330012_PERMIT FILE_20171231

31?2t t2--.
IType of Visit: AD Once Inspection Q Operation Review Q Structure Evaluation Q 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: l �7 County:
Farm Name: 7r 'ale M 64a,*Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Phone:
Onsite Representative: T-1) Y n n L4 k) L L 4 Lj� a✓ P1 Integrator: M 6' -S
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Design Current Design
Current
Swine Capacity Pop.
Wet Poultry Capacity Pop. CatEle Capacity
Pop.
k.
Wean to Finish
I ILayer I Dairy Cow
Wean to Feeder
Non -La er I Dairy Calf
Dairy Heifer
Feeder to Finish
Farrow to Wean
Design C>urrent Dry Cow
Farrow to Feeder
Dr, P,oultr. , Ca acity Pao Non -Dairy
Farrow to Finish
Layers Beef Stocker
Gilts
Non -La ers
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 No ❑ 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) ❑ 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 N ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesrNo
❑ NA [3 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

i
Facili Number: 33 - Z 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?
❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
�No[3
NA ❑ NE
NA ❑ NE
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): t
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 DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes 0 NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 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 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): y P/ g e r n-i i, �}-
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18, is there a lack of properly operating waste application equipment?
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
❑ Yes VX"o-
Yes
❑ Yes Er<o
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ Yes la o ❑ NA ❑ NE
❑ YesEr-No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes gNo ❑ 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 ff No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers 0 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
I
Page 2 of 3 214.12011 Continued

of
Facility Number: - Z Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �❑ 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 No NA [3NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [] Yes o ❑ NA [3 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?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ 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
Comments (refer to question #): Explain any YES answers and/or any additional recommendat€ons or any other comments p ,P
Use drawings of facility to better explain.: situations (use additional pages as,necessary).
S�k Je 5 tle ve_ _I 1 Z /z j fill
3•t
Reviewer/inspector Name:
Reviewer/Inspector Signature: f� � s L L(Z �(
Page 3 of 3
Phone: 7 �'J /—YZ D 0
Date: 3 I (,9I ( 2--
21412011

Type of Visiti C) Co ce Inspection Q Operation Review O Structure Evaluation .O Technical Assistance I
Reason for Visit: Routine O Complaint Q Follow-up O Referral O Emergency O Other 0 Denied Access J
Date of Visit: ^'1 r Arrival Time: Departure Time: 1 46/3'l County: Region:
Farm Name: 6 r 4 n C /-j 'o�6 0— 01, Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: 00#P7 /11c49-wh0t' /tX_ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design
Current
Design
'sii�T�li1
Current
Design Current
i
Swine
Capacity
Pop.
Wet Poultry
r 4
Capacity
pIII — N
Pop,
Cattle
CaPty
41
Pop,
Wean to Finish
La er
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
p d
Dairy Heifer
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
D Po It ,
. ,
CaaciI
Pop.p
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
I Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
I
Other
Y1Y3kY11M1YlIIM
ItElftglv1114t fl�M1i411riN4kAM1lfiliAY1N1Y4l4�NlOKbEiOlryiEFEtInNIttSF{4t1Y111ekttiA33Ulnlli4ipuuldt3ipli
.}y�YyP1iFiffWYIYEItiNwlPetiWNup�$y}pkl
Ylf'dddllYM,llilliLMIQEIafnlYkPiNYtl
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes eNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ 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 ❑ 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 3 214.12015 Continued

r
Facility Number: A 2j=I Date of Ins ection: g
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ONo
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ 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?
(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 No ;NA ❑ NE
[] Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental rest, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ YesrNoD
NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesNA ❑ 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 zZ
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 Windrow ❑ Evidence of Wind Drift ❑ Application
Outside of Approved
Area
12. Crop Type(s). —eS C 91
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ 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
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
NA
VNoD
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
2 KNcr__jE] 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 ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes eNo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
D Waste Transfers
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 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

i
Facility Number: - Date of Inspection: - ?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
jNo ❑ 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
N ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
No ❑ NA
0 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?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ 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 nbn-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?
0 Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
a .�, >. �..� ... ..
{ f
omments,{re[er to,questhon #): Explain any YES'an§veers.'and/or any�addItignattrecomment{iitions or;;any,lotherfcamments
.� .#.� 14i"fl--i1 .[L16 ; a1: I{!'f .1'{I jy iV II k .pi. —(i 1pi) .i:i _ fki d: it f. ` �,hlp 4. i r IY 1V. .il q llo'\'f'k{" i If t -I- ,r ''11' rl tti.1_p�i I I , .>..� i 1 0 . � 1� .� .
g�.1. tyi i p i r .0 d .. N hi f �, �, 1 h.: � !4 ,.I�f !, i ik� kkf�al C k �I ' � E„ 41' n sr E r E 1
Use `'drawm s of'[acili ' tolbetter�eir"lain situations'�,(useiaddrt7©nal pages, as necessary) �.;f;3< < �i�,� �.v.. -i'i
k
Reviewer/Inspector Name:
Phone: q (q 2'? ( 7 ZC70
Rev iewer/]nspector Signature: (,e S� l9{�J 4e— t'-
Page 3 of 3
Date: 5 ` -7 — l )
21412015

v 2,
(Type of Visit: d Co ance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: - 22- Arrival Time: Departure Time: 'County:
Farm Name: C49rgA --r1 13 I' (} n L'%V Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: ` Title:
Onsite Representative: f�al% �7c�al�(Jrr✓
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Latitude: Longitude:
Region:
Wean to Finish
La er
Dairy Cow
Wean to Feeder
on -Layer
Dairy Calf
Feeder to Finish
Design
Current
Dairy Heifer
Farrow to Wean
Dry Cow
Farrow to Feeder
D , P,oultr,
to acit
P,o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
jBeef Brood Cow
Turke s
Qther
Turkey Poults
Other
Other
Discharges and Stream Impacts
I. 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 N 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'? ❑ 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 1 of 3 21412015 Continued

Facil - ity Number: 33 - j Date of Ins ection: Z
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
���Ocl NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ? 0 t
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
ZrN0 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�N`oD
NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
❑ Yes No ❑ NA ❑ NE
❑ Yes No A
7
1 l . Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA
❑ 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 r 12"-j e-
❑ NE
❑ NE
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
El Yes
NA
NogNA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
N
❑ 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
❑ 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 ❑ 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 ❑ Stacking ❑ 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 1 21412015 Continued

Faci i Number: - Date of Inspection: —22
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes N ❑ 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 provide documentation of an actively certified operator in charge? ❑ Yes N 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 ReviewerlInspector 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 question #): Explain any YES answers and/or any additional:recommendations or any other.comments.
Use drawings of facility, ,to better explain situations (use additional pages as necessary).°
j f ti oafs P 5u rl/Q-�-I
S
ReviewerlInspector Name:
Reviewer/Inspector Signature: f; C, 5 ke C r/
Page 3 of 3
Phone: /l-/ ?g % y Z. da
Date: S-- z2^ 1 7
21412015

Type of Visit: 0 Co lance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
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: b y 11f� E2jL01h= Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: &� kwj'j M C C141JAVVU Integrator: I�j
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
* Design Gurrent
Design
Current
Swine Capacity Pop.
Wet Poultry '' C•apacity Pop.
CattleWeapacity
Pop.
n to Finish
La er
DairyCow
to Feeder
Non -La er
Dai Calf
er to Finish
Dai Heifer
w to Wean
F
Design Current
D Cow
w to Feeder
Di, P.oult . Ca aci l;o .
Non-Dairy
w to Finish
La ers
Beef Stocker
on -Layers
Beef Feeder
Boars
Pullets
Turkeys
Beef Brood Cow±Ej
inj
Other X
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes No �[i] NA ❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes rNo
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 NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facility Number: Z. - / L Date of Inspection: 3
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 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 4 Structure 5 Structure 6
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 o ❑ NA ❑ NE
[:]Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental reat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes N ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 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
W� ind�Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 3e— y,,-, ti J-A , �y leP74`��l.'P.c�/L�I
f
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
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
KNo ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[] Yes
❑ No ❑ NA
❑ 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 rainbreakers on irrigation equipment? []Yes []No [] NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: 93 jDate of Inspection:-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes PNo
o 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 "NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes;��;No[0�3N ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ 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 question #): Explain any YES answers and/or any additionalrecommendations or any other..comments.
Use drawings of facility to better explain situations (use additional pages as necessary):
� y
�=
Reviewer/Inspector Name:
Phone: 7011 `yZGO
Reviewer/Inspector Signature:
Page 3 of 3
3 c/_'s
Z_
Date: � — r/�/P -71.j-
21412011

(Type of Visit: .0 Com nce Inspection O Operation Review C) Structure Evaluation p Technical Assistance I
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit:
c
Arrival Time:
•YY�YI
Departure Time: County:
Farm Name:
C /)"--
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: rTitle:
Onsite Representative: C_ C el-L, h rl
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Phone:
Phone:
Integrator: M 3 t S
Certification Number:
Certification Number:
Longitude:
Wean to Finish
I
I Layer
I
I Dairy Cow
Wean to Feeder
I
INon-Layer
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
D�, P■■Dolt > C•.a acit
Po
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Beef Brood Cow
Boars
Pullets
Turkeys
,Other
Turkey Poults
Other IMI
10ther
Region:
Discharees 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 ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes 6No ❑ 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? ❑ YesFoEo]
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 1 of 3 21412011 Continuer)

r
lFacility Number: - Z, Date of Inspection: R 107t,
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
No ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: VV Q.4')
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z G ri r
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No 0NA
❑ 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 DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
N ❑ NA
[3 NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
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
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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
N ❑ 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
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
5No
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage &Permit readily available?
❑YesrNo
❑ 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 A ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Weather Code
❑ Rainfall ❑ Stacking ❑ 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 21412011 Continued

Facility Number: - Date of Inspection: /d~
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: j
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑Yes No N1 ❑ 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 ❑ NE
❑ Yes ❑ No E] NA ❑ NE
❑ Yes ❑ No
0 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.
Vs'e drawings ofiacility to better explain situations (use additional pages as necessary).
cf. Sc� rye
.S
Reviewer/Inspector Name:
Phone: ?I I v 2—y &
Reviewer/Inspector Signature:
Page 3 of 3
Date: :LZ/_Vz _-/
21412011

,71.-
Type of Visit: )Q Com ce Inspection U Operation Review U Structure Evaluation U 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: 0!!I AC e�i'f P-fS, Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
1►rsGL �1/ r Integrator:
r Onsite Representative: rlit y � dr g
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Current
Design
Current
Design
Current
Capacity Pop.
Wet Poultr,.y
Capacity
Pop.
Cattle Capacity
Pop.
rDesign
Finish
La er
DairyCow
Feeder
Eeeder
Non -La er
DairyCalf
o Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dr. P,oultr,
Ca acit
P■o ,
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turke Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ WE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [] Yes [] NA ❑ NE
b. Did the discharge reach waters of the State'? (If yes, notify DWR) ❑ Yes9�wo❑ NA ❑ WE
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 P]] NA ❑ WE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ No ❑ NA ❑ WE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

; Facility Number: - Date of Ins ection:
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 0 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): 03 1(
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 ❑ 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 neat, 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 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): r=escit-e.
13. Soil Typc(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Z] N ❑ 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 D 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 DNA
❑ NE
Renuired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
0 NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
YNo ❑ NA
❑ NE
the appropriate box
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? Ifyes, 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 21412015 Continued

Facili Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No r
❑ 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 gNo[]
NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 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 question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
51d,J5e '5e."v0,e�
G•S
( 2 -/m' -- /S7
Reviewer/Inspector Name: ii �,'
Reviewer/Inspector Signature: �S•�L -2Ftj R
Page 3 of 3
Phone: '7q i ^ Y7-V a
Date: 1� "--TD —/ 6
21412015

z6
l
0
Type of Visit: �Com H nspection U Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
/ l
Arrival Time:
Departure Time:, County: Region:
Farm Name:
13 v A n C
A F rtn,
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
r
Onsite Representative: ri n Cjr+L., r r✓ Integrator: /►'1 (�
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pap.
-
Wet Paultrny
Design
Capacity
Current
Fop.
Design Current
Cattle Capacity Pop.
Wean to Finish
La er
Dai Cow
Wean eeder
Non -La er
Dai Calf
der ko Finish
row to Wean
� �
Design
Current
Dai Heifer
D Cow
row to Feeder
D , P�oultr
Ca aci
P,o
Non -Dairy
row to Finish
La ers
Beef Stocker
s
L
Non -La ers
Beef Feeder
rs
Pullets
Beef Brood Cow
Turke s
Turke Poults
er
Other
Discharges and Stream Impacts
I. 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 0.N A [3 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 No NA%❑ NE
2
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes;No NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes o ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 2
/4/1011 Continued

Facility Number: - 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?
Identifier:
Spillway?:
Designed Freeboard (in):
❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Observed Freeboard (in): j Q tt 51S tt
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?
"N�oNA [] NE
No ❑ NA ❑ NE
Structure 6
❑ Yes No ❑ NA
[:]Yes No ❑ NA
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental th eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes rNo
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? El 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 1Vo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [:]Yes la "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 Approved Area
12. Crop Type(s): 13a-v /st e, J A , r .7 j
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [3-No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes FZ 'Co ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E�['Na [] NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
o ❑ 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
[3Yes
No ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes No ❑ NA [] NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall InspectioV[D
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 21412011 Continued

Facility Number: 1 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 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 ZfNo ❑ 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 ReviewerlInspector 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 question #): Explain: any YES answers and/or any,additional;re&rftmendations or$any{other comments
Use drawings'of facility it better explain situations (use'aiiditloml pages as'necessary) ,' �,- . ; I. _� r �, � t�f..
ReviewerlInspector Name:
Reviewer/Inspector Signature: 5` 'f-Q
Page 3 of 3
Phone: 2 /— L(� G 0
Date:
21412011

2--
(Type of Visit: .O Co
ce Inspection O Operation Review 0 Structure Evaluation Q Technical Assistance I
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 22 Arrival Time: © Departure Time: County:
Farm Name: 7r 11 ok A-1 6,12 rr- S Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative:
Certified Operator: +t.+ y'^e_ �C n
Back-up Operator:
Location of Farm:
Latitude:
Phone:
r�
Integrator: .-
! ► I,
Certification Number:
Certification Number:
Longitude:
Region:
Wean to Finish
La er I
I Dairy Cow
Dairy Calf
Wean to Feeder
I INon-Layer I
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
a
Dry Cow
Farrow to Feeder
Dr. P■oultr . *
�Ca act P,o ..
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
I Beef Brood Cow
Turkeys
Qther
Turkey Poults
Other
Other
Discharges and Stream Im acts
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 N 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 ro[o]
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 NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: jDate of Inspection: Z1
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):
Z/t' 3'd
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes...,.
o 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 th at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes o NA ❑ NE
$. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 4/0 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ 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): ��,5Au CJ
U. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [allo 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 ❑ 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 No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge 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: - ! Date of Inspection: �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 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
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 ❑ 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 situations (use additional pages as necessary).
ReviewerlInspector Name: Phone: ��' GY x-G"p
Reviewer/Inspector Signature: �2jd; .S l�t:/v l Date:
Page 3 of 3 21412011

Type of Vlslt/0 Co ante Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit O Routine Q Complaint Q Follow up Q Emergency Notification Q Other ❑ Denied Access
F ' ity Number Date of Visit: 'rime:
Not O erational 0 Below Threshold
Permitted [3 Certified [3 Conditionally Certified Q Registered Date Last Operated or Above Threshold:
Farm Name: < < �~ i►--S t3r 9�t �� County:
Owner Name:
Mailing Address:
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: ! ! Integrator: r2" SJ4
Certified Operator: Jd r V% �'� f L 1Y1 d'r+7 Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0.06 0 ff Longitude 0' ' 0 fL
Design
Swine Ca acit
❑ Wean to Feeder
Lafeeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Current Design Current Design Current
opullation Poultry Capacity Population Cattle Capacity Population
❑ Layer
❑ Non -Layer
❑ Other
Total Design Capacity C
❑ Boars Total SSLW
k
er ofLagoons� 4� ❑Subsurface Drains Present ❑ La oon Area ❑ Spray
Field Area
- -
Holding Pondsc/'Solid Traps r ❑ No Li uid Waste Management System
-.:..1A
Discharees & Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated Flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4, Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: ✓1 �- Q t_
Freeboard (inches):
^+ +
05103101
❑ Yes
o
❑ Yes
o
❑ Yes
o
❑ Yes
❑ Yes
❑ Yes
❑ Yee"❑ No
Structure 6
Continued
■ � fi .
--

A
Facility Number: — L Date of Inspection
S. 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 stuetures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. is there evidence of over IppliJcation? El Excessive Ponding El PAN [I Hydraulic Overload
12. Crop type �25�� f_Nj'iyl4 r ✓t C . T`
v ; l l
13. Do the receiving crops differ wrth those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15, Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ONo
ElYes
❑✓NN
❑ Yes
❑ Yes
❑
Yes
ONO
❑ Yes
, N X
❑ Yes
i
[YNo
❑ Yes
0 No ,
❑ Yes
[1 No•
❑ Yes
EI•NQ
❑ Yes
ON, o.-
❑ Yes
O' No '
❑ Yes
�.]'No
❑ Yes ONO �
❑ Yes
Q'Ro • '�/
ElQ Yes
No : /
❑ Yes
Q•Nq•'
❑ Yes
Q'No
❑ Yes
[:] No N
❑ Yes
❑ No
❑ Yes
[}''No
❑ Yes
ONO
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
' .. r- s ,# ,
``"refr-b Nuestiod4) �eExpla[n any YES answers and/or:any�recommendatioa�s or any other comments.
Commentff5o.,cf,
'w+t �vr �i, Y. - w ;-s :rawii tttei•e%ptain
situatlons. (use additronal;p�ages as�nessary)r . ❑ Field Copy ❑Final Notes
Reviewer/Inspector Name 7.. ;', t:._
--
Reviewer/Inspector Signature: T Date: �' ��� s - ' _ -•
05103101 Continued

