330061_PERMIT FILE_20171231

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ANIMAL WASTE MANAGEMENT PLAN CERTIFICATION FOR NEW OR EXPANDED FEEDLOTS
Please return the completed form to the Division of Environmental Management at the address on the
reverse side of this form.
Name of farm (Please print):_ Richard Anderson - Catlin Hunting Club Road _Farm
Address: Route 2 Box 215 C Tarboro, NC 27886
Phone Nurnber: 919 823-4730
County: Edgecom a Martin
Farm location: Latitude and Longitude. 350 58' 5911/ 770 23' 571trequired). Also, please attach a copy of a
county road map with location identified.
Type of operation (swine, layer, dairy, etc.):Swine
Design capacity (number of animals): 7000
Average size of operation (12 month population avg.): 7000
Average acreage, needed for land application of waste (acres): 100.80 AC minimum
TECHNICAL SPECIALIST CERTIFICATION
As a technical specialist. designated by the North Carolina Soil and Water Conservation Commission pursuant to
15A NCAC 6F .0005, 1 certify that the new or expanded animal waste management system as installed for_the
farm named above has an animal waste man'agement plan that meets the design, construction, operation and
maintenance standards and specifications of the Division of Environmental Management and the USDA -Soil
Conservation Service and/or the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC
2H.0217 and 15 A NCAC 6F .0001-.0005.. The following elements and their corresponding minimum criteria have
been verified by me or other designated technical specialists and are included in the plan as applicable: minimum
separations (buffers); liners or equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for waste utilization (or use of third party); access.or ownership of proper waste
application equipment; schedule for timing of applications; application rates loading rates; and the control of the
discharge of pollutants from stormwater runoff events less severe than the 25-ye6r, 24-hour storm.
Name of Technical Specialist (Please Print): Bobby L.. Joyner
Affiliation: Appian Consulting Engineers, P.A
Address (Aaehd* PO Box 7966 Rocky- Mount, NC 27804
Phone Number: [phone]
�-- Date:_ 1?'
OWNER/MANAGER AGR�NT _—__----^^____-------
______�-_____________
1 (we) understand the operation and maintenance procedures established in the approved animal waste
management plan for the farm named above -and will implement these procedures. I (we) know -that any
additional expansion to the existing design capacity of the waste treatment and storage system or construction of
new facilities will require a new certification to be submitted to the Division of Environmental Management before
the new animals are stocked. I (we) also understand that there must be no discharge of animal waste from this
system to surface waters of the state either through a man-made conveyance or through runoff form a storm
event less severe than the 25-year, 24-hour storm. The approved plan will be filed at the farm and at the office of
the local Soil and Water Conservation District.
Name of Lapo O ,r Please Print): Richard Anderson
Signature Date:
Name of M`Lager, if different'from owner (Please Print):
Signature:
Date:
Note: A change in land ownership requires notification or a new certification (if the approved plan is changed) to
be submitted to the Division of Environmental Management within 60 days of a title transfer.
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ArcExplorer Software for Animal Program
feature working on their computer,
Charles Alvarez
In the future
Aerial Photographs to use with ArcExplorer
More Layers for you to use (let me know if you want anything special)
Inactive Lagoon layers as I can put it together
Name: Regional.AEP
N4 Regional.AEP Type: application/x-unknown-content-type-aepfile
Encoding: base64

I
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FEB-21-2003 16:25
P,01/03
A%W
Agri -Waste Technology, Inc,
5400 Etta Burke Court
Raleigh, North Carolina 27606
i Phone: [phone]
Fax: [phone]
Email: awtpagriwacte.com
February 18, 2003
MEMORANDUM
TO: Mr. Rewiedi Schuster, PE
Mr. Buster Towell
xC Mr, Baxter Gutknecht, HAN O R
Mr. Myr] Mortenson, HANOR
Mr. Dave Wade, HANOR
Mr. Greg Soonytirg, HANOR
Mr Wayne Barrett, KANOR
FROM; Hal Langenhacb
SUBJECT: Response to Notice of Violation Datcd January 28, 2003
The HANOR Company, hnc. has reviewed the situation outlined in your letter dated January 28, 2003 for
the HA -NOR Highway 97 Truckwash Facility. Thr source of the problems as well as proposed corrcctivL;
actions are outlined below;
1. Due to a. wet fall season, the soybeans were not harvested from the application field until
11/29/Q2. A late planting of wheat occurred on 12/3/02 for Field 2.
2. `1'o rectify the poor cover crop situation, The HANOR Company, 1ne. is working with the
property owner to take more control of the application land to plant mud harvest the appropriate
cover Crop at the correct time A copy of the agreement is being developed and we will forward a
copy to you once it has been finalized.
3. HANOR will irurnediately work with the land owner to rectify the cropping situation to ensure
that an appropriate cover crop is available as soon as possible. Once f IA.iNOR takes control of the
property, some croppug schemes may be altered so that the cover crop is easier to maintain
consistently. Any changers to the permit (or permit application) will be, proposed to ,your office for
approval prior to implementation.
Please rc;view the information, contained in this response and let me know if you have any quc;stions or
coirunents.
Q!? u6u.wpd
"Concepts in Agricultural Byproduct Utilization"

FFB-21-2003 16:26
P.02/03
State of North Carolina ment
[pep meal Resources
and atu
Raleigh Reglonal Office
Michael F. Easl®y, Govo morr
Wiliam G. Roes, Jr., $*eretary
Alan W. Klimek, P.E. Airectur
Division of Water Quality
I=uary 28, 2003
• r
L. II\ 1. / • III \ : 1• �W--
Mr, Gveg Sconyers, General 'M=Ager
The Hanor Company, Inc,
6717 N.C. Hwy 97 West
Battleboro, North Carolina 27809
NCDENR
&Mi4UHmeNT wk4 ?1aumm. grA6WDIG5
Subject: Notice of Violation
The Hanor Co., HiAway 97 Truck Wash
Permit No, WQOD14928
Edgeoombe County
Dent Mr. Sconyers:
311 January 22, 2003, Mr. Buster Towel) of the Raleigh Regional Office conducted an
inspection at the subject spray irrigation faciHty, The purpose of the inspection was to evaluate
your permit renewal application/ modification package, The inspection revealed the following
violation of your current Permit:
Condition U.,3., states that a suitable year-round vegetative cover shall be majAWned on the
irrigation fields.
Born Field 0 1 and Field # 2 had been planted with soybms. Non Dischargo ,Application Report
(NDA R) tomts submitted for the mouths of October and November, 2002, indicated that Field
2 had received wastewater applications on three (3) occasions in October and on lour (4)
occasions in the month of November, 2002, Further observations revealed that Field # 1 had
only weeds in it.
Typical applications windows [Or soybous in triter North Carolina run from May or June
through September, Soybeans that have become do=ant do not constitute a', suitable"
vegetative cover.
1628 MaII SOMCD Comer, RM040h. NC 27093.1$28 Telephone [phone] FAX IIHO)67t4'19
An Equal oppaAphl Y Afitrm*Na 1Attlon EMployar 513% raLy010dI10% past-eanaumar Pp„

FEB-21-2023 16:26
. -u .- LCJLJ +U'• U
Mr. Greg Sconyers
Page 2
Please note that violations of your Noudischarge Permit are subject to civil penalties of lip to
S 10,000,00 per day, per violation, and in some cases up to $ 25,000.00 per day.
During the inspeot on you expWaed to Mr, Towell that Manor was in the pracess of trying to get
more control over the spray fields by negotiating with the land owner, Mr. Richard Anderson, so
that you will be abic to control the planting and harvesting of crops on your spray fields,
The permit renewal package submitted by AWT recommends land application windows of June
through September for soybeans. The Raleigh Regional Office agrees with this recommandation,
and we will include this along with our other comments in our staff report for tha remcwal of
your permit.
Please respond to this Notice jn 3m�JiU within tern days of your receipt. If you Have any
questions regarding this matter you ahould contact Buster Towell at (91,9) 571-4700.
Sincerely,
Kenneth Sow , B.
Regional Water Qualm Supervisor
cc: Fdgccambc County Hoolth Department
DWQ Nondischarge Compliance Group
RRO Filcs
YTCTAL P 23

NON -DISCHARGE APPLICATION REVIEW REQUEST FORM'
Date: May 23,2003
C—
To: ❑ Forrest Westall, ARO-WQS
® Debra Watts, CO-GWS �6
❑ Paul Rawls, FRO-WQS
t
❑ Rex Gleason, MRO-WQS
Copies Sent to CO-GWS: 2
®Ken -Schulte RRO-WQS
❑ Jim Mulligan, WaRO-WQS
❑ Rick Shiver, WiRO-WQS
Copies Sent to RO-WQS: C1D
❑ Steve Mauney, WSRO-WQS
❑ Distribute 0 Copies to RO-GWS
From: Michelle McKay, Non -Discharge Permitting Unit
Telephone: [phone] ext. 546
Fax: [phone]
E-Mail: [e-mail]
A. Permit Number: W00014928
B. Owner: Jim Arnold
C. Facility/Operation: Hanor County Hwy 97 Truckwash
❑ Proposed ® Existing ® Facility ❑ Operation
D. Application:
1. Permit Type: ❑ CS (O&M) ® Surface Irrigation ❑ Reuse . ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ® Minor Mod. ® Renewal ❑ Renewal w/ Mod.
E. 'Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WOS: c
®—Return-a-Completed.F_orm.NDSRR7_1 ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail. .
For CO-GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Non -Discharge Permitting Unit contact person listed above.
RO-WQS Reviewer:lu'utiree— �WU�/ Date: 03
CO-GWS Reviewer:
Date:
FORM: NDARR 09/02 Page 1 of 1

VjT
E:ry
AgrMasteTechnology, Inc.
5400 Etta Burke Court
Raleigh, North Carolina 27606
Phone: [phone]
Fax: [phone]
Email: [e-mail]
April 24, 2003
MEMORANDUM
TO: Ms. Sue Homewood, DWQ
Mr. Buster Towell, DWQ Raleigh Regional Office m
C7
XC: Mr. Dave Wade, HANOR
Mr. Greg Sconyers, HANOR p1°
Mr. Wayne Barrett, HANOR l
FROM: Hal Langenbach
SUBJECT: The HANOR Company, Inc. Highway 97 Truckwash Application
Addendum (Permit WQ0014928)
Enclosed, please find the required Agronomist Report for the additional crops that we would like
to add to the permit for the HANOR Highway 97 Truckwash Facility. This was discussed
previously with you as a way to better manage the application fields for this facility. If you have
any questions or require additional information to make this change, please contact me as soon as
possible at 919-859-0669. Thank you for your assistance with this matter.
H:1Hanor-NC1211068.wpd
"Concepts in Agricultural Byproduct Utilization"

Avvr
Agri -Waste Technology, Inc.
5400 Etta Burke Court
Raleigh, North Carolina 27606
Phone: [phone]
Fax: [phone]
Email: [e-mail]
I I
i
1
,iE' - EY 0, VAUGH
CERTIFIED PROFESSIORA
�� �. AGROHOhlIS11�RTIFI ��\�/
`. CROP ADVISER
Agronomist Report
For
The Hanor Company, Inc.
Highway 97 Truckwash
Submitted by
Jeff Vaughan, CPAg/SSc/CCA 418251
Agri -Waste Technology, Inc. (AWT)
4,/&°3
The following proposed cropping plan is for The Hanor Company, Inc. Highway 97 Truckwash
facility located in Edgecombe County, North Carolina. This plan includes the crops (in addition
to other crops contained in previous permits and permit applications) to be grown, yield
potential, fertility recommendations, and management considerations. An aerial map detailing
the fields and soil types can be found in Attachment A.
The additional crops contained in this report include hybrid bermudagrass (Cynodon dactylon
L.), tall fescue (Festuca arundinacea L.), and sudangrass (Sorghum bicolor L.). These crops will
primarily be harvested for hay, but some grazing may occur. The major soil types located in the
fields on the property that will receive waste application from the Truckwash facility are
Altavista fine sandy loam, Dogue fine sandy loam, Roanoke loam, and Wahee fine sandy loam.
Bermudagrass„Crop Information
An established bermudagrass stand can yield approximately 3-6 tons/ac/year (Chamblee, 1995;
Chamblee et at., 1995; Mueller et al., 1993, NCDA, 1994). However, yields as high as 8
tonslaclyear have been reported for some soils, including the sandy loam soils of eastern North
Carolina (Agricultural Waste Management Field Handbook, 1992; Burton and Hanna, 1985;
Mueller et al., 1994). Of course, as with all crops, actual yield depends upon climatic conditions
(heat, precipitation), fertility, pest management, soil pH, etc., that may affect crop productivity.
"Concepts in Agricultural Byproduct Utilization"

Established bermudagrass stands require approximately 40-50 lbs N/dry ton (Messinger and
Randall, 1991; Mueller et al., 1993; MRCS, 1996). Nitrogen application recommendations are
typically between 150 and 300 lbs N/ac/year for bermudagrass (Burton and Hanna, 1985,-
Chamblee et al., 1995; Mueller et al., 1993; NCDA, 1994). However, when bermudagrass yields
exceed 6 tons/ac/year, N removal can be as high as 400 lbs N/aclyear (Burton and Hanna, 1985;
Mueller et al., 1993; Mueller et al., 1994). Nitrogen application recommendations for grazed
bermudagrass should be discounted by 25% compared to nitrogen application recommendations
for hayed bermudagrass (MRCS, 1996).
Specific yield estimates and nitrogen requirements for bermudagrass can be found on the
Realistic Yield Database(http://www.spatialIab.ncsu.edu/nutman/yields/). Table 1 (below)
details the specific bermudagrass yield estimates and nitrogen recommendations for the fields
and soil types found on the property that will receive waste application from the Truckwash
facility.
Table 1. Bermudagrass Yield Estimates and Nitrogen Recommendations for Fields and
Soil Types on the Waste Application Property at The Hanor Company, Inc. Highway 97
Truckwash Facility.
Field
Predominant Soil Type(s)
Realistic Yield
Nitrogen
Recommendation(')
-----tons/ac-----
----- lbs/ac-----
Ha ed
Grazed
1
Altavista fine sandy loam ^-5% of field
5.9
271
203
Do a fine sandy loam —25% of field
NA
NA
NA
Wahee fine sandy loam ^-75% of field
5.0
210
158
2
Altavista fine sand loam ^ 40% of field
5.9
271
203
Dogue fine sandy loam —40% of field
NA
NA
NA
Roanoke loam —10% of field
3.5
151
113
Wahee fine sandy loam ---10% of field
5.0
210
158
(1) Found in Realistic Yield Database (http Hwww.spatiallab.ncsu.edu/nutman/, ieY_ ldsl
and Conservation Practice Standard - Nitrogen Management. Code 590A (MRCS,
1996).
Timing nitrogen applications to bermudagrass depends on the frequency of forage removal.
Bermudagrass forage should be removed at 4 to 6 week intervals or when it is 12 to 15 inches
tall, whichever comes first (Burton and Hanna, 1985; Chamblee et al., 1995; Mueller et al.,
1993). Using the N application recommendations above and considering the sandy nature of the
soils present on the property, waste application should be divided into 3 or more applications that
occur at the onset of spring growth and between each forage removal (Chamblee et al., 1995;
Mueller et al., 1993; NCDA, 1994). Other nutrients, including phosphorus, potassium, and
micronutrients, plus lime should be applied according to soil test recommendations. Nitrogen
applications to bermudagrass should primarily occur during the months of March through
September (NCDENR, 2003). Other nutrient applications and lime application should occur
either in the fall or spring of the year near or coinciding with nitrogen application.
2

Bermudagrass forage can be removed approximately 3 to 5 times per year. Removal should
occur when bermudagrass is in full vegetative stage immediately prior to seed heading
(approximately 12 to 15 inches in height). Estimating yield and nutrient uptake can be, an
important tool for determining nutrient removal from fields and assessing optimum yield goals
and nutrient application recommendations. Additionally, hay analysis will indicate the nutritive
value and any potential toxicity problems for animal consumption. Yield can be estimated by
recording the number of bales removed from each field at each cutting and the average/estimated
weight of each bale. Hay samples can be obtained for plant analysis by sub -sampling hay -from
several bales in the field and compositing the samples. Hay samples obtained for analysis should
be stored and shipped in a paper bag or box, not in a plastic bag. Hay samples should be
analyzed for moisture, crude protein, acid detergent fiber, total digestable nutrients, net energy,
calcium, phosphorus, potassium, magnesium, sulfur, sodium, iron, manganese, copper, and zinc.
The fields on the property are not currently established as bermudagrass stands, so sprigging
bermudagrass will be necessary. Table 1 in the Forage Planting Guide for North Carolina found
in Production and Utilization of Pastures and Forages in North Carolina (Green et al., 1995)
document developed by NCSU and WARS details planting recommendations. The sprigging
rate should be 25-40 bu/ac for broadcast sprigging and 5-15 bu/ac for drill sprigging. The
planting depth should be between 1 and 3 inches. The planting dates should be between mid -
February to mid -April.
It is important to understand that bermudagrass has the potential to accumulate nitrate -nitrogen
(NO3-N) to the extent that animals consuming the forage experience nitrate poisoning (Poore and
Hopkins, 1995). This typically occurs during times of drought or.when N has been overapplied
(Poore and Hopkins, 1995). Nitrate -nitrogen levels above 0.4% in plant tissue are considered
dangerous for animal consumption (Mueller et al., 1994). Therefore, if over -application of or
drought occurs, it would be prudent to test the forage before it is consumed by animals. Hay that
has excessive levels ofNO3-N can be diluted with hay that has acceptable levels ofNO3-N in
order to prevent animal poisoning.
Tall Fescue Crop Information
An established tall fescue pasture can yield approximately 3-6 tons/ac/year (Chamblee, 1995;
Chamblee et al., 1995, NCDA, 1994). Of course, as with all crops, actual yield depends upon
climatic conditions (heat, precipitation), fertility, pest management, soil pH, etc., that may affect
crop productivity.
Established tall fescue stands require approximately 40-50 lbs N/dry ton (Meisinger and Randall,
1991; NRCS, 1996). Nitrogen application recommendations are typically between 150 and 250
lbs N/ac/year for tall fescue (Chamblee et al., 1995; NCDA, 1994). Nitrogen application
recommendations for grazed tall fescue should be discounted by 25% compared to nitrogen
application recommendations for hayed tall fescue (MRCS, 1996).

Specific yield estimates and nitrogen requirements for tall fescue can be found on the Realistic
Yield Database(http://www.spatialtab,ncsu.edu/nutman/yields/1. Table 2 (below) details the
specific tall fescue yield estimates and nitrogen recommendations for the fields and soil types
found on the property that will receive waste application from the Truckwash facility.
Table 2. Tall Fescue Yield Estimates and Nitrogen Recommendations for Fields and Soil
Types on the Waste Application Property at The Hanor Company, Inc. Highway 97
Truckwash Facility.
Field
Predominant Soil Type(s)
Realistic Yield
Nitrogen
Recommendation(')
-----tons/ac-----
----- lbs/ac-----
Hayed
Grazed
1
Altavista fine sandy loam —5% of field
4.0
181
136
Dogue fine s4pdy loam —25% of field
NA
NA
NA
Wahee fine sandy loam —75% of field
4.0
168
126
2
Altavista fine sandy loam —40% of field
4.0
181
136
Dogue fine sandy loam —40% of field
NA
NA
NA
Roanoke loam —10% of field)_3.5
151
113
Wahee fine sandy loam — 10% of field
4.0
168
126
(2) Found in Realistic Yield Database (htt ://www.s atial]ab.ncsu,edu/nutman/ ieldsl)
and Conservation Practice Standard - Nitrogen Management. Code 590A (MRCS,
1996).
Nitrogen (in the form of waste at the Truckwash facility) applications to tall fescue should
primarily occur during the months of August through May (i.e. avoid application during June and
July) (NCDENR, 2003). Other nutrients, including phosphorus, potassium, and micronutrients,
plus lime should be applied according to soil test recommendations.
Tall fescue can be cut for hay approximately 3-4 times per year. Cuttings should occur when tall
fescue is in full vegetative stage immediately prior to seed heading. Estimating yield and
nutrient uptake can be an important tool for determining nutrient removal from fields and
assessing optimum yield goals and nutrient application recommendations. Additionally, hay
analysis will indicate the nutritive value and any potential toxicity problems for animal
consumption. Yield can be estimated by recording the number of bales removed from each field
at each cutting and the average/estimated weight of each bale. Hay samples can be obtained for
plant analysis by sub -sampling hay from several bales in the field and compositing the samples.
Hay samples obtained for analysis should be stored and shipped in a paper bag or box, not in a
plastic bag. Hay samples should be analyzed for moisture, crude protein, acid detergent fiber,
total digestable nutrients, net energy, calcium, phosphorus, potassium, magnesium, sulfur,
sodium, iron, manganese, copper, and zinc.
The fields on the property are not currently established as tall fescue stands, so planting tall
fescue will be necessary. Table ] in the Forage Planting Guide for North Carolina found in
Production and Utilization of Pastures and Forages in North Carolina (Green et al., 1995)
document developed by NCSU and NCARS details planting recommendations. The seeding rate
should be 15-20 lbslac for broadcast seeding and 10-15 lbslac for drill seeding. The planting
4

depth should be between 0.25 and 0.5 inches. The planting dates should be between early March
to mid -May or between mid -July to mid -August.
Sudangrass Crop Information
An established sudangrass pasture can yield approximately 3-5 tons/ac/year (Chamblee, 1995;
Chamblee et al., 1995; NCDA, 1994). Of course, as with all crops, actual yield depends upon
climatic conditions (heat, precipitation), fertility, pest management, soil pH, etc., that may affect
crop productivity.
Established sudangrass stands require approximately 45-55 lbs N/dry ton (Meisinger and
Randall, 1991; MRCS, 1996). Nitrogen application recommendations are typically between 150
and 300 lbs N/ac/year for sudangrass (Chamblee et al., 1995; NCDA, 1994). Nitrogen
application recommendations for grazed sudangrass should be discounted by 25% compared to
nitrogen application recommendations for hayed sudangrass (MRCS, 1996).
Specific yield estimates and nitrogen requirements for sudangrass can be found on the Realistic
Yield Database (http://www.spatialtab,ncsu.edu/nutman/yields/). Table 3 (below) details the
specific sudangrass yield estimates and nitrogen recommendations for the fields and soil types
found on the property that will receive waste application from the Truckwash facility.
Table 3. Sudangrass Yield Estimates and Nitrogen Recommendations for Fields and Soil
Types on the Waste Application Property at The Hanor Company, Inc. Highway 97
Truckwash Facility.
Field
Predominant Soil Type(s)
Realistic Yield
Nitrogen
Recommendation(l)
-----tons/ac-----
----- lbs/ac-----
Ha ed
Grazed
1
Altavista fine sandy loam —5% of field
5.6
.286
215
Dogue fine sandy loam —25% of field
NA
NA
NA
Wahee fine sandy loam —75% of field
4.8
226
170
2
Altavista fine sandy loam —40% of field
5.6
286
215
Dogue fine sandy loam —40% of field
NA
NA
NA
Roanoke loam —10% of field
3.3
159
119
Wahee fine sandy loam —10% of field
4.8
226
170
(3) Found in Realistic Yield Database(http://www.spatialIab.ncsu.edu/nutman/yields/)
and Conservation Practice Standard - Nitrogen Management. Code 590A (MRCS,
1996).
Nitrogen applications to sudangrass should primarily occur during the months of March through
August (NCDENR, 2003). Other nutrients, including phosphorus, potassium, and
micronutrients, plus lime should be applied according to soil test recommendations.
Sudangrass can be cut for hay approximately 3-5 times per year. Cuttings should occur when
sudangrass is in full vegetative stage immediately prior to seed heading. Estimating yield and
5

nutrient uptake can be an important tool for determining nutrient removal from fields and
assessing optimum yield goals and nutrient application recommendations. Additionally, hay
analysis will indicate the nutritive value and any potential toxicity problems for animal
consumption. Yield can be estimated by recording the number of bales removed from each field
at each cutting and the average/estimated weight of each bale. Hay samples can be obtained for
plant analysis by sub -sampling hay from several bales in the field and compositing the samples.
Hay samples obtained for analysis should be stored and shipped in a paper bag or box, not in a
plastic bag. Hay samples should be analyzed for moisture, crude protein, acid detergent fiber,
total digestable nutrients, net energy, calcium, phosphorus, potassium, magnesium, sulfur,
sodium, iron, manganese, copper, and zinc.
The fields on the property are not currently established as sudangrass stands, so planting
sudangrass will be necessary. Table 1 in the Forage Planting Guide for North Carolina found in
Production and Utilization of Pastures and Forages in North Carolina (Green et a1., 1995)
document developed by NCSU and NCARS details planting recommendations. The seeding rate
should be 30-40 lbs/ac for broadcast seeding and 20-25 lbs/ac for drill seeding. The planting
depth should be between 1 and 2 inches. The planting dates should be between mid -April to late
June.
References
Agricultural Waste Management Field Handbook. 1992. Chapter 6, Part 651, Role of
Plants in Waste Management.
Burton, G.W. and W.W. Hanna. 1985. Bermudagrass. In M.E. Heath et al. (ed.) Forages -
The Science of Grassland Agriculture. Iowa State University Press. Ames,
Iowa.
Chamblee, D.S. 1995. Appendix G. In D.S. Chamblee (ed.) Production and Utilization of
Pastures and Forages in North Carolina. NCARS-North Carolina State University Tech.
Bull. 305,
Chamblee, D.S., J.T. Green, Jn, and J.C. Burns. 1995. Principal Forages of North
Carolina: Adaptation, Characteristics, Management, and Utilization. In D.S. Chamblee
(ed.) Production and Utilization of Pastures and Forages in North Carolina, NCARS-
North Carolina State University Tech. Bull. 305.
Green, Jr., J.T., J.P. Mueller, and D.S. Chamblee. 1995. Planting Guide for Forage Crops in
North Carolina. In D.S. Chamblee (ed) Production and Utilization of Pastures and Forages in
North Carolina. NCARS-North Carolina State University Tech. Bull, 305,
Meisinger, J.J. and G.W. Randall. 1991. Estimating Nitrogen Budgets for Soil -Crop
Systems. In R.F. Follett et al. (ed.) Managing Nitrogen for Groundwater Quality and
Farm Profitability. SSSA. Madison, Wisconsin.
G

