 C r,Gd. I s ? Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: I Title:
Onsite Representative:
Certified Operator: a��
Back-up Operator:
Location of Farm:
Swine
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
�l ❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Latitude:
0
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
="
Longitude: = ° =' =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
'_� ❑ Non -La ei
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turke Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocket
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? ([f yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes VNo NA ❑ NE
❑ Yes o ❑ A El NE
El Yes No XJ NA _Ej NE
E
E
&28/04 Continued
I

Facility Number: —Q
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes No _ ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Z No ❑ NA
❑ NE
(ic/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
o ❑ NA
❑ NE
through a waste management or closure plan?
ify DWQ
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t�No[:]
7. Do any of the structures need maintenance or improvement?
❑ Yes
A
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
El Yes
NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
�NNA
9. Does any part of the waste management system other than the waste structures require
❑Yes
o ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or t0 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)C�{]�`•�-�
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
�of-N
A
oA
NA
No N
NorNoA
o ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
,'. ._ , Sr., +L �!i ��h, �. a��►��,.�. �r�^'�P Yi��M��';��� t r °.fS S#�'r� z4��'4 ''��Y�:�Kk?k�i�' .,� � ..... .. .:
Comments (refe'�rL%to question•#)¢ sExpla�nttany YESanswers and/nr any recommendations or auy other comments.
Use drawings of(facdityfyyotbette}rlFexplga�nLs.itugatt��o`,��ns: (ugse a``{{ddrttpyonal pagges,asn4e§cessajryy)•;
i
7
Reviewer/inspector Name , : Phone:
Reviewer/inspector Signature: Date: ,7 v
Page 2 of 3 12128104 Continued

Facility Number: 3 —:O Date of Inspection Z' d
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ElYes ZNo A ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes o ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps [I Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes a LJ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ W her Code
22. Did the facility fail to install and maintain a rain gauge? [IYes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes O NA ❑ NE
24. Did the facilityfail to calibrate waste application equipment as re required b the permit? ❑ Yes NA ❑ NE
PPq Y
25, Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes �>N�
N - El NE
26, Did the facility fail to have an actively certified operator in charge? ❑ YesNA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? El YesNA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30, At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
{.� - 4.° ' f� B f i i%A b x G'*., �1�� F k ,d+� i. i' 0.1{� B f Y .S�`..' ° 1 3't 3 f" :i
Acld�tional,1Cpmments andlor Drawangs , i t�.� ot. , ` �fl 2:iw .� . r ' . t fit:"W ., ..
Page 3 of 3 12128104
Page 3 of 3 12128104

&- (')�- rr
0
(Type of Visit: O Co ' . cc Inspection Q Operation Review O Structure Evaluation p Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: f Arrival Time: Departure Departure Time: County:
Farm Name: LY 115'1 cfG Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: �'j 1wt i sn-�W'z Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current Design Current
ultry Capacity Pop.
Swine Capacity Pap. Wet PoNEW
Wean to Finish Layer
Design Current
Cattle Capacity Pop.
Dai Cow
Dairy Calf
Wean to Feeder
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
D . P,qult . Ca aci P■o
Layers
D Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
113eef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other Turkey Poults
0 1 JOtber
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No DNA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
ONo ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
No [] NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
kN
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters .
❑ Yes
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facili Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
VNo NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
o ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
rest, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
No ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
D Yes
❑ No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[] Yes
❑ No ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
D 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): C'
U. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Z
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
N
❑ NA
[] NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
Noo
❑ 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
No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
JN
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ 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 Transfe s ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

F'hcili Number: - C Date of Inspection: —
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes VNo
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes a ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [:]Yes [:]No ❑ 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?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ONE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any.additiopal recommehdatioi s` or• any:other comments.,
Used rawi n2s of facility to better explain situations (use additional''paf es as necessary).
%/( -k%Lr
Reviewer/Inspector Name:
Phone: '-)I / ^ V 7 c,>D
Reviewer/Inspector Signature: lr Sx TO-c> L�
Page 3 of 3
Date: �6 �? — &-f
21412014