Facility Number: � — Dale of Inspection 7 e
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
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 No
❑ Yes No
❑ Yes No
❑ Yes 0
❑ Yes o
ElYes o
❑ Yes No
Additional Comments and/or Drawings: r
05103101

fit -ZStr.v
1
Type of Visit �'Cornplian spection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 _tine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of visit. KC1211 10 1 Arrival Time: Departure Time: County:
Farm Name: O C G 19-4, 4 (V"� t�t2A— Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: ll Title:
Onsite Representative: �Vkhn l''tC �'4W�+Jw �eI
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = p = f = Longitude: = ° = =
Design Current Design Current Design C►urrent
Swine Wo Ni­)a c i f M Population Wet Poultry Capacity Population C►attle Capacity Population
❑ Wean to Finish 10 Layer I
I
I
❑ Dairy Cow
❑ Dairy Calf
❑ Wean to Feeder I IEJ Non -Layer I
eeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean IDry Poultry
DDry Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish ❑ Layers
❑ Beef Stocker
❑ Gilts ❑ Non -Layers
❑Beef Feeder
❑ Boars ❑ Pullets
❑ Beef Brood Cow
❑ Turke s
Other010 Turkey Pouets
❑ Other ❑ 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 No ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes rNoEOINA
El NE
El Yes' ❑ NE
❑ Yes ❑ NE
Page 1 of 3
12128104 Continued
e

IFacility Number: 's —I I
Date of Inspection 2l b
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
❑ Yes "NoNA ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3p It D `�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No A ❑ NE
(ie/ 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?
If any of questions 4-6 were answered yes; and the situation poses an immediate public health or environmental thr�e , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes •WNc,
❑ NA [INE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes 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 ElYes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No 'NA ❑ NE
m ai ntenanceli mprovement?
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 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. Croptype(s) CL"3 �Wl, 6," G}ff4 6 n 3
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes C No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�fo ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
El
No [INA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
1 nl ❑ NA
ElNE
18. Is there a lack of properly operating waste application equipment?
ElYes
No ❑ NA
❑ NE
Co mm ents' (refer to question #) Eiplain any YES, answers andlor any4ecomme6dations or, any otheri.comments ,1,'
Use„drawings'of facility4oabetter explain situations �(use'addetronal'pagesias necessary t �� ;
k s
Reviewer/Inspector Name . , s a� _ . H 4!; : Phone:
Reviewer/Inspector Signature: t e, aZ� (i Date: Z{ �$
Page 2 of 3 12128104 Continued

f
Facility Number: ' — Date of Inspections d
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No A ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes o ❑ NA ❑ NE
the appropriate box, ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo ❑ 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 InspectioZNo
ather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ YesNA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No NA ❑ NE
q Y P
24. Did the facility fail to calibrate waste application equipment as required b the ermit? ElYes jNp,
N NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ YesN El ❑ NE
26. Did the facility fail to have an actively certified operator in charge? El Yes❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ 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? (ic/ 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;'
Page 3 of 3 12128104
Page 3 of 3 12128104

Type of Visit Xcompl lance. Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit aline 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit:
Arrival Time:
�
Departure Time: County:
ry�
Farm Name: 1LCC LAkAk
n
(5 r.9 rG ig
jr-q Z r` Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
On site Representative: �3A AA /^ c W 4", K
Certified Operator:
Back-up Operator:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = e = t =Ag Longitude: = o = ' =
Design Current
Swine Capacity Population
4 Design Current Design Current
Wet Poultry tMpcity Population Cattle Capacity Population
❑ Wean to Finish
❑ La er
I
Dairy Cow
❑ Ito Feeder
[] Non -La er
Dairy Calf
Feeder to Finish
T "
Dry Poultry
❑ Layers
❑Non -La Non -Layers
❑ Dairy Heifer
❑ Farrow to Wean
❑ Da Cow
❑ Farrow to Feeder
ElNon-Dairy
El Beef Stocker
❑ Beef Feeder
10 Beef Brood Ca
Number of Structures:
El Farrow to Finish
Gilts
ElPullets
FBoars
Other
❑ Turke s
❑ Turkey Poults
❑ Other 10 Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0 �No[01 NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ YesfN
o NA El NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yeso ❑ NA ❑ NE
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) ❑ Yes N NA [INE
2. Is there evidence of a past discharge from any part of the operation? ElYes N NA ❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State El
No ❑ NA ❑ NE
other than from a discharge?
Page I of 3 12128104 Continued

r
Facility Number: — Z
Date of Inspection �( D
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:
❑ Yes No;�0
A El NE
❑ Yes o NA ❑ NE
Structure 5 Structure 6
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 [I NE
(ie/ 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 threa notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ 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)
4. Does any part of the waste management system other than the waste structures require ❑ Yes �NoEINA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �❑ 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 10 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) ,5'-L� $ri►-�� �.� t�
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Z No El NA El NE
15. Does the receiving crop and/or land application site need improvement? El Yes No ❑ NA ElNE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ YesFNo
❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes El NA El NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments: r
Use drawings of facility to better explain situations;{use additional a
pages as necessary) F:} ��r
Reviewer/inspector Name Phone:
Reviewer/inspector Signature: Date:
Page 2 of 3 12128104 Continued

• ..
Facility Number: —
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
No ❑ NA
❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑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 ❑ ather Code
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?
El Yes
o NA
❑ NE
24,
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
NA
El NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes�nNNA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes
N NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
ElY
No ❑ 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;
Page 3 of 3 12128104

.ti
Division,of Water Quality
FaCility,Number, 0 Division of Soil and Water Conservation
� 0 Other Agency '
Type of Visit Qf Compl' Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit Z Routine O Complaint Q Follow up Q Referral O Emergency Q Other ❑ Denied Access
Date of Visit: Arrival Time: ® Departure Time: County:
Farm Name: ffi C Lit✓L'i2�✓.. Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Phone No:
Onsite Representative:_ Integrator:
Certified Operator: 'o k "' Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Latitude: =
0
Back-up Certification Number:
Region:
= " Longitude: = ° = 1
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
1 �, ❑ Non -La et
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?
Design Current
Cattle Capacity. Population.'
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures: ' I
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 allo ❑ NA ❑ NE
❑ Yes IN ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes roEl
❑ NE
ElYes ElNE
❑ Yes ❑ NE
12128104 Continued

Facility'Number:�jj — 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 1 Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes o A ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): f
5. Are there any immediate threats to the integrity of any of the structures observed? Cl Yes No A [INE
(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 environment;Nto-INA
ify DWQ
7. Do any of the structures need maintenance or improvement`? ❑ Yes
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes o 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ 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 I0 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)�
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 2�No NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No NA El 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 No NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ 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 Se �� (��! Phone:
Reviewer/Inspector Signature: Date: / 6 tt 0
12128104 Continued

Facility Number: — Date of Inspection rp.i
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes eNo 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 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"
❑ ther Code
Rain Inspection�No
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?
❑ YesFE:11
NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ YesNA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ 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:
a
12128104

%tpI q
Division of Water Quality -i
y
Facifi Number-; Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit Cce Inspection Operation Review Structure Evaluation Technical Assistance
Reason for Visi em Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: tl '�� Arrival Time: 1 Z (5 Departure Time: County:
Farm Name: rY )0 �� _ 1 h �- [2.n— 3 r�nc._I i� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative:
Certified Operator: Sb� n n �z Li4 kJ t- ix --v
4.
Phone No:
Integrator: _
Operator Certification Number:
Back-up Operator: Back-up 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
Region:
Latitude: 0 0 = j Longitude: 0 0=,=
Design Current Design Current
Capacity Population Wet Poultry . Capacity Population
_ ❑ Laver
I ❑ Non -La er
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pou Its
❑ 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`?
Cattle
Design Current
Capacity 'Populatio.w,
❑ Dai Cow
❑ Dairy Calf
❑ Dairy Heife►
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
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)?
Number of Structures: ED
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes o NA ❑ NE
El Yes�No ❑ NA ❑ NE
❑ Yes NoNA ❑ NE
ElYes oI�INA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
12128104 Continued

Facility Number: — Z
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):
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 o PC NE
❑ Yes o ❑ NA ❑ NE
Structur 5 Structure 6
❑ Yes o ❑ NE
❑ Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threZt,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes5No
k ❑ NE
8. Do any of the stuctures 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes VNo NA ❑ NE
maintenance/improvement`?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Pond ing ❑ 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)
13. Soil type(s) �-
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes No NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
o NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
N [--],NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
P .E.: a' �: sS� r$ .ii` r a T g s * gib
Commnts(efer toquestorr;#)g. E plan anYyatYEs answers and/or any�recmme�ndations or any-othercomments.
Use�d�awingsPof-facibty6toibetter expiamrsituations (use additional pages as necessary):
ks�i ti':."Fr>i's",e.'' •. �4` ?.e,�: 4 @; =:fir y ++t ;.,i�t:., a ��
L
Reviewer/Inspector Name Phone:
7ql rq 0
Reviewer/Inspector Signature: r Date:
15, f p
Page 2 of 3 12128104 Continued

Facility Number: —12,4 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes VNoECINA.
A ElNE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [I Yes❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑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 Inspectio;"No
❑ er Code
22. Did the facility fail to install and maintain a rain gauge? El Yes 'A ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes o NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes rNy"'[:]
A 'NE
25. Did the facility fail to conduct a sludge survey as required by the permit? El YesA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ YesA ❑ NI:
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28, Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
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?
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
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes [7No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Page 3 of 3 12128104

A
It lv I"1G
Z
Type of Visit O'Co ance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: O ``,,Departure Time: County: Region:
Farm Name: �� �"g +�✓t ttJ►�"� (22- 6 #g c-bT Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
o, -1
Onsite Representative: / Integrator: re S -D — m !3' S
Certified Operator: r n Operator Certification Number:
Back-up Operator:
Location of Farm:
Back-up Certification Number:
Latitude: = c = / = /l Longitude: = ° =
Design Current Design C►u i - t
Swine C►apacity Population Wet Poultry Capacity Population
❑ Wean to Finish ❑ Layer
❑ Wean to Feeder ❑ Non -La er
Design C«urgent
Cattle Capacity Population
❑ Dairy Cow
❑ Daia Calf
❑ Feeder to Finish
Dry Poultry
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Layers
❑ Farrow to Finish
❑ Beef Stocker
❑ Non -Layers
❑ Gilts
El Beef Feeder
❑ Pullets
❑ Boars
❑ Beef Brood Cow
Number of S#ructures:
❑ Turkeys
❑ Turkey Poults
Other
❑ Other
❑ 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?
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 1 of 3
❑ Yes No ❑ NA ❑ NE
❑ Yes No ` NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes FNA ❑ NE
❑ Yes o❑NA ❑ NE
❑ Yes A
❑ NE
12128104 Continued

Facility' Number: 3 — Date of Inspection I X IZ716
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?
Structu e 1 Structure 2 Structure 3 Structure 4
Identifier: i%
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): t� 1
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 0;_NoA El NE
El Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes effNo ❑ NA ❑ NE
❑ Yes t No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threa tify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ 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 ❑ NA ❑ N E
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑yes 0 NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ��NoDNA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 1bs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Accc�ep�t_able Crop Window El Evidence of Wind Drift El Application Outside of Area
12. Crop type(s) %'V s a ►' �} ,
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑�No
NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
NA ❑ NE
6 p PP P
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 No NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes o ❑ NA ❑ NE
Reviewer/Inspector Name Phone: ZCrC7
Reviewer/Inspector Signature: / et Prc & -P / Date: '3 / z 7 O _
Page 2 of 3 t 12128104 Continued

Facility Number: Date of Inspection 7J
Required Records &_Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes �No[:]
`NA [3 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑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 ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l"
eather Code
Rain Inspection�No
22.
Did the facility fail to install and maintain a rain gauge?
El
NA
ElNE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No 0 NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ NA
NrNo
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes
NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑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 Dirawin$s.:
Page 3 of 3 12128104

Type of Visit 0 Ca lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 0 Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Certified Operator: h K�C Lac r' f r7Y,•.
Back-up Operator:
Phone:
Phone No:
I
Integrator_9S J
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: e Longitude:
Region:
Design
Swine :- Capacity
C►urrent Design Current
Population We't Poult"r'y Capity Population
M.
Cattle
Design Current
Capacity Population
❑ Wean to Finish
❑ La er
❑
Dairy Cow
❑Wean to Feeder
❑Non -La ei
❑
Dairy Calf
❑ Feeder to Finish
ElFarrow to Wean
01b
Dry,Poultry`'
El
Dairy Heifer
❑
Dry Cow
❑ Farrow to Feeder
❑
Non-Dai
❑ La ers
❑ Farrow to Finish
❑
Beef Stocker
❑ Non -Layers
❑ Pullets
❑ Gilts
❑
Beef Feeder
❑ Boars
❑
Beef Brood Cow
❑ Turkeys
Outer
❑ Other
Number of.StrueturesME
❑ Turkey Poults
10 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`?
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 EI NA ❑ NE
❑ Yes No NA [INE
El Yes:No ❑ NA ❑ NE
Q Yes No ❑ NA El NE
El Yes No ❑ NA ❑ NE
El Yes T - - ❑ NA Q NE
12128104 Continued

Facility Number: 2j —
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 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z if u
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
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta;N�o
re , notify DWQ
7. Do any of the structures need maintenance or improvement? El YesNA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? yes No ❑ NA [I 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 VNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes KNo❑ NA ❑ NE
maintenance/improvement?
I I . 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)
13. Soil type(s)
/-r►,I,atiS
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
'No ❑ NA
l�'No ❑ NA
�NA
NolNA
o ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Reviewer/Inspector Name
s
b „'^F
Phone:
Reviewer/inspector Signature:
Date:
12128104
Continued

..
Facility Number: — Date of Inspection I /1
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 o ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑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 Inspectionshither
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
�4NNoNA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
oNA
❑ NE
24.
Did the facili fail to calibrate waste a lication equipment as re uired b the ermit?
facility PPq Y P
❑ Yes
n�o�NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No . ❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
N NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
;NoNA
❑ 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
kdd>itional:Comments,and/orDrawings A y yy : 'g wi �5r
9 9�r I L
12128104

is" of Water Qualdy
r b
Q vision of Soil and Water Co�servatron i
i t 1i Otuer' Agency �� i r P?
IType of Visit RrCompliancejpzpgtT1on O Operation Review O Lagoon Evaluation I
Reason for Visit OjkGtine O Complaint O Follow up O Emergency Notification O Other © Denied Access
Date of Visit: 0 / t7Z) Time: ?
Facility Number ,f -Z _ tr` Printed on: 7/21/2000
Q Not Operational Q Below Threshold
© Permitted © Certified © Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .........................
FarmName: .......................................................... .................................................................... County:......................................................................
OwnerName.................................................................................................... Phone No:........................................................................
FacilityContact:...............................................................................fitle:................................................................ Phone No: ...................................................
MailingAddress: ..................................................................................................................... ...................................................................................... ..........................
Onsite Representative: ............................ Integrator:.�Q.!Y! :...s 1 Cn. c:1 !, .................
Certified O erator• ...4'1 , 'r C &-9%' 4 "— ,
P........................................................... Operator Certification Number:..........................................
.....................................
Location of Farm:
J6
w
❑ Swine ❑ Poultry []Cattle ❑ Horse Latitude Longitude �• �� �
Design Current. Design Current Design Current
Swine Capacity Population Poultry Capacity Po ulaflon Cattle Capacity Population
❑ W to Feeder ❑ Layer ❑ Dairy
L2Teeder to Finish L ❑ Non -Layer Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons
Holding Ponds / Solid Traps
Subsurface Drains Present 110 Lagoon Area !❑ Spray Field Area
No Liuuid Waste Man
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. ll' discharge is observed, what is the estimated flow in gal/rnin?
d, Does discharge bypass a lagoon system? (Ifyes, 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 1 Structure 2 Structure 3 Structure 4
Identifier:,-..r,1., ............. ,Z
❑ Yes -L;��
❑ Yes Cwo
❑ Yes [�No
[:]Yes No
[]Yes o�
ElYes o
❑ Yes o
Structure 5 Structure 6
Freehoard (inches):
5/00
Continued on back

;.aciliSy,Number: ' - Z Date of' Inspection Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes oeo
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?
Wastc Application
10. Are there any buffers that need maintenance/improvement'?
11. Is there evidence of over application'? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type/ f-lb, l . -5 At -7i e , S
13. Do the receiving crops differ withfthose 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'?
(ic/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement'? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge'?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
24. Does facilit uire a follow-up visit by same agency?
25. We any additional problems noted which cause noncompliance of the Certified AWMP'?
Rio yiolaliigns:or d�fciencies were noted during phis;visit, ; Yojx Will reeoive Rio fu�th�e ;
corre'snoridence' al)aut: this visit.'.". : ' ::::::::...:::::::::: ' :::....::: :
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
❑ Yes �'No
❑ Yes . o
❑ Yes
❑ Yes — l 0
❑ Yes
❑ Yes
❑ Yes
[]Yes 1�f 0
ElYcs,Z'No
❑ Yes J. o
❑ Yes
❑ Yes JQ ""
[:]Yes
❑ Yes PKo
El Yes .� 1V0
❑ Yes .9 J
❑ Yes c
❑ Yes �'No
❑ Yes ;
❑ Yes�N`o,
❑ Yes J o
r11