Mueller, J.P., J.T. Green, Jr., D.S. Chamblee, J.C. Burns, J.E. Bailey, R.L. Brandenburg.
1993. Bermudagrass Management in North Carolina. NCCES-North Carolina State
University, AG-493.
Mueller, J.P., J.P. Zublena, T.C. Barker, M.H. Poore, and J.T. Green. 1994. Swine waste
as a low-cost alternative to commercial fertilizer for production of forage for grazing
cattle. Soil Sci. Soc. North Carolina Proc. 37:85-96.
NCDA. 1994. Note 12: Forage and Pasture Crops. Agronomic Division. Raleigh, North
Carolina.
NCDENR. 2003. SEVENTH Guidance MEMO (Revision One).
NRCS. 1996. Conservation Practice Standard - Nitrogen Management. Code 590A.
Poore, M.H. and B.A. Hopkins, 1995. Forage -Related Disorders in Beef and Dairy Cattle.
In D.S. Chamblee (ed.) Production and Utilization of Pastures and Forages in North
Carolina. NCARS-North Carolina State University Tech. Bull. 305.
7

NUH I H UAHULINA
Department of Environmental quaff

ield 2
Legend -
-
Drawn By. .. .. ...
Enrique Cachafeir(
Revised By: s - :._x.- .
Jeff Vaughan
Date: 500 0 500 1000 1500 Feet
L04/16M03 ----
r #t'
Truckwash
1 A
Soil Types:
AaA - Altavista fine sandy loam, 0-3% slope
AyA - Aycock very fine sandy loam, 0-2%
DgA - Dogue fine sandy loam, 0-3%
NoB - Norfolk loamy sand, 2-6%
Ro - Roanoke loam
StB - State loamy sand, 0-4%
We - Wahee fine sandy loam
Scale: 1:6000

`1-ta-�q
for Visit: (D-Routine 0 Complaint 0 Follow-up 0 Referral 0
Other 0 Denied Access
Date of Visit: Arrival Time: 0 Departure Time: L 7 County: Region:
Farm Name: d tl �� I2' ` S t' Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: f �dk-A W"
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone:
Integrator:
Certification Number:
Certification Number:
Latitude: Longitude:
Design C►urrent
Swine Capacity Pap.
Wean to Finish
Wet Poultry
Layer
Design
Capacity
Current
P.
Design Current
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Feeder to Finish
Non -La er
I
Dairy Calf
Dairy Heifer
arrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
000
Z
Design
Current
Dry Cow
Non -Dairy
Beef Stocker
Dr. P,oultt, Ca acit P,o
Layers
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Dischartres 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 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
/
No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Fadili Number: 33 - Date of Inspection: -7
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
Identifier: P S
Spillway?:
Designed Freeboard (in):
� r
Observed Freeboard (in): �4� fled
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?
No ❑ NA
No [] NA
Structure 6
❑ Yes o ❑ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses -an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes PN ❑ 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 �o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 0No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 7No ❑ 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): ��ge, Sod ,EjQ qnJ
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ZN -
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement?
❑ Yes 0 o
❑ 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?
a
❑ Yes 'g�N�o
❑ NA
❑ 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
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 I" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Humber: "3 -61 Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? � ❑ Yes VNo
❑ NA ❑ NE
"_
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail 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
d 1' h h' h h 10
an report morta ity rates t at were ig ei t an norma .
24. 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 the 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
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',I:li 2 i,q %Ills i "I ill-..,s3g 9i 3..- 4 1.. If 'il.•.. i- i4l ..: ; ..,1. E 9 ,:� ,.• i k
(, ;i �, ..1,9 i;,li, 5. s,. , , i'a alp .0 � u � ,-,i �4�, ..; : �... �. i i 9.l is .i�. icy+r
Useidrawin s offa6i1l �'to biattcrex lam sitdations(use1additlonali ag e' a� necessa " :i�1i ���t11iS,�:?§its`st `;jii�i{,i�lg�4�yiti!li,' Ul€1is�tti,g4 i,. y s 14,t+,ii €i+ ., s=t
Sa 114 ryDec - 3 r� o.4
i A �r09resX 0 C r9h5 1"}` C, d �. i"L�flev7
C 17 i3 n') e t o �r P 7 a pq V ,�7 &/s' Oki S f Id S 4
Reviewer/]nspector Name: Phone: "J �9 ? 9I — V 7-00
Reviewer/Inspector Signature: f34 S 4rx � � -_ Date: 7 — _ S

Facility Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes V,N
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [] Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ZNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to property 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?
,5 I k d5 e $u r V e y Q(t,,,L AS P- -r Oec - 3 1,� 2- o a-/
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [—]No
❑ Yes ❑ No
❑ Yes ❑ No
t^ i Prrf�res� p C4.4,75C C. ►'C(/Qc�T
r �7"
S 51�
Reviewer/Inspector Name:
Reviewer/Inspector Signature: -TOV4 f
Page 3 of 3
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Phone: ! /q g I l — (/7-00
Date: 7-9 — t g
21412015

R
Water Resources
Environmental Quality
The Hanor Company, Inc.
Polly Ridge Farm
6717 NC 97 W
Battleboro, NC 27809
Dear The Hanor Company, Inc.:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
NC Dept of Environmental Quality
September 1, 2017 SEP - 6 2017
Raleigh Regional Office
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS330061
Polly Ridge Farm
Animal Waste Management System
Edgecombe County
The Division of Water Resources (Division) received your sludge survey information on August
3, 2017. With the survey results, you requested an extension of the sludge survey requirement for
the Polly Ridge Primary lagoon at the Polly Ridge Farm facility. Due to the amounts of
treatment volume available, the Division agrees that a sludge survey is not needed until
December 31, 2021 for the Polly Ridge Primary lagoon.
The next sludge survey for the Primary lagoon at this facility should be performed before
December 31, 2021.
Please call me at [phone] if you have any questions.
Sincerely,
'ems -9 tom"
Miressa D. Garoma
Animal Feeding Operations Program
cc: Raleigh Regional Office, Water Quality Regional Operations Section
Permit File AWS330061
- :✓`Nuthing Cornpares.: -_ -
State of North Carolina I Environmental Quality I Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center � Raleigh, North Carolina 27699-1636
919-707-9129

July 21, 2017
Mr. Wayne Barrett
The Hanor Company, Inc.
6717 Highway 97 West
Battleboro, North Carolina 27809
Subject: Notice of Deficiency
NOD-2017-PC-0210
Pen -nit No. AWS330061
Polly Ridge Farm
Edgecombe County
Mr. Barrett:
ROY COOPER
Go Ucr nov
MIC14AEL, S. REGAN
Srcrc+lure
S. JAY ZI.MMERMAN
Direcror
On July 10, 2017, Mr. Buster Towell of the Raleigh Regional Office, Division of Water Resources
conducted an annual compliance inspection at the Polly Ridge Farm. The records review portion of the
inspection revealed the following: The last sludge survey recorded for this facility was dated October 9,
2015.
Permit Condition V. General Conditions "18. All facilities which are issued a Certificate of Coverage
(COC) to operate under this General Permit shall conduct a survey of the sludge accumulation in all
lagoons every year."
Please note that violations of your Certificate of Coverage and Certified Animal Waste Plan may be
subject to civil penalties of up to $25,000.00 per day. You should respond to this Notice in writing
within 30 days of your receipt. Your response should include the following Corrective Actions:
A current sludge survey using the latest form dated August 2008. Include all sketches and sludge
depth formula sheets if required.
If you have any questions regarding this Notice you may contact Buster Towell at [phone].
Sincerely,
R
Rick Bo ich, L.G. Assistant Regional Supervisor
Division of Water Resources, Water Quality
Regional Operations Section
Cc: Edgecombe County Health Department
Edgecombe Soil & Water Conservation District
DWR AFO Central Files
RRO-WQROS
State of North Carolina I Environmental Quality } Water Resources I Raleigh Regional Office
1628 Mail service Center j Raleigh, Norlh Carolina 27699-1628
919 791-4200

The Hanor Company of Wisconsin, LLC
August 18, 2017
Mr. Rick Bolich, L.G
Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Mr. Bolich,
6717 NC 97 West
Battleboro, NC 27809
Tel:: [phone]
Fax: [phone]
NC Dept of Environmental Quality
AUG 21 2017
Raleigh Regional Office
Subject:
Notice of Deficiency
NOD-2017-PC-0210
Permit No. AWS330061
Polly Ridge Farm
Edgecombe County
Upon the discovery of Mr. Buster Towell's findings that a sludge survey had not been
done for the year ending 2016, we immediately completed a sludge survey.
We submitted those to your office, along with a request for an extension to not do a
sludge survey for the duration of the permit, because the lagoon's sludge accumulation
was 50% below the maximum amount allowed for storage.
If you have any questions you may contact me at [phone] ext 229.
Sincerely,
Wayne Barrett
Operations Manager

-- 2AI') — PC— 0110
(Type of Visit: (0 Com ' nce Inspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit: Routine 0 Complaint Q Follow-up Q Referral Q Emergency Q Other 0 Denied Access II
Date of Visit: Arrival Time: ITj`d D Departure Time: County:
Farm Name: �d _ 74y .�! y i �'�' Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: P+° it " M td 0KS 0 �g' b j 7 S Integrator:
Certified Operator:
Back-up Operator:
Phone:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
Region:
Design
Current111
1111111 Design
CurrenNW&Mt
Design Current
Swine Capacity
Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -La er
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
I)rF Poultry
Ca acity
P,o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes No ❑ NA ❑ NE
[—]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
No ❑ 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
❑ YeseNN❑
NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facilit Number: 31 - Date of Inspection: D^
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes LA "" ❑ NA ❑ NE
25, Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ No ❑ NA ❑ NE
the appropriate box(es) below.
ailure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes N NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes jNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
0 No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
24. 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 [I 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 recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
Surve`7 (a.-13 _f r
l, I r ot-, 9�_
Reviewer/Inspector Name:
b A. e rA- It -2-0 17
Reviewer/Inspector Signature: ��;�—Teq_'t? / (^
Phone:
Date: q _/0
21412015
Page 3 of 3

Facility Number: - 41 1 1 Date of Inspection: 0
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes o NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes o ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
[(
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 puhlic health or environmental reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes�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 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 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): g:::4jy' A/
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes t6 ❑ 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
N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? ]ryes, check
❑ Yes
No ❑ NA
0 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 ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
o ❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No ❑ NA
❑ NE
Page 2 of 3
21412015 Continued

(Type of Visit: aComp ' nspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit: outine Q Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: r " i Arrival Time: Departure Timer County:
Farm Name: ��lly /2- ,41., e Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: peww&
w -dt'� Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Region:
Design Current
Design Current
Design Current
Swine
Capacity Pop.
Wet Poultry .Capaacity Pop.
Cattle
Capacity Pop.
Wean to Finish
La er
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish;
Dairy Heifer
Farrow to Wean
" IDcsign Current
Dr, ,P.aultr " ;Ca aci P,o P.
Dry Cow
Farrow to Feeder
Non -Dal
Farrow to Finish
Layers
Beef Stocker
Gilts
113eef Feeder
Boars
Pullets
113eef 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 No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system'? (If yes, notify DWR)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesrNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes❑
NA
❑ NE
of the State other than from a discharge'?
Page I of 3 21412015 Continued

1Facili ,Numher: - Date of Inspection: 7 -- /
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
N NA
❑ NE
a. If yes, is waste level into the structural freeboard?
[—]Yes
No ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): (/ L► ((
5. Are there any immediate threats to the integrity of any of the structures observed?
[] Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
t eat, notify DWR
7. Do any of the structures need maintenance or improvement`?
❑ Yes
o 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 D. 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): ie7y—
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?
ElYesrNo
❑ 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
ENO ❑ NA
TTT
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
ff ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? ]ryes, check
❑ Yes❑
VN NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes eNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ 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

1'acili ►Number: - 6 1 1 1 Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
0 Yes
o ❑ 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
NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
PNo NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ NA
❑ NE
d 1' h h' h h h
an report morta ity rates t at were g er t an norma .
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 0 NE
❑NA ONE
❑NA ❑NE
Comments (refer: to question #):,Explain,anyYES answers and/or any additional recommendations or any other comments.
Use drawings'of facility to better explain situations (use additional pages as necessary):
Reviewer/Inspector Name:
Reviewer/]nspector Signature:
Page 3 of 3
Phone: Ll Zak
Date: ? & -1'15�
21412015

I ! J
(Type of Visit: 0 Co
ce Inspection Q Operation Review O Structure Evaluation Q Technical AssistanceReason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emerp-encv 0 Other 0 Denied Access
Date of Visit: s-Arrival Time:1 J/ I Departure Time: County:
Farm Name: 0 l I f� (2 )d ' Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative:'� r J q-kl Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Deslgn Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacfty Pap,
La er
Cattle
DairyCow
6.Design Current
Capacity Pop.
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Farrow to Feeder
Deslgn Current
D.r pouft . Ca aci P,o
Layers
D Cow
Non -Dairy
Farrow to Finish
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Qther Turke Poults
NJ Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No NA ❑ NE
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 No ❑ 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 21412014 Continued

r
Facility Number: - Date of Inspection: r
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard?
Structure i Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): --- T
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
Structure 5
s. No NA ❑ NE
No ❑ NA ❑ NE
Structure 6
❑ Yes No NA
❑ Yes o ❑ NA
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t eat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [:]Yes 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 06 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 Pending ❑ 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): �✓1�--
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?
Repuired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes /E3 No ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑Yes o ❑NA ❑NE
❑ Yes �❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes 0 1V ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ WUP ❑ Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ N/A ❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ Yes
❑ NE
❑ NE
Page 2 of 3 21412014 Continued

Facility Number: - ro I Date of Inspection: ..J"
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 ❑ YesI;No�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 to provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tilt 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).
Reviewer/Inspector Name:
Reviewer/inspector Signature:
Phone: 7 9 / - Cl 2- va
Date: 6 ' 0 —(
21412014
Page 3 of 3

I
(Type of Visit: � Com ce Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral Q Emergency Q Other Q Denied Access
Date of Visit: MTETArrival Time: �}} Departure Time: County:
Farm Name: 4 - ✓J fe_ PO i Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: I Title:
Onsite Representative: h,,- } �0 I^ J. n`
Certified Operator: C2C9.10—
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Design Current
Design C►urrent
Swine Capacity Pop.
Wet Poultry Capacity Pop.
XWO
Cattle Capacity Pop.
Wean to Finish
Layer
Dairy Cow
Dairy Calf
Wean to Feeder
Non -La er
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
Dr, P,oultr@a aei P,o P.
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Beef Feeder
Gilts
Non -La ers
Boars
Pullets
Beef Brood Cow
Turkeys
U.ther
Turkey Poults
Other
Other
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
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
o ❑ 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?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
C1 Yes
❑ NA
No ❑ NA
❑ NE
❑ NE
of the State other than from a discharge?
Page 1 of 21412011 Continued

Facili Number: - Date of Inspection: Co r! t
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
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?
No ❑ NA
No ❑ NA
Structure 6
❑ Yes Zj7No ❑ NA
[:]Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 ONo ❑ 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): t^.r pr 1 . S t �! � �i-► �s / r.�•G.�
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
rNo .
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ YesF2r-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
gNo
❑ 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
❑ YesVNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspection Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili ,Number: a3 - Date of Inspection: 34 I
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No — NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No D 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
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`expl`ain sitaations'.(use additional'pages as necessary).
C4-t'("I�- 4-�rnn l(--6 s %;.IC'_
I7 .;a-j 1 0( e U (2- tJ a r gt"'j9 o n h &-J C-C)" p 0 s �z/-r-
Reviewer/Inspector Name:
Phone: '% 1 1- cI 2 d O
Reviewer/Inspector Signature
Page 3 of 3
t4 4. 57 P- t 76 1w a I (
Date: G t 3 C7 1 t
21412011

(Type of Visit: Comp 'tme e Inspection (> Operation Review O Structure Evaluation U Technical Assistance
Reason for Visit; ou0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time:I , 1 97 I County:
Farm Name: ��i 4j C4 ("�Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator
Back-up Operator:
Location of Farm:
Phone:
Title:
Integrator:
Phone:
Crr�e►—i't �L _ Certification Number:
Latitude:
Certification Number:
Longitude:
Region:
Design Current Design Current
Design
Current
Swine Capacity Pop. Wet Poultry C►apacity Pop.
Cattle
Capacity
Pop.
Wean to Finish Layer
Dairy Cow
Wean to FeederUlNon-Layer
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
S
Design Current
Dry Cow
Farrow to Feeder
ltr Ca acit P,o ,.
Non -Dairy
Farrow to Finish
Beef Stocker
Gilts
Beef Feeder
Boars
ENon-Layers
Beef Brood CowPoults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ZrNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
[:]Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
VNo ❑ 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?
❑ Yesro_
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 Continued

Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: r
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z V 2 *7
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
o ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
No 0 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 o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): ny, 41
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0 No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
E-No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
ENo ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
— /
I ,KNo ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
' ' c ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
�T ❑ 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 eather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections udge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Ins eetion: 10I ( f
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 to provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 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
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any=YES answers.and/or any additional eecoitimendations'or any other comments.ts', „$
Use drawins,of facility to better.explain situations (use additional pages as necessary)`
Reviewer/Inspector Name:
Phone: — -Ieee
Reviewer/Inspector Signature: g'�e_x -TV-t1 e-1
Page 3 of 3
Date: �n r
21412011

—As4
NCDEEIR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
October 1, 2009
The Hanor Company Inc
Polly Ridge
6717 NC Hwy 97 W
Battleb6ro, NC 27809
Dee Freeman
Secretary
Subject: Certificate of Coverage No. AWS330061
Polly Ridge
Swine Waste Collection, Treatment,
Storage and Application System
Edgecombe County
Dear The Hanor Company Inc:
In accordance with your renewal request, we are hereby forwarding to you this Certificate of Coverage
(COC) issued to The Hanor Company Inc, authorizing the operation of the subject animal waste
management system in accordance with General Permit AWG100000,
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Polly Ridge, located in Edgecombe County, with a swine animal capacity of no
greater than the following annual averages:
Wean to Finish: Feeder to Finish: Boar/Stud:
Wean to Feeder: Farrow to Wean: 7000 Gilts:
Farrow to Finish: Farrow to Feeder: Other:
If this is a Farrow to Wean or Farrow to Feeder operation, there may be one boar for each 15 sows. Where
boars are unnecessary, they may be replaced by an equivalent number of sows. Any of the sows may be
replaced by gilts at a rate of 4 gilts for every 3 sows.
The COC shall be effective from the date of issuance until September 30, 2014, and shall hereby void
Certificate of Coverage Number AWS330061 that was previously issued to this facility. Pursuant to this
COC, you are authorized and required to operate the system in conformity with the conditions and
limitations as specified in the General Permit, the facility's CAWMP, and this COC. An adequate system
for collecting and maintaining the required monitoring data and operational information must be
established for this facility. Any increase in waste production greater than the certified design capacity or
increase in number of animals authorized by this COC (as provided above) will require a modification to
the CAWMP and this COC and must be completed prior to actual increase in either wastewater flow or
number of animals.
Please carefulIX read thi§ COC and the enclosed State General Permit. Please pay careful attention to the
record Aceping and monitoring conditions in this itRecord -kggping forms are unchanged with this
General Permit. Please continue to use the same record keeping forms,
1636 Mail Service Center, Raleigh, North Carolina 27699-1838
Location: 2728 CaMtel Blvd., Raleigh, North Carolina 27604 ne
Phone: [phone] FAX: [phone]M 1 Customer SerAce:1-877-623.6746 4MCarolina
Internet www,ncwaterquallty.org 1//�
An EQW opporturity %AffimWva Acton Employes a`ural

If your Waste Utilization Plan (WUP) has been developed based on site -specific information, careful
evaluation of future samples is necessary. Should your records show that the current WUP is inaccurate
you will need to have a new WUP developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Per 15A NCAC 2T .0105(h) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a I00-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, then an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the Animal Feeding Operations Unit for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
In accordance with Condition II.22 of the General Permit, waste application shall cease within four (4)
hours of the time that the National Weather Service issues a Hurricane Warning, Tropical Storm Warning,
or a Flood Watch associated with a tropical system for the county in which the facility is located. You
may find detailed watch/warning information for your county by calling the Raleigh, NC National
Weather Service office at [phone], or by visiting their website at: www.erb.noaa.jLQv/er/rah/
This facility is Iocated in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection Staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff' at [phone].
Sincerely,
for Coleen H. Sullins
Enclosure (General Permit AWG100000)
cc: (Certificate of Coverage only for all ccs)
Raleigh Regional Office, Aquifer Protection Section
Edgecombe County Health Department
Edgecombe County Soil and Water Conservation District
APS Central Files (Permit No. AWS330061)
AFO Notebooks
The Hanor Company Inc

v
`Type of Visit: 'Q Com ce 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: County:
Farm Name: % i d Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: �}
Certified Operator: G !i[}yoy
Llf
Phone:
Phone:
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current Dry Cow
Farrow to Feeder
D , P,oultr . Ca aci P,o , Non -Dairy
Farrow to Finish
Layers Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
TurkeyPoults
Other
Other
Region:
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)
[3Yes
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) ❑ YesrN[2]
A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ YesA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

FacililaNumber: 35 - 61 Date of Inspection:
2_
Waste Collection & Treatment
<N�oo'NA
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
21
D.NE
a. If yes, is waste level into the structural freeboard?
❑ Yes2'-No
NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
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 eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes /No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 ❑ Evide e of Wind ❑ Application Outside of Approved Area
/Drift
12. Crop Type(s): +9 v -5' -j�
- 5'�rt,�� /12•�.r(Ji8—C
13. Soil Type(s):
t4. 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❑
PNo
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 2(N�
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes �CNo
❑ 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 InspectieNo
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

• Facilif Number: - 6 4 1 Date of Inspection: / Ik
If 2-
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
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'?
❑ 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 rec6mirtOidittions or any othir comments.'? "= _
Use drawings of facility to better explain situations (use. additional pages as necessary;):`.-
� � � ,, ; ,r,. /fir � �-✓�-�'-tT�'� I �+ r
le �Ary, �i�S�''(}rjl� �y-e T` �fZt� ^� JG r ✓e Yr t 2 a I�
Reviewerllnspector Name:
Phone:
f
Reviewer/Inspector Signature: �?j t, 5' �- (t7 tj f % Date: &XI 1 ( z
Page 3 of 3 '�C 21412011

J l7v, d,
Type of Visit Comp' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: f Arrival Time: O Departure Time: ® County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Phone:
Onsite Representative: Integrator:
Phone No:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Back-up Certification Number:
Region:
Latitude: ❑ o = 6 0 Longitude: = ° = 1
Design C►urrent
Design Current Design Current
Swine
Capacity Population
Wet Poultry
C**opacity P6—vu I R I 0--ni lation
❑ Wean to Finish
10 Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -Layer I
I ❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑Beef Feeder
El Boars
El Pullets
❑ Beef Brood Cowl I
❑ Turke s
Other
❑ Other
❑ Turke Poults
❑ Other
Number of Structures:
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
[--IN E
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
VNo ❑ 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
VJN ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
No ❑ NA
❑ NE
other than from a discharge?
Page 1 of 3 12128104 Continued