(Type of Visit; /Q Co Hance Inspection O Operation Review p Structure Evaluation p Technical Assistance I
Reason for Visit: Routine Q Complaint Q Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: `--�--� Arrival Time: Departure Time: County:
Farm Name: �i �'/�Q_ - i2oilo - Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator: (�j✓QQn e__
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
... ..,. M
� Design Current
Design Current
Swine
Capacity Pop.
Wet Poultry Gapac`ky Pop.
Cattle Capacity Pop.
Wean to FIT
inish
La er
Dai Cow
DairyCalf
Wean to Feeder
-Layer
Feeder to Finish
DairyHeifer
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
Dt. P�oultr. Ca a Po .
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Nan -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
6 No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes❑
NA
FNo
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes❑
NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: jDate of Ins ection: ? d
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ZN�
❑ NA
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes 0 No ❑ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t reat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes I No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Z No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
l7. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ W UP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes C] No
❑ NA
❑ NE
[] Yes
❑ NA
❑ NE
❑ Yes No
❑ NA
❑ NE
❑ Yes ZN
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes o
❑ NA
❑ NE
❑ Yes No
❑ NA
❑ NE
❑ 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 Survey
22. Did the facility fail to install and maintain a rain gauge? ❑Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: 3 3' -D 2 Date of Inspection: /
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey []Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes VNo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ YesNA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ 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?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
[:]Yes [—]No
❑ Yes ❑ No
❑NA ❑NE
DNA ❑NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YESanswers and/or any additional recommendations `or any other comments.
Use drawyings of facility to better explain°situations (use additional pages as necessary).
C4VV)9 a-
Reviewer/Inspector Name: Phone: 1791—Y Z,&-b
Reviewer/Inspector Signature: t"'_ —C ly (?,-c Date: & .l 7 D / ( C.1
Page 3 of 3 21412011

M. v-7
Type of Visit Com ' nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: ® Arrival Time: Z Departure Time: County:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: 06 q 22yn/
Back-up Operator:
"Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: =o =' 0" Longitude: 00 =' =
Design Current
Swine C►►specify Population
EmEDesign Current
Wet Poultry Capacity Population
Design Current
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
❑ DairyCow
Wean to Feeder
❑ Non -La er
❑ Dai Calf
FFeeder to Finish
❑ DairyHeifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ La ers
El Stocker
El
❑Non -La ersEl
❑Beef Feeder
PCIGilts
Boars
Pullets
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Other
❑Turke Points
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes []NA
❑ NE
❑ Yes❑ NA
VNo
❑ NE
❑ Yes iN5�rNoO
❑ NE
❑Yes
❑NE
❑ Yes
❑ NE
Page 1 of 3 12128104 Continued

Facility'Number: — Date of InspectionIris—]
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. if yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes rlNo
NA [I NE
El Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes ;No
o ❑ NE
El Yes ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No A ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ ❑ 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 o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)r✓,
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ONo NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? El:�N�NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes No NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes o ❑ NA ❑ NE
�r � •� _ k =.; � ,=a. gin,,.., ,3� <`���;��.�, ._�
.Comments (refer to question;#) ,,Explainany YES`!a'aswersand/or any recoyGmmendations,or any other comments. r :4 AM
Use drawings of facility, to ybettcr explain,situattonsp (use.additionppal pagesas,necessaryq)::y a' ,y,y, ^y{ (.{y$„yY
W..
III I. ?" 3 i s� 1r t g s.t , „'.i,x
Reviewer/Inspector Name 4 �- s f, NI " , .� Phone: 2— _
Reviewer/Inspector Signature: 1 S4�7 IV LI el Date:
Page 2 of 3 1Z/Z0/v1# a.unttnueu

Facility Number: -an 2
1Date of Inspection 5 r v
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NE
20.
Does the facility fail to have ail components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps El 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
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V
Rain Inspections ❑ W er Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
, o NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No NA
❑ NE
24.
Did the facilityfail to calibrate waste application equipment as re required b the permit?
PPq Y
El Yes
NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ YesNE
26.
Did the facility fail to have an actively certified operator in charge'?
❑ YesNE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ YesNE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (iel discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33,
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
T
Page 3 of 3 12128104

0-".�-- I Z•.
(Type of Visit: •D Cgnt iHance Inspection U Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit. 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emen enc_y 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: 1 Z3�?) County: Region:
Farm Name: �. JS ; �� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title: Phone:
Integrator:
Certified Operator: (5I-e-! j / 4d l x e Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
MOM
Design
Current
Design
Current Design Current
Swine Capacity
Pop.
Wet Poultry Ccity
Pop. Cattle Capacity P.
Wean to Finish
Layer
DairyCow
DairyCalf
Wean to Feeder
Non -La er
Feeder to Finish
(
DairyHeifer
Farrow to Wean
Q�
Design
Current D Cow
Farrow to Feeder
D , PlouIt . Ca aci
P.o Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ZfNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes VNo
❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes /00
❑NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters [:]Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
W
21412011 Continued

>t;acili dumber: - Q Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: JS
❑ Yes
Structure 5
No NA ❑ NE
No ❑ NA ❑ NE
Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environments rest, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes I J l� ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ZNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding 0 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
0 N -
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
WNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
neNc,
❑ 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 Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbrdakers on irrigation equipment? ❑ Yes Na ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Dumber: - p
Date of Inspection— JO&Z�
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
[]Yes
No ❑ NA
❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
[] Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
No ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
[:]Yes
No ❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[:]Yes
No ❑ 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?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface the drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[]Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations.. or any other comments ,
Use drawings of facility to better explain situations (use additional palles as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature: f�ct.S�p�z CB-t„1 1 r
Page 3 of 3
Phone: / V—y2-a 01
Date: / 4 ( i S { 2r
21412011 ii