E
Visit omplia Inspection O Operation Review O Lagoon Evaluation
for Visit out+ne O Complaint Q Follow up O Emergency Notification O Other © Denied Access
Date or visit. Time: �
Facility Number Q Not Operational O Below Threshold
0 Permitted 0 Certified © Conditionally Certified © Registered Date Last Operated or Above Threshold: .................
��p4 r n 0- e (-4-t.,/A, iv I,
FarmName: .1j-U...... . ............... County:......................................................................................
OwnerName: ................................................... ....................................................................... Phone No:.......................................................................................
FacilityContact:...............................................................................Title:............................................................... Phone No:....................................................
MailingAddress: ................................................................................................... . ................ ...................................................................................... ...........................
Onsite Representative: .......................................................................................................... Integrator:... 6.......5........sa.........:.....r.......::.................
Certified Operator:..- ' ±.^.^, G„L!g .96— Operator Certification Number: .................................... .
....... ..........................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �• ��� Longitude �• �� ���
Design Current Design Current Design Current
Swine 'Ca acit Polliulation Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder I ❑ Layer ❑ Dairy
❑ Feeder to Finish I JE1 Non -Layer I 1 10 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design.Capacity
❑ Gilts
❑ Boars ,ToW SAW:
Number of Lagoons �� ` ❑ Subsurface Drains Present ❑ hagonn Area ❑ Spray Field Area
r. -.
Holding -Ponds /'Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. II'discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If ves, 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?
❑ Yes
❑ Yes . w0
❑ Yes J;I�o
-
❑ Yes
o
Yes
❑
❑ Yes
❑
01/01/01 Continued

Facility Number: —
Waste Collection & Treatment
Date of Inspection 07 1
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4
Identifier: ....................... ............ ............. ...................
Freeboard (inches): [I I ! 1 ? I
❑ Yes No
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste .Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type /- fA e",7' �7-[ i fZ t. 'Ve
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?
I5. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
1 outcrops present?
18. Is there a w ' to 0-feet-offihe-sprayfield-bowl iary?
❑ On -site ❑ Off -site
❑ Yes
❑ Yes
❑ Yes Imo
❑ Yes Z0
❑ Yes
❑ Yes JtV
❑'Yes No
❑ Yes
❑ Yes
Leo
' o
❑ Yes
❑ No
ElYes
❑ Yes
1 �o
❑ Yes R�
❑ Yes ❑ No
❑ Unknown ❑ Yes ❑ No
Required Records & Documents
19. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
20. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
21. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
22. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
23. Did the facility fail to have a actively certified operator in charge?
24. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
25. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
26. Does facility require a follow-up visit by same agency?
27. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Odor Issues
28. 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?
29. Are there any dead animals not disposed of properly within 24 hours?
01 /01 /01
❑ Yes No
❑ Yes ®'No
[-]Yes
❑ Yes Imo
❑ Yes
❑ Yes
❑ Yes VNo
❑ Yes;N>o
ElYes o
❑ Yes z
❑ Yes No
Continued

Facility Number:
Printed on: 1/4/2001
Date of Inspection=-�—�
30. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
31. Is the land application spray system intake not located near the liquid surface of the lagoon?
32. 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.)
33. Do the animals feed storage bins fail to have appropriate cover?
34. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
!�0
El Yes
o
❑ Yes
o
❑ Yes
o
❑ Yes
o
P No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Reviewer/Inspector Name F1
Reviewer/Inspector Signature:
Date:
01/01/01

Date of Visit: Time:
Number
Nrational Below Threshold
Permitted [3 Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: ; ' p/�L /n C X5`6 ^ 'r&,) ,Crj rZ.__ County:
Owner Name:
Mailing Address:
Phone No:
Facility Contact: L Title: /. Phone No:
Onsite Representative: Awpl c � ` �"` "`��� integrator: _-! e, S j a -
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 4 " Longitude 0 6 66
DesignCurrent
Design Current
Design Current
Swine Ca act „. Po'ulation :'
Poultry Capacity Population Cattle
Capacity Po ulation= _, '
❑ Wean to Feeder
10 Layer I ❑ Dai
El Feeder to Finish
JEI Non -Layer f..: ❑Non-Dai
❑ Farrow to Wean
_._
❑ Farrow to Feeder
❑Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons ©
-
❑Subsurface Drains Present ❑ La oon Area
-
❑ Spray Field Area , ;
Naldinij fonds / Solid Traps
ILI No Liquid Waste Management S stem
� ' t
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Laizoon ❑ 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 1 Structure 2 Structure 3 Structure 4 Structure 5
ldcntifier:
Freeboard (inches):
05103101
❑Yes _2TNo
❑ Yes
❑ Yes
❑ Yes n
❑ Yes
❑ Yes
❑ Yes No
Structure 6
Continued

r
Facility Number: 3 3 — / 2 1 Date of Inspection / z
5. Are there any immediate threats to the integrity of any of the structures observed? Oc/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
8. Does any 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?
Wa to Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type L Ir ^1
13. Do the receiving crops differ with th a 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?
Reouired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19, Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does faci ' require afollow-up visit by same agency?
25. a any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes No
❑ Yes o
ElYes
ElYes;No
El Yes o
❑ Yes N
❑ Yes No
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
.
N
❑ Yes No
❑ Yes No
❑ Yes No
ElYes
❑ Yes
❑ Yes No
❑ Yes N
❑ Yes N
❑ Yes
❑ Yes No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Co m nts`X(refe� to�questlanf{ xplain ,YESians c� andhWany recommeri.[lati s or °any ©the °cammeti s �
'I1sedrarvin s of foci// ta'better explain situatiods:(use itdditio a1 pages°as necessary) �s �s . [] Field Copy 5Mnal Notes '
Reviewer/Inspector Name L
Reviewer/Inspector Signature: Date: Z
ll3
05103101 Continued

Type of Visit .SCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other p Denied Access
Facility tuber Date of Visit: L D ime:
O Not Operational O Below Threshold
ermitted © Certified 13 Conditionally Certified © Registered Date Last Operated or Above Threshold: .........................
FarmName: ..........,f,..l...t-......................................... County:[ �. < ..... .........................
OwnerName:•-•........................................................................................................................ Phone No:.......................................................................................
Mailing Address:
FacilityContact:..............................................................................Title:.._........--------•--------.-----•--........................... Phone No:...................................................
Onsite Representative: Integrator:....
Certified Operator:,.a.. !„r! ., ...... kn. C fi .kot ..... Operator Certification Number: ......_.....
........................................... ..............................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude * 4 it Longitude • 4 it
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
❑ Yes i[] No
Structure 6
Identifier: ................................................................. ..... ... ................................
Freeboard (inches). N Z r t
12112103 Continued

FAcility Number: 3 -- 'Z Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes LQN0
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes 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 ZN
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes N
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes No
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes o
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes o
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type /;"ew s d ~/ . "Sty► a re+ 1, S
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?
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 fZNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes o
❑ Yes o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
4E.. 2 ..Pi%.-,.f'•,.1i1-x•E:i"'� W�, ,ewlEt�tnp;L?rtiae": °m`ih'lu S • •: :�:;�:"S.•.S�SSf�5E1';:$..di_.,:=nu..l::i^k!'.!$::;8`,def:N':ksn,,.42. - ";aL �3i_P-.t�^.i�i�:w �¢'i��='..:.Y,, �. ��'�?:i{'.: i i.1e 1 4?:=L`.}48.¢..� r•�:EI71{I�:Een E{{iv{�9.;E:. � f...w � �fl;3 t 1 Ii tE� 1 F. -i. r39 fs'( Ev '!
Canunents�(referytognesfion #) Explajn any+YEs answers and/or any�Erecommendahons oranyother comments . 31� ,; �,P�, �.^c,
ft?t `..d ,ih iF�.rGFV.tY' 'ilse draw�ngs�ofafacihtyto bettert,explain s�tuatioas:{use addistionalipages as necessary). E ❑Field Copy Final Notes s�` +t,+s
>.134it 3§ 1 t .p 64f
_ i,f.96= ..P<�•. {t{'�, 9lc8.� «Ej.i� E t�. { t 3;�{�t��5)�. 1 . ¢.: $��'t'�;" d �7 �y t, .. �::.. 1. $ply, E 6�1'Y .. i C � � {,SE Z. .7} i33.. ,I it 1[.y;zp� €i't E {§� � .''d y��R _..�1}}.tzyltV gt�,fr 41 �.ii•.!^, R��,��n Fei t°"rx.i rw�p kti¢ i E�3.:3I�E _
l �Iftt:69F. Y,P:nsw�lx4�?tasetk`�!t.�;•k�E§1tlitlY��d���.�.i;i°�p;j;[SMre'•���,=�i; .v�it�..iFe�3'-i6;)rtb�� ;it t° �.. =34�1�f5i1�•'.1 �•�$h��xt��'t'fl[ �fii's?�aS�-�i,".trP•i�U.:.,i'.tt3.:Yf1+'�E�3-.eP6t�-ii$+a.;li.'itf::'a•.ig.'�.E«6Ffz,tl�. i4x1?a�:a�E. :ic'�F:.'Hi'..if :a� FN1 1' d 'iR fib° . df 3c .Y; �Sm• c 3 .s � s
3 E g',E 3 3y¢ f' ;3rr irr E_gi.(Ei ii,3 •Ef;t`33'['i;lEE °iiis!1 ! i.C3.f dt :n P^¢ d�'" „_ 3., i.,,..?,:
E
ewer/Ins ector NameEP ewer/Inspector Signature: Date:
12112103 Continued

acilityNumber:.. —� Date of Inspection �f b
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes o
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 FNo
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes ;
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
28. Does facility require a follow-up visit by same agency? ❑ Yes o
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? El Yes o
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) Yes ❑ N
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes N
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes N
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 o
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall []Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr„ Governor
Jonathan B. Howes, Secretary
IDEEHNF:Z
DIVISION OF WATER QUALITY
July 28, 1997
Mr. Joel Harrison
P.O. Box 245
Snow Hill, North Carolina 28580
Subject:Compliance evaluation Inspection
Facility # 33-12
Branch Farm
Edgecombe County
Dear Mr. Harrison:
On July 23, 1997, Air. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is part of the Division's efforts to
determine compliance with the State's animal waste nondischarge
rules.
The inspection determined that your animal operation was not
discharging wastewater into wa-:er;s of the State and that the
waste lagoon had the required amount of freeboard. As a result of
the inspection the facility was found to be in compliance with the
State's animal nondischarge regulations.
This office would also like to take this opportunity to remind you
that you are required to have an approved animal waste management
plan by December 31, 1997. This plan must be Certified by a
designated technical specialist or a prcfessional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District office.
The Raleigh Regional Office appreciates your cooperation in this
matter. If you have any questions regarding this inspection please
call Mr. Buster Towell at (919) 571-4-00.
S.tnce,re1, ,
J y Ga ett
Water Quality Section Supervisor
cc: Edgecombe County Health Department
Mr. A.B. Whitley,, Edgecombe Soil and Water
Conservation District
Ms. Margaret O'Keefe, DSWC--•-RR0
DWQ Compliance Group
RRO Files
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, North Carolina 27609 Ni ff C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 �11150% recycled/10% post -consumer paper

Facility Number Date of Inspection _Z
Time of Inspection ® 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: Registered ❑ Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection (includes travel and orocessinel
❑ Not Operational Date Last Operated: ......................................
FarmName:..I -(GL�L..��.`I�l_.......__........_..............._....._._......_.......
Land Owner Name: ..._.....
�rr/sF..............._................................
Facility Conctact:......... ''1...... 1 �.�X.r fS J^c........... Title: ........................
Mailing Address: ... P.... ...... u._s....... .1..�1..(`..li.......
G✓L
iI
OnsiteRepresentative: .-.i_Q9.!'�My..,InC ................................�9t✓Q✓r
Certified Operator:.._ ,.`? YYi S 6'--
........... _............
County:....:.... NSA -h.
Phone No:........ `.t.9...... .7 " .5/?f
................................................
............. Phone No:
1%r-?d
Integrator: !l.'........ ........................
Operator Certification Number:
Location of Farm: 3rZ i 1� -Z
..................................................................................................................................................................................
..................................................................................................................................................................................
Latitude Longitude
General ��/�
1. Are there any buffers that need maintenance/improvement? ❑ Yes f?N
.2. Is any discharge observed from any part of the operation? ❑ Yes o
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 gaVmin?
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
4/30/97 maintenance/improvement?
❑ Yes
❑ Yes
❑ Yes
ElYes;No
'"
❑ Yes �;00�
❑ Yes
Continued on back

Facility Number:
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
D<O
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
E
ll
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
a o
,Structures (Lagoons g,nd/or•1•loldiny Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
... .................... ............................ ............................ ............................ ...........................
............................
10. Is seepage observed from any of the structures?
❑ Yes
1"u
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
:�N�o
12. Do an of the structures need maintenance/improvement? rovement?
Y P
❑ 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
Waste
Application
11
14.
Is there physical evidence of over application?
❑ Yes
J'
(If in excess of WMP, or entering waters of the State, notify DWQ)
15.
7noff
Crop type :F?sl.''..L..............................................................................................................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan AWMP)?
❑ Yes
❑ No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
0140
18.
Does the receiving crop need improvement?
❑ Yes
0N0
19.
Is there a lack of available waste application equipment?
ElYes
Ld'No .
20.
Does facility require a follow-up visit by same agency?
❑ Yes
No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
1dNo
For
22.
Certified Eacililies Only
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
23.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
24.
Does record keeping need improvement?
❑ Yes
❑ No
Comments (refer to questio zglaunany YES answers`:andloranyrecommendations or any other comments`
Use drawings:of.facility to better explain situations? .(use additional pages as necessary)
4
a
��.
Reviewer/Inspector Name � . � � ° �� ��`
Reviewer/Inspector Signature: i �jg��[,l J! Date:
cc: Division of Water Qualit); Water Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources •
Raleigh Regional Office
James B. Hunt, Jr., Governor � e C � � F1
Jonathan B. Howes, Secretary
Boyce A. Hudson, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
August 10, 1995
Mr. Joel Harrison
1907 Oxford Road
Kinston, NC 28501
Subject: Compliance Inspection
Branch Farm Swine Operation
Bench Farm Road
Edgecombe County
Dear Mr. Harrison
On July 27, 1995, Mr. Ted Cashion from this office conducted
a compliance inspection of the subject facility. This inspection
is a part of the Division's efforts to determine potential problems
associated -with waste disposal systems.
Mr. Cashion's site visit determined that wastewater from your
facility was not discharging to the.surface waters of the State,
nor were any manmade pipes, ditches, or other prohibited
conveyances (for the purpose of willfully discharging wastewater)
observed.
However, it appears that the lagoon had been dug out and
material stockpiled beside the lagoon. The stockpiling of sludge
is not an acceptable method of waste disposal. Also, it appears
that sandy material was also stockpiled beside the lagoon. We have
concerns that the liner of the lagoon may have been disturbed
sufficiently to cause the lagoon to leak and contaminate
groundwater.
Please respond in writing no later than September 8, 1995
describing how you plan to dispose of the stockpiled sludge, and
what, if any, liner is in place in the lagoon to prevent leakage.
Effective wastewater treatment and facility stewardship are a
responsibility of -all animal facility operators. The Division of
Environmental Management is required to enforce water quality
regulations in order to protect the natural resources of the State.
This office also reminds you that, if not already
accomplished, an approved animal waste management plan must be
incorporated by December 1997. This plan must be certified by a
designated technical specialist or a professional engineer. For a
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10%past-consumer paper

Mr. Harrison
August 10, 1995
Page 2
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District.
The Raleigh Regional Office appreciates your cooperation in
this matter. If you have any questions regarding your inspection
please call Mr. Cashion at 919-571-4700.
Sincerely,
r
J y Garrett
Water Quality Supervisor
cc: Edgecombe County Health Department
Edgecombe County Soil and Water Conservation District
Facilities Assessment Unit
h:\animal\harrison.ins

JUL-14-1995 1S: 26 FROM DEN WATER GUHL I TY SECTION TO
PRO P.02/02
Site Requires Immediate A"tcn!jr7r`- �o
Facility No. _a 3-'r z
DIVISION OF ENVIRONMENTAL MANAGEMEN7
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE_ TJ► 7' , 1995
Tune: A -ym
r
Farm Name/Owner:
Mailing Address:
County:
Joel #—a," so, ! A --rwLk F ,beA4
Integrator:
On Site Reoresenrative:
Physical Address/Location:
Phone: _
Phone:
Type of Operation: Swine Poultry Cattle -
Design Capacity: �0 Number of Animals on Site-,
DEM Certification Number: ACE DENT Certification Number: ACNEW
Latitude: 3 r ' i 5 j1U Longitude: 3S` Elevation: Feet
Circle Yes or No
Dcycs the .Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hour storm event
,approximesately I Fow f 7 inches) r NoActual Freeboard. Ft. Inches
Was any seepage observed from the lagoonks)? Yes or(o Was any erosion observed? Yes o �a
Is adequate land available for spray? Yes or No Is the cover crop adequate? Gr No
Crop(s) being utilized: wa S S
Does the facility meet SCS rr mmum setback criteria'? 200 Feet from Dwellings? Yes No
100 Feet from Wells? EZr No
waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or(g)
a:Limal waste Iand applied or spray irrigated within 25 Feet of a liSGS Map Blu.e Line? Yes ojNq
' anirnal waste discharged into waters of the state by roan -made ditch, flushing system, or other
;ir^il;3r rnan-made tleNgces'' Yes u No 1f Yes, Please Explain.
')+,cs itic Racality maintain adequate waste tnanagerncrit records (volumes of manure, land appticd.
spray irrigated on specific acreage with c fiver crop):? Yes or No Vh
,Additional Comments: A A 4., e c. (%a
fI cvw 62 X, r Of
�sc�Q Ofr
0�,
cc: Fa6hry Assessment Unit
_­__:�r��4.
Signare - — — tu
Use Attachments if Needed.
TOTAL P.02