Facility Number:_33— Date of Inspection G C l
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No A ElNE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in);
2y%
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes , No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6, Are there structures on -site which are not properly addressed and/or managed ❑ Yes ONo ❑ 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 threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuetures 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 ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement? 11, Is there evidence of incorrect application? If yes, check the appropriate box below. ElYes U<01 ❑ 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)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ErNo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
2<0_"'1E3 NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
Li o ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
e ;, <
Comments (refer to question #} Explatp any YES answerRs and/or any recommendations or�any other cortnments. t• .
:Use'draWin s of facilityto better ex lain situation use�Additional a es'as necessary'
P ( P g)iy�ik�1
Reviewer/inspector Name E�� l Phone:
Reviewer/Inspector Signature: IRA5 p LcJe l Date: �� T
12128104 Continued

� � 4
Facility Number:' Date of Inspection i
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 1C1�>p
-NA El
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
o ❑ NA
[IN E
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps [I Other
<E03NA
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
o
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V
Rain Inspections ❑ .eather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes:No
No ­ NA
El NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El
i
NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ NA
❑ NE
25.
Did the facilityfail to conduct a sludge survey as required b the permit?
g Y q Y
❑ Yes
N A
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
No 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? (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,andlor-Drawingsi:=`t
Page 3 of 3 12128104

I y t 1 a
Type of Visit ��R�outlne
In 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: ,!s7 I ~� 2 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: _
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: 0 0 0 d = Longitude: = ° = 6 = «
Swine
Design Current
F 96—a c i!-Yj Population
Wet Poultry
Design
Capacity
Current
Population
Design
C►►attic Capacity
C+urrent
Population
❑ Wean to Finish
JE1 Layer
❑ Dairy Cow
❑ Wean to Feeder
JE1 Non -Layer
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
ElNon-Dairy
El Beef Stocker
❑ Feeder to Finish
Dry Poultry
[3 Layers
❑Non -La Non -Layers
El Pullkeets
❑ Turs
❑Turke Poults
❑ Other
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
El Beef Feeder
❑ Beef Brood Cow
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 12<0 LJ NA ❑ NE
❑ Yes ZNo_Jaa1NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ YestNo
A ❑ NE
❑ Yes NA ❑ NE
❑ Yes ❑ NA ❑ NE
Page 1 of 3 12128104 Continued

Facility Dumber: 33 —
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): t` It
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes (JeNA[INE
❑ Yes NA ❑ NE
Structure 5 Structure 6
❑ Yes No A ElNE
❑ Yes fNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes o NA ElNE
(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 ?5�9
A [INE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) ^
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [X1 o ❑ 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 acre determination ? ❑ Yes EYNo ❑ 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.;ansrvers and/,oijanyrecomniendations or -any other comments
Use drawings of facility to better explain situations: (use'additii!6nal pages,as necessary)
�'i
Reviewer/Inspector Name Phone: 0 (�
Reviewer/Inspector Signature: k �s ,;7-x xc: tire- L Date:
Page 2 of 3 12128104 Continued

3 6
Facility Number: — (p Date of Inspection S S
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? El ' 0 A El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �oD A ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ W er Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge`?
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 2N NA ❑ NE
❑ Yes 'NA ❑ NE
❑ Yes NA ❑ NE
El YesZN❑A ❑ NE
El Yes N NA El NE
El Yes No ❑ 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
Additional Comments and/or Di a►vingsc
Page 3 of 3 12128104
Page 3 of 3 12128104

1 �I o;
Facility Number 3
W-Division of Water Quality
Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit
Co lance Inspection
O Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason for Visit
O Routine Q Complaint
O Follow up O Referral O Emergency
O Other ❑ Denied Access
Date of Visit: 2-7 if Arrival Time:-!� Departure Time: County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Phone:
Integrator:
Phone No:
Certified Operator: Cl( 4 *i 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
Boars
Other
❑ Other
Back-up Certification Number:
Region:
Latitude: 0 e= 6= Longitude: =° 0 d 0
il
Design Current Design Current
Capacity .Population Wet Poultry Capacity Population
❑ Layer i
I,! ❑ Non -La et I I El.
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity . Population,
❑
Dai Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
l
❑
Beef Feeder
❑
Beef Brood Co
I
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
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 2<0LJ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes �' N NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

Facility Number: ' — G
Date of Inspection 27 C
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: 40 SQ_ L t
' Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 5
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 dNo 0 NA ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thN�o
otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes:No
NA El 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 El Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste AP12lication
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 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) C�,f jY' h
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
PrNo -NA
o NA
o �] NA
gNo�
NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Comm ens(referl Yo;question#) Exp ain ny �YSa`iisrs and/or ny recommendations any other comments.
Used rawinaflfAcili fobetter ex lai sitiia}tton$s. (use$ladditiorial a es slnecessar
: i t3 ``i E€t z ;� ,rs �, ,Q.t_ ae;± a:�: .iBTF It ps k's3 #9
Reviewer/inspector Name
, 7
Phone:
Reviewer/Inspector Signature: t, 3
Date: Yl z71O
Page 2 of 3 12128104 Continued

Facility Number: Date of Inspection Z7
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 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 Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No El NA ElNE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes �No
NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes £E N NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ElNE
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? ❑ YesPNA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ElYes 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
3 I. 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;Gbmnents and/or Drawings^
�"
'pert
RiffibF
A,
7
Page 3 of 3 12128104

Division of Water Quality
Facility umber Division of Soil and Water Conservation
_- - Other Agency
Type of Visit Coke Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: f pL � Arrival Time: Departure Time: County: Region:
Farm Name: f In n 0 2 00 114 9� �Iy Owner Email:_
Owner Nance:
Mailing Address:
Physical Address: r
Facility Contact: _
Onsite Representative:
Certified Operator:
Back-up Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: =o ❑ I =q Longitude: 00 ❑ g 0 !{
Swine:
Design
Capty
Current
Population Wet Poultry
❑ La er
on -Layer
Dry Poultry
❑ Layers
ElNon-La ers❑ Pullets
❑ Turkeys
❑Turke Poults
10 Other
Design C►urrent
Capacity Population
Design C►►urrent
Cattle Capacity Population
❑ Wean to Finish
❑ DairyCow
❑ Wean to Feeder
❑ DairyCalf
❑ Feeder to Finish
❑ DairyHeifer
❑ D Cow
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Beef Stocker
Gilts
EEJBoars
Other
❑ Other
❑Beef Feeder
❑ Beef Brood Cow
I
I
er of Structures:
Discharges & Stream Impacts
�NoO
1. Is any discharge observed from any part of the operation?
❑ Yes
EJ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
o NA
5�NE
[I
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[3Yes
fNo ❑ 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
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesFNo
NA
El
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
NA
❑ NE
other than from a discharge?
Page 1 of 3
12128104 Continued

Facility Number: —
Date of Inspection 107 / Z
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): 7i
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No A ElNE
[I Yes:No
❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No A ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, y-DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No A ❑ 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 o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o A ❑ NE
maintenance/improve ment?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)(f_IO^ r` , ,q ,� x
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 Nvn NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes PNo'
A ElNE
17. Does the facility lack adequate acreage for land application? ❑Yes "" ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ❑ < ❑ NA ❑ NE
Reviewer/Inspector Name _. Phone:
Reviewer/Inspector Signature: Date: J1 Z O
Page 2 of 3 12128104 Continued

Facility Number: 3 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ;No
o A ❑ 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 El 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 ❑ StockingJ El Yield ❑ 120 Minute Inspections El and 1" Rain Inspectio;�o
❑ W er Code
22. Did the facility fail to install and maintain a rain gauge? CO] Yes 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?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No NA
❑ NE
❑ Yes
No NA
❑ NE
El Yes
No NA
❑ NE
❑ Yes
No ❑ NA
❑ NE
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 []No ❑ NA ❑ N E
[]Yes
[]No
❑NA
ONE
❑ Yes
[]No
❑ NA
❑ NE
[]Yes
[:]No
❑ NA
❑ NE
❑ Yes
[]No
❑ NA
❑ NE
❑Yes [:]No ❑NA ❑NE
Ad''ditionaWoinments and'Ior Drawings
Page 3 of 3 12128104
Page 3 of 3 12128104

Facility Number?
Division of Water Quality
Q Division of Soil and Water Conservation
O Other Agency
Type of Visit 4 Comp ' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: D Arrival Time: d r i?t) Departure Time: County:
Farm Name: F Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: TAS6t- �'o .i
Certified Operator:—L. SA 1011, d 11-11 L115_t3^'
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
Boars
Other
❑ Other
Title:
0
Latitude: 0
�/� _
Phone No:
Integrator: Z'L.4'7_
Operator Certification Number:
Back-up Certification Number:
Region:
❑ Longitude: ❑ 0 0 '
Design Current Design Current.
Capacity Population Wet Poultry Capacity Population .
❑ Laver
❑ Non -La ei
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Cattle
Design ,Current':'.i
Capacity, Popuiatioli.
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifej
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Co
Number of'Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ A
❑ NE
Discharge originated at: El Structure ❑ Application Field El Other
a. Was the conveyance man-made?
El
NA
jNo
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El Yes
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)
❑Ye
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Ye
NA
XF—INo
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Ye
NA
❑ NE
other than from a discharge?
12128104 Continued

Facility Number: 33—�
Date of Inspection I i
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes ZeO�N�o A ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): C
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes;No
No NA [I NE
Oe/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ 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 thre , otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes FNo
o NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yeso NA El 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 El Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ' 'NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > l 0% or 10 lbs ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl [IApplication Outside of Area
12. Crop type(s) (:drN T )/►'t4i rA i'15 - - -
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 2rNo -' NA El NE
15. Does the receiving crop and/or land application site need improvement? El o NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[]YesENo
N NA El
17. Does the facility lack adequate acreage for land application? ❑ YesN INA ❑ 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.
Use drawings of facility to better explain situations. (use additional pages as necessary):
AL
a� s C,z� �
�- „ �„� S �{ �,
c7 /K C454—� ray ��Sfl 141.
l[
w
Reviewer/inspector Name �, f tyt,f Phone: 101' -'(Zoe _
Reviewer/Inspector Signature: Date: /D LS-1O
12128104 Continued

Facility Number:. —1j e Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ yes o ❑ A- ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No A ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yesno�
oNA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes No ❑ 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 property dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments and/or Drawings:
12128104

4v�Fd`.t ts:i,
f! j -i,.,
c>.L
Taty -Nu'mber
i ztC:
�<
ter Qua
an&W;
Type of Visit 4 Com ' nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: 3 J (� Arrival Time: ® Departure Time: �] County: Region:
Farm Name: I ��1 jZ�Ent- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: t I Phone No:
Onsite Representative: Integrator: /-/ "Twp &=
Certified Operator: `-� s 1 Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: = o = 4 = Longitude: 0 ° = 1 = 1f
I{:
< f i
vine
] Wean to Finish
] Wean to Feeder
] Feeder to Finish
Farrow to Wean
] Farrow to Feeder
] Farrow to Finish
] Gilts
] Boars
Design Current ..4' ' Design Gurrei
Capacity Population x. 'Wet Poulfry Capacity ,Populat
JLJ Non -Layer l J
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ TurkeyPoults
❑ Other
z
Cattle .r. C.
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non-Dai
""' ❑ Beef Stocker
k ❑ Beef Feeder
❑ Beef Brood Cow
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 I of 3
❑ Yes ZNO NA ❑ NE
❑ Yes ZNo,,,NA ❑ NE
❑ Yes L NA 0 NE
❑ Yes 7N NA ❑ NE
❑ Yes ❑ NA El NE
El Yes No ❑ NA ❑ NE
12128104 Continued

t►
Facility Number:
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): q
Observed Freeboard (in): of yf" 3-3
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 kNo
NA El NE
❑ Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No NA El NE
❑ Yes o ❑ NA ❑ NE
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? El Yes L_ Nc ❑ 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 0<0 C1 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ElYes D<10 ❑ 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) I rv` 41 Y p let -'
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Q'No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
hf El NA
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
El Yes
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Comments (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).'
AL
Reviewer/Inspector Name Phone:
Reviewer/inspector Signature: Date:a
Page 2 of 3 I2128104 Continued

{ y
Facility Number: -4 3 Date of Inspection 3
Required Records & Documents
l9.
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 appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps El 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 1"
Rain Inspections ❑ ther Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
A
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes�>No
A
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
A
❑ 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
ENo A
[INE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
ElYeso
❑ 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

3s ( r
Type of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit outine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: ^/yid a Departure Time: County:
Farm Name: 6 •a` j�i Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: C%�N r
Back-up Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = o = i = 1{ Longitude: = 0 0 i =
il
Swine
Design Current �" �.,egn"Current
Capacity Population Wet Poultry Capacity Population
Cattle
Design C*urgent
Capacity Population
❑
Wean to Finish
❑ Layer
❑ DairyCow
❑ DairyCalf
❑
Wean to Feeder
❑ Non -La er
❑ Feeder to Finish
Farrow to Wean � 0 Dry Poultry
❑ Farrow to Feeder`
❑ Layers
❑ Farrow to Finish
Gilts ❑ Non -Layers
❑El
Pullets POBoars
❑ Turke s
Other :]Turkey Poults
❑Dai Heifer
❑ D Cow
El Non -Dairy
❑ Beef Stocker
Beef Feeder
❑ Beef Brood Cow
of Structures:
❑ Other
jaOtherNumber
g AMENDX4 UZZOM
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 la N El NA El NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ NA ElNE
❑ Yes 710 ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

Facility Number: 33 — Date of Inspection 11 l J
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 '614elo ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
No ❑ NA
❑ 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 thr f, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes
E No ❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes
No ❑ NA
❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes
ZNo❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
❑ NA
El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes❑
VNo NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) �,1Y` n . Sc�.. %�.. , 5ir.4 r•4 r J`
13. Soil type(s) �� I
i
r i
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 acre determination:❑
Yes
[Z/No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
h1 ElNA
❑ NE
18. Is there a lack of properly operating waste application equipment?
ElYes
No ❑ NA
❑ NE
Reviewer/Inspector Name I = G ram, �'' p�h�' Phone:
ti �..
Reviewer/Inspector Signature: Date: 7 1/ D—s-
12128104 Condnued

Facility Number.--491Date of Inspection 17
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 Cl Yes kNo ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes v14o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections E1,Weathcr Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes Na ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes �No
-NA ❑ NE
24. Did the facilityfail to calibrate waste application equipment as re required b the permit? ❑ Yes NA ❑ NE
PPq Y
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes N ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes 6/ ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ YesNo ❑ 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
Additignal Comrrtents'an orADrawiugs 5
g �'gl l''na------------
.., , a.0
t"
12128104

Facility Number Date of Visit: Time:
Q Not Operational Q Below Threshold
U Permitted C1 Certified © Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
pl r M' ti County: �. ..
Farm Name: ......1....•. !.. ai..........Rlz.................................................... ty �r �r .....
OwnerName: ................................................... ........................................................................ Phone No:
Mailing Address:
Facility Contact: .............................................................................. Title: Phone No:
................................................................
OnsiteRepresentative: ........................................................................................................... Integrator:., <!lll . f Z............------...------•...............
Certified Operator: ......y4 ..g:!`............................................................... Operator Certification Number:..........................................
Location of Farm:
❑ Swine 0 Poultry ❑ Cattle ❑ Horse Latitude • �' �" Longitude • 0' "
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)
❑ Yes'23_5
❑ Yes No
❑ Yes f o
1111
c. If discharge is observed, what is the estimated flow in gaUmin'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes FeKo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes , To
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Ye No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: '
Freeboard (inches): Vf 4 Il
12112103 Continued

jaciliqNumber: 3 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 0<0
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes iV 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
P g
8. Does any art of the waste management system other than waste structures require maintenance/improvement? ❑ YesrZo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes o
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ZNo
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type ��rY n 1 /
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?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below
liquid level of lagoon or storage pond with no agitation?
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
❑ Yes o
❑ Yes
❑ Yes
❑ Yes
❑ Yes No
❑ Yes o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
I.ill.N! r.,..;.R; , ,.,an-.,r.f....- y.i°"tHtt�;ta'4f,ts:ff :��i=.b¢°—'�,'=fu.�... 1111,.,H "'..ft' :t€Ctt..€& :,:,:.:,,, w.. � -.jai^' _ ,�.s€�,;t1 SP€ifE<YI' H, .� rN:�E,€ , .n i
Comments+{refer Eo.question #}: !Expla�n�any�YFS€answers andJo`r anyry`recOmmendataons;Ol;anym e''r f
aa.s,.�,>.>3_r.✓€. ,,„dur€! IaEiE3.€ t€W,ns7.,a✓€ .,e.i,,n l€s3orris�ffi$.,�.7k.fkc,:.,.i,. ls <t !c# ���NGt3 ¢,rR€.a;;:iiaji,rrfsr,hr,€:.,qi,,.ui:�.a, ti�e,8..o..{a<,., 'ie dd!a::s..�.atf,.i.pa3r?g a>,�., ,s"i4tFr7ss'riatyto better,e!1i❑.� €!E {{<'Fie.ld Copy k❑Final Notes
jh�t:P;n:`= G':5. 3;III
rAwt.t
'�jaus7'^rtF#?,{� -�jqi-=
Reviewer/Inspector Name °8�€ kj@'? i r :$�E�ia u!at1 i��4 ! .. i': rE ? �E%. �1l E" �`� � l.!iL ':!., s '.i� {.' of r5_�
Reviewer/Inspector Signature: Date: �5
12112103 Continued

Facility Number: Date of Inspection /Sa
Required Records & Document.~
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ 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?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
3I. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1 " Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes ""
❑ Yes No
p Yes i o
❑ Yes �No.
❑ Yes
❑ Yes EO
Yes 0
ElYes
ElYes o
Yes ❑ No
❑ Yes
❑ Yes
❑ Yes o
❑ Yes o
❑ Yes o
12112103

Type of Visit �O Co fiance Inspection Q Operation Review 0 Lagoon Evaluation
Reason for Visit Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit: Time:
/acillity Number
Permitteder7Td Q CandiHpnally Certified [] Registered
C�!!Farm Name:nn�
Owner Name: 14 ` 414, /4 n JCIS C1.1
Mailing Address:
Facility Contact:
Title:
Onsite Representative: I
Certified Operator: 12' yqr n'r
Location of Farm:
Date Last Operated or Above Threshold:
County:
Phone No:
Phone No:
Integrator: --,/ill X.T
Operator Certification Number:
❑ swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 ��44 Longitude 0 & Du
Design Current
swine uapacity ro ulation
❑ Wean to Feeder
❑ Fc2k to Finish
LJfarrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
IM Gilts
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I Dairy
❑ Non -Laver I I Non -Dairy
❑ Other
i
Total Design Capacity.
Total SSLW
Number of Lagoons ❑ Subsurface Drai 10 Lagoon Area ❑ Spray Field Area
-- -
Hold n`g: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. 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
tructure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: P; V" f
Freeboard (inches): Z- " f G r l
off �
05103101
❑ Yes No
❑ Yes No
❑ Yes ��No
❑ Yes DINO
❑ YesVNo
El Yes
❑ Yes No
Structure 6
Continued

Facility Number: j —j� Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ill trees, severe erosion, ❑ Yes I�No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes L No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10, Are there any buffers that need maintenance/improvement? ❑ Yes No/
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes o
12. Crop type f'
13. Do the receiving crops differ with t ose designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No
14, a) Does the facility lack adequate acreage for land application? ❑ Yes �Zou�
Nb) Does the facility need a wettable acre determination? ❑ Yes
c) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? ❑ Yes VNo,,"
16. Is there a lack of adequate waste application equipment? El Yes
Required Records & Documents
IT Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes VN
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑Zss'
19, Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes o
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ElYes N
24. Does facility require a follow-up visit by same agency? ❑ Yes
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes o
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Corriments {refer to questiori3#) Explain any YEZans'wWgrs nd/orany r.ecommendatlons or any other comments.Usedrawings
of facility to better. explain situationertional'.266pagesas necessary): Field Copy Final Notes
Q/ i✓yt�.� 4 -it ds- *�o /49 r Gl�4n¢�Du7�CCi IwQi! S'yr1'�Cs� �
Q t i d e r 0 04.7 w i ,. VW)
1Jh J 2 Z o Z _ rV 0 ,- e C_c i ti :fz - — 22 - �•
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 3 — Date of Inspection " —,'
da 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 0
❑ Yes
❑ Yes gNo
❑ Yes �a
❑ Yes 4, No
❑ Yes o
❑ Yes No
05103101

e
y
Agri -Waste Technology, Inc.
5400 Etta Burke Court
Raleigh, NC 27606
919-859-0669
December 29, 2008
MEMORANDUM
TO: Mr. Buster Towell, DWQ Aquifer Protection (RRO)
XC: Mr, Dave Wade, HANOR
Mr. Neal Jordan, HANOR
FROM: Hal Langenbach
SUBJECT: Addendum to Polly Ridge and Creekside Plans to Include Short Season Corn
Enclosed, please find information related to planting short season corn at both the Polly Ridge and
Creekside facilities for 2009. If you have any questions, please let me know.
H AHanor-NC1211143.wpd
DEC 3 0 2008

AWr
Agrl-WasteTechnology, Inc.
5400 Etta Burke Court
Raleigh, North Carolina 27606
Phone: [phone]
Fax: [phone]
www.agriwaste.com
Email: [e-mail]
.--.._, '�
1% N%
r
F �D,VAUGH
C IFIED PROFESS10
AGROIiO I /CFRTIF EO
tip. CROP AflYISfR , l
December 18, 2008
MEMORANDUM
TO: Mr. Neal Jordan, The Hanor Company, Inc.
XCOPY: Mr. Dave Wade, The Hanor Company, Inc.
Mr. Hal Langenbach, AWT
FROM: Jeff Vaughan
SUBJECT: Short Season Corn at Polly Ridge Swine Facility
It is my understanding that a short -season (or late -planted or late -season) corn crop
(DeKalb 5334RR) is planned for the Polly Ridge and Creekside Swine Facilities in 2009.
These corn crops are typically planted in mid to late June and harvested about 90-115
days later. Several years of data from a North Carolina study are available for late -season
corn crops. The study was conducted by Dr. Ron Heiniger, Professor of Crop Science
and Cropping Systems Specialist at North Carolina State University, from 2001 — 2003
(Attachment 1). A similar study was conducted in Virginia by Virginia Tech researchers,
which obtained similar results to the NC study (www.ext.vt.edu/pubs/grains/424-
031/424-031.html#sect4 and wynKext.vt.edu/pubs/Uains/424-031-99/424-031-
99.htn-d#sect2 .
Specific crop management practices are detailed in Dr. Heinger's publication in
Attachment 1. Yield potential for late -season corn is slightly lower than conventional
season corn crops, so nitrogen application goals should be reduced about 10%
(Attachment 1). The application window for late -season corn is from planting to layby
(sidedress), or from about June 10 to August 15 depending on when the crop is planted
(Attachment 1). The 2009 Nitrogen Uptake Spreadsheets for Polly Ridge and Creekside
have been updated to reflect these recommendations and are included in Attachment 2.
Please contact me with any questions, concerns, or comments.

=rhiC STATE'UN1 ER I4
, ME I's N311, ONE"Fil,
tinu Cnnp Scien, r 0;,,maq nt
I''Ienyi�in Corn I.["m,atinq
Management for Late Planted Corn
Dr. Ron Heiniger
Introduction
Persistent precipitation and water soaked soils have prevented the timely planting of spring crops. Many
growers are wondering if it is still possible to plant corn and obtain a profitable yield. Research in Virginia
and western North Carolina suggests that corn can be planted from mid to late June with a reasonable
opportunity for profit. Figure 1 shows yield data from a study at the Piedmont Research Station over the
past two years. A profitable yield was obtained by planting corn on 15 June in 2001, but yield was low in
2002 due to a drought that also effected yield from earlier plantings (Fig. 2). Given the status of soil
moisture in 2003, corn yield was once again at a profitable level. It is reasonable to expect that corn could
be planted in June with a better -than -average chance of a profit. However, growers should realize that the
risk of crop failure increases when corn is planted late. In particular, two problems associated with late -
planted corn must be addressed by careful management and in -season scouting if late -planted corn is to be a
success. First, there is a much greater chance that corn will be severely damaged by late generations of
European Corn Borer and Corn Bar Worm. The use of a Bt hybrid or field application of insecticide when
corn reaches the V8 stage (waist high) is necessary to prevent economic loss or, in some cases, complete
crop failure. Second, there is an increased likelihood that corn will experience heat and drought stress in
the two week period prior to silking. To minimize the chance of drought and/or heat effecting pollination
Fig, 1, Corn yield results from early maturing hybrids planted in June at the Piedmont Research Station
near Salisbury, NC in 2001, 2002. And 2003.

tE. ' t � tM UI
�• M _I� 7r .x
N<%n C''r'Kirnrr ilri,arl mrrd
t'wtrn%ion ( oru tntiumjtian
and kernel number, planting
date and hybrid maturity should be selected so that corn reaches silking stage in late July or early August
when the chances of rain from tropical storms increase. Other factors to keep in mind are that late -planted
corn will be vulnerable to hurricane damage and that harvest will be delayed with expected harvest dates
ranging from early to late October, Given these constraints, the following rccommendations should be
followed for planting corn in June.
Hybrid Selection
It is highly recommended that growers plant a Bt hybrid. These hybrids have given the best results in both
the Virginia and North Carolina tests and provide adequate protection for corn borer and corn ear worm.
Growers should select hybrids with maturity ranging from 108 to 114 days. Later maturing hybrids do not
show improved yield when planted in June and result in greater delays in harvest. Most corn seed
companies have Bt hybrids in this maturity range. Try to select hybrids with excellent standability to
provide some protection against hurricanes.
Planting Date and Seeding Rates for Late -Planted Corn
Long-term weather records show that the period from 1 July to 20 July is the most likely to experience
lower rainfall amounts, higher average temperatures, and high humidity. 'Therefore, late -planted corn
should be planted so that silking occurs at least a week after the end of this period. When using an early
maturing hybrid, growers should plant from 10 June until 25 June to avoid this period and still have a
reasonable harvest date. After 25 June, the reduced number of growing degree days will result in a severe
delay in harvest with an increasing chance of freeze damage before the crop matures. Based on soil
moisture capacity (see 2002-2003 Corn Production Guide), corn growers should increase seeding rates by
1000 to 2000 seeds per acre when planting in June. This will allow for more leaf area to be developed
earlier. Because late -planted corn will tend to have shorter internodes, the increased leaf area will improve
light interception and yield potential.
80
i 70
60
50
'a 40
A) 30
>: 20
L
v 10
0
lb
NIZI
P �
Fig. 2. Corn yield from early maturing hybrids planted on four different planting dates at the Piedmont
Research Station in 2002.

w
7h,
�Mlw'
a
, r
Nc•u Crop 4 irnry Dcpa emd
I'xlr.usiun l:nrn Inlnnnaliuu
Nutrient Management
Since yield potential for late -planted corn will be lower than the expectations from earlier plantings,
nitrogen applications should be reduced by 10%, Try to apply at least 25 to 30 lbs of nitrogen per acre at
planting and the rest at layby. Sulfur continues to be a problem on corn this year. 1 recommend that some
sulfur be applied at planting to get the late -planted corn off to the best possible start. Other than these
recommendations nutrients should be managed as if corn was being planted at the regular time.
Herbicide and Insecticide Recommendations
Herbicides should be applied based on the growers weed spectrum. No changes should occur just because
the grower is planting late. The key issue will be whether there is a need for an application of insecticide to
control corn borer or corn ear worm. Growers who do not use a Bt hybrid should expect to apply a
systemic insecticide as early as V8 to control these pests. Careful scouting should allow growers to respond
to threshold infestations. However, these may not occur until after the corn reaches a height where ground
equipment can no longer be used and the choice of insecticides is limited. This is why a Bt hybrid is so
valuable in late -planted corn.

le
Client HANOR-IC
Revised: 12110I2008
By: JV
Soil
Soil
Field a
Acres
Satin
Type
1
47.0
Goldsboro
Sandy loam
2
43
Norfolk
Loamy sand
3
3.9
Goldsboro
Sandy loam
4
43.90 Goldabw*/NorfolklLyrlchburg Sandy loam
5
44,00 CoklsborofNorfoOdLynchburg Sandy loam
6
22.00
Umfotklizairs
Sandy loam
7
18.60
GoldsboroA4orfoer
Sandy loam
8
1 DO
GOtdsbomfRain
Sandy loam
1
47.0
Goldsboro
Sandy loam
2
4.3
Norfolk
Loamy sand
3
3.9
Goldsboro
Sandy loam
4
43.90 GOldsboroMorfolkA.ynchburg Sandy loam
5
44.DO GoldshorWNcdoWA rWhbwy Sandy loam
6
22.00
NorlokMains
Sally loam
7
16.60
Goldsboro?brtolk
Sandy loam
8
1.00
GolisbomMains
Sandy loam
182.7
Indiafes an assumed R.Y.E.
Nitrogen Produced from Efllutm
Sara - Farrar to Wean
t of animal ands:
lbs W animal unit
l04 N produced:
Nursery Site
e of animal units:
Ibs Nlaninal unit:
lbs N produced:
a* Site
e of animal uih:
lbs Mammal unit
lbs N produced:
Boar Stud Site
a of animal unas:
be Warwr al unit
lbs. N produced:
Total lbs N Produced from Eflluent:
Doncit (-ySurplus f-) UIMxed (iae):
7000
5.4
37800
0
D.48
0
D
2.3
0
0
3.7
0
37600A0
8276.94
The Hanor Company, Inc. -THESE ARE ESTIMATES: WETTABLES HAVE NOT BEEN COMPUTED. SETBACKS
Polly Ridge Rave NOT BEEN rxal.n VMUFIRD. Alm rite R.wr RSSzSSNElr HAS Nor Baal
2009 Nitrogen Uptake Spreadsheet MA E.-
Fleld
Slope
Realistic
unw
Symbol
%
Crop
Yield
Acre
GOA
0-2
Late -Season Cam
130
Bu
NoB
2-6
Late -Season Cam
113
Bu
GoA
0.2
Late-Seascn Can
130
Bu
GoA, NoA, Ly
0.2
late -Season Can
123
Bu
GOA, NOAf6, Ly
Ofi
Laleseason COm
121
eu
NOA, Ra
&2
Late -Season Can
120
Bu
CwA, NoA
0-2
Late -Season Coro
122
Bu
GoA. Re
0-2
Late -Season Can
127
Bu
GOA
0-2
Wheat
65
Bu
NOB
2-6
Wheat
59
Bu
GOA
0.2
Wheal
65
Bu
GOA. NOA, Ly
0-2
Wheal
60
Bu
GOA, NORM, Ly
Ob
Wheat
60
Bu
NoA, Ra
0-2
Wheat
58
Bu
Cak NOA
0-2
Wheat
63
Bu
GOA, Re
42
Wheat
60
Bu
Nitrogen
lb, N
Removed
We N
per or.
IbshenN
per Be,
10% Reduction
1.14
148.20
133.38
1.14
128.82
115,94
1.14
148.20
133.38
1.12
137.76
123.96
1.13
136.73
123.06
1.11
133,20
119.88
1.14
139.08
125A7
1.l t
140.97
126.87
2.09
13585
2.09
123.31
2.09
135.85
2.04
122.40
2.05
123.00
2.01
116.58
2.09
131.67
2.01
120.60
Total We N utilized:
Weighted Avenge:
Nitrogen Produced from Sludge
Sludge
a
lbs N
Year WL Avg,
Ibstund
Animals
Produced
1 252.2661737
0.88
7DDO
$160
3 252.2661[737
0.88
7000
19490
6 252,2661737
OAS
7000
3696D
9 252.2661737
0.88
7000
55440
Total N Applic.
(lbs) Period
6268.86 Jun 10 - Aug 15
493.90 Jun 10 - Aug 15
520.18 Jun 10-Aug 15
5442.90 Jun 10-Aug 15
5414.51 Jun 10-Aug 15
2637.36 Jun 10 - Aug 15
2077.66 Jun 10 - Aug 15
126.87 Jun 10 -Aug 15
6384.95 Sep t-Apr 30
52530 Sep 1 - Apr 30
529.82 Sep 1 - Apr 30
5373.36 Sep 1 - Apr 30
5412.00 Sep 1 - Apr 30
2564.76 Sep 1 • Apr 30
2105.72 Sep 1 . Apr 30
120.60 Sep 1 - Apr 30
46076.94
252.27
Acres
24A1865237
73.25595712
146.5119142
219.7678714
1 252.2661737 0.076 0
0 D
3 252-2661737 OD76 0
0 0
6 252.2661737 0.076 0
0 0
9 252.26Bi737 0.076 D
0 0
1 252.2661737 0.37 0
0 0
3 252.2661737 0.37 0
0 0
6 752.2661737 0.37 0
0 0
9 252.2661737 0.37 0
0 0
1 252.2661737 0.61 0
0 0
3 252.2661737 M6t 0
D 0
6 252.2661737 0.51 0
0 0
9 252.2651737 0.61 0
0 0
TOW It* N Produced from Sludge In 3 years:
16"0.00
Deficit (.ySurplus (-) Utilized (Ibs):
•10201,06

FA
Client RANOR-NC
Revised: 1211612008
By. JV
Sou
Field ir
Acres
Somas
1
5.1
Goldsboro
2
30.9
Goldsboro
3
7.6
Goldsboro
4
37.20
Goldsboro
5
21.00
Goldsboro
6
7,00
Caldsboto
7
29.40 ForeslonrRains7Wagram
6
79.20
GoldsborolNodolk
9
58.90
Goldsboro/Norfolk
1
5.1
Goldsboro
2
30.9
Goldsboro
3
7.6
Goldsboro
4
37.20
Goklsboro
5
21A0
Goldsboro
6
7_DO
Goldsboro
7
29.40 Foreston(RainsfWagram
8
79.20 ;oldsborofNadolkftagrar
9
50.90
GoldsborolNodolk
276.3
' Indicates an
assumed R.Y.E.
Nitrogen
Produced from. Effluent
Sows - Farrow to Wean
a o1 ardmal units -
Its Manimal unit.
Its N produced:
Nursery Site
rk o1 animal units:
Ibs Nfanimal unit:
Ibs N produced.
OF Site
0 Of animal units:
ibs Wanimal unit:
Ibs N produced:
Boar Stud Site
R of animal units:
Its Nlanimal unit:
Its N produced:
Total Ibs N Produced from Effluent
Deficit (-YSurplus (*i Utilized Obsi:
The Hanor Company, Inc.
Cieekside
2009 Nitrogen
Uptake Spreadsheet
Nitrogen
Im N
Soil
Field
Slope
Realistic
UnIV
Removed
Ibs N
per ac-
Total N
Applk:.
Type
Symbol
%
Crop Yield
Acre
Itrslurtit
perac. 10%Reduction
(Ibs)
Period
Sandy Loam
GoA
0-2
ate Season Con 130
Bu
1.14
14B 20
133.30
68024
Jun 10 - Aug 15
Sandy Loam
GOA
O-3
.ate Season Con 130
Bu
IA4
148.20
133.38
4121.44
Jun 10 - Aug 15
Sandy Loam
GoA
0-4
.ate Season Con 130
Bu
lA4
148.20
133,38
101353
Jun 10 -Aug 15
Sandy Loam
GoA
0-5
-ate Season Con 130
Su
1,14
148.20
133,38
4961.74
Jun 10 -Aug 15
Sandy Loam
GaA
0-6
ate Season Con 130
Bu
1.14
148.20
133.39
MOM
Jun 10-Aug 15
Sandy Loam
GoA
D-7
.ate Season Con 130
Bu
1.14
148-20
133.38
933-66
Jun 10 -Aug 15
Loamysand
Fo, Ra, WaB
D-6
.ale Season Con 1D6
Bu
1.15
121.90
109.71
322547
Jun 10 Aug 15
Loamysand
GoA. NcA, Noe
"
-ale Season Con 122
Bu
1.14
139.08
125.17
9913.62
Jun 10-Aug 15
Loamysand
GoA, NoA. NDE
D-6
-ate Season Con 122
Bu
1.14
139.08
125A7
7372.63
Jun 10-Aug 15
Sandy Loam
GoA
0.8
Wheat 2
Tons
50
1DO.D6
510.OD
Sept -Apr
Sandy Loam
GcA
0-9
Wheat 2
Tons
50
1D0_DO
309000
Sept -Apr
Sandy Loam
GoA
0-10
Wheat 2
Tons
50
1DOM
764.DD
Sept -Aix
Sandy Loam
GoA
0-11
Wheat 2
Torus
50
100.00
3720.00
Sept -Apr
Sandy Loam
GoA
0-12
Wheat 2
Tons
50
100.00
2100.00
Sept -Apr
Sandy Loam
GOA
0-13
Wheat 2
Tons
50
100.00
70D.00
Sept -Apt
Loamysand
Fo, Ra, WaB
"
Wheat 2
Tons
50
100.00
2940.00
Sept,Apr
Loamysand
C4A,NoA,NOE
0-6
Wheat 2
Tons
50
160.00
792D00
Sept -Apr
Loamy sand
GoA, NOA, NoE
D-6
Wheat 2
Tons
50
100.00
5890.00
Sept -Apr
Total be
N utilized:
62653.47
Weighted Average:
226.76
Nitrogen
Produced from Sludge
Sludge
a
The N
Year Wt. Avg.
Itslunit
Animals
Produced
Acres
1 226 758853
0.88
5000
4400
19.40387303
5000
3 226 758853
088
5000
13200
58.21161909
5A
6 226.758853
0.a6
5"
26400
116.4232382
270W
9 226.758853
0.88
5DOO
39600
174,8348573
1 226.758853
0.076
0
0
0
0
3 226.758853
0 G76
0
0
0
OAS
6 225.758853
0.076
0
0
0
0
9 226.758853
0.076
D
0
0
1 226.758853
0.37
0
0
0
0
3 226 756853
0.37
0
0
0
2.3
6 226,758853
0.37
0
0
0
0
9 226.758853
0.37
0
0
0
1 226.758853
0.61
0
0
0
0
3 226.758853
0.51
0
0
0
3.7
6 226.758853
0.61
0
0
0
0
9 226.758853
0.61
0
0
0
27000.00
Total Its N Produced from Sludge In 3 years:
13200.00
3%53-47
Deficit (-)ISurplus (•) Utilized (60:
22453.47

Richard C. Anderson
Creekside Farms, Inc.
Pollyridge Farms, Inc.
Route 2, Box 166
Tarboro, N.C. 27886
J � U
i Cr{
J �
r
Mr. Kenneth Schuster, P.E.
State of North Carolina F
Department of Environment
And Natural Resources
Raleigh Regional Office
Dear Mr. Schuster,
In response to the debris in the lagoon we manage just the waste handling for said
farms. The debris in the lagoon is the sole responsibility of our integrator, the Hanor
Company. They have been made aware of the situation and assured me the debris would
be removed this week, August 05" to August 09" and any further debris problems would
be eliminated.
In regards to the freeboard level records, the records are kept by our waste handler and
he only re -corded the readings thru May. He keeps his daily and weekly reading in his
personal notebook and failed to add July into our official permanent notebook kept in the
office. The error was noticed and information sent to Mr. Towell the next day.
P
,C
C. Anderson
Creekside Farms, Inc. (COC AWS330007)
Pollyridge Farms, Inc.(COC AWS33006I)

—�L412007 10:19 2528233327
ANDERSON TALBERT
PAGE 01
F_A_X
POLLY RIDGE FARMS, INC
179 NC 97 EAST
TARBORO, NC 27886
PERMIT NO. NCA233061
TO: -BUSTER TOWELL
FROM: POLLY RIDGE FARMS, INC,
RICHARD C ANDERSON
PAGES INCLUDING COVER SHEET 2
COMMENT; BUSTER I AM FORWARDING A COPY OF THE POST OFFICE
RECEIPT WHERE WE SENT THE SLUDGE REPORT ON FEBRUARY 28, 2007
AND THE RECEIPT SHOWING THAT IT WAS•RECEIVED ON MARCH 05, 2007.
IF YOU CAN NOT MAKE OUT THE RECEIPTS PLEASE LET ME KNOW,
THANK YOU FOR YOUR HELP IN TRYING TO GET THIS STRAIGHT.

94/24/7007 10:19 2528233327
ANDERSON TALBERT
PAGE 02
* Complese ftme 1, 2, and 3. Also complete
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04/24/2007 11:33 2528233327
ANDERS©N TALBERT
PAGE 02
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Division of Environmental Management
'} CHAIN OF CUSTODY RECORD
For Investigation of
aampies collected ana iihi torus completed by:r��
ab Only
Lab'No.
Station.
No.
Station Location
Date
Time
No. of
Battles
C /C ��
7
1 V qq l
0 114// .- �--
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710
hill 6$
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13
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I F, Q/`J z 5-,ft. cJr4;-,
I1/l/dI
db
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l b
I b
rT e Id �.. J J/0,-
z/v
Rel atxis by(� Signature) : i
slued y igrtu a
W
Date / -e
1
I Rec by
I
Re!
Rec by
€
!�
Rel
Rec by
(Lab)
/
.ethod of Shipment:
i
Security
_Seal bv:
l-,rce and Condition: Lack bv:
Broken by:
0oen bv:
_
_
T.A'A TTST2 nM.Y
From Throuszh
Containers
Analysis
eceived-bv
Date Time
r,
Fill

r
Type of Visit 0;Routine
mpl' Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number mate of Visit: Z� Time: D
Q Not Operational Q Below Threshold
0 Permitted [3 Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name: �� `�. �Z.:..g........... 1 IZ, County:.....................................................................................
...............................
OwnerName:................................................. .......... w� r. f .. 6.' ...................... Phone Na:.......................................................................................
Facility Contact: .............................................................................. Title: Phone No:
MailingAddress: ..................................................................................................................... ..................................................................................... ...................:......
Onsite Representative:........................................................................................................... Integrator:........
Certified Operator:................................................... I........................r`' ej''Operator Certification Number: .... ; .............................. I ......
..............
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �w �� �" Longitude �• ����
Dent'" Current 'DesignCurrent;rt, �i �D`e$r' Carreat
•f
Ca ace
Swine !Capacity. ;Po ul' Poultry ,,;Po ulation Cattle Ca a� �` €
Po elation
�_❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer 1 10 Non -Dairy I It;
Marrow to Wean '
❑ ❑ Other 9 t ae
Farrow to Feeder �.,
❑ Farrow to Finish
Total Design Capacity,
❑ Gilts
❑ Boars TOitAf LW
e
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area`;
E r
t i3 f f .' - -,
Holding Ponds / Sohd'Traps . ❑ No Liquid Waste Management System u
33
.. .. .......... ... ;F. Fi. r r
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0_9
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes L o
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 M-�Zo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes [ Ko
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes C1401
Structure Structur2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Z'S Z �I
................................................................................................................................................................................ .........................
Freeboard (inches): ,
5/00 Continued on back

fteility Number: — Date of .Inspection '0 Printed on: 1 /9/2001
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes' 1 0
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?
❑ Yes M'No
❑ Yes/�
❑ Yes
❑ Yeso'
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes o
11. Is there evidence of over application? L ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes o
12. Crop type ny n /
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes <�o
14. a) Does thefacility lack adequate acreage for land application?
❑ Yes
,E
b) Does the facility need a wettable acre determination?
❑ Yes
Calo
c) This facility is pended for a wettable acre determination?
❑ Yes
100
15. Does the receiving crop need i► iprovement?
❑ Yes
M_9
16. Is there a lack of adequate waste application equipment?
❑ Yes
Reauired Records & Documents
17,
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
�No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
�,,��
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
L� o
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
Ergo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
ONO
22.
Fail to notify regional DWQ of emergency situations as required by Genera] Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
Ld o
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
24,
Does facility require a follow-up visit by same agency?
❑ Yes
VNo
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes

�R
facility Number: — Bate of Inspection Printed on: 1/9/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor 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 �-'
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes
❑ Yes ;/No
❑ Yes o
Ai
5/00

10 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Fac' 'umber Date of Inspection — Z67U
Time of Inspection EYZ= 24 hr. (hh:mm)
ermitted 0 Certified 0 Conditionally Certified 0 Registered 0 Not O erational Date Last Operated:
Farm Name: ...1....�.7�.f../yD�...��j. °J... .......4.:�4:�1 r........................................ County:..L_�1 .b._........................................
OwnerName:.....r..`...:.. "'.�`% w C ?^ i� .............................. Phone No:.......................................................................................
C..........................................................
FacilityContact: ......�.j..1-.�:�'--Q-1.........................................Title:....................................................:........... Phone No:...................................................
MailingAddress: t`��l�0 o
�_
.......... ..........a�....................................................................................................................
Onsite Representative:..:.. �.. �... .`.C... Q.............................................................. Integrator:....._/f1/0.1. .-..—.................................
Certified Operator.,,•,•,••,•,(/'f•,•�,•I...... ,(,••�,•,t°•'(ins�r%%h-(CKb'OperatorCertificationNumber:,••,••••••,••••,••••••,••,••,••••••,•,••„
...........................
Location of Farm: 2U /
.......................................................................................................................................................................................................................................................
......................................................................:...................................................................................................................................................................................................
Latitude ©• .5�a S'/7 •� Longitude �• ®'"
.` Design ` - Current , I)estgn Current ii , sE i, �;iDesrgp ,♦Current
a i' rldti ' r , 9` i�. r;
i$wtne = Ca sett Po ulationt, Poaltry�� �Ca "'sett „Po ulation Cattle �f „ e
arw,,. �Ca act .Po'ulation .
"Finish
eeder ❑Layer ;;: ❑Dairy
, v;
ri 'to
Finish � ❑ Non -Layer ❑ Non Dairy Wean yt.- p - k�. o�❑ Other 4 i i i� �Feeder o ii 1 . Finish .Total Design Capacityi! Total SSLW !'
.. „1"7 ii r, >21.ih �� :�illt it i li.rd: •C
+ pi�
i r. i �t „. ❑ Subsurface Drains Present ❑Lagoon Area I[] Spray Field Area i!
(Holding Ponds / Sohd Traps'` ❑ No Liquid Waste Management System °C ,'
Number, of Lagoons
4- 1
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? (II' 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?
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes o
❑ Yes I
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 0
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes o
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: P Yi />
t/ /�
Freeboard (inches): Z
................Z...............................?✓� .................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes o
Continued on back

FacilityyNumber: 33 — Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 12o
(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
NtJ'i`�
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? rr
❑ Yes
No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
o
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
��N0
12. Crop type h
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
No
b) Does the facility need a wettable acre determination?
❑ Yes
o
c) This facility is pended for a wettable acre determination?
❑ Yes
o
15. Does the receiving crop need improvement?
El
o
16. Is there'a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
o
18. 'Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
o
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
El Yes
20� Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
FO
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
❑ Yes
o
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
24. Does facilit quire a follow-up visit by same agency?
❑ Yes
N
25. Wer ny additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
�'�1c) yiQla ignjs:o d fcliencies wire pQtec� lirrin� thls'vjsjt;•'Y'ou wiii•teeOiye ti fuirt Qr. _
cor'resuoridence: agouti this visit:........... • ........................ .