Routine
Follow-up of DWO inspection
I Facility Number I
Registered © Certified [] Applied for Permit 13 Permitted
Farni Name: ........................................
C
I Date of Inspection I //Z7/f Y_
i! Time of Inspection _ hr. (hh:mm)
E3 Not Operational Date Last Operated:...........
County: ................... I., .............. I ......................... .......................
OwnerName: ................................................... ................................................ .......... Phone No:
Facility Contact: ••••....•. Title: ...... Phone No:
MailingAddress: ................................................................................................................... ..........................
Onsitc Representative:..�}�............ .y.:..J... Integrator :.............. • - - ... c�N.1:7.-p E.60iti
Certified Operator:............................................................................................ . Operator Certification Number •..........................................
'
Location of Farm:
Latitude ` 4 46 Longitude • ' "
Wean to Feeder
[} Layer
❑ Dairy
feeder to Finish
Non -Layer
.
Non-Dai
Farrow to Wean
Farrow to Feeder
: ❑Other N{ x
x
r Total Design Ca[iaC`i
Farrow to Finish'.
Gilts
p, T� ��rj
x .Y s3' k Total FS�7117■
Boars
r
Subsurface Drains Present JI❑ Lagoon Area J❑ Spray Field Area
No Liquid Waste Management System t , `,
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
VNo
2. Is any discharge observed from any part of the operation?
❑ Yes
ErNo
Discharge originated at: ElLagoon [ISpray 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
No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
No
3. Is there evidence of past discharge from any part of the operation?
Yes
❑ No.
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
1] No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
0 No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
�No
/�No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
7/25/97
Continued
on
back

. Facility Number: -nz� —I --�,
8. Ate there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.Holding_Ponds, Flush „Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: / P�t.� f
.. .....
Freeboard(ft) .... .... `.... ........... .. ...................................... .............. I.....................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste ,application
14. Is there physical evidence of over application?
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type .... ......�� it. V_............................................................................................
Structure 5
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes �No
❑ Yes
Structure 6
...................................
...................................
❑ Yes
(�N, o
❑ Yes
(�0
XYes
❑ No
❑ Yes
)ZNo
❑ Yes
l,d No
[3: No.viofatioinsor' deficiencies.were:noted.during this'. visit.', You:vKifY receive:no•further-::
: correspondence fi oiti this:visit:-:
❑ Yes [2(No
❑ Yes ,1 No
❑ Yes.,.Zo
o
El Yes
❑ Yes o
❑ Yes No
❑ Yes 6 No
❑ Yes No
❑ Yes f No
❑ Yes (�] No
•'5 j
VV
PA-
j 2 , )4- 5�,,, �- le- Aec_-a
s� � 5 vti rti�� s�y� of-o4-� �`� s
1 � ��sS � Av;!s
k-
►i-j 510j) OA) 5117C. E5 % h/ 6t�/ ��- �
UJ ae, r� �l 4 -U � "—U -- �u f �J JTV6AJ
Yt + n eeC) ,0 7125/91
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: 7

❑ Permitted [3 Certified 13 Conditionally Certified Registered 113 Not OperationalOperationall Date Last Operated .
FarmName:............................................................................................................................ C oirr .
Owner Name .i.., t r...`..1....,..[....t:`'�?{-............................... Phone No:5�u,...`.�lt� L ��►
�.. ... � .. .........ff ................
Facilitv Contact: •?r/,I 7 /�'- t_'' Thane No: ... ...... .��.G:..-..`1 ; �'
.................................!................ ..+..........�..'�Title•....................................J
Mailing Address: .�� �. � ���'� .....!.1u.'�'�� 4.tc�...��'.:°:.?......./4...�.........C�'....:�...�?..��.�� �.�
J
Onsite Representative:.l�.t.I t' .............fj �..s .. �-�7!:�..?;.u': ti....:?'.................. Integrator: .f.............. .0
Certified Operator: ............. .. . ..... I ................. ... ...... ................................. Operator Certification Number:..........................................
Location of Farm:
Latitude 0 6 .4 Longitude 0 ° �•
Design Current
Swine Capacity Population
❑ Wean to Feeder
eeder to Finish
❑ Farrow to Wean
[]Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Laver ❑ Dairy _
❑ Non -Laver ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharue originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Watcr of the State? (11' yes, notify DWQ)
c. If discharge is observed, what is the estimated tlow in gallmin'?
❑ Yes gNo
❑ Yes ,6 No
❑ Yes P� No
d. Does discharge bypass a lagoon system? (II' yes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation'? ❑ Yes 2fNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes �] No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
StCUCttn'e I Structure 2 Structure 3 S(l'ISCtUre 4 Structure 5 SlruCLUm 6
Identifier:
c
Freeboardfinches): ............ ..................... .......................... .................................... .............. I.................... .............,........................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes [�j No
seepage, etc,)
3/23/99 Continued on back

Arility Number: ; Date of InspectionL�!!_�_J__cJ�
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? /Yesj io
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes A
No
Waste AUplieation
10. Are there any buffers that need maintenance/improvement'? ❑ Yes /dNo
11. Is there evidence of over Z pphcation? ❑ Excessive Ponding ❑ PAN ❑ Yes ] No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
L/j;.1 d 1r�4 rre -- Irj t,
16. Is there a lack of adequate waste application equipment'?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need im oven ent? (te/ irigation 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. hail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24, Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
viola tioris:or• �efieienI . were . O(e . durilig tltis;visit: Y'ojk wilj teeeiye Rio fu>�-t�ter; .
Corresponcienee. about this .visit. .. .
n;a�y,YES, wn answers and/or ayee
t situations. (use additional pages
for-;' !h, LPL � /P ,,, k f)?' r=�
��%- k3 �iJCJr-ItLJ�'�� V�1 //;����:�ti' �-'i„� �''"G-% fir;• ,
❑ Yes )If- No
❑ Yes�No
�Yyes ❑ No
❑ Yes [No
❑ Yes ❑Ao
❑ Yes XNO//
❑ Yes YNo
❑ Yes 2No
❑ Yes QJ"No
❑ Yes 21 No
❑ Yes Vivo
❑ Yes JZ No
❑ Yes ;2�No
❑ Yes E�No
❑ Yes ZNo
(��, y ti�� `' /ifs r �''� r�ti�,ir�` "4'� • /'t-N,{, .� rIGL i.�L G G i iT
ReviewerlInspector Name:::
Reviewer/Inspector Signature: (�+�„�,, ,l. f i'/; /, Date: 5-/? {,J
A.
3/23/99
c

D' on of Soil and Water Conservation 0 Other Agency
ivision of Water Quality
JOIRouline O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number Z-
Time of Inspection 1 D 24 hr. (hh:mm)
egistered [3 Certified © Applied for Permit [3 Permitted 113 Not O erational I Date Last Operated:
Farm Name:.. fl�A^ L ..r�"-- County:.1..:6..e:..........................................
/ n `s-� C Gil t 0✓ h (.J._ 2SZ ` 7 d - Zrsf'
Owner Name:.. J...k.......................................................................................................... Phone No........................................�............................................
Facility Contact: ...... ,"'�'"�� Title Phone No:
............................................................. •................................................................
Mailing Address: / 3 0 S5' ' U I�.r �?/� .......2 j
r�.�.......................................�.............`........ ................ ...... .............................................................
Onsite Representative:,,..Sl.d,...,�'YIC GH�/� U!h Intel;rator:'t! l�H'q��`1Iz......................
T......................................
Certified Operator � c C. W �' 0� r'
p............................................................. Operator Certification Number ..........................................
Location of Farm: ! ' (Z 16t 1.
Latitude • " Longitude 4 "
We to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
❑ Layer
❑ Non -Layer
Other
`.
Total
_.. ,..
...<., .ate
Subsurface Drains Present
No Liquid Waste Mana2en
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?
C
ME
J Non -
papa
Lagoon Area f❑ Spray Field Area
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes C No
❑ Yes
❑ Yes N
❑ Yes N
❑ YesVNo
❑ Yes
El Yes

Facility Number: 33 —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.Holding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3
Identifier:
Freeboard(ft):....... ..................... ........ 3:..­1... ........ I .... ..................
10. is seepage observed from any of the structures?
Structure 4
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?
❑ Yes No
❑ Yes No
Structure 5 Structure 6
❑ Yes No
❑ Yes
❑ Yes a
❑ Yes No
Waste Application
14. Is there physical evidence of over application? ❑ Yes o
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type.....r✓" .. .....-.......................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes �eNo
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes to
18, Does the receiving crop need improvement? ❑ Yes No
19. Is there a lack of available waste application equipment? ❑ Yes - No
20. Does facility require a follow-up visit by same agency? ❑ Yes o
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
22. Does record keeping need improvement? ❑ Yes No
For Certified or_Permit€ed Facilities Only
21 Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Zie"any
a dditional problems noted which cause noncompliance of the Certified AWMP?
25. additional problems noted which cause noncompliance of the Permit?
No.vitilations.ordeficieucies.were:noted,dt ringthis:visit..You.will receive-nti:furtlier_:
: corres:PWWe O about this:visit:-' :: :. .
pEtS.
❑ Yes 5NV"�
o Zz
❑ Yes❑ Yeso
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: - wit Date:

`33- l�
WASTE UTILIZATION PLAN
North Carolina
Fri, May 11, 01
Producer: JOHNNYMcLAWHORN
Farm Name : TRIPLE M FARMS
2469 STOCKS-McLAWHORN RD.
HOOKERTON,NC 285M
Telephone # : [phone]
Type of Operation ; Feeder to Finish Swine
Number of Animals : 4400 hogs design capacity
Application Method: Irrigation
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant nutrients in the animal waste should be
used to reduce the amount of commercial fertilizer required for the crops in the fields where
waste is to be applied. This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil tests are strongly
encouraged so that all plant nutrients can be balanced for realistic yields of the crop 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 contents of the waste. Do not apply more nitrogen than the crop
can utilize. Soil types are important as they have different infiltration rates, leaching
potentials, cation exchange capacities, and avaialable water holding capacities. Normally
waste shall not be applied to land eroding at greater than 5 tons per acre per year. With
special pre -cautions, waste may be applied to land eroding at up to 10 tons per acre per
year. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen.
Either of these conditions may result in runoff to surface waters which is not allowed under
DEM regulations. Wind conditions should also be considered to avoid drift and downwind
odor problems. To maximize the value of the nutrients for crop production and to reduce the
potential for pollution, the waste should be applied to a growing crop or applied to bare
ground not more than 30 days prior to planting. Injecting the waste or disking will conserve
nutrients and reduce odor problems. This plan is based on waste application through
irrigation for this is the manner in which you have chosen to apply your waste. If you choose
to inject the waste in the future, you need to revise this plan. Nutrient levels for injecting
waste and irrigating waste are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. Acreage requirements should be based on the waste analysis report
from your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for ananlysis. This waste
utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H,0217 adopted by the Environmental Management Commission.
RECEIVED I DENR I DWQ
AQUIFFR-PPnTFr.TI0KI SFUION
Para 1 of q
MAR 18 2009

AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
4400 hogs X 1.9 tons waste/hogs/year = 8360 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
4400 hogs X 2.3 lbs PAN/hogs/year = 10120 PAN/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.
The following acreage will be needed for waste application based on the crop to be grown,
soil type and suface application.
TABLE 1 : ACRES OWNED BY PRODUCER
TRACT FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC.
DETERMINING PHASE CODE NIACRE NIACRE USED TIME
1253
1
GOLDSBORO 0-2%
BP
5.5
275
0
5,5
1512.5
APR-SEP
1253
1
GOLDSBORO 0-2%
SG
1
50
0
5.5
2751
SEP-MAY
1253
2
GOLDSBORO D-2%
BP
5.5
275
0
6.22
1710.5
APR-SEP
1253
2
GOLDSBORO 0-2%
SG
1
50
0
6.22
311
SEP-MAY
1253
3
GOLDSBORO 0-2%
BP
5.5
275
0
6
1650
APRSEP
1253
3
GOLDSBORO 0-2%
SG
t
501
0
6
300
SEP-MAY
1253
4
GOLDSBORO 0-2%
BP
5.5
275
0
4.88
1342
APR-SEP
1253
4
GOLDSBORO 0-2%
SG
1
50
0
4.88
244
SEP-MAY
1253
5
GOLDSBORO 0-2%
BP
5.5
275
0
3.03
833.25
APR-SEP
1253
5
GOLDSBORO 0-2%
SG
1
50
0
3.03
151.5
SEP-MAY
12533
6
GOLDSBORO 0-2%
BP
5.5
275
0_0.821
225.5
APR-SEP
1253
6
GOLDSBORO 0-2%
SG
1
50
01
0.821
411
SEP-MAY
TOrALS. 8696.26
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals fallow
summer annuals.
* Indicates a Crop Rotation
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirments. Beginning in 1996 the Coastal Zone Management Act will require farmers in
some eastern counties of NC to have a nutrient management plan that addresses all
nutrients. This plan only addresses Nitrogen.
Panes 2 of A

TABLE 2: ACRES WITH AGREEMENT OR LONG TERM LEAS
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land. See required specifications 2.)
TRACT FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC.
DETERMINING PHASE CODE WACRE NIACRE USED TIME
1253
7
GOLDSBORO 0-2%
BP
5.5
275
0
0.87
M9.25
APR-SEP
1253
7
GOLDSBORO 0-2%
SG
1
50
0
0.87
43.5
SEP-MAY
1253
8
GOLDSBORO 0-2%
BP
5.5
275
0
3.48
957
APR-SEP
1253
8
GOLDSBORO 0-2%
SG
1
50
0
3.48
174
SEP-MAY
1253
9
GOLDSBORO 0-2%
BP
5.5
275
0
1.64
451
APR-SEP
1253
9
GOLDSBORO 0-2%
SG
11
50
0
1.64
82J
SEP-MAY
TOTALS. 1848.76
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
* Acreage figures may exceed total acreage in field due to overseeding.
**Lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial
nitrogen (COMM N) supplied. ,
The following legend explains the crop codes used in TABLES 1 and 2 above:
CROP CODE CROP UNITS LBS NIUNIT
BP HYBRID BERMUDAGRASS-PASTURE TONS 1 50
SG SMALL GRAIN OVERSEEDED AC 50
Panty 3 of 9

TOTALS FROM TABLES 1 AND
ACRES LBS AW
N USED
TABLE 1 26.45 8,596
TABLE 2 5.99 1,947
TOTALS: 1 32,441 10,643
AMOUNT OF N PRODUCED: 10,120
—BALANCE -423
*** This number must be less than or equal to 0 in order to fully utilize the animal waste
N produced.
Acres show in each of the preceeding tables are considered to be the usable acres
excluding required buffers, filter strips along ditches, odd areas unable to be irrigated, and
perimeter areas not receiving full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than the acres shown in the
tables.
NOTE: The Waste Utilization Plan must contain provisions for periodic land application of
sludge at agronomic rates. The sludge will be nurturient rich and will require precautionary
measures to prevent over application of nutrients or other elements. Your production facility
will produce approximately 1628 pounds of plant available nitrogen (PAN) per year in the
sludge that will need to be removed on a periodic basis. This figure is PAN when
broadcasting the sludge. Please be aware that additional acres of land, as well special
equipment, may be needed when you remove this sludge.
See the attached map showing the fields to be used for the utilization of waste water
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the soil at the time of
irrigation such that runoff or ponding occurs, This rate is limited by initial soil moisture
content, soil structure, soil texture, water droplet size, and organic solids. The application
amount should not exceed the available water holding capacity of the soil at the time of
irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the
crop.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 5.92 months. In no instance should the volume
of waste being stored in your structure be within 1.7 feet of the top of the dike.
If surface irrigation is the method of land application for this plan, it is the responsiblity of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and
amounts of Nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application rates and amounts.
APPLICATION APPLICATION
TRACT FIELD SOIL TYPE CROP RATE (Inlhr) AMT (inches)
1253 1.-2.--3,-4,-5,--6,--7,-e, G0LDSB0R00-2% SG 0,50 '1
1253 3, 2, 3, 4. 5, 6, 7, a, 9 IGOLDSBORO 0-2% 1 BP 1 0.50 1 •1
* This is the maximum application amount allowed for the soil assuming the amount of
nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Pane d of 9