Facitity Number: Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes Id �0
28. Is there any evidence of wind drift during land application? (i.e..residue on neighboring vegetation, asphalt, ❑ Yes ;No<
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes N
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes jN0
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑
i

acility Number: — Datc ot• Inspection �J
Printed on: 4/24/2000
Np y�olaXigir}s'o�:defacie eie$ Yv�re:r�ote d rixtg . . .... .n....her.
.correspondence ab'irt this.vIsit' ..... • . • • • .
❑ Field Notes ❑ Final Copy
U r r 01 A)7,K-Y
mil( � /? �( yrd-f
r
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

IO Routiue•.o Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review 0 Other - ___1
Dale of Inspection
Time of Inspection F7�SI 24 hr. (hh:mm)
Cf Permitted [3 Certified 0 Conditionally Certified 13 Registered No[ O erational Date Last Operated: ..........................
Farm Name: ..._r d.�/.Y.......L....`.._�...."1................................................ County ...��frQ.........
nn.,.....e..:..............................
Owner Name:.., I`! C.4 4vd lgh �t �r,J- (/�^+
................................................................................ PhoneNo:.......52— 23" �..../%3.......b
..............................
FacilityContact:...:...f.�:.ti"...0............................................Title:................................................................ Phone No:...................................................
MailingAddress: ,,,l.-'..„2......... ,t! / . ✓ k J h/ . ............... .............................................................................. ..........................
Onsite Representative: ...... 2', J7ti . =Nf J✓% g //
Integrator: W 0vz_
..................................................................
Certified Operator:......�:�..:.G�F re/.... A? vd e'r�iD" ............... Operator Certification Number...........................................
............................................................
Location of Farm: /S a 9 6411, n /4u w 4,- C(w 4 /2o,
..........................................................................................................................:
... .
Latitude 09=,=.1 LongitudeDesi
Ca rac'tty' Population ent Design - Current CDeaig'n ` Current
g �� ,
Swine ation - Poultry Capacity Population Cattle Y`Po ulat'ton .
❑ Wean to Feeder ❑ Layer ❑ Dairy.;, ❑ Fe o Finish ❑ Non -Layer ❑ Non -Dairy
arrow to Wean
❑Farrow to Feeder - - ❑ Other.;,;,
❑ Farrow to Finish Total Design Capacity; `
❑ Gilts
❑ Boars Total SSLW, _.����
;), •,
' Number of Lagoons., ❑ Subsurface Drains Present ❑ Lagoon Area
Holding Ponds FSolid Traps' JE3 No Liquid Waste Management System
][]Spray Field Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
es [3 No
Discharge originated at: El Lagoon pray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If ycs, notify DWQ)
es ❑ No
c. If discharge is observed, whatis the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (Ilyes, notify DWQ)
❑ Yes
2. Is there evidence of past discharge from any part of the operation?
,❑�Noo
❑ Yes nlrvo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes J;,_ o
Waste Collection & Treatment
4. Is storage, capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes 0No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier.
Freeboard (inches): ..............xL44 011
......................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes'
seepage, etc.)
3/23/99
Continued on back

Facility Number:33 — LTJ Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Aeplication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes ONo
❑ Yes No
❑ Yes o
El Yes o
❑Yes LQNo
❑ Yes ❑ No
12. Crop type ^ 1 ing i , -e
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? [:]Yes ��No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ❑ No
23, Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ Yes o
24. Does facility require a follow-up visit by same agency? es p No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 0
110 yiolatitjtnis:or dgfcier�cie5 mere nQtei� il>rritng this'visit' • Y;ou Wiii•t�ee$iye tjo; fuirt��f
.'.' corresp6Tiden& abotif thus V lsit" ' .
14. a} Does the facility lack adequate acreage for land application? ❑Yes
b} Does the facility need a wettable acre determination?
❑Yes
jNo
c) This "facility is pended for a wettable acre determination?
❑Yes
No --
15.
Does the receiving crop need improvement?
❑Yes
❑Yes
� No
No
16.
Is there a lack of adequate waste application equipment?
Required Records &Documents
17.
Fail to have Certificate of Coverage &General Permit readily available?
❑Yes
o
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
;N_
(ie/ WUP, checklists, design, maps, etc.)
❑Yes
19.
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis &soil sample reports)
❑Yes
No
20.
Is facility not incompliance with any applicable setback criteria in effect at the time of design?
El Yes
No
21.
Did the facility fail to have a actively certified operator in charge?
El Yes
No
1: -•. : -- . j[ �i :[L-:Z M [ q -� i f 7'
se,draWings of facility€,to'better explain situations (use a ddihonal�pages�asznecessary)
,3a[„ <E.,.-, r:�.€ ..'sr, [. �a. ��EElsr-: ;k� 1, >r ,.€ it.• L,-(:i�
Ct11+.� I rg- � N � S �xr F-2. A/ lvXl.r�'d1,.�g •j-,,,.�� n.� ,ry✓�? �,. c� , {� [ .f c.�+��•� O ���►'-a'.C.�(e `
Off- kvq 4- i it l�O-n C, Q, r pA,�- ph C a +- 9, %I V o / /I
Reviewer/Inspector Name
Reviewer/InspectorSignature: Date: ���i��pb•p

r:1 5.
State of North Carolina
Department of Environment,
Health and Natural Resources 1 •
Raleigh Regional Office a
James B. Hunt, Jr., Governor � E I--1 N R
o M�vk M &
Jonathan B. Howes, Secretary
DIVISION OF WATER QUALITY
March 4, 1997
Mr. Richard Anderson
Rt. 2, Box 215-C
Tarboro, North Carolina 27885
Subject: Compliance Evaluation Inspection
Facility # 33-61
Polly Ridge Farm
Edgecomb County
Dear Mr. Anderson:
On March 3, 1997, Mr. 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 the swine operation was not
discharging wastewater into waters of the State and that operations
are proceeding according to your approved Animal Waste Management
Plan. As a result of the inspection, the facility was found to be
in compliance with the State's animal nondischarge regulations.
Effective wastewater treatment and facility maintenance are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. The Raleigh Regional Office appreciates your
cooperation and compliance. If you have any questions regarding
this inspection please call Mr. Buster Towell at [phone].
Sincerely
dy G rrett
Water Quality Section Supervisor
cc: Edgecomb County Health Department
Mr. A.B. Whitley, Edgecomb Soil and Water Conservation District
Mr. Steve Bennett, Regional Coordinator, DSWC-RRO
DWQ Compliance Group
RRO Files
3800 Barrett Drive, Suite 101, if
FAX [phone]
Raleigh, North Carolina 27609 N50%
An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 recycled/10% post -consumer paper

[j iiSWC Animal Feedlot O eratlon Review A
k
y.
WQ Animal Feedlot Operation Site inspection
Routine 0 Complaint [3 State employee call 13 Fallow -up of DWQ inspection 0 Follow-up of DSWC review - I
Date of Inspection 1 _4 — j — x 7 I
Facility Number
Time of Inspection i � � Use 24 hr. time
Q Total Time (in hours) Spent onReview 3
Farm Status; _- ++ `�.3.C_. . ••.....• •--.•••••• or Inspection (includes travel and processing)
Farm Name: Q j E �. Z i A(74��w-•— .__ . _ Couaty: C.lGraea ..._..._ _
G �,a�-
Owner Name: .�. � �✓� �s� ...�. Phone No: ...,_..� �' � ...._...
Mailing Address: 4.0 Z I��
Onsite representative: r. sL`�. a � q*�f_e ,.., Integrator:
Certified Operator Name: ..L = . I�r"c'3`` .........._ ... . _... _.. _. . _ .. _... ..,... �. _ ....._
Location of Farm:
Latitude �•i 1���� Longitude �• �� ��
❑ *t Q erational Date Last Operated:
Type of Operation and Design
❑ Wean to Feeder
opacity t J. l l S' COL i) e `J O O D
�L
dumber ` ,'. Poultry Number
HZFarrow to Wean L M 1
Farrow to Feeder-�;...,•.:3,_ .,:;,'
arrow to Finish ❑ Other Type of Livestock
P/016,V)
Cattle Number
�j [0 Dairy
t..
Beef
S E '
w,xa,..,of �''n �F' -'� X
,Number
s° of Lagoons / Halding Poods 0 Subsurface Drains Present
r
Q La oon Area ©S rav Field Area
Geperal
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? of 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. Was 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
maintenancelimprovement?
❑ Yes ErNio
❑ Yes G No
❑ Yes C1,o
❑ Yes No
❑ Yes
❑ Yes
❑ Yes
II No
No' .
:NoN
❑ Yes
Continued on back

6. A facility not in compliance with any applicable setback criteria? ❑ Yes © No _.
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1/97)? ❑ Yes \o
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes No
Structures (Lagoons and/or HoldlnQ Pondsl
9. Is smictural freeboard less than adequate? ❑ Yes No
Freeboard (ft): Lagoon 1 Lagoon 2 Lagoon 3 Lagoon 4
10. Is seepage observed from any of the structures? ❑ Yes' 'o
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12. Do any of the structures need maintenance(improvement? ❑ Yes No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markets to identify start and stop pumping levels? n Y �� 'r Yes ❑ No
Waste Autulication
14. Is there physical evidence of over application? ❑ Yes ZIN110.
Of in excess off%WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type t "w G✓ �� �? rill'/ .. _ .. _ ._ �_.� _. �_
16. Do the active crops differ with those designated in the Animal Waste Management Plan? ❑ Yes No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes No %
18. Does the cover crop need improvement? ❑ Yes i0
19. Is there a lack of available irrigation equipment? v"` �✓ �'�'` P y" ❑ Yes o
For Certified Facilities Onlv
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?' ❑ Yes [0�0,"
0
M 21. Does the facility fail to comply with the Animal Waste anagement Plan in any way? ❑ Yes Q
22. Does record keeping need improvement? ❑ Yes f o
23. Does facility require a follow-up visit by same agency? ❑ Yes do
24. Did Reviewer/inspector fait to discuss review/inspection with owner or operator in charge? ❑ Yes 27Qo
Continents refer to question 0): Explain any YES answers and/or any recommendations or any other comments.
use drawings .of facility to better explain situsiions= (arse: additzoaal Pages 4 , necessary)
Reviewer/Inspector Name ,r 4
Reviwer/Inspector Signature: C Date:
.....,.�'+`!..liiuirinr,,nP ti/nrw.,fL.ulihr„Wnl�. flvnlihr S.��inn ..lCn�iliw,.4.c.�i.�sment Unit ._. 11/14/96

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Richard Anderson
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURGEs
December 30, 1999
Gatlin Hunting Club Road Farm (Polly Ridge)
Route 2, Box 215C
Tarboro NC 27886
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 33=61-.,
Edgecombe;County
Dear Richard Anderson:
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, SLUR1, SLUR2,
SLDI, 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% recycled110% post -consumer paper

Division of Soil ant I Water Conservation -Operation Review
D,Dii' �'`of Soil and Water Conservation - CornPli'ancnli�spection
rvision of Water Quality - Compliance Lnspection
Other'Ag6icy,-'Operakion:Review
lIX-Routine O Complaint 0 Follow-up of DWO inspection O Follow-up of DSWC review Q Other
Fac ;'NumberD—E�= _j
D:rt:e of Inspcclion
Time of Inspection 24 hr. (hh:mm}
ermitted [3 Certified 0 Conditionally Certified © Registered JE3 Not Operational I Date Last Operated:
I r ..
Farm Name: i�.�.!.......�,L. County:.�y�"".�..............................................
Owner Name: ►'��� Phone No:
FacilityContact:.+,7..,5...i°�..�`-,.1'�-................................................ Title:................................................................ Phone No: ...................................................
<♦'lailicr}; Address: 1,�'.t....z ...,. ? .,l��p li9✓f�t�'^.q vZ/L. ...........................................................
...�....7.�......................................................... ..........................
Onsite Representative: !�" ri"►KV�- '�r".J Z�r,%?rt` Integrator: .... 1.44.e..........................................
II............... ``.................................... ...........................
Certified Operator:.......iZ....{�!4r d C't7}� Operator Certification Number: ..........................................
........'�. "........ ......................................
I..ocation of Farm: S 2 I s0
............. ............. ...................... ......... ....................... ............ ..................................................................................................................... I .................... .......
Latitude 0 G I& Longitude • 6 64
Design Current
Swine Capacity Population
Wean to Feeder
Fee o Finish
arrow to Wean
Farrow to Feeder
Farrow to Finish
Gifts
Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer 1== 1[:] Dairy
❑ Non -Layer I 1 10 Non -Dairy
❑ Other I I I
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 Impactti
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made',
bIf discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. It' discharge is observed, what is the estinratecl Ilow in gal/tnin?
d. Does discharge hypass a lagoon system?
2. Is there evidence of past discharge from any part of the operation'?
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequale?
Identifier:
Structure I Structure 2
Y
Structure 3 Struc'lure 4 Struclure 5
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes o
El Yes
❑ Yes �No/
❑ Yes No
Structure 6
Freeboard (inches)
1 /6/99 Continued on back

IFOlity limber:3.l — Date of Inspection
5. Are there any immediate t rears to [he integrity of any of the structures observed'? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which arc not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
ZZ
El Yes
El Yes;ZNo
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes No
11, Is there evidence of over application'? ❑ Ponding ❑ Nitrogen El Yes ❑ No
12. Crop type n. ���`.t?........................................
13. Do the receiving crops differ with those'designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No
14. Does the facility lack wettable acreage for land application? (footprint)
15. Does the receiving crop need improvement?
16. is there a lack of adequate waste application equipment'?
Required .Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (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 certified operator in responsible charge?
22. Fail to notify region DWQ of emergency situations as required by General Permit?
(ie/ discharge, f oard problems, over application)
23. Did R 'ewer/Inspector fail to discuss review/inspection with on -site representative?
24. cs facility require it follow-up visit by same agency?
No,violations-or. defieieri es .were noted d�iring.Ntis visit:. Y-ou w' 01'reeeive nor further,
eorresbMdehee; Abtit. this visit.. -. -...... ; .... . • . • . • . • .. • . •
ElYes
❑ Yes
❑ Yes No
❑ Yes • (INo
❑ Yes M<O
❑ Yes ;�O�
❑ Yes rr�<(0)
❑ Yes I
❑ Yes
No
❑ Yes
❑ Yes
No
1 /6/99

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
June 26, 1998
Richard Anderson
Gatlin Hunting Club Road Farm (Polly Ridge)
Route 2, Box 215C
Tarboro NC 27886
Dear Richard Anderson:
1 � •
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissuance of Certificate of Coverage
No.AWS330061
Gatlin Hunting Club Road Farm (Polly Ridge)
Swine Waste Collection, Treatment, Storage and
Application System
Edgecombe County
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on April 28, 1997, In accordance with the issuance of the revised General Permit, we are
forwarding this Certificate of Coverage (COC) to Richard Anderson, authorizing the operation of the
subject animal waste collection, treatment, storage and land application system in accordance with
General Permit AWG100000. This approval shall consist of the operation of this system including, but
not limited to, the management of animal waste from the Gatlin Hunting Club Road Farm (Polly Ridge),
located in Edgecombe County, with an animal capacity of no greater than 7000 Farrow to Wean and the
application to land as specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003, and shall hereby void
COC No AWS330061 dated April 28, 1997. The COC shall hereby incorporate by reference any
specific conditions of the previous COC issued to this facility. The purpose of this COC is to allow
coverage under the revised General Permit. Please review the revised General Permit (enclosed) and pay
particular attention to Condition II.10 regarding tree removal from lagoon embankments, Condition III.1
regarding inspection frequency of the waste treatment, storage and collection system and Condition 111.6
regarding notification requirements for system failures, spills and emergencies. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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Certificate of Coverage AWS330061
Gatlin Hunting Club Road Farm (Polly Ridge)
Page 2
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Sue Homewood at [phone] ext. 502.
for
Sincerely,
Z' — , "� r
A. Preston Howard, Jr
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
Raleigh Regional Office, Water Quality Section
Edgecombe County Soil and Water Conservation District
Permit File
P.E.

SA
pwd�,g
rjvls!jon
on of Soil and Water Conservation Other Agency r
t � of Water Quality �`
{
25.
Routine 0 Complaint O Follow-up cif DWQ inspection 0 Follow-up of DSWC review 0 Other
Date of Inspection
Facility Number
Time of Inspectional 24 hr. (hh:mm)
Registered © Certified © Applied for Permit ErIpermitted [3 Not Operational /I Date Last Operated:
AA,., rah_ County:,•C�'eFarm Name:............`.......... ......l!rl.".............................................................G�1 �!...........................................
Owner Name: i7 C- v �'rd$"' S' �' Phone No: I — — 1/Vj�
...........................................................................................................................................................................
...... .....
Facility Contact': �}^ 4.-...` ... D'� Title: ...........................................................
Phone No:
.........
?..d.......,...... �..!�.�........... `► ........ C- .......
Mailing Address: ................. �:.....�'......................................., .......................... .... .
Onsite Rep resentative:,".*!-.J...... ............................. Integrator:.::...F�� %y:,.........................................
Certified Operator ,�'L"`'�'' � �''���^'�Dt^
p............................................................................................................ Operator Certification Number:.........................................
Location of Farm: .S 2 l G /
Latitude Longitude �• ��'
K """"""Design, Current
4 Design
Current„
Design:,:Current ,'
Swore M , Capacity Population
'Poultry.
Capacity
Population Cattle Capacity ;Population
to Feeder
❑Layer
X,
❑ Dairy
DOWean
r to Finish
�
❑ Non -Layer
❑Non Dairyw
to Wean
Q p
P«.t, •.
a
Y .
❑Farrow to Feeder
CI Other
a:
El Farrow to Finish
'Total Design Capaclty�
❑ Gilts
❑ Boars
''Total SSLW
u
Number of agog s I Holding Ponds ®
❑ Subsurface Drains Present
❑ Lagoon Area
❑ Spray Field Area
pry.
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes 0 No
2. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑Yes 3 No
c. If discharge is observed, what is the estimated flow in galhnin?
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 l�1 No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes 0<0
maintenance/improvement? .
6, Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑•Yes
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
1 7/25/97 Continued on back

Facilit . 'umber:
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (l,agoons.Holding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes Wl
❑ Yes o
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: �':-L_ / `
.................................................................................... .......... ....... .........................
Freeboard (ft): D ...............................
10. Is seepage observed from any of the structures? ❑ Yes E
ZZ
11. Is erosion, or any other threats to the integrity of any of the structures observed'? ❑ Yes
12. Do any of the structures need maintenance/improvement?❑ Yes , o
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
U. Do any of the structures lack adequate minimum or maximum liquid level markers? es ❑ 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 ..... �..!�.".......?� -� v .. .!4 !. !. T............................................... .................. ..... ................ ......................... .... .... -................... ................
l"
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes NZ
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes 1 N
18. Does the receiving crop need improvement? ❑ Yes tl N
19. Is there a lack of available waste application equipment? ❑ Yes Zff
20. Does facility require a follow-up visit by same agency? ❑ Yes
21. Did Reviewer/[nspector fail to discuss review/inspection with on -site representative? ❑ Yes ,
22. Does record keeping need improvement? ❑ Yes No
For Certitied or Permitted Facilities Only ;
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes
24. We�anyuonal problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
25. Wional problems noted which cause noncompliance of the Permit'? ❑ Yes No
No.violations or deficiencies were noted during this. visit. .You.will receive no further
.. • correspondence ii oht this'.visit: ;
Jse diawings of fticihty to better explain situatit<ns (usc additional p>t.ges as necessai .. £.
W©tNr y j a s pP
7/25/97

HY/Routine O Comulaint O Follow-tto of DWO uistiection O Follow-up ot'DSWC review O Other
Facility Number Date of Inspection fyy5[9brl
Time of Inspection ® 24 hr. (hh:mm)
0 Registered 0 Certified E3 Applied for Permit © Permitted 113 Not Operational I Date Last Operated:
Farm Name. .......... �ir�........1..L . es-.., County:...�...Y.f!`'� 5,!ilr'�S�J7... . .... .......................
OwnerName: .................................... .............. ........................................................................ Phone No:.......................................................................................
Facility Contact: .................................................................. ., Title:................ . Phone No:
Mailing Address: ..................1.....k............. . .....................
ddress:.........................................................
Onsite Representative: }� .... Integrator:...................................................................................... • �1.L%>.V...............11�.%12.�L%..........
Certified Operator;............................................................................................................... Operator Certification Number:.........................................
Location of Farm:
Latitude • 1 i' Longitude ' "
Design Current w :Design Currents.
5wme " Capacity;.Populatian Poultry ^:Capacity 'Populatian Cattle #`
❑ Wean to Feeder
❑ Feeder to Finish
arrow to Wean
7 drrd
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer ❑ Dairy
❑ Non -Laver ❑ Non -Dal
❑ Other
Total MA2 .Capactt
'Fatal S"
nber'.6f Lagn6ns 1 Holdmg:l?onds' ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
t
❑ f No Aguid Waste Management System
�_l
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes No
2, Is any discharge observed from any part of the operation? ❑ Yes , iNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes VNo
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 04No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes, 0 No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes PINo
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes lj�No
7. Did the facility fail to have a certified operator in responsible charge? 0 Yes /El No

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lao oonsd told inu Ponds Flush fits etc.
9. is storage capacity (freeboard plus storm storage) less than adequate?
Structure t Structure 2 Structure 3 Structure 4
Identifier:
Freeboard (ft): .,... ,.'....
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes [ No
❑ Yes 11,10
Structure 5 Structure 6
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 WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .t,._OLL.. _._....................................................................................................................................................
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 P�No
❑ Yes dNo
Yes ❑ No
Yes ❑ No
❑ Yes ;A10
�es ❑ No
❑ Yes PrNo
❑ Yes )2rNo
❑ Yes dNo
❑ Yes ONo
❑ Yes �No
❑ Yes ❑ No
0. No.vialations or dericiencies vvere:noted;dur.ing' this:visit.- You:Wvill. Teceive no.furth'er ::
correspondence about this visit:: .. : . .
❑ Yes 9No
❑ Yes qllNo
❑ Yes {?'1Go
I � C)- E-610 paw' A/t. " D r -F 446 iF o— ,Dlblla5 c;�
®F Y P A(s 111717174 r- fi-yt 6- ,oc v 6� 4.6-174
I i3 6_1 I(- co Ir A ass
Imo- ,rq s Oaj a
s-hiPrti� E'yi47,Z4 ChLvc a-T-
I i14rL, T" Pim�rPw G- ✓�i� 1�-IC.t�
G Ill U Q �rl} 1 , f 25/97 ki
Reviewer/Inspector Name�T
Reviewer/Inspector Signature: 0 zadz:�t Date:

❑lI)visionof Soil and Water Conservation- Operation Review
❑ Division:, of Soil and Water Conservation - Compliance Inspection
❑ DIV1sioQ of Water Quality - Compliance Inspection
❑..tither. F ency - Operation Review L
Qy Routine Q Com taint 0 Follow-up of MV ins pection Q Follow-u of DS�VC review Q Other
Facility Number ` — Date of Inspection !�
Time of Inspcc.liou f d J 24 hr. (hh:min)
❑ Permitted ❑ Certified ❑ Conditionally Certified ❑ Registered 113 Not O erational Date Last Operated:
i
Farm Name: ...... 4� L`�. JZ. l.r G.LJ.. ........... .... C'ounh':........ ...................... —
OwnerName : ................................................... ........................................ ................................ Phone No:.......................................................................................
FacilityContact:'.......................................................................T'itle:........................................................... Phone No:
.Mailing Address:.......................................................................................................................................................................................................... ..........................
Onsite l2epresentativc:....�l.k.l.� !'. ...... N
...... J �!Z Sc!.(,J Intel;rator:..... I�...................................................................
Certified Operator: „ Operator Certification Number:
Location or Farm:
AL
T'
Latitude 0 4 9 Longitude " °
Design Current Design Current Design Current
Swine Capacity population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder JE1 Layer I 1 ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
Farrow to Wean
jo
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ID Subsurface Drains Present JJEI Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharg_cs & Stream Impact~
1, Is any discharge observed from any part of the operation? ❑ Yes �Na
Discharge originated at: ❑Lagoon ElSpray Field El Other
a. If discharge is observed, was the con%'cyance than -made? ❑ Yes No
h. If discharge is observed, did it reach Water cif the Stale'? (I[ yes, notily DWQ) ❑ Yes No
c. If discharix is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (I[ ycs, notify DWQ) ❑ Yes qNo
2. is there evidence of past discharge from any part of the operation? ❑ Yes E� No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 9 No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure I Structure 2 St-ucture 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (incites): ......M...................... .. ...... ........................................
5, Are there any itnmecliate threats to the integrity of any of the stRuctures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.) J
3/23/99 Continued on hack

3 r
Facility Number: Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type (_ ah 4 A )
1
❑ Yes E ► O
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
IT Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0; Rio yiolaiions;oT cleficierncies v�ere itbted• during •tt'is'
;visit; • -64' WwiII•eeeeiye Rio further.
. , corres�6Tidei�ce: abau� this :visit' : : :
er''tolquesttott!#) Ex lain an YES Answers and/or an
s sp� y, .. y
f facdtty to bettertexplain situations (use additional pag
1(,c1 Sa�r,p .5 pE,t� i laV , J�4N1e d- +�)o A07 IS
.5jOE h)%�ev6r-� A41,11l,�_ ,
Yes ❑ No
❑ Yes P410
❑ Yes ZNo
❑ Yes ❑"Flo
❑ Yes �2 No
❑ Yes EfNo
❑ Yes E]�No
❑ Yes ❑'No
t
❑ Yes U No
❑ Yes j o
❑ Yes .0 No
❑ Yes PrNo
❑ Yes VNo
❑ Yes ❑ No
❑ Yes 0
❑ Yes o
❑ Yes 10 No
❑ Yes No
❑ Yes No
❑ Yes No
i
Reviewer/Inspector Name t y r " t• • , `.'
ReviewerllnspectorSignature:�j%7,,,_,, Date: _;A
3/23/99

Facility Number: Date of Inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below
❑ Yes
—/
LYN0
liquid level of lagoon or storage pond with no agitation?
T
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
(�N0
roads, building structure, and/or public property)
f
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
❑ No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover'?
❑ Yes
❑ #o
,Addit or ravings:
T
3/21/on

Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number .31 . G /
Farm Name: 0/4 2% 7TZ
On -Site Representative: Z,c,� 9. .71 a.rel_
Inspector/Reviewer's Name: 7�zJ�0 //
Date of site visit-.' 2,7IZ22
Date of most recent WUP:
It It
Operation is flagged for a wettable
acre determination due to failure of
Part H eligibility item(s) F9 F2 F3 F4
1�_eration not required to secure WA
eerinatio this time based on <
exemption E'1 E2 E3 E4
Annual farm PAN deficit: pounds
Irrigation System(s) - circle #: 1. hard -hose traveler, �nte�r-ivot�syste�ryy, near -move system;
4. stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary gun system w/portable pipe
PART I. WA Dete Ination Exemptions (Eligibility failure, Part II, overrides Part l exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D21D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part III. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part H. Complete eligibility
checklist, Part II - F1 F2 F3, before completing computational table in Part I11).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part 111.

Revised January 22, 1999
-icility Number
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD I COMMENTS3
NUMBER NUMBER' z IRRIGATION ACRES ACRES %
SYSTEM
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER2 - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

ANIMAL WASTE MANAGEMENT PLAN CERTIFICATION FOR NEW OR EXPANDED FEEDLOTS
Please return the completed form to the Division of Environmental Management at the address on the
reverse side of this form.
Name of farm (Please pdnt):,Richard Anderson - Gatlin Hunting Club Road Farm
Address: Route 2 Box 215 C Tarboro, NC 27886
Phone -Number: t �fl y 1 dZz5-4I3u
County: Edgecom a Martin
Farm location: Latitude and Longitude: 350 5_8' 5911/ 770 231 57'trequired). Also, please attach a copy of a
county road map with location identified.
Type of operation (swine, layer, dairy, etc.):Swine
Design capacity (number of animals): 7000
Average size of operation (12 month population avg.): 7000
Average acreage needed for land application of waste (acres): 100.80 AC minimum
TECHNICAL SPECIALIST CERTIFICATION
As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to
15A NCAC 6F .0005, 1 certify that the new or expanded animal waste management system as installed for the
farm named above has an animal waste management plan that meets the design, construction, operation and
maintenance standards and specifications of the Division of Environmental Management and the USDA -Soil
Conservation Service and/or the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC
2H.0217 and 15 A NCAC 6F .0001-.0005. The following elements and their corresponding minimum criteria have
been verified by me or other designated technical specialists and are included in the plan as applicable: minimum
separations (buffers); liners or equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for waste utilization (or use of third party); access or ownership of proper waste
application equipment; schedule for timing of applications; application rates; loading rates; and the control of the
discharge of pollutants from stormwater runoff events less evere than the 25-year, 24-hour storm.
Name of Technical Specialist (Please Print): Bobby L. Joyner
Affiliation: Appian Consulting Engineers, P.A.
Address (Agency): PO Box 7966 Rocky Mount, NC 27804 -'
Phone Number: 919 972-7703
Sign
OWNER/MANAGER AGREEMENT
Date:
I (we) understand the operation and maintenance procedures established in the approved animal waste
management plan for the farm named above -and will implement these procedures. I (we) know that any
additional expansion to the existing design capacity of the waste treatment and storage system or construction of
new facilities will require a new certification to be submitted to the Division of Environmental Management before
the new animals are stocked. I (we) also understand that there must be no discharge of animal waste from this
system to surface waters of the state either through a man-made conveyance or through runoff form a storm
event less severe than the 25-year, 24-hour storm. The approved plan will be filed at the farm and at the office of
the local Soil and Water Conservation District.
Name of La o er Please Print): Richard Anderson
n, �1
Signatures
Name of M nager, if different from owner (Please Print):
Signature:
Date:
Note: A change in land ownership requires notificatbn_ar a new certification (if the approved plan is changed) to
be submitted to the Division of Environmental Management within 60 days of a title transfer.
DEM USE ONLY:ACNEWI#
ACE P-38

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EDC ECOBE COUNTY
9
KIC-)PT" C,&Dn1 I K I A

M
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B: ;Hunt,, ar'.'. Governor.
'-Jonathan 'B:: Howes;: Secretary ,
A. Preston Howard, Jr., P.E., Director
April 28, 1997
Richard C. Anderson
Gatlin Hunting Club Road Farm (Polly Ridge)
Route 2, Box 215C
Tarboro NC 27886
Subject: Certificate of Coverage No. AWS330061
Gatlin Hunting Club Road Farm (Polly
Ridge)
Swine Waste Collection, Treatment, Storage
and Application System
Edgecombe County
Dear.Richard C. Anderson:
In accordance with your application received on March 21, 1997, we are forwarding, this
Certificate of Coverage (COC) to Farm No. 33-61, authorizing the operation of an animal waste
collection, treatment, storage and land application system in accordance with the State's General Permit
(attached). This approval shall consist of the operation of this system including, but not limited to,'the'.
management of animal waste from the Gatlin Hunting Club Road Farm (Polly Ridge) Farm with an. animal
capacity of no greater than 7000 Farrow to Wean and the application to 122 acres'of land.. The facility
shall be located in Edgecombe County with no discharge of wastes to the surface waters.
The COC shall be effective from the date of'issuance until December 31, 2001. Pursuant to this
COC, you are authorized and required to operate the system in conformity with the -conditions and
limitations as specified in the General Permit, the facility's Certified Animal Waste Management Plan'
(CAWMP), and this COC. An adequate system for collecting and maintaining the required mottiaoting
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 COG and shall be completed
prior to actual increase in either wastewaier flow or number of animals.
In accordance with General Statue 143-2.15.1 OC, Animal Waste Management Plans shall include
the following components:
-A checklist of odor sources -and best management practices to minimize these sources.
- A checklist of insect sources and best management practices to minimize these sources.
- Provisions set forth for acceptable methods of disposing of mortalities.
- Provisions regarding emergency action plans.
Your existing Certified Animal Waste Management Plan must include the above elements, by
December'31, 1998. Documentation of the certification must be available to inspectors.onsite. Submittal
.of the amended certification statement shall be required upon_renewal of your permit coverage -in 2001
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycles!/ 10% post -consumer paper

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.
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 J.R. Joshi at [phone] ext. 363.
C Sincerely,
ApR3019�
l]�:1iNR s�nt�tit;�
g[UONAt.OfF10E k(l"A, Preston Howard, Jr., P.E
CC." (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
Raleigh Regional Office, Water Quality Section
,Eilgecom eb County-Soil`anZl-Water'Conservation-District
Facilities Assessment Unit
Central Files

33 —
t State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form / Survey
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Liquid Animal Waste Operations
The following questions have been completed utilizing information on file with the
Division. Please review the information for. completeness and make any corrections '
which are appropriate. If a question has not been completed by the Division, please
complete as best as possible. Do not leave any question unanswered.
G C::
AppIicatian Date:
I. REQUIRED ITEMS CHECKLIST
Please indicate that you have read the following list of requirements by signing your initials in the space provided next to each
item.
1. One completed and signed original and one copy of the application for General Permit -Animal
Waste Operations;
2. Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is disposed;
3. Two copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, one must be completed prior to submittal of a general permit application
for animal waste operations.
II. GENERAL INFORMATION:
1. Farm's name: Gatlin Hunting Club Road Farm
2. Print Land Owner's name: Richard Anderson
3. Land Owner's Mailing address: Route 2. Box 215C
City: Tarboro NC Zip: 27886
Telephone Number: 919-a23-4730 _
4. County where farm is located:
5. Farm Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road chap with the location of the farm identified): I S V
6. Print Farm Manager's name (if different from Land Owner):
7. Lessee's 1 Integrator's name (if applicable; please circle which type is listed): m AIao r
FORM: AWO-G-E 2/97 Page 1 of 3

III. OPERATION INFORMATION:
1. Farm No.: _31-a
2. Operation Description: operation
Farrow to Wean
7000 - Certified Design Capacity
Is the above information correct? yes; Q no. If no, correct below using the design capacity of the facility
Tyne of Swine Type of Poultry No. of Animals Tune of Cattle N2 of Animals
0 Wean to Feeder
0 Feeder to Finish
0 Farrow to Wean (# sow) 7 i7 0
0 Farrow to Feeder (# sow)
0 Layer 0 Dairy
0 Non -Layer 0 Beef
0 Turkey
0 Farrow to Finish (# sow)
Other Type of Livestock on the farpt: - No. of Animals;
3. Acreage cleared and available for application:f1; Required Acreage (as listed in the CAWMP): 100.9
4. Number of Lagoons: ,_2,- ; Total Capacity: ,+yi Cubic Feet (ft3)
Number of Storage Ponds: 0 ; Total Capacity: c/ Cubic Feet (ft3)
5. Is animal waste being applied on any field which has subsurface drains? YES or NO) (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? YES or i
) (please circle one)
I V . APPLICANT'SCERTIFICATION:
t_��1l hjp-(�-, {yes • [It, �14 P4,f Ms L(. (Land Owner's name listed in question H.2), attest that
this application for �ew-,,t l ( erk 4 t,'(Zt,}1 jk+.-?I DUAL;P D12.9,& a-,
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 returoAto me as ift-twlete.
Signature . `t, r „LL4"_1, c3'Q td-�r-r�Date
V . MA?'AGER'S CERTIFICATION: (complete only if different from the Land Owner)
1,
(Manager's name listed in question II.6), attest that this
application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned as incomplete.
Signature Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORM: AWO-G-E 2197 Page 2 of 3

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water. Quality
Non -Discharge Permit Application Form 1 Survey
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Liquid Animal Waste Operations
DIVISION OF WATER QUALITY REGIONAL OFFICES (2197)
Asheville Regional WQ Supervisor
59 Woodfin Place
Asheville, NC 28801
[phone]
Fax [phone]
Avery
Macon
Buncombe
Madison
Burke
McDowell
Caldwell
Mitchell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Henderson
Yancey
Jackson
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301 .
[phone]
Fax [phone]
Washington Regional WQ Supervisor
943 Washington Square Mall
Washington, NC 27889
[phone]
Fax [phone]
Raleigh Regional WQ Supervisor
3800 Barrett Dr.
Raleigh, NC 27609
[phone]
Fax [phone]
Beaufort
Jones
Ci;atham
Na-,h.
Bertie
Lenoir
Durham
Northampton
Camden
Martin
Edgecombe
Orange
Chowan
Pamlico
Franklin
Person
Craven
Pasquotank
Granville
Vance
Currituck
Perquimans
Halifax
Wake
Dare
Pitt
Johnston
Warren
Gates
Tyrell
Lee
Wilson
Greene
Washington
Hertford
Wayne
Hyde
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Wilmington Regional WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Anson
Moore
Alexander
Lincoln
Brunswick New Hanover
Bladen
Richmond
Cabarrus
Mecklenburg
Carteret Onslow
Cumberland
Robeson
Catawba
Rowan
Columbus Pender
Harnett
Sampson
Cleveland
Stanly
Duplin
Hoke
Scotland
Gaston
Union
Montgomery
Iredell
Winston-Salem Regional WQ Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
Alamance Rockingham
Alleghany Randolph
Ashe
Stokes
Caswell
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
FORM: AWO-G-E 2/97 Page 3 of 3

w
f '
SWINE WASTE LAGOON CALCULATIONS
7000 HD. Farrow to Weanling Operation-„
Richard Anderson
August 28, 1996
POLLYRIDGE FARMS
Facility No 33-61
Cert No: N-001.;q4

SWINE WASTE LAGOON CALCULATIONS
FOR: 7000 HD. FARROW TO WEANLING OPERATION
ACE J N 95-111
EDGECOMBE COUNTY, NC
POLYRIDGE FARMS
RICHARD ANDERSON
ROUTE 2 BOX 215 C
TARBORO, NC 27886
AUGUST 28, 1996
Aipp ;dn
CONSULTING ENGINEERS, PA
CIVIL, MUNICIPAL d STRUCTURAL ENGINEERS
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TYPES.OF-MATERIAL ENCOUNTERED IN BORINGS
(Use one of systems" below)
UNIFIED CLASSIFICATION USDA CLASSIFICATION
GW-Well graded gravels; gravel; sand mix g-gravel-
GP'-Poorly graded gravels s-sand
GM-Silty'.gravels: gravel -sand -silt mix . vfs-very fine sand
"GC -Clayey .gravels;' gravel -sand -clay: mix ..... ' • s1-sandy loam
SW -Well graded_iands; sand -gravel mix fsI - fine sandy .loam -
Sp -Poorly graded sands I -loam
SM=Silty sand gl-gravelly loam
SC -Clayey sands; sand -clay mixtures si.silt
' ML - Silts; silty, v. fine sands; sandy or clayey silt sal -silt loam
CL- Clays of low to medium plasticity. cl - clay loam .
CH -Inorganic clays of high plasticity sicl- silty clay loam
MH-Elastic silts scl-Sandy clay loam --.
OL-Organic silts and silty clays, low plasticity sic -silty clay
OH -Organic clays, medium to high plasticity c-clay
1. Suitable material for embanloaent is available •QYee' Q No andlcale where located an th• skelch on
I�MARKS;
{ f =3 2 3 .'�aa a-?l :er,Li is g eke. aI attention tn•d6dgnl fseenece, rr'na,.roct'ercJ -
GENERAL REMARKS:
24 1 M-11 28 127 28 129 130 1131 U11 WIJU 1 35 36 137 36 39 40 411142 43 441451146 47 48. 49 50 51

SCS-ENG-538 �`� n r F � U. S. DEPARTMENT OF AGRICULTURE
Rev, 5-70 r l r SOIL CONSERVAT$ON SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY -OF PROPOSED POND SITE
FARMER'S NAMF.W_G• C.1 v ' DISTRICT
DATE . _ I �! 9 5 - COUNTY-
S. C. S. PHOTO SHEET NO. WORK UNIT In L, /I
WATERS}iEI: AREA MEASL'REMESTS
CROPLAND -ACRES PASTURE ACRES
WOOD"ND ACRES TOTAL ACRES
'•
[ f U
-E30NTDvCf!1'SS WORK UNIT CONS E VATI{i:;IST
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. scale I" A feet)
locate rrlerenct point in Center line at dam and ldenhYv on sketch.
I I --
II
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SHOW I L�j J Cf s+,o ItiG NUMBER AND PROFILE
DEPTH . ak, and list darn -site and sall(wav bn^n� then Vanded aria and borrow pit borinar • seaarate with vertical rod Unit.
tCnntinued' on back when neetssar.rj SAOw watts table eieuatinne ne dam -silt borinas.
SCAL l<I 2 i 3 ;; 4 5 I II ;; 8 y j, 10 Ii , 12 'Li3 14 j 15 !, 16 17 IS 19 20 21 22
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Emma MINIM IN Elm 1010
�1�1 ■1m, 10110

TYPES OF MATERIAL ENCOUNTERED IN BORINGS -
(Use one of systems below)
UNIFIED CLASSIFICATION USDA CLASSIFICATION
GW-Well graded gravels; gravel, sand mix g-gravel
GP -Poorly graded gravels s - sand.
GM -Silty gravels; gravel -sand -silt mix vfs-very fine sand
GC : Clayey,"gravels;"grave l-sand-Clay mix" • " sl- sandy. loam -
SW -Well graded sands; sand -gravel mix fsl -fine sandy .loam --
SP-Poorly graded sands I -loam
SM-Silty sand gl-gravelly loam
SC -Clayey sands; sand -clay mixtures si-silt
'ML - Silts; silty, v. fine sands; sandy or clayey silt sil - silt loam
CL-Clays of low to medium plasticity . cl- clay loam
CH -Inorganic clays of high plasticity sicl - silty clay loam
MH - Elastic silts scl - sandy clay loam ...
OL-Organic silts and silty clays, low plasticity sic - silty clay
OH -Organic clays, medium to high plasticity c-clay
t
1- Suitable material for embaakc�ent is available- [12-Ye's Q No (indicate urhm located an the skefch on
rmwze s(de)
REMARKS:.
P� Lt. _GPd.a.".. -
2. Eipleia h da re*ring ape csal attention in design (Seecaoe• sartna.-m5k etej
'GENERAL REMARKS. '..
24 25. 26 27 28 29 30 131 32 33 34 35 36 37 38 39 40 41 42 .43 44 45 46 47 48-14911501151

SCS-ENG-529
Rev. 5-70
�Pi�Sr- IL
74c:a 10q(Dci
U. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FARALER'S NAME A+' DISTRICT
DATE / - 2 y - - COUNTY e c rt'Lo-
S. C. S. PHOTO SHEET NO. WORK UNIT Dour _
WATERSHEI) AREA MEASUREMENTS 6t
CROPLAND ACRES PASTURE ACRES � f17V
WOODLAND ACRES TOTAL ACRES WORK UNIT CO ERVATIGr:1ST
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. ace.le 1"- feetl
Locate reference point in center line of dam and idr HIV on sketch.
I
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SHOWIds'' o o FQO BORING NUMBER A: ��77p o l� R 1J Ad n
DEPTIJI .Make and t:s1 dam.sor and sofilwav bnrrnas first. then panded area d Ia w tl borings - separate with vertical red rtne.
rConfi-,urd on bad where nccauary Show water table rlrvatrnnt on dam -site borings.
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BORINGS MADE BY SIGNATURE1& TITLE

TYPES OF MATERIAL ENCOUNTERED IN BORINGS
(Use -one of systems below)
UNIFIED CLASSIFICATION
USDA CLASSIFICATION
GW-Well graded gravels; gravel, sand mix
9-travel
GP -Poorly graded gravels ,
s-sand
GM-Silty•gravels; gravel -send -silt mix -' , _
vfs-very fine sand
GC -Clayey .kraiiels;"gravel-sand-clay mix*-. "'
sl-sandy loam
SW- Well graded'sands; sand=gravel mix-,
fsl - fine: sandy .Ioam. --
SP -Poorly graded sands
1-Ioam"'
SM-Silty sand-
gl- gravelly loam
SC -Clayey sands; sand -clay mixtures
si-silt
'ML -Silts; silty, v. fine sands; sandy or clayey silt
sii-silt loam
CL-Clays of low to medium plasticity ,
cl-clay Ioam
CH - Inorganic clays of high plasticity
sic! -silty clay loam
MH -Elastic silts
scl -sandy clay loam
OL-Organic silts and silty clays, low plasticity
sic - silty clay
OH -Organic clays, medium to high plasticity
c-clay
L Suitable material for emban]rment is available es [D No flndfcalc where'bwfea on fha sketch on
rmem side)
REMARKS:.
' 2 Fsp]ain hazarda requiring special attention in:deaign f5ee»�oa r6+a.• efc)
_#', ..�.- _ .. �.`.. .- ..'.....,ter-.� ' .__ ...__ �i � {---- •_'._•--;_ _�__ �-.._ ...
.- J
= GENERAL REMAIM:
24
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28
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32133
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N 41
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1 43
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LAGOON SUMMARY SHEET & TYPICAL CROSS-SECTION
TWO STAGE LAGOON -
Top Width
Settled Top of Dam: . 4�7.00(pel)
4�1.0o C
Slope I
3
Natural Ground Elev.
SCS ; Ai.. 4
, M 103
4q.&0(?W)Construct Top of Dam
aA 456c)
Fill Yardage: LFS,750 jeQw
Slope
3
Cut-off Trench 1'21'L Depth determined by
�� SCS on site
Width depends on equipment �
Pipe Type & Size 8"PV(,
Start land application
Elev. 48.o elev. 19,ao
Bent---------------- -----
-)port Treatment Volume
3,7b�4.'3'G;L cu. ft. Temporary
I stop ape I I St. Storage Volume o e 1
3 Top of sludge 3 �1463 .Cu ft 7j
elev.
-----------------
Bottom V4aj 5 Sludge Volume
Bottom elev. 4I.G5
eIev. 37or ri&k,; $,2a Seasonal High Water elev.
Th
Primary Treatment Volume Size: Length VAgC&5 Width VAP46,6 Total Cu. Yds.,,-
Temporary Storage Volume Size: Length loco Width &00 Excay. 77/51_
Bench Mark Description: TBAt "'5r" 1)ktVE4W__6au�A A_T__ o bsT �e,.1ey2
be OPL-OW i nj
Elevation:
General Information
Engineering'Job Class:
Hazard Class: A
Animal Type: 5w, Pj E
Tvpe Operation: FAeeo ;. 'rp LJeLAU&J!!�
tuber of Animals:j�
NOTE: If construction is not started
within one year, this plan is not valid
until a re-evaluation of the design and
flood plain safety hazards are made.
Lagoon for Animal Waste
t�or)441 Li.yA Poea Farm
p��tor,•,P�E „ County
�•l_G State
U. S. Department of Agriculture
Soil Conservation Service
Designed by: 2@L6/&ucsc P
Approved by:.
Title:
Date:

LI1tv 3e0
SCS-fNG-5I8
R", 5.70
U. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FARMER'S NAMF, " G C_lav !L Sj" DISTRICT
DATE COUNTY �dK � c d N&A -c-
S. C. S. PHOTO SHEET NO. WORK UNIT 'T¢y too N
WATERSHED AREA MEASUREMEYM I L A el-d o OV
CROPLAND -ACRES PASTURE ACHES
WOODLAND ACRES TOTAL ACRES PAl0-CLASS WORK UNIT CONSER ATIG:•:IST
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. acme 1"e feet)
Lacate re/ermce Daint in cmtes line o/ dam and idmtily on sketch.
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SHOW� r V BORING NUMBER A.\D PROFILZ
DEPTHI rake and fist darn•mte and l -tips fftf • then ponded area and borrow pit bo*tnps •separate with asrtfed red Ifni.
rCnnti�ucd on back when necassarvi Show water table elevation, nn dam•site borings.
ilia
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BO INC;S MADE BY 54 SIGNATURE & =LE u ,�
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Operational and Maintenance Plan
For
Richard Anderson
7000 Sow Lagoon
ACE JN 95-111

Producer:
Location:
Address:
Telephone:
Type Operation:
Number of Animal Units:
Richard Anderson
Gatlin Hunting Club Road
Edgecombe County
Route 2 Box 215 C
Tarboro, NC 27886 -___-
[phone]
Farrow to Weanling
7000
- - -
The waste from your animal facility must be land applied at a specified rate to prevent pollution of
surface and/or ground water. The plant nutrients in the animal. waste should be used to reduce the
amount of commercial fertilizer required for the crops on the fields where the waste is to be applied.
This waste should be analyzed before each application cycle and annual soil tests are encouraged
so that all plant nutrients can be balanced for realistic yields of the crops to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize the
fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner.
Always apply waste based on the needs of the crop to be grown and the nutrient content of the
waste. Do not apply more nitrogen than the crop can utilize. Soil types are important as they have
difference infiltration rates and leaching potential. Waste shall not be applied to land eroding at
greater than 5 tons per acre per year. Do not apply waste on'saturated soils or on land when the
surface is frozen. Either of these conditions may result in runoff to surface waters. Wind conditions
should also be considered to avoid drift and downwind odor problems. To maximize the value of
nutrients for crop production and to reduce the potential for pollution, the waste should be applied to
a growing crop or not more than 30 days prior to planting. Injecting the waste or disking will
conserve nutrients and reduce odor problems.
The acres needed to apply the animal waste is based on typical nutrient content for this type of
facility. Acreage requirements may be more or less based on the waste analysis report from your
waste management facility.
Amount of waste produced per year
7000 animal units X 3203 waste/animal unitlyear =
22,421,000 waste/year
Amount of nitrogen produced per year
7000 animal units X 5.4 lbs. N/animal unitlyear =
_*37,800 lbs., N/year
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
'Note: 20% reduction allowed for use of secondary lagoon. 37,800 x 0.60 = 30,240 lbs. N/year

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The following acreage will be needed for waste application based on the crop to be grown and
surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract # Field Soil Crop Real. Lbs. N Acres Lbs. N Month of
Tvnp Yield nor acre Utilized Anolication
434
1,2,3,4,
5,6,7
GoA,
l_ , NoA
Coastal
Bermuda
6
tons/AC
300
50.2
15,060
April/Oct.
434
8,9
NoA,
GoA
19.0
5,700
"
434
10,11
NoA,
NoB,
GoA
38.3
' 111490
"
8395
5,6,7,8,
10
Goa,
L , Ra
65.3
19,590
"
8396
4
GoA
48.3
14,490
"
Total Table 1 221.1 66,330
Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
Tract # Field Soil Crop Real. Lbs. N Acres Lbs. N Month of
Tvoe Yield oar acre Utilized Annlication
Total Table 1 221.1
Total Table 2
Total 221.1
Amount of N Produced
Surplus
66,330.
66,330
30,240
36,090
Your facility is designed for 180 days of temporary storage and needs to have the temporary
storage removed every 6 months.