PLANS & SPECIFICATIONS
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 which reaches surface water is prohibited. Illegal discharges are subject
to assessment of civil penalties of $10,000 per day by the Division of Water Quality for every
day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land to properly dispose of waste. if the producer
does not own adequate land to properly dispose of waste, he shall provide NRCS with a
copy of a written agreement with a landowner who is within a reasonable proximity, allowing
him/her the use of the land for waste application for the life expectancy of the production
facility. It is the responsibility of the owner of the facility to secure an update of the Waste
Utilization Plan when there is a change in the operation, increase in the number of animals,
method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic
crop yields based on soil type, available moisture, historical data, climate conditions, and
level of management, unless there are regulations that restrict the rate of application for
other nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RMS) or
an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no
greater than 10 tons per acre per year and appropriate filter strips will be used where runoff
leaves the field. These filter strips will be in addition to "Buffers" required by DEM. (See
FOTG Stantard 393 - Filter Strips and Standard 390 Interim Riparian Forest Buffers).
5. Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it will be soil
incorporated on conventionally tilled cropland. When 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" in the NRCS
Technical Reference - Environment file for guidance.)
*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 conditions
conducive to odor or flies and to provide uniformity of application.
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the
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.
10. Waste nutrients shall not be applied in fail 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 a crop on bare soil.
11. Any new swine facility sited on or after October 1, 1995 shall comply with the following:
+ho n4 i+ar narimo ar of +ha InnA orao nn+n %Aihirh uioc+a is onniiori frnm o Ionnnn +ho+ is o
Panes 6 of 9

component of a swine farm shall be at least 50 feet from any residential property boundary
and from any perennial stream or river (other that an irrigation ditch or canal. Animal waste
other than swine waste from facilities sited on or after October 1, 1995), shall not be applied
closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips)
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 landownwer.
14. Waste shall be applied in a manner not to reach other property and public right - of ways.
15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted croplands
provided they have been approved as a land application site by a "technical specialist".
Animal waste should not be applied on grassed waterways that discharge directly into water
courses, except when applied at agronomic rates and the application causes no runoff or
drift from the site.
*16. 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.). If needed, special vegetation shall be
provided for these areas and 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. Lagoon
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 as a preemergence with no other 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 lagoons. Pumping shall be
managed to maintain the liquid level between the markers. A marker will be required to mark
the maximum storage volume fpr waste storage ponds.
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 element. 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
Pane 7 of 9

for optimum crop production amd maintained. Soil and, waste analysis records shall be kept
for five (5) years. Poultry dry waste application records shall be -maintained for three (3)'
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 Department of
Agriculture regulations.
* Liquid Systems
Pang A of A

NAME OF FARM: TRIPLE M FARMS
OWNER 1 MANAGER AGREEMENT
I (we) understand and will follow and implement the specifications and the operation and
maintenance precedures estalished in the approved animal waste utilization plan for the
farm named above. I (we) know that any expansion to the existing design capacity of the
waste treatment and/or storage system or construction of new facilities will require a new
utilization plan and a new certification to be submitted to DEM before the new animals are
stocked.
I (we) understand that I must own or have acces to equipment, primarily irrigation
equipment, to land apply the animal waste described in this waste utilization plan. This
equipment must be available at the appropriate pumping time such that no discharge occurs
from the lagoon in a 25-year 1-day storm event. I also certify that the waste will be applied
on the land according to this plan at the appropriate times and at rates that no runoff occurs.
NAME OF FACIL WNER:JJHNNY MCLAWHORN
SIGNATURE: DATE: s v� • 0
NAME OF AGE (if different from owner):
please print
SIGNATURE: DATE:
NAME OF TECHNICAL SPECIALIST: BRIAN TINGEN
AFFILIATION: BRIAN TINGEN
ADDRESS (AGENCY): 404 PEAKBRANCH RD
SNOW HILL, NC 28580
(252) 747 55
SIGNATURE: DATE: _ 5 ��do
�
Pana a of 9

N
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
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Joel Harrison
Branch Farm
PO Box 245
Snow Hill NC 28580
Dear Joel Harrison:
Al�
VVIA
� •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 11, 1998
FEB 17 1998
L —
DEHNI , r3LEIGH RFGIOWL OFFICE
Subject: Request for Status Update
Certified_ Animal Waste Management Plan
Branch Farm
Facility Number: 33-12
Edgecombe. County
In accordance with State Regulations (15A NCAC 2H .0217(a)(1)(E)) adopted by the Environmental
Management Commission on February 1, 1993, the owner of the subject facility was required to submit a
Certification Form for the facility's animal waste management system by December 31, 1997.
This letter is to advise you that this office has no record of having received the required Certification for
the subject facility. Please provide this office with an explanation as to why this Certification was not
submitted as required. This explanation must be received within 30 days following the receipt of this letter.
Any existing facility owner which did not submit the required certification by the deadline is no longer
deemed permitted to operate their animal waste management system. Therefore, if the certification was not
submitted as required and the facility is still in operation, this facility is being operated without a valid
permit. N.C.G.S. 143-215.6(b) allows the Secretary of the Department of Environment and Natural
Resources to take appropriate enforcement actions for this violation for as long as the violation continues.
As per Senate Bill 1217, which was ratified on June 21, 1996, the Environmental Management
Commission (EMC) may enter into a special agreement with facilities that did not meet the December 31,
1997 deadline. These special agreements can only be issued to facility owners which signed up for assistance
with their local Soil and Water Conservation District Office by September 1, 1996 and which can
demonstrate that they made a good faith effort to meet the December 31, 1997 deadline. The special
agreement, if issued, would contain a specific schedule for the facility to follow to develop and/or implement
an approved animal waste management plan. Attached is an application for a special agreement between the
EMC and the subject facility. If you can demonstrate that this facility can meet the conditions for a special
agreement, you may send this request along with your explanation as to why the plan has not been developed
and implemented. This request would also be due within 30 days from receipt of this letter.
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

I
Also attached is a form (Form RR 2198) that must be filled out if the facility is no longer in operation or is
below the threshold established inl5A NCAC 2H .0217(a)(1)(A). Facilities which maintain the number of animals
below certain thresholds are not required to be certified. These thresholds are:
100 head of cattle
75 horses
250 swine
1000 sheep
30,000 birds with a liquid system
Please `submit this form if the subject facility is not operating or is below the threshold limit established in 15A
NCAC 2H.0217(a)(1)(A).
Please submit all responses to this.matter to the following address:
Attn: Shannon Langley
Division of Water Quality
P.O. Box 29535
Raleigh NC 27626-0535
Once your response is received, it will be evaluated in detail along with any supporting information that
you may wish to submit. Following this review, you will be advised of the results of the review and of any
additional actions that must be taken to brine your facility into compliance.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with the requirement to develop and implement a certified animal waste
management plan by December 31, 1997. Please also be advised that the submittal of a request for a special
agreement does not assure that one will be issued. Each facility will be reviewed on a case by case basis and
appropriate actions will be taken to bring each facility into compliance.
Thank you for your inunediate attention to this issue. if you have any questions concerning this matter,
please do not hesitate to contact Mr. Shannon Langley of our staff at [phone] ext. 581.
Sincerely,
A. Preston Howard,
cc: Facility File — Non -Discharge Compliance/Enforcement Unit
DWQ Regional Office
Shannon Langley
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626.0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 505c recycled/10% post -consumer paper

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
MEMORANDUM
TO: Regional Water Quality Supervisor
FROM: Shannon Langley
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
SUBJECT: Application for special agreement
Please fund attached a copy of application for special agreement for facility number .
If you have any questions, please call me at 733-5083, ext. 581.
ATTACHMENT
m.
RDD
APR 3 19% . J
"1 Rrt!_EIGH REGVu h OFFICt{
i
P.O. Box 29535, Raleigh, North Carolina 27626-0535 , Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycied/10% post -consumer paper

i,.
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
APPLICATION FOR A SPECIAL AGREEMENT
(INFORMATION RRQUIRED FOR ANIMAL OPERATIONS REQUESTING A SPECIAL AGREEMENT)
I. GENERAL INFORMATION:
Applicant (Owner of the Facility): Z sb,t1 2C174. 0`- CJ/46QA-1
2. Facility No.: 33- /a _ -
3. Facility Name:.. BAA--C# ngn'l
4. Print or Type Owner's or Signing Official's Name and Title (the person who is
legally responsible for the facility and its compliance):
,� 'L_ •rt � ism
S. Mailing Address: A-f l QC'jxS9-�
City: T eV State: Zip:_ 9&r,?6?.
Telephone No.: (TZL) ?y� ra2SS'"S' 9/F-7��
6. County where facility is located: gs&nc 461
7. Operation Type (Swine, Poultry, Cattle): 541/,-2e
8. Application Date: _,.3 "lo- 92
II. ELIGIBILITY FOR A SPECIAL AGREEMENT:
As per Senate Bill 1217 which was ratified on .tune 21, 1996, the Environmental Management
Commission (EMC) may enter into a special agreement with an operator who registered by
September 1, 1996 with their local Soil and Water Conservation District office and who'makes
a good faith effort to obtain an approved animal waste management plan by December 31,
1997. This special agreement shall set forth a schedule for the operator to follow to obtain an
approved animal'waste management plan by a date certain and shall provide that the EMC shall
not igsr.ie a notice of violation for failure to have an approved animal waste management plan so
long as the operator complies with the special agreement. Operators who did not register by
September 1, 1996 with their local Soil and Water Conservation District office.or who can not
document that they made. a good faith effort to obtain an approved animal waste management
plan by December 31, 1997, will not receive a Special Agreement from the EMC. These
facilities will be subject to civil penalties, criminal penalties, injunctions and all other
enforcement tools available to DWQ.
1. Date facility requested assistance from their local Soil & Water Conservation District
��-Z22 2 RECEIVED
APR 2 - 1998
FOR>11 SPAG 1/98 Page 1 of 4
1'JATE�: QUALITY SECTION
1 Ion -Di scharge Compliance Enf.

2. Efforts made since February 1, 1993 to develop and implement a certified animal
waste management plan (Use additional sheets if necessary). This summary must
include:
A. All contacts made with technical specialist
S. Dates and types of plans developed
C. Contracts signed-
D. Funds expended
E. Improvements made to the system
F. Animals removed and not retoacked at the facility
G. Other actions taken
GU T r Sa �v,
FORM SPAG 1/98 Page 2 of 4

11. PROPOSED SCHEDULE FOR OBTAINING CERTIFICATION:
Please list each of the specific things that will be done at your facility to implement a
certified animal waste management plan and the date you will have each activity
completed. This must include a review of the possibility of not restocking animals that
are scheduled to be removed from the facility until such time as a certified plan can be
implemented. Please also list the date on which animals were most recently restocked at
this facility. The EMC reserves the right to deny any proposed schedules that are
excessively long. (Use additional sheets if necessary).
Applicant's Certification:
I,rn� /fi%�Q�.r�ey¢!✓ _ , attest this application for a Special Agreement
with the EMC has been reviewed by me and is accurate and complete to the best of my
knowledge. I understand if all requited parts of this application are not completed and if all
General Statutes and Regulations. I understand that the failure to meet any dates that area reed
upon by rryse;f and the EMC will result.'n appropriate enforcement actions being taken y the
EIN C.
Print Name of Owner
Date
• J 0 �(!
71n
ature Owner
FORM SPAG 1/98 Page 3 of 4

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
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Joel Harrison
Branch Farm
PO Box 245
Snow Hill NC 28580
Dear Joel Harrison:
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 11, 199$ fl�
--s i
MAR 51998
Subject: Request for Status Update
Certified Animal Waste Management Plan
Branch Farm
Facility Number: 33-12
Edgecombe County
In accordance with State Regulations (15A NCAC 2H .0217(a)(1)(E)) adopted by the Environmental
Management Commission on February 1, 1993, the owner of the subject facility was required to submit a
Certification Form for the facility's animal waste management system by December 31, 1997.
This letter is to advise you that this office has no record of having received the required Certification for
the subject facility. Please provide this office with an explanation as to why this Certification was not
submitted as required. This explanation must be received within 30 days following the receipt of this Ietter.
Any existing facility owner which did not submit the required certification by the deadline is no longer
deemed permitted to operate their animal waste management system. Therefore, if the certification was not
submitted as required and the facility is still in operation, this facility is being operated without a valid
permit. N.C.G.S. 143-215.6(b) allows the Secretary of the Department of Environment and Natural
Resources to take appropriate enforcement actions for this violation for as long as the violation continues.
As per Senate Bill 1217, which was ratified on June 21, 1996, the Environmental Management
Commission (EMC) may enter into a special agreement with facilities that did not meet the December 31,
1997 deadline. These special agreements can only be issued to facility owners which signed up for assistance
with their local Soil and Water Conservation District Office by September 1, 1996 and which can
demonstrate that they made a good faith effort to meet the December 31, 1997 deadline. The special
agreement, if issued, would contain a specific schedule for the facility to follow to develop and/or implement
an approved animal waste management plan. Attached is an application for a special agreement between the
EMC and the subject facility. If you can demonstrate that this facility can meet the conditions for a special
agreement, you may send this request along with your explanation as to why the plan has not been developed
and implemented. This request would also be due within 30 days from receipt of this letter.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%a post -consumer paper

Also attached is a form (Form RR 2198) that must be filled out if the facility is no longer in operation or is
below the threshold established in15A NCAC 2H .0217(a)(1)(A). Facilities which maintain the number of animals
below certain thresholds are not required to be certified. These thresholds are:
100 head of cattle
75 horses
250 swine
1000 sheep
30,000 birds with a liquid system
Please submit this form if the subject facility is not operating or is below the threshold limit established in 15A
NCAC 2H.0217(a)(1)(A).
Please submit all responses to this matter to the following address:
Attn: Shannon Langley
Division of Water Quality
P.O. Box 29535
Raleigh NC 27626-0535
Once your response is received, it will be evaluated in detail along with any supporting information that
you may wish to submit. Following this review, you will be advised. of the results of the review and of any
additional actions that must be taken to bring your facility into compliance.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with the requirement to develop and implement a certified animal waste
management plan by December 31, 1997. PIease also be advised that the submittal of a request for a special
agreement does not assure that one will be issued. Each facility will be reviewed on a case by case basis and
appropriate actions will be taken to bring each facility into compliance.
Thank you for your immediate attention to this issue. If you have any questions concerning this matter,
please do not hesitate to contact Mr. Shannon Langley of our staff at [phone] ext. 581.
Sincerely,
A. Preston Howard,
cc: Facility File — Non -Discharge Compliance/Enforcement Unit
DWQ Regional Office
Shannon Langley
Central Files
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

State of North Carolina
Department of Environment,
Health and Natural Resources •
Raleigh Regional Office
James B. Hunt, Jr., Governor E H N R
Jonathan B. Howes, Secretary
Division of Soil and Water Conserva ion
June 12, 1997
Joel Harrison
PO Box 245
Whitakers, NC 27891
SUBJECT: Operation Review Summary and Corrective Action Recommendation
Branch Farm Facility No. 33-12 Edgecombe County
Dear Mr. Harrison,
On June 6, an Operation Review was conducted of Branch Farm, facility no. 33-12. This Review,
undertaken in accordance with G.S. 143-215.1 OD, is one of two visits scheduled for all reglstered livestock
operations during the 1997 calendar year. The Division of Water Quality will conduct a second site
inspection.
During the Review, it was determined that waste was not being discharged to the waters of the State,
and the animal waste collection, treatment, storage and disposal systems were property maintained and
operated under the responsible charge of a certified operator. A copy of the completed review form is
enclosed for your information. The following observances were discovered and noted for corrective action or
response:
1. The vegetation around the lagoon needs to be mowed to allow for easier visual inspection.
2. The lagoon is undersized for the amount of waste that feeds into it but the construction of the
second lagoon will solve this problem. Please continue working with the district in this.
Your farm manager informed me that you own several farms and are very busy. Part of_the review
process is answering questions you may have on various practices and providing you with additional
information. When review time occurs again, you can inform me when you plan to be at the farm and I can
work around your schedule.
When the facility is certified, a copy of the animal waste management plan needs to be kept on site or
nearby to allow for easy access for inspections and reviews. Copies of all your pumping records will also be
required in close proximity. A plastic file box would protect the records from water and small rodents in
addition to keeping all required records together.
The Division of Soil and Water Conservation appreciates your cooperation with this Operation Review.
Please do not hesitate to call me at 919/571-4700 ext. 208 if you have any questions, concerns or need
additional information.
Sincerely,
Mar9 ar O'Keefe
Environmental Engineer I
cc: Edgecombe Soil and Water Conservation District
Judy_Garrett,_Water=Quality_Rggional-Superv_ _ isor�
DSWC Regional Files
3800 Barrett Drive, Suite 101, FAX [phone]
Ralefgh, North Carolina 27609 N
�� An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 509/6 recycled/10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hu.nt, Jr., Governor
Jonathan B. Howes, Secretary
Joel Harrison
Branch Farm
PO Box 245
Snow Hill NC 28580
XOMI�WA
IT 0
A&4;ja
was"
1DF_=HNR
November 13, 1996
SUBJECT: Operator In Charge Designation
Facility: Branch Farm
Facility ID#: 33-12
Edgecombe County
Dear Mr. Harrison:
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 this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincere ,
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 27687, W 4.
Raleigh, North Carolina 27611-7687 ��C An Equal Opportunity/Affirmative Action Employer
AW
Voice 919-715-4100 50% recycled/100% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
DMsion of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
March 15, 2000
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Johnny & Shea McLawhorn
Triple M Farms
Route 1, Box 59-A
Hookerton NC 28538
Farm Number: 33 - 12
Dear Johnny & Shea McLawhorn:
I IT LT
i • • J"W V r . Z
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that Triple M Farms, in accordance with G.S. 143-215.10C, must apply for coverage under
an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty (60) days 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 sixty (60) 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
Non -Discharge Permitting Unit
1617Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call J R Joshi at [phone] extension 363 or Charles
Alvarez with the Raleigh Regional Office at [phone].
SttSerely,
for Kerr T. Stevens
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper

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
0/ Q •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999�Y�
Johnny &Shea McLawhorn
Triple M Farms
Route 1, Box 59-A T F
Hookerton NC 28538
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number:33-112
'Edgecombe:County
Dear Johnny & Shea McLawhorn:
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 sludges/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, SLURI, 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.
Sincerely
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% recycled/10% post -consumer paper

State of North Carolina
Zbepartment of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
June 30, 2000
Johnny & Shea McLawhom
Triple M Farms
Route 1, Box 59-A
Hookerton NC 28538
A4 •0
2
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWS330012
Triple M Farms
Swine Waste Collection, Treatment,
Storage and Application System
Edgecombe County
Dear Johnny & Shea McLawhorn:
In accordance with your application received on May 2, 2000, we are forwarding this Certificate of
Coverage (COC) issued to Johnny & Shea McLawhorn, 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 Triple M Farms, located in Edgecombe County, with an
animal capacity of no greater than 4400 Feeder to Finish 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. 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.
The facility's CAWMP meet all requirements in place at the time of certification. However, it appears
that the irrigation system on site may not adequately cover all acreage listed in the Waste Utilization Plan.
The owner should address this inconsistency as soon as possible.
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.
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS330012
Triple M 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 Don Friday at [phone] ext. 533.
' JUL 22
= DEHNR RALEIGH REGIONAL OFFICE
&err i . Stevens
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
,Raleigh Regional"Office; Water,Quality SectionI
Edgecombe County Soil and Water Conservation District
Permit File
NDPU Files

State of North Carolina
r Department of Environment and Natural, Resources WA R E C E r � E D
De
P rF,;�QuaUnsECnoN
Division of Water Quality
Non -Discharge Permit Application Form ��Y 2UJ0
(THIS FORK! MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
N
General Permit - Eidsting Animal Waste Operation' "h$rge Pemm;td is
The following questions have been completed utilizing information on file with the Division. Please
review the information for completeness and make any corrections that are appropriate. If a
question has not been completed by the Division, please complete as best as possible. Do not leave
any question unanswered.
Z. GENERAL INFORMATION:
1 A Facility Name: Triple M) m
1.2 Print Land Owner's name: Johnny & Shea McLawhorn
1.3 Mailing address: Routes. Box -A
City, State: 1122kerton NC _ Zip: 28538 _ _ -
Telephone Number (include area code): [phone]
1.4 County where facility is located: EdW=be
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): 2 miles east of CriV on Bench Farm Rd.
1.6 Print Farm Manager's name (if different from Land Owner): Johnny McLpiwhmn
1.7 Lessee's / me ator' ame (if applicable; please circle which type is listed): _C/ A2(nJM FjJgW -
1.8 Date Facility Originally Began Operation. 01/01189
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: 33 (county number);12(facility number),
2.2 Operation Description: Swine operation
Feeder to Finish
4400- Certified Design Capacity
Is the above information correct? yes; no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum number for which the waste management structures ware designed.
Typg of Swint:
• Wean to Feeder,
• Feeder to Finish
- Farrow to wean (# sow)
• Farrow to Feeder (# sow)
- Farrow to Finish (# sow)
No: of Animals IM gf PouluyNo. of Animals
• Layer
• Non -Layer
• Turkey .�._
• Day
• Beef
Other Type of Livestock on the farm: No. of Animals:
faWe Rio. Pf Animals
FORM: AWO-G-E 512M8 Page 1 of 4 33 - l2

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 37.2_ : Required Acreage (as listed in the AWMP). 31.1
2.4 Number of agoon storage ponds (circle which is applicable):
2.5 Are subsurface drains present within 100' of any of the application fields? YES or NO (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or N (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
YES or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? 0.3
What was the date that this facility's land application areas were sited? 0 6
3. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two 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 general permit application
for animal waste operations.
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
CAWMP 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 trap 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 ,'lhe Realistic Yigld.Expectation (RYE)for every crop shown in tlW-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.
3.3.11 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 applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any componentsnot shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/29/98 Page 2 of 4 33 -12

rt
Facility Number: 33 -12
Facility Name: Triple M Farms
EV
Wq� " E p
SECn0N
144Y 0 2 20oo
4. APPLICANT'S CERTIFICATION: Nor-Dh'ch*71a P
e�►�rh
L _=TbdWV /n yAW . , S"d 1-#,&W (Land Owners name listed in question 1.2), attesr1hat
this application for _ Y1- I M EACMP (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the hest 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 arc not included, this application package
will be returned to me as incomvlete.
Date 0-00
1, M&w %e —47—VA . &OX _ (Manager's name listed in question 1.6), attest that this
application for _(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 not completed and that if all required supporting information and attachments are not included, this application package
will be returnedA imemplete. i
Signature
Date _ _?: alca coo _ --
APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERNUTTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5=98 Page 3 of 4 33.12

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orth Carolina Geodetic Survey SCALE 1:24 000
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_ Animal Waste Management Plan Certification
(Please type or print all information that does not require aiignature)
-
Seneral-Ip,�'tirma�ton:.
-- Name of Farm: i P. ; F1. t i :. f`44r�xs facility No:
Owner(s) Name 7o W.vly_ y 1A7c L.�.� i .. _ phone No: %-'d�•s�'9
Mailing Address:
Farm Location: Fourteen Digit Hydrologic Unit:_ 03r-3 7-010 3b yoo x o
Latitude and Longitude:.. +S -7 County: c: a 6
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): _ S S i �- 1 Z 5cl u VIA c F i W -1
tAJ 1 T`F-t I 12 `i ,
Type of swine No. of Animals .
O Wean to Feeder
a. Feeder to Finish `-I `4 u O
O Farrow to Wean
0 Farrow to Feeder
© Farrow to Finish
Type of Poulay No. of Animals Type of Cattle No. of Animals
❑ Layer 0 Dairy
• Pullets O Beal
Other Type of Livestock: Number of Animals:
Acreage Available for Application. 37. 2- Required Acreage: 31
Number of Lagoons / Storage -Ponds : Total Capacity: �l ` e e 3 0 Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or (please circle ante)
Owner / Manager Agreement:
i (wee) verify that all the above information is correet.and will be updated upon changing: I (we) undastaW the operation and
maintenance procedures established in the approved animal waste management plan for the farm reamed above and will
' implement these ptocedures. 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 new certification to be submitted to the Division of
Environmental Management before the new Animals are stocked. I (we) understand that there must be no discharge of animal
waste From the storage or application system to surface waters of the state either directly tltmugh a than -made conveyance or
from a storm event less severe than the 25-year, 24-hour storm 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 Natural Resources Conservation Service. The approved plan will be riled at the farm and at the
office of the local Soil mW Ware Conservation District. I (we) know that any modification must be approved by a mchnical
specialist and submitted to the Soil and Water Conservation District prior to implementation. A change in land ownership
U •4Nuk s written notification to DEM or a new certification (if the approved plan is changed) within 60 days of a title transfer.
Name of Land r3 mac. LN.0t-t C> e
Signature: Date:
Name of a ager(' •fferient from owner):

'Technical Specialist Certification
I.. As a' technical specialist designated by the North Carolina Soil and Water Conservation Commission
pursuant to 15A NCAC 6F .0005, 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 Environmental Management (DEM) as specified in 15A NCAC 2H.0217 and the
USDA -Natural Resources Conservation Service (NRCS) and/or the North Carolina Soil and Water
Conservation Commission pursuant to 15A NCAC 2H.02I7 and 15A NCAC 6F .0001-.0005. The
following elements are included in the plan as applicable_ While each category designates a technical
specialist who may sign each certification (SD, SI, WUP, RC, 1), the technical specialist should only
certify parts for which they are technically competent.
II. Certification of .Design
A) Collection,, S jgrggg. Treatment ,System
Check the appropriate box
Q Existing fagility witho t retro t (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with
waste utilization requirements.
Zr IVew,gxnanded_Rr Qfiued facility (SD)
Animal waste storage.and treatment structures, such as but not limited to collection systems,
lagoons and ponds, have been designed to meet or exceed the minimum standards and
specifications -
Name of Technical Specialist (Please Print):_
Affiliadon• _NV91( S
`1!�} f_qj-�7cjoc
Address(Agency): P. D . �c.�c- 10 TA�� �.� ,>fs�� ( .� 7Phone No.:
Signature: _ Date: r all h
B) Land A ligation ,Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste
utilization; chosen crop is suitable for waste management-, hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print):
Affiliation: tyRCS
Address(Agency):= �' Q : +3,T. 10 T n 2302._., Nc �`j&66 Phone No.:, (2-5,)-) o
Signature:/,*Y. &J.i_ Date: L�lS-
C) HijnUff Control$Lots
Check the appropriate box
U
0 Udlitytyithout-exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
.v
O F gill with ext 'or 1 (RC)
Methods to minimize the runt off of pollutants from lounging and heavy use areas have been
designed in accordance with technical standards developed by NRCS.
Name arTechnicaI Specialist (Please Print): A • B wu
Affiliation: t'� k S
Address (Agency): 0 . o a76 Phone No.: ( z5L) & 4 f ^ 7 100
Signature: Date: 4C'lvr��9�

D) AgglJ53tion and Handling Ecuinment
Check the appropriate box
W Existing facift ws_ ith existine waste application equipment {WUP or T)
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 accotmmodate 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 arts contained as part of the
plan).
❑ New gr expanded facility: or existinLfAgility w't ou tin w to licat a (I)
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 pan of the
plan).
Name of Technical Specialist (Please Print): W LA. i ri�
Affiliation: t%i IZCS
Addr+t:ss(Agency): Eo. 6 u u T A ZR �rza c �7�$G Phone No.:_C_z5a� 4u 1-7 3
\1-1 Signature: _.L✓.�%.T• -- - Date: la
III. Certification of Installation
A) •Coll=tinn,� e, Treatment Installation
Ngw-expanded or retrofitted facility (SI) .
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds,
have been installed in accordance with the approved plan to meet or exceed the minimum
standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation: C
Address(Agency): 1� 0. '$ 10 ? R Ratg= e2Phone No.: (2a) (a y (_ 79)a
Signature:Az"- Date: •_ 6, 1 i SJ -* 6 _

- B) ' e MUM
Chick the appropriate box
IN The cropping system is in place on all land as specified in the animal waste management plan.
❑ Conditional Approval: all required land as specified in the plan is cleated for planting the
cropping system as specified in the waste utilization plan has not been established and the
owner has committed to establish the vegetation as specified in the plan by
(month/day/year); the proposed cover crop is appropriate for compliance with the waste
utilization plan.
0 Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared
land within 30 days of this certification, the owner has committed to establish an interim
crop for erosion control;
Name of Technical Specialist (Please Print):- LtAJLtll, I
Affiliation: FCC S
Address(Agcncy): P v -6>,, 1v T:Reac o ruL --4766 PhoneNo.: (z.52) G4l-75aa
Signature: Date:'�� a&
This following signature block is only to be used when the box for conditional approval in M. B
above has been checked.
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste
utilization plan, and if appropriate to establish the interim crop for erosion control, and will submit to
DEM a verification of completion from a Technical Specialist within 1S calendar days'following the date
specified in the conditional certification. I (we) realize that failure to submit this verification is a
violation of the waste management plan and will subject me (us) to an enforcement action from DEM.
Name of Land Owner:
Signature: Date:
Name of Manager(if different from owner):
Signature: Date:
C) ri ots (RC)
Faeflity Vdth exterior lots
Methods to minimize the runoff of pollutants from lounging and heavy use areas have been
installed as specified in the plan.
Forfacilities without exterior lots, ng certification is necessary.
Name of Technical Specialist (Please Print):
Address(Agency): Phone No.:
Signature: Date:. , -

D) ,An.2lication and Handle E2u!t) ent Installation (WUP or I)
Check the appropriate block
W 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.
❑ 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.
❑ Conditional approvalAnimal waste application and handling equipment specified in the
plan has been purchased and will be on site and installed by
(month/day/year); there is adequate storage to hold the waste until the equipment is installed
and until the waste can be land applied in accordance with the cropping system contained
in the plan; and calibration and adjustment guidance have been provided to the owners and
are contained as part of the plan.
Name of Technical Specialist (Please Print): wii r TLG
Affiliation: N R(-S
Address(Agency):_ 0. ­ 6W i a , TA M& rjL- 229Q6 _Phone No.: (zsa) G'LI I- 717ar,
The following signature block is -only to be, used when the box for conditional approval in M D
above has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling
equipment as specified in my (our) waste management plats and will submit to DEM a verificatidn of
delivery and installation from a Technical Specialist within 15 calendar days following the date specified
in the conditional certification. I (we) realize that failure to submit this verification is a violation of the
waste management plan and will subject me (us) to an enforcement action from DEM,
Name of Land Owner:
Signature: _ Date:
Name of Manager(if different from owner):
Signature: Date:
Please return the completed .form to the Division of Environmental Management at the
following address:
Department of Environment, Health, and Natural Resources
Division Of Environmental Management
Water Quality Section, Compliance Group
PA: Box 29535
`. Raleigh, NC 27626-OS35
Please also remember to submit a copy of this form along with the complete Animal Waste
Mor-aa►naitt P1ari to the lAcal Snit anrd Water Conservation District Office and to keep .a copy in
A ";--I UUvhr#.•

- -To; SpNy/1 4VfilVT
Notification of Change of Ownership
Animal Waste Management Facility
-' (Please type or print all information that does notrequire a signature)
In accordance with the reguiremenfs of 15A NCAC 2H .0217(a)(1)(H)(xii) this form is official
notification to the Division of Environmental Management (DEM) of the=tiansfer of ownershipp of an
Animal Waste Management FacilitX. This form must be submitted to DEM no later than 50 days
following the transfer of ownership.
Name of
No -
Previous Owner(s) Name: rloe Phone No:_-'ad-46Z-VS/
New Owners) Name: - _TjebAdSe o�,,J&d 42_5,WdW eAjv Phone No:. - 7
Mailing Address: 5'2-h HQQhSA23W3
Farm Location: Fourteen Digit Hydrologic Unit_ 030apt9jolloo2p
Latitude and Longitude: , ! � "f / Jam.° S ��i County: D8940m E
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, direcdons, milepost, ere.): �5�4 A6- 1A S0072Y OF-TiY7�� �7ie�✓
Qperation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Wean to Feeder ❑ Layer ❑ Dairy
�. 4'F'ceder to Finish Aw00 0 Pullets 0 Beef
© Farrow to Wean
❑ Farrow to Feeder
O Farrow to Finish Other Type of Livestock: Number afAnimals:
Acreage Available for Application: %� Required Acreage: 34 t _
Number of Lagoons / Storage Ponds :�_ Total Capacity: 9S'9730 Cubic Feet (ft3)
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 new certification to be submitted to the Division of
Environmental Managemertr before the new animals are stacked. I (we) understand that there must be no discharge of animal
waste from the scomge or application system to surface waters of the state either directly through a man-made conveyance or
from a storm -event less severe than the 25-year. 24-hour storm and them 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 mist be minimized using technical
standards developed by the Natural Resources Conservation Service. The approved plan will be filed at the foam and at the
office of the local Soil and Water Conservation Distrim I (we) know that any modification must be approved by a technical
specialist and submitted to the Soil and Water Conservation District prior to implementation. A change in land ownership
requires written notification to DEM or a new =xtification (if the approved plan is changed) within 60 days of a title transfer.
Date: 22
Signature: Date:
Please sign and return this form to: N. C. Divisions Of Environmental Management
., aa�a �uu,iaj 4�aiV11, LV11{111lalfLC Vr vuf!
Rnlpiah. NC' ?.76?A-A;-K

r l
L TEL11CAL SPECIALIST FOR ANIMAL WASTE MANAGEMENT CERTIFICATION
ABSXG1MT1O1q CATEGORY
CODE
AREA OF AUTHORITY
Collection, Storage.
Sri (design)
- lagoons, storage ponds, dry stacks, storage structures,
and/or Treatment.
SI (installation)
composters, pushoff ramps, curbing and other similar
structures
Waste Utilization Plan
WUP
- design and installation (development and
implementation) of land application plans -
including troop and acreages available to meet nutrient
budget, hydraulic and nutrient loading rates, placement
of application site !suffers
- measurement of existing storage volume
- confirmation of existence and compatibility of land
application equipment with waste utilization plan
- certification of cropping systems
- confirmation of absence of exterior lots
- confirmation of sludge and effluent removal and
application at agronomic rates for lagoon closure
Runoff Controls
RC
- design and installation of filter strips, grass
channels, and related bmps used to reduce runoff from.
exterior lots (primarily dairy operations)
irrigation Equipment
I
- design and installation of irrigation systems to
include pipe size, pump horsepower, nozzle size, system
layout, thrust blocks, etc. and operation plan to meet
briteria of waste Utilization Plan (hours per set, etc.)
Technical specialists are designated by the Soil and Water Conservation Commission pursuant to 15A NCAC 6F.6005.
Technical Specialists should only certify parts of a plan for which they are technically competent.

REGIONAL OFFICES
N. C. Department
of Environment, Health, and Natural
Resources
Winston-Salem
Raleigh
Washingtoi
..
Ail,. AMc�,eq
a wrren rlreen,plee Q.fes
Red,lndtMGuru
EJo... Penen �
HrRad
x1.uqe wa.e
�e^"�e Ildlea
.
Avery
redkln Fereyv.
Yedl un Yen CMlres Aham 61
&Pf"
leash .
dgappnTe Tries
he don p.r1d.M WA.
IIrM ,M.dr"' ow
.
&A"reea HeCeweq Cu«.e<e
Ran�A lANttp %V&cn
NAM
s„ay, •
Rvhrini �^0e^
deh�n
+ . jacks en� Qeclen
ode dehmun Ogem
Cshrnn ilwaen
�BeeWeA
14�+
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l�ireMe Lae°
P46 CnNeed
stark here we,rN trot
�
N.cidr,.,as b.
GavM Q
..�.
UrdaR wad,rr Mom. ar,pon
Asheville
Mooresville
Won
�a �1
ReOeaA
Fayetteville
°°�^°w •?
Wilmington
i»+nWA
1 } ARO
(2) WSRO
(3) RRO
(4) WAO
4 r, Roy Davis
Mr.1AM Cobia
Mr. Ken Schuster
Mr. Jim Mulligan
Ia&tonal Supervisor
Regional Supervisor
Regional Supervisor
Regional &ipgvisor. .
i9i Woodtin Place
585 Waugbtown Sum
3800 Barrett Drive
1424 CaralinalAveano
4thevllie, NC 28801
Winston-Sairzn, NC 27107 Raleigh, NC 27609
Washington, NC. 11889
,7,04) 251.6208
(919) 77IA600
[phone]
(919) 9464Mir
'I%X [phone]
PAX (910) 7714631
PAX [phone]
FAX [phone]
(S) MRO ,.
(6) FRO
(7) WIRO
Mr. Keith ovemash
Mr. Thmmy, Stevens
Mr. Rick Shiver.
Regional Supervisor
Regional Supervisor
Regional Supervisorf
919 North Main Street
Wachovla Bldg, Suite 714
127 Cardinal Drive Extension
Mooresville, NC 28115
Fayetlegiile, NC 29301
Wilthingwi, NC M840, 845
[phone]
[phone]
[phone]
FAX [phone]
FAX [phone]
FAX [phone]

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f
01,r>!5 ree7-Al
14
Id
ra
C+ iz
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164
1 by the Geological Survey
Vorth Carolina Geodetic Survey
hods from aerial photographs
1- A;g_q log,
266 3s, 26.)
268 I-CALIMAND)
5455 0 ME
SCALE 1:24 000.
I DDD METERS
.5

C
The State of North Carolina
Department of Environment, Health and Natural Resources
hereby certifies that
John B. McLawhorn
I= met ft mquhumts for certification established by the Department
pursuant to Nw% Carolina General Statute 143-215.74E as an
Animal Waste Management System operator
DIREC OR
Division of Water Quality
16417
CERMWATE NUMBER
June 14, 1996
DATE ISSUED
�'
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OPERATION AND MAINTENANCE PLAN FOR SWINE WASTE MANAGEMENT SYSTEM
Producer:
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: .� y � ;2 . ,. Q�-:2 is being
established on these areSs. Beginning in 19�6 and each year
thereafter, the embankment should be fertilized with 800 pounds
of 1010-10 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 an'd at least annually. Items to be
checked should include, as a minimum, the following:
1. Waste inlet Pipes, Overflow 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
4. Transfer Pump
1

OPERATIbN AND MAINTENANCE PLAN FOR SWINE WASTE MANAGEMENT SYSTEM
. Operation
Your animal waste management facility was designed for a total of
11 4 C, 4- V,-,, e to } ,1,g4 ) . 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
design1 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 180 days, the amount of rainfall in a
25 year 24 hour storm event, and rainfall in excess of evaporation.
Your facility is designed for 180 days of temporary storage;
therefore, it will need to be pumped every six months. Began pump -
out of the lagoon when fluid level reaches elevation 5]".5 as marked
by permanent markers* Stop pump -out when the fluid level reaches
elevation Si, 2- . jL'c Le.9ee., No,,4, c F l(z=ase,S
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 1/2 its capacity to prevent excessive odors during start-up. Pre -
charging reduces the concentration of the initial waste entering the
lagoon thereby reducing odors. Solids should be covered with
effluent at all times.
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.
6,� tel k C P b Lu Ps
S /,, Puc.L,/J L' (�G'
Jt0/0 el ee,

1 1
Producer: - oNr�
Location: v to ► z �,. r► A OF , ����� a rQ � � 1 #4
"w 12y ,
Telephone: a, (3Z-7 - 51LQ,9 N.
Type Operation:
umber of Animal Units: 44 o o
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 utilization plan uses nitrogen as the
limiting nutrient. Waste should be analyzed before each application cycle.
Annual soil tests are strongly encouraged so that all plant nutrients can
be balanced for realistic yields of the crop 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, leaching potentials,
cation exchange capacities, and available water holding capacities..
Normally waste shall not be applied to land eroding at greater than 5 tons
per acre per year. with special precautions, waste may be applied to land
eroding at up to 3.0 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. Either of these
conditions may result in runoff to surface, waters which is not allowed
under DEM regulations. 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 applied to bare ground not more than
30 days prior to planting.' Injecting the waste or disking will, conserve
nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical
nutrient content for this type'of facility. Acreage requirements should be
based on the waste analysis report from your waste' management facility.
Attached you will' find information on proper sampling techniques,
preparation, and transfer of waste samples to the lab for analysis.
-.This waste utilization plan,. if carried out, meets the requirements for
�. compliance with 15A NCAC 2H.0217 adopted by the Environmental Management
Commission

Amount of Waste Produced Per Yearlaallone. toas.etc.f
q�00 animals Xj27 gal. waste/animal/year e.. a.�. c� gals. waste/year.
Amount of Plant Available Nitrogen (PAN) PgaAWsd Per Year
YCU animals X 2.3 lbs. PAN/animal/year t) lbs. PAN/year. (PAN from
N. C. Tech. Guide Std. 633)
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.
The following acreage will be needed for waste application based on the
crop to be grown and surface application:
Table I: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Ac.* Utilized Application
Total 1 :5 �! , v rv, 'fa o I
* This N is from animal waste only. If nutrients from other sources such
as commercial fertilizer are applied, they must be accounted for. N must
be_based _on realistic yield exa�cta4tjgn-
NOTE: The applicator is cautioned that P and X may be over applied while
meeting the N requirements. Beginning in 1996, the Costal Zone Management
Act grill require farmers in some eastern counties of North Carolina to have
a nutrient management plan that addresses all nutrients. This plan only
addresses Nitrogen.
NOTE:

Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own.
adequate land [see Required Specification 21)
Tract Field Soil crop Lbs. N Acres Lbs. N Month of
# Type Per Ac.* Utilized Application
WO
WW
*See footnote for Table 1.
Totals from above Tables
/.,
Acres
Lbs. N
Utilized
Table 1
32.0 7 a yov
Table 2
5
1 G 9 0
Total
0
Amount of
N Produced
10 I Z ,D
;8erpies err Deficit
NOTE: The waste Utilization Plan must contain provisions for.period.ic land
application of sludge.at agronomic rates.' The sludge will be nutrient rich
and will require precautionary measures to prevent over application of
nutrients or other elements.
See attached map showing the fields to be used for the utilization of waste
water.

V
5-3
Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate(.Ifi/Hr)
Application
Amount(In.)
aer»lr.�A- raK
0. 5
41-3"" i
1
o
R�-
This table is not needed if waste is not being applied by irrigation, however a similar
table will be needed for dry litter or sludge.
Your facility is designed for daYB of temporary storage and the
temporary storage must be removed on the average of once every ( m4s
In no instance should the volume of waste being stored in your structure
exceed Elevation
Call the local Natural Resources. Conservation service (formerly Soil
Conservation Service) or Soil and Water Conservation -.District' -office after
you receive the waste analysis, report for assistance in. determining the
amount per acre to apply and the proper application rate prior to applying
the waste.
h

WASTE UTILIZATIGNPLAU
REQUIRED SPECIFICATIONS
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 which
reaches surface water is prohibited.
2. There must be 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 waste, he/she shall provide MRCS with a copy of a written
agreement (sample enclosed) with a landowner who is within a reasonable
proximity, allowing him/her the use of the land for waste application for
the life expectancy of the production facility to secure an update of the
waste Utilization Plan when there is a change in the operation, increase
in the number of animals, method of utilization, or available land.
3. Animal waste shall be applied to meet but not exceed, the Nitrogen
needs for realistic crop yields on soil type, available moisture,
historical data, climate conditions, and level of management, unless
there are regulations that restrict the rate of application of 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 that is eroding at 5 or more
tons, but less than 10 tons per acre per year providing that grassfilter
strips are installed where runoff leaves the field. (See FOTG Standard
393 - Filter Strip)
5. Odors can be reduced by injecting the waste or disking after waste
application. Waste should not be applied when there is danger of drift
from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it
will be soil incorporated on conventionally tilled cropland. When
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" in the
Technical Reference - Environment file for guidance.)
7. Liquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site 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 conditions
conducive to odor or flies
8. Animal waste shall not be applied to saturated soils, during rainfall
events, or when the surface is frozen.

WASTE UTILIZATION PLAN
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. Waste nutrients 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 crops 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 from any
perennial stream or river (other than an irrigation ditch or canal).
Animal waste other than swine waste from facilities sited on or after
October 1, 1995, shall not be applied closer than 25 feet to perennial
waters. (See Standard 393 - Filter Strips)
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.
15. Animal waste shall not be discharged into surface waters, drainageways
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland provided they have been approved as a
land application site by a "technical specialist1°. Animal waste should
not be applied on grassed waterways that discharges directly into water
courses, and on other grassed waterways, waste shall beapplied at
agronomic rates in a manner that causes no runoff or drift from the site.
16. 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"
whin} will PliminAi,A fhin nncaiki1ii-v nF an illcana� ri;crha.-nc nnlltetinn

WASTE UTILIZATION PLAN
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 be applied preplant
with no further applications of animal waste during the cropping season.
21. Highly visible markers shall be installed to mark the top and bottom
elevations of temporary storage (pumping volume) of all waste treatment
lagoons. 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.
22. Waste shall be tested within 60 days of utilization and soil shall be
tested at least annually at crop sates where waste products are applied.
Nitrogen shall be the rate W- determining element. 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 for
optimum crop production and maintained. Soil and waste analysis records
shall be kept for five years. Poultry dry waste application records
shall be maintained for 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.

Name of Farm: FA
Owner/Manager Agreement
I (we) understand and will follow and implement the specification and the
operation and maintenance procedures established in the approved animal
waste utilization plan for the farm named above. 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 new
certification to be submitted to the Division of Environmental Management
(DEN) 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 from a stoma event less severe than the 25-years, 24-
hour storm. The approved plan will be filed on -site at the farm office and
at the office of the local Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner: (Please print) 4v4AW
Signature:4*dFb&*LDate: 10Z 97 _
Name of Manager (If di f f Brent ' from owner: o�,�,� / -S A _
'Signature: j Date : /A •/- 77
v �1
Technical. Representative: (please print) ✓'r 13, �%k : 4-lec_ � T.
Affiliation: u S 0 A N e S
Address (Agency) :
Ik
Signature:
Date: 3 -�

aQaK 1217 PAR 6 3 3
MA non anumo-K-Nagumn
(Needed only if additional laud has to be leased, etc.)
I, ,i�G �4, hereby give permission to
apply ad
apply from ^his Waste Utilization System o_r, AL acres of my
land for the duration of time shown below.
I understand that this waste contains nitrogen, phosphorous, potassium, and
other trace elements and when properly applied will not harm my land or
crops. I also understand that the use of waste will reduce my need for
commercial fertilizer.
Adjacent Landowner: Date:
Johnny ahea Mc white . /a- , 9,7 'A �
' Waste Producer:
T" Technical Representative: _ . _ Date: 3-4 -
er
SWCD Representative:
Date:
Term of Agreement: /p- / ,1 g- to _ /a- / , 2012
(minimum of ten years on cost shared items)
(See Required specification No. Z)
MQMCAMLMA
WHO F RIMd
Judyw ca.
Aeq r e1 �
9y
MC morn

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4r
4p
Ar
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4A.

THIS DESIGN IS FOR A SINGLE STAGE LAGOON -©PI
CLIENTS
NAME
COUNTY
________________________________>
Edgecombe
TODAYS
DATE --______-__-_______________>
March 6 1997
DISTANCE
TO NEAREST NONFARM RESIDENCE =>
1000 FEET
NUMBER
OF.PIGS WEAKLING TO FEEDER =____>
0
NUMBER
OF PIGS FEEDER TO FINISH =======>
2200
NUMBER
OF SOWS FARROW TO WEANLING =___=>
0
NUMBER
OF SOWS FARROW TO FEEDER =_--___>
0
NUMBER
OF SOWS FARROW TO FINISH =_---___>
0
DEGREE
OF ODOR CONTROL -----___
1.0
(minimum
1.0 cu. ft. per lb SSLW)
(maximum 3.0 cu. ft. per lb SSLW)
NUMBER
OF YEARS OF SLUDGE ACCUMULATION >
0.0 YEARS
TOP LENGTH AT NORMAL WATER LEVEL =_____> 370.0 FEET
TOP WIDTH AT NORMAL WATER LEVEL =_-____> 120.0 FEET
NORMAL WATER LEVEL ELEVATION =_========> 46.6 FEET
SEASONAL HIGH WATER TABLE ELEVATION ===> 46.0 FEET
LAGOON BOTTOM ELEVATION39.3 FEET
Depth of Permanent Water 7.3 feet
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
SIDE SLOPES ___________________________> 1.0:1
Permanent Volume Required 297000.0 cubic feet
Permanent Volume Provided 298526.6 cubic feet
ADDITIONAL DRAINAGE AREA IN SQUARE FEET>
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE
GALLONS OF FRESH WATER ADDED DAILY ====>
EXCESS RAINFALL ABOVE EVAPORATION =====>
25YR/24HR STORM RAINFALL =---_-___------___>
FREEBOARD
ESTIMATED TOP OF DAM ELEVATION ========>
Temporary Storage Volume 129261.4
Top of Dam Elevation =
Inside Dimensions of Lagoon at
Length = 377.8 feet Width =
50.5
Top of Dam
127.8
0 SQUARE FEET
180 DAYS
0 GALLONS
7.4 INCHES
6.7 INCHES
1.0 FEET
50.5 FEET
cubic feet
f eet
feet
Begin Pumping Elevation = 48.9 feet
Stop Pumping Elevation = 46.6 feet
Volume To Be Pumped = 102303.5 cubic feet

1. STEADY STATE'LIVE WEIGHT
0
head
weanling to feeder x 30 lbs.
0
lbs
2200
head
feeder
to
finishing x 135 lbs. _
297000
lbS
0
sows
farrow
to
weanling.x 433 lbs. =
0
lbs
0
sows
farrow
to
feeder x 522 lbs. m
0
lbs
0
sows
farrow
to
finish x 1417 lbs. _
0
lbs.
TOTAL
STEADY
STATE LIVE WEIGHT (SSLW)
297000
lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.080 cu. ft., per year
per pound of STEADY STATE LIVE WEIGHT in swine. .
Years of sludge accumulation in design? 0.0
Sludge Volume a 0.0 cubic feet
3. REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft.. per pound SSLW
Total Volume = (SSLW * Design factor) + Sludge Volume
Total Volume = 297000.0 cubic feet
4. NORMAL LAGOON LIQUID.LEVEL
Maintain normal lagoon liquid level at elevation - 46.6 feet
Construct lagoon bottom elevation 39.3 feet
Lagoon size -for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
1.0 1.0 1.0 1.0 7.3
AREA OF TOP
LENGTH *WIDTH =
370.0 120.0
AREA OF BOTTOM
OFWb
355.4 105.4
AREA OF MIDSECTION
( Lm * Wm)
362.7 112.7
44400.0 (AREA OF TOP)
37459.2 (AREA OF BOTTOM)
40876.3 (AREA OF MIDSECTION)
Cif. YD. _ [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
44400.0 163505.2' 374S9.2 1.217
VOLUME OF LAGOON AT NORMAL'LAGOON LIQUID LEVEL =98526.6 CU. FT.
VOLUME NEEDED = 297000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE' 370.0 FEET LONG BY 120.0 FEET WIDE

5. DIKE
Place spoil as a continuous dike to elevation 50.5 feet.
6. TE"ORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width
377.8 127.8 48283 square feet
Additional Drainage Area
0 square feet
TOTAL DA 48283 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume M 297000 SSLW * 0.0101481 gallon/lb. SSLW/day
in the pumping cycle / 7.48 gallons per cu. ft.
Volume - 72529.1 cubic feet
6B. Volume of mash grater
This is the amount of fresh water used for washing floors or
volume fresh water used for a flush system. Flush systems that
recycle the lagoon water are accounted for in 6A.
Volume = O'gallons/day * 180 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume 0.0 cubic feet
6C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) 7.4 inches
Volume = 7.4 inches * DA / 12 inches per foot
Volume = 29774.4 cubic feet
6D. Volume of 25 year - 24 hour storm
Volume : 6.7 inches * DA / 12 inches per foot
Volume = 26957.9 cubic feet
TOTAL REQUIRED TEVORARY STORAGE
6A.
72529.2
cubic
feet
68.
0.0
cubic
feet
6C.
29774.4
cubic
feet
6D.
26957.9
cubic
feet
TOTAL TEMPORARY STORAGE 129261.4 cubic feet