Where owners of animal operations do not have adequate amounts of land to apply the waste, the
producer must provide a written agreement whereby another landowner has agreed to land apply or
allow land application on his or her land.
Call the Soil Conservation Service or Soil and Water Conservation District Office after you receive
the waste analysis report to obtain the amount per acre to apply and the application rate prior to
applying the waste.
Narrative Operation:
The use of a secondary lagoon allows the reduction of the amount of effluent to be used for
irrigation by 20%.
Field Field II_of tract 434, a portion of field 10 of tract 8395 and field 4 of tract 8396 are to be
creared for irrigation purposes.
Solids removal is utilized in this plan. Though typically an 80% reduction in sludge will
occur a 45% reduction was chosen in the analysis and sizing of the primary lagoon yielding a
significant safety factor.
See attached map showing the fields to be used for the disposal of waste water.
Application of Waste by Irrigation
Tract No.
Field No.
Soil Type
Crop
Application Rate
In/Hr
Application
Amount In.
434
1-10
GoA, NoA, Ly
Coastal Bermuda
0.4
1.30
8395
10
NoA, NoB :
0.4
1.30
8396
1; 4
GOA, Ly
0.4
1.30
434
11
NoA, NoB, Ra
0.4
1.30

WASTE MANAGEMENT PLAN AGREEMENT
I agree to carry out this waste management plan according to the terms of the agreement. Failure to
comply with the waste management plan will automatically require any cost share funds to be
refunded to their source.
Producer:J�CLW)Date:
I understand that Mr./Mrs. N /A does not have ample land
to apply the animal waste produced from his/her animal operation. I have agreed to utilize the waste
management plan on land that I own or operate.
Recipient Landowner: N /A Date:
System Designer:_ Ei�-s _ Date: 9 L-Z96
SWCO'Representative: 73. Date:
Design App
Date:
4

WASTE STORAGE POND
OPERATION AND MAINTENANCE PLAN .
The storage pond is composed of two lagoons. The primary lagoon is the waste storage volume.
The secndary lagoon is storage for a 25 year, 24 hour rainfall that enters the pond. The elevation to
start pumping the secondary lagoon is 48.00 and will be marked with a permanent marker. In
order to maintain 6 months storage, the pond will need to be pumped out completely.
The attached waste utilization plan shall be followed. This requires samples and testing of waste
(see Attachment B) before land application. Waste shall be applied on fields as shown on attached
soils maps.
A fence will be constructed to prevent livestock from walking on the dam, therefore, preventing a
hazard for the livestock and damage to the dam.
The routine maintenance of this waste storage pond involves the following:
1. Maintenance of a vegetative cover on the embankment and in the emergency spillway:
Fescue is being established on these areas. Beginning the year after construction and each
year thereafter, the embankment and emergency spillway should be fertilized with 800
pounds of 10-10-10 per acre to maintain a vigorous stand.
2. Control of weeds, brush, and trees on the embankment and in the emergency spillway: this
shall be done by mowing, spraying , or chopping, or a combination of all three. This will need
to be done at least once each year and possibly twice in years favorable to heavy growth of
vegetations. You may check with the local Extension Agency or SCS office for the latest
information on spray material and the best time to apply them.
Maintenance inspections of this waste storage pond should be made during the initial filling, at least
annually, and after every major storm. Items to be checked should include, as a minimum, the
following:
Emergency Spillway
a. erosion
b. sedimentation
C. weeds, small trees, logs, fences, or other obstruction that reduce channel
capacity or may block flow.
2. Embankment
a. settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
c. erosion
d. rodent damage
e. seepage or other leakage
,f, condition and type of vegetation cover

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

B. - Operation
Your animal waste management facility was designed for a total of 7000 sows,
farrow to weanling. The lagoon contains both permanent and temporary storage. The
permanent storage is not to be pumped in order to ensure that anaerobic action will occur.
The design includes permanent storage of one cubic foot per pound of steady state live
weight.
The temporary storage portion of the lagoon includes capacity for the volume of waste
produced over 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 8 months. Begin pump -out of the lagoon when
fluid level reaches elevation 48.00 feet as marked by permanent markers. Stop pump -out
when the fluid level reaches elevation 42.15 feet.
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. Precharging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be covered with effluent at
all times. The lagoon can be pre -charged by pumping water from Savage Mill Run or other
available water source.
The Clean Water Act of 1977 prohibits the discharge of pollutants into waters of the United
States. The Department of Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing this law.
W95-1 I I ANmp.doc

SPECIFICATIONS GUIDE
The Field Office must have documentation in the design folder that the producer either owns
or has long term access to adequate land on which to properly apply the waste. If the
producer does not own adequate land to properly dispose of the waste, he shall provide SCS
with a copy of a written agreement with an adjacent landowner allowing him use of the
adjacent land for waste application for the life expectancy of the production facility.
2. Waste shall be applied to meet the Nitrogen needs for realistic yields based on soil type,
available moisture, historical data, climate conditions, and level of management.
3. Animal waste shall not be applied to land eroding at greater than 5 tons per acre per year or
land that meets an approved Acceptable Management System (AMS).
4. Apply animal waste in split applications if more than 100 Iblac of available nitrogen is to be
used.
5. Waste shall be incorporated immediately after spreading on areas subject to flooding. Waste
is not to be applied on areas subject to flooding unless incorporation is used.
6. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur and in a method which does not cause drift from the site during application.
7. Waste shall not be applied to saturated soils or on land when the surface is frozen.
8: Apply waste to growing crops in such a manner that no more than 20 to 25 percent of the leaf
area is covered.
9. Animal waste shall not be applied to root crop vegetables during the current growing season
or to above the ground vegetable crops for one month prior to harvest.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a
high potential for leaching unless special precautions are taken to minimize leaching and
erosion. Waste nutrient loading rates on these soils should be held to a minimum and winter
cover crops planted to take up released nutrients.
11. Waste shall not be applied closer than 25 feet to surface water. This distance may be
reduced provided adequate vegetative filter strips are present. (See Standard 393 - Filter
Strips)
12. Waste shall not be applied closer than 100 feet from water wells for human consumption.
13. Waste shall not be applied closer than 200 feet of dwellings other than those owned by the
landowner.
14. Waste shall be applied in a manner not to reach other property and public right-of-ways.

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ET

ATTACHHEYr B
L of
Ca E
s'
Ag'ri- Waste Ma__nagemen't
Biological and Agricultural Engineering North Carolina State University
LIVESTOCK VASTE SA-KFLINC, ANALYSIS AND CALCM.ATION
OF LAND APPLICATION BATES
James C. Barkar*
I. SAHPLE COLLECTION
A. Semi -Solid Lot Hanurn
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2'lbs of manure from
.different locations using nonmetallic collectors.
ii. From storage
a. Collect about 2 lbs of manure from under the surface crust
avoiding bedding materials and using nonmetallic collectors.
B. Liquid Manure Slurry
L. Under -slatted -floor pig
a. Extend a 1/2" nonmetallic conduit open on both ends into
manure to pi: floor.
b. Seal upper and of conduit (a.g., by placing a thumb over and
of conduit) trapping manure that has entered lower end, remove
and empty slurry into plastic bucket or nonmetallic container.
c. Take subsamplas from S or more locations or at least l quart.
d. Mix and add about 3/4 pint cc noruaeeallie sample container.
it. Exterior storage basin or tank
a. :lake sure manure has been ?ell mixed with a liquid manure
chopper-ag:cacor pump or propeller ag__acor.
b. Take subsarples from about 5 pic locations. from agicazor pu.•zp
or from manure spreader and place in a plastic bucket.
* Professor and Extension Specialist, Biological and Agricultural Engineering
Department, ;forth Carolina Scace University, Raleigh, NC.
12

ATTACHMENT B
2 of 3
/ c. Mix and add 3/4 pint to a nonmetallic sample container.
C. Lagoon Liquid
i. Collect. about 3/4 pint of recycled lagoon liquid from inflow pipe
to flush tanks in a nonmetallic sample container.
U . From lagoon
a. Place a small bottle (1/2 pint or less) on end of 10-15' pole.
b.-Extend bottle 10-15' away from bank edge.
c.-Brush away floating scum or debris.
d. Submerge bottle within 1' of liquid surface.
e. Empty into a pla"ic bucket, repeat about 5 times around
lagoon, mix, and add 3/4 pint cc nonmetallic sample container.
D. Broiler or Turkey Litter
i. House litter
a. Visually inspect litter for areas of varying quality, e.g.,
areas around feeders and waterers, and estimate percent of
floor surface in each area. i
b. Take about 5 litter subsamples at locations proporcidnate cc
item a. E.g., if 20% of litter of similar visual'qualicy is
around feeders and waterers, cake 1 subsample there and the
other 4 subsamples from remainder of'floor surface.
e. At each location, eolleee litter from a 6" by 6" area down to
earth floor and place in a plastic bucket.
d. After 5 subsamples have been added cc;the bucket, mix, and add
abouc-2-3 lbs litter to'a nonmetallic sample container such as
a 1-gallon freezer bag and seal.
U. From stockpile
a. Take subsamples from about 5 locations at. least 18" into pile.
b. Mix, add 2-3 lbs to nonmetallic sample container and seal.
13

A'17rALtLM.LXf n
3 of 3
II. SAMPLE PREPARA?ION AND TRANSFER
A. Place sample into an expandable container that can be sealed. Rinse
residues from container with clean water but do not use disinfectants.
soaps, or ereae in any other way.
B. Pack sample in ice, refrigerate, freeze, or transfer to Lab quickly.
C. Hand -delivery is most- reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and cape.
E. Commercial sample containers and mailers Ara also available. Contacts:
L. A&L Eastern Agricultural Lab. Inc. iii. Polyfoam Packers Corp.
7621 Vhitepine Road 2320 S. Foster Avenue
Richmond, VA 23237 Vheeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co, iv. HASCO
3315 Vinton Road 901 Janesville Avenue
Raleigh, NC 27604 Fort Atkinson, VI 53538
Ph: [phone] Ph: [phone]
F. Private analytical labs are available, but sample analyses are costly.
C. The NCDA provides this service for North Carolina residents.
L. Address: North Carolina Department of Agriculture
Agronomic Division
Plane/Vasce/Solution Advisory Section
Blue Ridge Road Center
P.O. Box 27647
Raleigh, NC 27611
Ph: [phone]
Attn: Dr. Ray Campbell
ii. Forward $4 along with the sample.
iii. Include the following identification information with sample:
a. Livestock species (dairy, swine, turkey, ecc.)
b. Livestock usage (swine -nursery, finishing; turkey -breeders,
brooderhouse. grower. number flocks grown on litter; etc.)
c. Vasce type (dalr•t-loc scraped manure, liquid slurry; swine -plc
slurry. lagoon Liqu:d, sledge; broiler -house litter, stockpile
iv. Routine analyses pe::ormed an all samples: 4. P. K. Ca, 4g, Na.
S. Fe. Ln, Zn, Cu. 8
v. Additional analyses performed upon request:- DM, 4o, Cd, Ni, Pb
14

0
SPECIFICATIONS F R CONSTRUCTION OF WASTE TREATMENT LAGOON
Producer: Richard Anderson
Clearing: All trees and brush shall be removed from the impoundment area before
construction is started. The foundation of the lagoon shall be cleared of all trees, stumps,
roots, brush, sod, organic soil, and debris. All stumps and all roots exceeding (one) 1 inch
in diameter shall be removed to a minimum depth of (one) 1 foot. Satisfactory disposition
will be made of all debris. After clearing is completed the foundation area shall be
loosened thoroughly and roughly leveled, with suitable equipment, before placement of any
embankment material.
Cutoff Trench: A cutoff trench shall be excavated to a minimum depth of 18 inches
under the embankment. The exact depth shall be determined on site by SCS. The trench
side slopes shall be 1 : 1 or flatter and the width will be a minimum of 12 feet, but will
depend on the equipment being used. The cutoff trench shall be backfilled with U
material. The trench shall be backfilled in (nine) 9 inch layers and compacted with a
sheepsfoot roller with a minimum of (four) 4 passes per unit width of fill lift. If sheepsfoot
roller is not used, the trench shall be backfilled in (four) 4 inch layers and compaction shall
be equivalent to or better than the routing of the hauling and spreading equipment over the
fill in such a manner that every point on the surface of each layer of fill will'be traversed
by not less than one tread track of the loaded equipment traveling in a direction parallel to
the main axis of the fill. All standing water shall be removed from the trench before
backfilling is started.
Existing Tile Drains: When tile drains are encountered, the tile will be dug up and removed.
The the trench shall be backfilled with a compacted layer of CL or CH material.
Excavation: Topsoil shall be stacked piled separately for later use: The bottom of the
lagoon shall be excavated as shown on the plans. Where pervious material (SP, SM,
quartz veins, etc.) is exposed during excavation, it shall be undercut and backfilled with a
compacted layer of highly plastic (CL, SC, CH) material approximately one foot in
thickness. Scarify and compact the bottom and, where practicable, the side slopes of the
lagoon to decrease the permeability of the soil in the lagoon.
Embankment Construction: The material placed in the embankment shall be free of sod,
roots, stones over six (6) inches in diameter, and other objectionable materials. SC
materials shall be used in the embankment. Pervious material shall not be used in
embankment. Construction of the embankment shalt be made in layers not to exceed
(four) 4 inches in. thickness. Compaction shall be equivalent to or better than the routing
of the hauling and spreading equipment over the fill in such a manner that every point on
the surface of each layer of fill will be traversed by`not less than one tread track of the
loaded equipment traveling in a direction parallel to the main axis of the fill. If pans are not
used, construction of the embankment shall be made in layers not to exceed nine (9)
inches in thickness and compacted with a sheepsfoot roller with a minimum of four (4)
passes per unit width of fill lift. At any time the embankment surface becomes

"slickened": such that the succeeding layer will not bond to the previous layer, scarify the
previous layer sufficiently to assure bonding of the surfaces before continuing with the fill
operation. Construction of the fill shall be undertaken only at such times that the moisture
content of the fill material will permit a reasonable degree of compaction. Construction of
the embankment shall allow an additional 10% for settlement. Stock piled topsoil shall
be spread over top of embankment and outside side slopes for the establishment of
vegetation.
Pollution Control During Construction: Stripping of embankment and borrow areas shall be
done as they are needed in a normal sequence of construction. Use temporary mulch
protection on all disturbed areas that are subject to erosion and will not have substantial
additional work performed for (thirty) 30 days.
Vegetation: Vegetation shall be established on the slopes, embankment top and all other
disturbed areas, except the area that will be inundated, as specified in the plans as soon as
possible after construction'. Necessary steps shall be taken to ensure that a good stand of
vegetation is established in a reasonable amount of time.
Seeding rates are: Feb - May
. ,Tall Fescue @
240#/Ac
(Kentucky 31)
10-10-10- Fertilizer: 25#/1000 SF
Lime: 100#/1000 SF
Wheat Straw: 2 to 2 1 /2 tons/Ac
Ngv - Jan
Tall Fescue @
240#/Ac
(Kentucky 31)
Jun - Oct
Tall Fescue @
240#/Ac
(Kentucky 31)
plus plus
Winter Rye @ Brown Top Millet
50#/Ac @ 35#/Ac or
Sorghum -Sudan
Hybrid @ 25#/Ac
Permanent Stake: A permanent stake (CCA salt treated 4"x4" post or 1 inch diameter
PVC pipe with tee) marked to indicate pumping level elevations, shall be placed in the
inside slope at one end of the secondary lagoon.

General Notes
1. When dam/dike fill exceeds 3', place cut - off trench. The minimum depth to be 18"
compacted CH or SC soils in 8" lifts.
2. Topographical information provided by the NRCS and by Joyner, Keeny and
Associates.
3. Benchmark: TBM #1 - Stake driven in ground at Southeast corner of operation.
Elevation 50.00 (assumed).
TBM #2 - Bottom bracket on east gate post 75' southwest of station H - 2 + 00.
Elevation 43.96 (assumed).

33-61
•• f
Producer: Richard Anderson
Location. Qatlin Hunting_ lub Road
Address: Edaecombe County
N Route 2 Box 215 C -
Tarboro, NC 27888
Telephone: [phone]
Type Operation: Farrow to_Weanlino-__
Number of Animal Units: 7000
The waste from your animal facility must be land applied at a specified rate to prevent pollution of
surface and/or ground water. The plant nutrients in the animal waste should be used to reduce the
amount of commercial fertilizer required for the crops on the fields where the waste is to' be applied
This waste should be analyzed before each application cycle and annual soil tests are encouraged
so that all plant nutrients can be balanced for realistic yields of the crops to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize the
fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner
Always apply waste based on the needs of the crop to be grown and the nutrient content of the
waste. Do not -apply more nitrogen than the crop can utilize. Soil types are important as they have
difference infiltration rates and leaching potential. Waste shall not be applied to land eroding at
greater than 5 tons per acre per year. Do not apply waste on saturated soils or on land when the
surface is frozen. Either of these conditions may result in runoff to surface waters. Wind conditions
should also be considered to avoid drift and downwind odor problems. To maximize the value of
nutrients for crop production and to reduce the potential for pollution, the waste should be applied to
a growing crop or not more than 30 days prior to planting. Injecting the waste or disking will
conserve nutrients and reduce odor problems.
The acres needed to apply the animal waste is based on typical nutrient content for this type of
facility. Acreage requirements may be more or less based on the waste analysis report from your
waste management facility.
Amount of waste produced per year
7000 animal units X 3203 waste/animal unit/year =
22,421,000 waste/year
Amount of nitrogen produced per year
7000 animal units X 5.4 lbs. N/anlmal unit/year
*37 800 lbs. N/year
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
'Note: 20% reduction allowed for use of secondary lagoon. 37,800 x 0.80 ■ 30,240 lbs. "ar

The following acreage will be needed for waste application based on the crop to be 9rovwn ano
surface application,
Table 1: ACRES OWNED BY PRODUCER
Tract # Field Sol/ Crop Real. Lbs, N Acres Lbs. N Month of
TvDe Yield Aer acre - U040d ,4enl►cafin n
434
1,2,3,4,
5 6 7
GOA,
Ly. NoA
grn
roar
150 Bus,,
200
51.0
10,200 j
434
8,9
NoA,
GOA
"
23.0
4 , 600
434
10
NaA.
NOB,
GOA
"
27.8
5,56o
0395
5,6,7.8.
Goa,
L,Ra
1
"
61.4
12,280
6396
5,4
GOA
-
8.0
'
1,600
Total
Table 1
171.2
34,240 I
Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
Tract # Field Sal/ Crop Real. Lbs. N Acres Lbs. N Month of
TVDe Yield Der acre (Ir;lirari '6 nn1r,-M..r1.,
I
I
i
Total Table 'I
Total Table 2
Total
34 , 240
171.2
Amount of N Produced 30.240
Deficit 1.(4,000)
Your facility is designed for 1__18Q days of temporary storage and needs to have tree tern:) -,,a'/
storage removed every 6 months.

l �` ' P.LA
A.
Where owners of animal operations do not have adequate amounts of land to apply the waste. the
producer must provide a written agreement whereby another landowner has agreed to land apply or
allow land application on his or her land.
Call the Soil Conservation Service or Soil and Water Conservation District Office after you recerve
the waste analysis report to obtain the amount per acre to apply and the application rate prior to
applying the waste.
Narrative Operation:
The use of a secondary lagoon allows the reduction of the amount of effluent to be used for
irri ation by 20%.
See attached reap showing the fields to be used for the disposal of waste water.
Application of Waste by Irrigation
Tract No.
Field No.
Soil Type
Crop
Application Rate 1 or,' -Ca, �~
(In/Hr ,. rr jr. , .
434
1 -10
GoA, NoA, Ly
Corn Cover Crop_
04 1 �G
8395
10
NoA, NoB
0.4
8396
1,4
GoA, Ly
0.4 3
434
11
NoA, NoB, Ra
0.4
i
�

I agree to carry out this waste management plan 'according to the terms of the agreement. Failure to
comply wkh the waste management plan will automatically require any cost share funds to be
refunded to their source.
s } _
Producer: Date:
I understand that Mr./Mrs. M /A does not have ample land
to apply the animal waste produced from his/her animal operation. I have agreed to utilize the waste
management plan on land that I own or operate.
Recipient Landowner: M 1A Date:
System Designer:_ _ _ Date: 4o-
SWCD Representative:. Lr/ Date. -
Design Approval: Date:
T

WASTE STORAGE PQND
OPERATION AND MAINTENANCE PLAN
The storage pond is composed of two lagoons. The primary lagoon is the waste storage volume.
The secndary lagoon Is storage for a 25 year, 24 hour rainfall that enters the pond. The elevation to
start pumping the secondary lagoon is 48.00 and will be marked with a permanent marker In
order to maintain _ 6 months storage, the pond will need to be pumped out completely.
The attached waste utilization plan shall be followed. This requires samples and testing of waste
(see Attachment 8) before land application. Waste shall be applied on fields as shown on attached
soils maps.
A fence will be constructed to prevent livestock from walking on the dam,'therefore, preventing a
hazard for the livestock and damage to the dam.
The routine maintenance of this waste storage pond involves the following:
Maintenance of a vegetative cover on the embankment and in the emergency spillway:
Fescue is being established on these areas. Beginning the year after construction and each
year thereafter, the embankment and emergency spillway should be fertilized with 800
pounds of 10-10-10 per acre to maintain a vigorous stand.
2. Control of weeds, brush, and trees on the embankment and in the emergency spillway: this
shall be done by mowing, spraying , or chopping, or a combination of all three. This will need
to be done at least once each year and possibly twice in years favorable to heavy growth of
vegetations. You may check with the local Extension Agency or SCS office for the latest
information on spray material and the best time to apply them.
Maintenance inspections of this waste storage pond should be made during the initial filling, at least
annually, and after every major storm. Items to be checked should include, as a minimum, the
following:
Emergency Spillway
a. erosion
b. sedimentation
C. weeds, small trees, logs, fences, or other obstruction that reduce channel
capacity or may block flow.
2. Embankment
a. settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
C. erosion
d. rodent damage
e. seepage or other leakage
f. condition and type of vegetation cover
RECEIVED I DENR 1 DWQ
Aquifer Prntertior) Section
MAR v 0 2009

OPERATION AND MAINTENANCE PLAN
FOR
SWINE WASTE MANAGEMENT SYSTEM
The purpose of this plan is to provide guidelines for carrying out the routine operation and
maintenance work needed to keep this swine waste management system functioning as planned.
Routine maintenance Is considered to be normal good care of the system, Good maintenance adds
to beauty, Usefulness, and permanence.
A. Maintenance
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and side slopes:
fes a Is being established on these areas. Beginning In _ 189§ and each year
thereafter, the embankment should be fertilized with 800 pounds of 10-10-10 per acre
to maintain a vigorous stand.
2. Control of brush and trees on the embankment. This may be done by mowing,
spraying, or chopping, or a combination of all three. This will need to be done at least
once each year and possibly twice in years favorable to heavy growth of vegetation.
Maintenance inspections of the lagoon should be made during the initial filling of the lagoon and at
least annually. Items to be chocked should include, as a minimum, the following:
1. Waste Inlet Pipes
a. condition of pipes
(1) separation of joints
(2) cracks or breaks
2. Pool Area
a, undesirable vegetative growth
b. floating or lodged debris
3. Embankment
a. settlement, cracking or "jug holes"
b. side slope stability - slumps or bulges
C. erosion and rodent damage
RECEIVED I DENR I DWQ
AgImpr Protection Section
MAR 3 0 2009

I " .
%B. Operation
Your animal waste management facility was designed for a total of ow
farrow to weanlinst. The lagoon contains both permanent and temporary storage. The
permanent storage Is not to be pumped in order to ensure that anaerobic action will occur.
The design Inetudes permanent storage of one cubic foot per pound of steady state five
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 8 months. Begin pump -out of the lagoon when
fluid level reaches elevation 48.00 feet as marked by permanent markers. Stop pump -out
when the fluid level reaches elevation 42.15 feet.
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. Precharging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be covered with effluent at
all times. The lagoon can be pre -charged by pumping water from Savage Mill Run or other
available water source.
The Clean Water Act of 1977 prohibits the discharge of pollutants into waters of the United
States. The Department of Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing this law.
khQS-1 I lAvmp.doe

SPECIFICATIONS GUIDE
1. The Field Office must have documentation In the design folder that the producer either owns
or has long term access to adequate land on which to properly apply the waste. If the
producer does not own adequate land to properly dispose of the waste, he shall provide SCS
with a copy of a written agreement with an adjacent landowner allowing him use of the
adjacent land for waste application for the life expectancy of the production facility.
2. Waste shall be applied to meet the Nitrogen needs for realistic yields based on soil type,
available moisture, historical data, climate conditions, and level of management.
3. Animal waste shall not be applied to land eroding at greater than 5 tons per acre per year or
land that meets an approved Acceptable Management System (AMS).
4. Apply animal waste In split applications if more than 100 lb/ac of available nitrogen is to be
used.
5. Waste shall be Incorporated immediately after spreading on areas subject to flooding_ Waste
is not to 4e applied on areas subject to flooding unless incorporation is used.
6. Uquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur and in a method which does not cause drift from the site during application.
7. Waste shall not be applied to saturated soils or on land when the surface is frozen.
B. Apply waste to growing crops in such a manner that no more than 20 to 25 percent of the leaf
area is covered.
9. Animal waste shall not be applied to root crop vegetables during the current growing season
or to above the ground vegetable crops for one month prior to harvest.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a
high potential for leaching unless special precautions are taken to minimize leaching and
erosion, Waste nutrient loading rates on these soils should be held to a minimum and winter
cover crops planted to take up released nutrients.
11. Waste shall not be applied closer than 25 feet to surface water. This distance may be
reduced provided adequate vegetative filter strips are present. (See Standard 393 - Filter
Strips)
12. Waste shall not be applied closer than 100 feet from water wells for human consumption.
13, Waste shall not be applied closer than 200 feet of dwellings other than those owned by the
landowner.
14. Waste shall be applied In a manner not to reach other property and public right-of-ways.
RECEIVED / DFNR / DVVQ
Aquifer PrmtP6011 Section
MAR 3 0 2009