7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
Depth required = Volume of temporary storage.divided by surface
area of lagoon.
Depth required = 129261 cu.ft. / 44400 sq. ft.
Depth required = 2.9 feet
Normal lagoon liquid elevation a 46.6 feet
Depth required 2.9 feet
Freeboard 1.0 feet
Top of Dam a 50.5 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 50.5
ARE 377.8 FEET BY 127.8 FEET
8. SET BEGIN PULPING ELEVATION
PUMPED STORAGE VOLUME.
6A.
6B.
6C.
72529.1 cubic feet
0.0 cubic feet
29774.4 cubic feet
TOTAL PUMPED VOLUME -- 102303.5 cubic feet
Depth required Volume of pumped storage divided by surface
area of lagoon at normal water level.
Depth required = 102303.5 cu.ft. / 44400.0 sq. ft.
Depth required ® 2.3 feet
DESIGNED BY:
DATE: 31(1g!
AACA)
APPROVED BY : fr "
DATE: A/?7
0

THIS DESIGN IS FOR A SINGLE STAGE LAGOON
CLIENTS NAME ==C=>
COUNTY =a " mmaa­aaaaaa>
TODAYS DATE --=--==>
DISTANCE TO NEAREST NONFARM RESIDENCE _>
NUMBER OF PIGS WEAKLING TO FEEDER>
NUMBER OF PIGS FEEDER TO FINISH --=—>
NUMBER OF SOWS FARROW TO WEAKLING
NUMBER OF SOWS FARROW TO FEEDER >
NUMBER OF SOWS FARROW TO FINISH =�=>
DEGREE OF ODOR CONTROL*
(minimum 1.0 cu. ft. per lb SSLW)
(maximum 3.0 Cu. ft. per lb SSLW)
NUMBER OF YEARS OF SLUDGE ACCUMULATION >
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION ­=--=>
SEASONAL HIGH WATER TABLE ELEVATION = >
LAGOON BOTTOM ELEVATION_=>
De th of Permanent Water 12.2
(minimum depth without sludge 6 feet)
(minimum depth with -sludge'- 8 feet)
Permanent Volume Required 380160.0
Permanent Volume'Provided 390986.6
ADDITIONAL DRAINAGE AREA IN SQUARE FEET>
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE--~=>
GALLONS OF -FRESH WATER ADDED DAILY
EXCESS RAINFALL ABOVE EVAPORATION =�>
25YR/24HR STORM RAINFALL .i=== =`- _­===>
FREEBOARD
ESTIMATED TOP OF DAM ELEVATION�>
Temporary Storage Volume 140057.5
Top of Dam Elevation =
inside Dimensions of Lagoon at
Length = 255.2 feet Width =
Begin Pumping Elevation =
Stop Pumping Elevation =
Volume To Be Pumped =
Edgecombe
June 6,1997
1000 FEET
0
2200
0
0
0
1.0
3.5 YEARS
230.0
FEET
200.0
FEET
51.2
FEET
46.5
FEET
39.0
FEET
feet
3.0:1
cubic feet
cubic feet
0. SQUARE FEET
180
DAYS
0
GALLONS
7.4
INCHES
6.7
INCHES
1.0
FEET
55:4
FEET
cubic feet
55.4 feet
Top of Dam
225.2 feet
53.5 feet
51.2 feet
107969.5 cubic -feet

1. STEADY STATE LIVE WEIGHT
' 0 head weanling to feeder x 30 lbs._
_
0 lbs
2200 head feeder to finishing x 135 lbs.
297000 lbs
0 sows farrow to weanling x 433 lbs.
0 lbs
0 sows farrow to feeder x 522 lbs.
=
0 The
0 sows farrow to finish'x 1417 lbs.
_
0 lbs
TOTAL STEADY STATE LIVE WEIGHT (SSLW)
m
297000 lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.080
cu. ft.
per year
per pound of STEADY.STATE LIVE WEIGHT in
swine.
Years -of sludge accumulation in design?
3.5
Sludge Volume 83160.0 cubic
feet
3.. REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft. per pound
SSLW
Total Volume =,(SSLW * Design factor) +
Sludge'Volume
Total Volume # 380.160.0 cubic
feet
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 51.2 feet
Construct lagoon bottom elevation 39.0 feet
Lagoon size for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2
3.0 3.0
AREA OF TOP
LENGTH *WIDTH -
230'.0 :200.0
AREA OF BOTTOM
Lb * Wb
156.8 126.9
AREA OF MIDSECTION
(Lm * Wm) _
193.4 163.4
SS/SIDE1 SS/SIDE2 DEPTH
3.0 3.0 1202
46000.0 (AREA OF TOP)
19882.2 (AREA OF BOTTOM)
31601.6 (AREA OF MIDSECTION)
CU. YD. - [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM) * DEPTH/6
46000.0 126406.2 19882.2 2.033
VOLUME OF LAGOON AT NORMAL -LAGOON LIQUID LEVEL =90986.6 CU. FT.
VOLUME NEEDED 380160.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 230.0 FEET TANG BY . 200.0 FEET WIDE

5. DIKE
Place spoil as a continuous dike to elevation 55.2 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE -AREA:
Lagoon (top .of dike)
Length. * Width a
255.2 225.2 57471 square feet
Additional'Drainage Area
0 square feet
TOTAL DA 57471 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume - 297000 SSLW * 0.0101481 gallon/lb. SSLW/day
in the pumping cycle / 7.48 gallons per cu. ft.
Volume - 72529.1 cubic feet
6B. Volume of wash water
This is,the amount of fresh water used for washing floors or
volume fresh water used for a flush system. Flush systems that
recycle the lagoon water are accounted for in 6A.'
Volume 0 gallons/day * 180 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume
0.0 cubic feet
6C. Volume of rainfall -in excess of.evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) _ 7.4 inches
Volume - 7.4 inches * DA / 12 inches per foot
Volume s 35440.5 cubic feet
6D. Volume of 25 year -.24 hour storm
Volume M 6.7 inches * DA / 12 inches per foot
Volume - 32088.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A.
72529.1
cubic
feet
6B.
0.0
cubic
feet
6C.
35440.5
cubic
feet
6D..
32088.0
cubic
feet
TOTAL TEMPORARY STORAGE 240057.5 cubic feet

DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON).
Depth required m Volume of temporary storage divided by surface
area of lagoon.
Depth required =
Depth required -
140058 cu.ft. J 46600 sq. ft.
3.0 feet,
Normal lagoon liquid elevation = 51.2 feet
Depth required 3.0 feet
Freeboard 1.0 feet
Top of Dam 55.2 feet
THE DIMENSIONS, OF THE INSIDE EDGE OF THE DAM AT ELEVATION
ARE 255.2 FEET BY 225.2 FEET
8. SET BEGIN -PUMPING ELEVATION
PUMPED STORAGE VOLUME
6A.
6B.
6C.
72529.1 cubic feet
0.0 cubic feet
35440.5 cubic feet
55.2
TOTAL PUMPED VOLUME m 107969.5 cubic feet
Depth required = Volume of pumped storage divided by,surface
area of lagoon at normal water level.
Depth required = .107969.5 cu.ft. / 46000.0 sq. ft.
Depth required s 2.3 feet
DESIGNED BY: oo
DATE: e of
APPROVED BY: t a)
DATE: 01XI

Emergency Action- Plan
This plan will be implemented in the event that wastes from your operations are leaking, overflowing, or
ti r running off the 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 available to all employees at the facility, as accidents, leaks, and breaks can happen- at any
time.
1) Stop the release of wastes. Depending on the situation, this may or may not be possible. Suggested
responses to problems are listed below:
a) Lagoon overflow:
• add soil to the berm to increase the elevation of the darn
• pump wastes to fields at an acceptable rate
• stop all additional flow to the lagoon (waterers)
• call a pumping contractor
• make sure no surface water is entering the lagoon .
Note: These activities should be started when your lagoon level has exceeded the temporary storage level.
b) Runoff from waste application field:
0 immediately stop waste application
• create a.temporary diversion or berry to contain the waste on the' field
'w • incorporate waste to reduce further runoff
c) Leaking from the waste distribution system: .
• pipes and sprinklers:
® stop recycle (flushing system) pump
QD stop irrigation pump
® close valves to eliminate further discharge
(D' separate pipes to create an air gap and stop flow
• flush system, houses, solids separators:
(D - stop recycle (flushing system) pump
® stop irrigation pump
® make sure no siphon effect has been created
® separate pipes to create an air gap and stop flow
d) Leakage from base or sidewall of the lagoon. Often these are seepage as opposed to flowing
leaks:
• dig a small well or ditch to catch all seepage, put in a submersible pump, and pump back
into the lagoon

U
r
• if holes are caused by- burrowing animals, trap or.remove animals
and fill holes and compact with a clay type soil.
• other holes may be likewise temporarily plugged with clay soil.
Note: For permanent repair measures, lagoon problems require the
consultation of an individual experienced in their design and installation.
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?
3) Contact appropriate agencies.
a) During normal business hours, call your DWQ regional office: [phone] ; after
hours, emergency number: 1�8 0- 58-03b8. Your phone call should include: your
name, facility, telephone number, the details of the incident, the exact location of the
facility, and the location or direction of movement of the spill, weather and wind
conditions, what corrective measures have been taken, and the seriousness of the situation.
b) If the spill leaves the property or enters surface waters, call the local EMS:
7472544.
c) Instruct EMS to contact the local Health Department: 7478181.
d) Contact CES: 7447-5831
local MRCS office: -74 3705 (0 7900
and your integrator: 2�&-_ Djf
4) 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.
5) Contact contract pumping and/or irrigation equipment companies:

6) Contact dirt moving and/or heavy equipment companies:

Insect Control Checklist for Animal Operations
Source Cause. BMPs to Confral insects Site Specific Practices
id Systems
Flush gutters • Accumulation of solids lT Flush system is' designed and o' PCI-ated
sufficiently to rc1110ve accumulated solids from
gullers as designed
O Remove bridging of accumulated solids at
discharge
Lagoons and pits • Crusted solids Maintain Ingotms, settling basins and pits where
pest breeding is apparent to minimize the: crusting
of solids to a depth of no more than 6 to 8 inches
over more than'30 percent of* surface
Excessive vegetative • Decaying vegetation Maintain vegetative control along banks of
growth lagoons and other impoundments to prevent
accumulation of decaying vegetative matter along
water's:edge on impoundment's perimeter.
Feeders • r-ced spi
1) ry
17 Design,operate, and maintain fccd systems
(e.g., bunkers and trmighs) it) minimize the
acc:umulalion Urdecaying wastage
13 Clean up spillage on a routine: basis (e.g., 7- to 10-
day interval during summer; 15- it) 30-day iWe val
during winter).

Insect Control Checklist for Animal Operations
Source Cause
RMPs In Control Insects Site Specific Practices
Deed storage • Accumulations of feed.'Reduce
moisture accumulation within and around
residues
immediate perimeter of feed storage areas by
ensuring drainage is away Frain site and/or
providing adequate containment (e.g., covered bin
for brewer's brain and similar high moisture grain
products)
❑ Inspect for and remove -or break up accumulated
solids in filter strips around feed storage as needed
Animal holding • Accumulations of animal
❑ f?liminate low areas that trap moisture along fences -.
areas wastes and feed wastage
and other lo►c:ations where waste accumulates and
disturhance by animals is minimal
❑ Maintain fence rows and lifter strips around animal
holding areas to minimize accumulations of wastes
(i.e., inspect for awl remove or'break tip
accumulatccl solids as needed)
Dry manure Accumulations ufanimal
❑ Remove spillage on a routine basis (e.g.,
handling syslents wastes.
7- to i0-clay interval during summer; 15- to 30-day
interval during winter) where manure is loaded for
land applicalion or disposal
❑ Provide for adequate drainage around mnnure
stockpiles
❑ Inspect for and remove or break up accumulated
wastes in t llee strips around stockpiles and manure
handling areas as needed
.or more information contact:
.00perative Extension Service, Department or Entomology, Box 7613, North Carolina State University, Raleigh, NC 27695-7613.

C
Swine Farm Waste Management Odor Control Checklist
Source Cause 1iMPs to Minimize Odor Site Specific Practices
Storage tank or • Partial microbial 9FButtoni or midlevel loading,-.
basin surface decomposition I] Tank covers
• Mixing while filling C 1 Basin surface'tuats of solids
• Agitation when emptying ❑ Proven biological additives or oxidants
Settling basin • Partial microbial 17 Extend drainpipe oudcts underneath liquid level
surface decomposition Q Remove settled solids replarly
• Mixing while filling - -
• Agitation when eiTTplying
Manure, slurry, or • - Agitation when spreading
sludge spreader • Volatile gas CITUS'SIo1T
millets
C] Soil injection of slurry/sludges
❑ Wash residual in -inure fruni spreader afier use
C] . Proven biological additives or oxidants .
Uncovered manure, Volatile gas emissions while O Soil injection of slurry/sludges
slurry, or sludge on drying D Soil incorporation wilbin 48 hours
Field surfaces
(� D .Spread in thin uni form, layers for rapid drying
1 O Proven biological additives or oxidants
Dead animals ! Carcass decomposition S Proper di position of carcasses
------------
Dead animal • Carcass decomposition ❑ Complete covering of carcasses in burial pits
disposal pits. (71 Proper localion/construction of disposal pits
Incinerators • Incomplete combustion in Secondary stack burners
Standing water • Improper drainage Q'Grade and landscape such That water drains away
around facilities • Microbial decomposition of from facilities
organic matter

Swine Farm Waste Management Odor Control Checklist
Source
Cause
BMPs tlr Minimize Odor Site Specific Practices
Mush galleys
• Agitation during wastewater
tK
Underf o'Or flush with underfloor ventilation
conveyance
Pit FeCharge Iwints
• Agitation of recycled lagoon
❑
Extend Erxharge lines to near hottorn of pits with
liquid while pits are filling
anti -siphon vents
Lift stations
• Agitation during sump tank
❑
Sump tank covers
filling and drowdown
Outside drain
a Agitation during wastewater
❑
Box covers
cullection or conveyance
iunction boxes
Lind of drainpipes a Agitation during wastewater D Lxtend discharge point of pipes underneath
at lagoon conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emissions Zr Proper lagoun liquid capacity
• Biological mixing ,WCorrect lagoon startup procedures
• Agitation :'Minimum surface area- tii-volunne ratio
XufMinimum agitation when Pumping
❑ Mechanical ac;ration
O Proven biological additives
Irrigation sprinkler . I ligli pressure ag,il ation P Irrigate on dry days wilh little or no wind
nozzles . Wind drift ❑ Minimum recommended operating pressure
XPtunp intake near lagoon liquid surface
0 Pump from second -stage lagoon

Swine Farm Waste Management Odor Control Checklist
Source Cause DMl's to Minimize Odor Site Specific Practices
ne production X Vegetative or wooded buffers
g' Recommended best management Practices
A`bood judgment and common sense
Animal body • Dirty inanurc-covered 0 Dry floors T
surfaces animals
Floor surfaces • . Wet manure -covered floors Slotted floors
Waterers located over slatted floors
0 feeders at high end of solid floors
Cl Scrape manure buildup from floors
0 Underfloor ventilation for drying
Manure collection Urine l" Frequent manure removal by flush, pit recharge,
pits • partial microbial or scrape
decomposition O Underfloor ventilation
0.
Ventilation exhaust ► Volatile gases IT Fan maintenance
fans . Dust . Efficient air move' men(
Indoor surfaces • Dust l Washdown between groups of animals
/❑ reed additives
0 Feeder covers
0 Feed delivery downspout extenders to feeder
covers
Flush tanks • Agitation of recycled lagoon Cl Flush tank covers
liquid while tanks are filling ❑ Extend fill lines to near bottom of tanks with
anti -siphon vents

C
A allure tracked onto
Swine Farm Waste Management Odor Control Checklist
Poorly maintained access 21 Farm access road maintenance
)u blic roads from roads �
h IT! access
s
it lditional Information: Avaiilahle Frain:
wvine Manure Management; .0200 Rule/13M11 Packet NCSU, County Extension Center
Wvine Production Farm Potential Odor Sources and Remedies; l.-BAE Fact Sheet NCSU—BAE
'vvine Production facility Manure Management: Pit Recharge ---Lagoon Treatment; EBAE 128-88 NCSU-�-�-BAE
iv vine Production Facility Manure Management: Underfloor Flush —Lagoon Treatment; VBAE 129-88 NCSU—BAE
_a.goon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83 ' NCSU—BAE
.a libration of Manure and Wastewnter Application Equipment; EBAE Fact Sheet NCSU—BAE
.c mtrolling Odors From Swine Buildings; PII-I-33 NCSU—Swine Extension
virorunenful Assurance Program; NPPC Manual N.C. Pork; Producers Assoc.
)r 3tions for Managing Odor; a report from the Swine Odor Task Force NCSU Agricultural Commtinications
JL tisane Concerns in Animal Manure Management: Odors and flies; PRO107, 11Y)5 Conference Proceedings Florida Cooperative Extension

Mortality Management Methods
(check which methods(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.
V Rendering at a rendering plant licensed under G. S. 106-168.7
❑ Complete incineration
❑ In the case of dead poultry only, 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 a dead animal's value with-
out endangering human or animal health. (Written approval of the State
Veterinarian must be attached).
December 18, 1996

�D
Greenestar Angus
' r F
Joel and Jane �\ �
Harrison v
1907 Oxford Rd,
Kinston, NC
28501
[phone]
► � � � � �. .ham
ary
LA&�

*� Greenestar Angus
Joel and Jane
Harrison 1
1907 Oxford Rd.
Kinston, NC r t
28501
(919] 522.425A Ire

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