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Agri -Waste Ma--n-agement
Biological and Agricultural Engineering North Carclina State University
UVESTOCX WASTE SAXYLING, AWALYSIS A.ND CALCM-MON
OF LAND AP FLICATION SATES
James C. bark4rw
I. SAIULZ COLLECTION
A. Sans-5o114 Loc Manure
L. Scraped directly from loc Lnco spreader
a. From Loaded spreader. collect aboue 2 lbs of manure from
di.fferenc locations using nonmetallic collectors.
i.i. From storage
a. Collect aboue 2 lbs of genre from under the surface cruse
avoiding bedding materials and using nonce callLc collectors.
B. Liquid-Mmmrs Slurz-y
L. Under -slotted -floor pit
a. Extend a 1/20 nonmetallic conduic open on both ends into
manure to pi: floor.
b. Sail upper and of conduit (e.g.. by placing -a thumb over and
of conduit) trapping manure that has entered lover and. remove
and amply slurry into plastic bucket or nonmecallic container.
c. Take xubsamples from 5 or aora locations or am least 1 quart.
d. tlix and add about 3/4 pint co nonmetallic sampla container.
U. Excarior scocage basin or tank
a. :lake sure manure has been welt mixed -itch a liquid manure
cropper-ay,i_acoc pump or propeller ag:_ator.
b. Take subsarcplas from about 5 pie locations. O_om agitator pump
or from manure spreader and place :n a pLasc:c biuckec.
+ Professor and Extension Spacialisc, Stalogical and Agricultural Enginaaring
Oepartraanc, Norch Carolina Scace tlnLversity, Raleigh, '.,C.
RECEIVED I DENR I DWQ
AgH+fer Prat?Rtlon SAGt10l1
12 LIAR u 0 2009
1 of

r,•
B
ATTACHMEMC
1
2 of 3
4. liix and add 3/4 pine eo a nanmetaLlic sample container.
rC.
Lagoon Liquid
L. Collect about 3/4 pint of recycled Lagoon liquid from inflow pipe
to flush tanks in a nonmetallLe sample container.
ii. From lagoon
battle less) end 10-15'
a. Place a small (1/2 pint or an of pole.
b. Extend battle 10-154 away from bank edge.
c. Brush &way floating scum or debris.
d. Submerge bottle within L' of liquid surface.
a. Empty into a plastic bucket, repeat about 5 Cimes around
lagoon, mix, and add 3/4 pint to nonmetallic simple container.
D. groiler or Turkey Litcer
L. House Litter
a. Visually inspect Litter for areas of varying quality. e.g.,
areas around feeders and wazerers. and estimate percent of
floor surface in each area.
b. Take about 5 litter subsaisples at locations proportionate cc
item a. E.g.. if 20% of litter of similar visual-qualicv is
around feeders and waterers. take 1 subsample there and the
other 4 subsampLes from remainder of'floor surface.
c. At each location. collect litter from a 6" by 60 area down to
earth floor and place in a plastic bucket.
d. After S rules:aples have bean added to the bucket, mix, and add
about•2-3 lbs. litter to 'a nornecallic sample container such as
a 1-gallon freezer bag and seal.
U. From stockpile
a. Take subsamples from about 5 locations at least 18- into pile.
b. HLx. add I-3 lbs to nonmeeallLc sample concainer and seal.
1 13

A'1"L'AunncKr tl
xx. SAX= PROALATION AND TAANSFU
A. Plats sample into an expandable containor that can be sealed. Rinse
residues from container with clean water buc do not use disinfectants,
soaps, or treat in any ocher way.
i
S. Pack sample in ice, refrigerate, freeze. or transfer to lab quickly.
i C. Hand -delivery is most reliable way of sample transfer.
D. If mailed. protect sample concaLner with packing material such as
newspaper, box or package wick wrapping paper, and cape.
E. Commercial sample containers and mailers are also availab Le. Contacts:
i. AbL Eastern Agricultural Lab, Inc. iiL. PoLyfoam Packers Corp.
762L Vhieepine Road 2320 S. Foster Avenue
t Richmond, VA 23237 Wheeling. IL 60090
I Ph: [phone] Ph: [phone]
I LL. Fisher Scientific Co. iv, HASCO
33L5 Vinton Road 90L Janesville Avenue
Raleigh, HC 27604 Fort Atkinson, VI 53538
` Ph: (9L9)576-2351 Ph: [phone]
F. Private analytical labs are available. but sample analyses are costly.
C. The NCDA provides this service for North Carolina residents:.
L._ Address: berth Carolina Dopartmant of Agriculture
Agronomic Division
Plant/Rasce/SoLution Advisory Section
Blue Ridge Road Center
P.O. Box 2,7647
Raleigh. NC 27611
Ph: [phone]
Attu: Dr. Ray Campbell
U. Forward $4 along vich the sample.
LU. Include the following idancLftcacion information with sample:
' a; Livestock species (dairy. swine. turkey, etc.)
b. Livestock usage (svi,ne-nursery. finishing: curkay-breaders.
brooderhouse, grower, number flocks grown an litter: etc,)
c, fiasco type (dalr;+-loc scraped manure. liquid slurry: swine -pi:
slurry, lagoon liquid, sludge, braLlar-house Uc:er, stockpile
Lv. Routine analyses per!orsad an all samples: N. P. K, Ca. MS. Na.
S. Fa, yZ. Zn, Cu, B
' v, Addicional analyses performed upon raqusst: Olt, No, Cd, HL. Pb
3 of 3
14

Producer:
sdandna; All trees and brush shall be removed from the impoundment area before
construction is started. The foundation of the lagoon shall be cleared of all trees, stumps,
roots, brush, sod, organic soil, and debris. All stumps and all roots exceeding (one) 1 inch
in diameter shall be removed to a minimum depth of (one) 1 foot. Satisfactory disposition
will be made of all debris. After clearing is completed the foundation area shall be
loosened thoroughly and roughly leveled, with suitable equipment, before placement of any
embankment material.
A cutoff trench shall be excavated to a minimum depth of13. inches
under the embankment. The exact depth shall be determined on site by SCS. The trench
side slopes shall be 1 : 1 or flatter and the width will be a minimum of 12 feet, but will
depend on the equipment being used. The cutoff trench shall be backfilled with__
material. The trench shall be backfilled in (nine) 9 inch layers and compacted with a
shoo psf oat, roller with a minimum of (four) 4 passes per unit width of fill lift. If sheepsfoot
roller is nol used, the trench shall be backfilled in (four) 4 inch layers and compaction shall
be equivalent to or better than the routing of the hauling and spreading equipment over the
fill in such a manner that every point on the surface of each layer of fill will be traversed
by riot less than one tread track of the loaded equipment traveling in a direction parallel to
the main axis of the fill. All standing water shall be removed from the trench before
backfilling is started.
Existing Mle Drains: When tile drains era encountered, the tile will be dug up and removed.
The tile trench shall be backfilled with a compacted layer of CL or CH material.
EXCMMtlgpi Topsoil shall be stocked piled separately for later use: The bottom of the
lagoon shall be excavated as shown on the plans. Where pervious material (SP, SM,
quartz veins, etc.) is exposed during excavation, it shall be undercut and backfilled with a
compacted layer of highly plastic (CL, SC, CH) material approximately one foot in
thickness. Scarify end compact the bottom and, where practicable, the side slopes of the
lagoon to decrease the permeability of the soil in the lagoon.
Emtiankmard Q9nstfygJJ9,g_The material placed in the embankment shall be free of sod,
roots, stones over six (6) inches in diameter, and other objectionable materials. SC
materials shall be used in the embankment. Pervious material shall not be used in
embankment. Construction of the embankment shall be made in layers not to exceed
(four) 4 inches in thickness. Compaction shall be equivalent to or better than the routing
of the hauling and spreading equipment over the fill in such a manner that every point on
the surface of eachlayer of fill will be traversed by not less than one tread track of the
loaded equipment traveling in a direction parallel to the main axis of the fill, If pans are not
used, construction of the embankment shall be made in layers not to exceed nine (9)
Inches In thickness and compacted with a sheepsfoot roller with a minimum of four 14)
passes per unit width of fill lift, At any time the embankment surface becomes

"sllckened": such that the.succeeding layer will not bond to the previous layer, scarify the
previous layer sufficiently to assure bonding of the surfaces before continuing with the fill
operation. Construction of the fill shall be undertaken only at such times that the moisture
content of the fill material will permit a reasonable degree of compaction. Construction of
the embankment shall allow an additional 10% for settlement. Stock piled topsoil shall
be spread over top of embankment and outside side slopes for the establishment of
vegetation.
Polludan Control Dvrin Construction: Stripping of embankment and borrow areas shall be
done as they are needed in a normal sequence of construction. Use temporary mulch
protection on all disturbed areas that are subject to erosion and will not have substantial
additional work performed for (thirty) 30 days.
yegetation: Vegetation shall be established on the slopes, embankment top and all other
disturbed areas, except the area that will be inundated, as specified in the plans as soon as
possible after construction. Necessary steps shall be taken to ensure that a good stand of
vegetation is established In a reasonable amount of time.
Seeding rates:are:
Tall Fescue @
Tall Fescue @
Tall Fescue @
240#/Ac
240#/Ac
240#/Ac
(Kentucky 31 ) '
(Kentucky 31 )
(Kentucky 31)
plus
plus
Winter Rye @
Brown Top Millet
50#IAc
@ 35#/Ac or
Sorghum -Sudan
Hybrid @ 25#IAc
10-10-10- Fertilizer: 25#11000 SF
Lime: 100#/1000 SF
Wheat Straw: 2 to 2 112 tons/Ac
Permanent Stake: A permanent stake (CCA salt treated 4"x4" post or 1 inch diameter
PVC pipe with tool marked to indicate pumping level elevations, shall be placed in the
inside slope at one end of the secondary lagoon.

1. When dam/dike fill exceeds 3', place cut - off trench. The minimum depth to be 18"
compacted CH or SC soils in 8" lifts.
2. Topographical Information provided by the NRCS and by Joyner, Keeny and
Associates.
3. Benchmark: TOM #1 - Stake driven in ground at Southeast corner of operation.
Elevation 50.00 (assumed).
TBM 12 - Bottom bracket on east gate post 75' southwest of station H - 2 + 00.
Elevation 43.96 (assumed).

SWINE WASTE LAGOON CALCULATIONS
FOR:. 7000 HD. FARROW TO WEANLING OPERATION
ACE JN 95-111
EDGECOMBE COUNTY, NC
POLYRIDGE FARMS
RICHARD ANDERSON
ROUTE 2 BOX 216 C
TARBORO, - NC 27886
AUGUST 28, 1996
AppiAn
CONSULTING ENGINIPS, WM
ay"4 FMJFI M i JT UMRAL IMONUU
l�o �•�'55%a,,
z `SEAL =
8423,
L.
. �a��tttit
elne�
R�CE1vEfl I 0 Ag I 0-�Nu
Se&On
Pa►�tiar P �t 3 � 2�09
MA

SWINE WASTE LAGOON CALCULATIONS
7000 HD. Farrow to Weanling Operation
Richard Anderson
August 28, 1996
RECEIVED 1 DENR I DWa
Ag0fPr Protection Section
MAR 3 0 20D9

`Y-------------- DATE --------- iUiJ[CT. 'Yl�i�eD__ ................ SFi199T NO..--L...._.._OP
CHKD. 5Y----- - DATE------- --_�_�Sh%l+�1'!1.5it�`J--------------- JOi No......................
.....................- - - - --
T l pe ., 4mAj,, . 1FoxRqU) ,Tn , U. CA luAJI� .
y
�.[.U:►48�,t,, 0� '�w/tip � ��
I �JT�4Q"I( �'�1tg I %,+ � WC IG�l1-i ��� •.
5sw is (Occox 43-3 4 ! ss4
a pa C Fa/Yq-/,mac c� . x .• �� 3 ��.c coo. 1, y 5 yer-11 4042. C,F
3 QU(C" gAft.VbwOmW OF L*fi OO W
5;LjJ
I..+.E,m
� - -� - • -- • - I - ;---�-- s CL
Ag
- •—�-f ••-, : � — i --• .�.._ .. �: ---.i ..�� .._ _�j .:. ...�_p..
i _4F3~?. _ TT?JM QA11 Tom!' �e"4• rt(�1b, �F� ��•�, C.�VEi1. �� �' /

LUSJ[CT----------------------------------------- sM[[T No..JG.__._-OP ------
...................... -................. -.......... Jos No,---------------------
/Y-------------- DAT9.........
PJ.4KO. sY....... DAT9.--------
------------
024
4% •P
�
.._ _. J..
ff...
1
�
.

CHKO, fY- - OATR,
--------------------------- •-- - ---------------- - ---------------------
JOs HO-.--------------------
'�ar.�tvact� La4oau . 5�rarrr�•E �a �, �� �S .
-
.7.
• . . . . . . .
12IM44 pt.; PAljj;rAw of � AFro�r90..� • .
�gr�pGE 4r-G,4 dF 91M¢-Y. (A,).
Loj u 151-7 4-. Cf' Fp&(
IL Ft"
�.
_.1 .�'. --t
13
Ap - 4, .I -?Q sF
4
� t
5

4.mY--------------
_OAT=.3UBJRCT---------------------------------------
-• 11MiLkr Nv.1 --- ur ------
CHKO. MY_ - OATE......... ----- ----------------------------JOS 110. -___
+ ----- - - - ----- ---------------------------------------------- -•---- -----------------------------
�r�� , Ort, �ir►1�a4+.. Voy. l� �G�'35 bt' �lA4�1Cm�`�a�
C;osg r� -44 i�� r . � �7 CF
T-
; TbPw �_ p J.. C{F p w ZCs�S) CDf�AAA'
D/
1

h
{
4
o�
jo
�a
.44
� 4 '
61
a
Al
w .�
N
--------------------------------------------------------------------------------------------------------- a
---- -------- •oN sor "------------------•----•_----------------------- -_•_-•--•O-------A• 'OK H2 " •�..
-------------------- ...

-fisow" °f
777x
-s'.0
1w'pl-�v J''` -1
"C 'I
4' = iI
IL 'v/ - y ny - 41
Aw~llmd
.a
--..........
------------
-----
----------------------------------
I-................ ------------------------------ -'
--------------------••ON SOr................................. -...... -......... !�1►a"-----,r •.,.,�.�
do ---- i pN 17lHs ---------------------

LAGOON SUMMARY SHXET & TYPICAL CROSS-SECTION
TWO STAGE LAGOON
er-
I
k
9
r
I
1
Top Width
Settled Top of Dam: 404P
41,00
Slope
3
4a1,(rG(PW)c!onstruct Top of Da
4A 065m)
Fill Yardage: /35Z7rE0. f.
! Slope +N/ 3a
3
Natural Ground Elev.
Cut-off Trench !'-3' Depth determined by
SCS on site
Width depends on equipment_"_ �.
Pipe Type & Size 8"P✓G --A _
Start land application
Elev. 4e.o elev. ,cap
Bent--------------A------
nport Treatment Volume
3,7014 34rG cu . f t . Temporary
I Slo � 1 pe t slo Storage volume
3 Top of sludge 3 �318d?�463 cu Et
eIev. _
------------------ Bottom elev. 4J.b5'
Bottom Vagies Sludge Volume -- -
elev. 370'- r 101 920 Seasonal High Water elev. _441
Th
a6.D
Primary Treatment Volume Size: Length yam_ Width )Qgfs Total Cu. Yds.
Temporary Storage Volume Size: Length Width &QQ_ Excay. 2y� IS& '
Bench Mark Description: n l _ C-muga Ar-faamka,� 6,¢wcff.
-
- - - Elevation. 5D-00-
General Information
Engineering Job Class:
Hazard Class:
•
Animal Type: SW,
Tvpe Operation: Tv i�ryy
mber of Animals: .20W ' -_
40TE: If construction is not started
within one year, this plan is not valid
until a re --evaluation of the design and
flood plain safety hazards are made.
Lagoon for Animal Waste
6Ar_raJ �voj,7 A I�.ljA &p Farm
_ County
State
U. S. Department of Agriculture
Soil Conservation Service
Designed by: f1R.t�f�t�d
Approved by:
Title: i
Date:
�ipo700 Cy 0 to r 1fe0'#-j t' 211>74 voteloij 4 .70

f'14tv 3�
Kf•ING-1fi U, 5. OLrAATMCNT Of AGRICVLTURL
low. J-70 SOIL CONSCRVATION SIRVICC
SOIL INVESTIGATION TO DETERN E SUITABILITY OF PROPOSED POND SITE
FARMER'S NAMY _%&rg r C� a� v k, DIMIC7 ^r•
DATE Cl lidir. &--j' :C
S. C. S. PHOTO dfiE&T NO. WORK U IgTT
CROPLAND ACRES PASTURE— AC%WOODLAND—ACRES,-
SXLTctf OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. ii
tlaceir rrfermcf, Point wt cam ter fine of dam and Idmtffv on strich,
■rrrr■rr■■rr.�i#�
rr■�1trr■MEN
■r�r
AM
N
rrrir
■
rrr�rrr
_
�
•'
rrrrl��r��ur
rr■
art
rr�rir
rr
r
n�,�r
ARE
+�
��
�■r
11
IN
Mrrr
oil
31
irk
•
ions
srr
■
�
�
�rrrrr
!j
DORPNG NUMBER All PROFTLE
,• � �' �lmiii�i M �'•�'�i���i�l©
!r:lr� i�rtom'■ OWN
��ri���r����
rr���■sr��r;rv�r���r,ir�r�■►ri■
Sm
SURF
WINNER
Illir
SESSIONS=
'����,
'tea
�'�',��5'r!�l<■i���'
'■
��
s
�E��.l'���'r,���
�
��
�
■ice;
ir'r�ill;ri■
�:r
�
■
���r
rr
■�rir
r;�r;�rir�■
■�irr�rir
�e�c�
m
■;r
■
r,
,�:r
r;r�r�i
■;�r�r�r�.r
■�r�ri
�■
rr.rr�rrrrrr��rr�r
ji33.0 12-0 sc

TYPES OF MATERIAL $HCOVNTERED IN BORINGS
&e one of systa'ms below
UNIFIZD CLASSIFICATION USDA CLASSIFICATION
aW-Well graded travels; gravel, sand mix g-gravel
OP -Poorly graded gravels *-sand
GM -Silty gravels; gravel-sud-silt mix. via -very fine sand
0C-Clayey kravels;,*avpI-sand-clay mix' - sl-sandy loam
SW -Well graded sands; sand -gavel mix fal-fine sindy.lonm _.
SP-Poorly graded si hds I-losm
SM-Silty nand gl-travelly loam ,
SC - Clayey sands; sand -clay mixtures si - slit
' ML-Silts; silty, v, fine sands;'aundy or clayey silt sil -silt loam
CL-Clays of low to median plasticity , Cl -clay loam
CH -Inorganic clays of high plasticity sicl-s11ty clay Loam
MH-Elsstic silts scl-sandy clay loam
OL-Organic silts and silty clays, low plpsticity sic -silty clay
OH -Organic clays, medium to high plasticity c-clay
L Snitabte material for owbaal®act to avall able OYaa O No flw 7wt& rh4r.r +owr.o uh rh. stewA am
#www SW
ii�•rr�rv. .
2 rarcW attaiiva to deeiso o mare sare+e..ma tj '
REMARKS:
s{ 95. NJ 97 sa 9s 30 u 32 33 343a as 37 38 39 40 41141 a it 0 46 47 48 49 6 0 bl

->eltt
SCS•ING•!�I �] U. !. 0CIAAIMEW O/ ApRICULTufti
tor, l,70 14 A r — SOM CONSERVATION SCRWCI
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FARMER-8 NAME _ -4 D18TRICT a
DATE COtf1PI'Y - .4
S. C. S. PHOTO SUEET NO. WORK tlPI rT — 11 L- ,16 2r tl _
WATE.93M 09A MEASIfRR.b1ENTS -.
(1� 7!
CROPLAND ACRFS PASTURE ACRES 1 , tii
WOODLAND —ACRES TOTAL ACRES . B>�S WORK UNIT COHSE- AT1G.,1ST
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. @Cal* 1110feetl
L Caff +Narruo OQIfff +w tenlhr !(ar of &f#M Sad ldenfffy on fkefcA.
I
i
i
i 1
i
i
i i I
I
-.EFt
.....� ! !
I .w� ► fb aI i I �
-
i
...-.a--�;--
� i �
or
I t I �
� t � � •i
i E 1
I
i
1
1 1 4C o! 1
-jJ
SHOW" �1kle��{yDe:G BER NUMAND PROFILE
DEprI'1{ akf and &or darn-4te ewd to(lArey kwwvr then oowded @no end ienvr pro,8ermoa • aaaerare +rirA rere$e! rod Stye.
vd I rc".1^aean k*a WAVM mamma "Ar SAera v" fa1le view*" M drm-Ainr bermes.
SCALE 1'293,44,3 8 7 8 5 10 11 13 ; -i3 It 1 7 it
15 a 16 Ll 17 I8 14 20121122 23
O. 1
IS1+\ �
s.
�F
C
!D•f1
Si•��
�
11 - 1.2A � ���� �--
BARINM MADE 8YAt—V ` — 4L RION ATUR$ A TrrU

TYPES OF MATEMAL ENCOUNTZRZV IN BORINGS
se one of systems below)
UNIFIED CLASSMCATION USDA CLASSIFICATION
GW-Well graded graysla; gravel, saad mix S-gravel
GP -Poorly graded ;ravels s - sand
GM -Silty gravels; gravel -sand -silt mix vfs-very fine sand
GC -Clayey graifels;-gravel-sand-clay mix al -sandy loam
SW -Well graded sands; sand-gr4vai mix fsl-fine ssndy.losm --
SP -Poorly graded :buds I - loam
SM-Silty sand' gl- gravelly loam
SC -Clayey sands; sand -clay mixtures st-silt
UL -Slits; silty, v. fins sands; sandy or clayey silt sll -alit loam
CL-Clays of low to medium Plasticity cl-clay loam
CH. Inorganic clays of high Plasticity sicl-silty clay loam
UH - Elastic silts scl - sandy clay loam
OL-Organic silts and silty clays, low plasticity sic -silty clay
OH -Organic clays, medium to high plasticity c-cldy
L Suitable aasterial for embankment is available 02eeo Q No (les]rau Mhos k.1-6 an M. ,•loch on
"vow Adw
,.t..d- .ate¢-
Z &pl in requiring spacial attention in design aeavae, sm►6v ,ores eel
1;ENERAL REMAPM; -
U
W
26
27
2810130
U
n
as
Ulu
89
V
u
a
0
a
a
4a
M
a
46
47
43.
49
50
61

I
i
i
O r {oa f'4 I
fCf-fNG•faf U. S, 09PAllrMer.r or .QRrGu�ruAe
I., f-to 2004, CONftRVArlom Scn Vleg
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PRnPosFn PnNn QJTV
PARMZR'p NAMIC DISTRICT �"-
DATE '-A COUNTY Ed & At
S. C. S. PHOTO SHEET N0, WORK UNIT y
WATIERIN90 ARLA MEASURE>rIL.M �J • Od H
CROPLAND ACRES PASTURE ACRES
WOODLAND ACRES TOTAL ACRESWORK UNIT CO ERVATIo..1ST
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERk RUDE (Appro- seal* 1rr -_ fstti
Locos wevence point in eeneer fine e/ dam snd fdewllry ow sterck
II
II
SHOW
0S'fPC) OQ BORIYG ,LUMBER
JR7c X /4
Di.P'i
&
: fo#e a•rd ICsr dean rrrr and s.rm.ov M+�nee nrsr. Men oowdrs a.w aerin.r •,ap+.ar with .e.,fror •ee xrm
t{i
+C $:;Z a" Boat rrAen nrCWIfW SAaW wryer 1118se rkWHOMI nw dom-lsrr 8arrws4L.
1 j 2 J d 1 5 6 7 w--
$ a I 11 1� tJ 114 1 15 116 li N ld 119 20 21 22 23
1'MIsm
4
`
G4
e.
c
s `
sa
s
r
R
S
c.
BORINGS MADE BY STGNATURZs & Trr

TYPES OF MAT$R1AL. ENCOUNTERED IN BORINGS
(Use one of Systems below)
UNIFIED CLASSIFICATION
USDA CLASSIFICATION
ow -Well graded gravels; gravel, end mix
g-gmvel
GP -Poorly graded gravels
*-send
GM_ Silty gravels; gravel -sand -silt mlx
vfs-vary fine sand
GC -Clayey gravels;'gravel-sand-clay mix' • "'
rl-sandy loam
SW -Well gelded sands; sand -gravel mix
fsl-fine Mindy loam --
SP -Poorly graded rinds
1- looat
SM -Silty sand
gi - gravelly loam
SC -Clayey sands; sand -clay mixtares
ML- Silts; silty, v. fine sands;.sandy orciaysy silt
si - silt
oil -silt loom
CL-Clay* of low to medium plasticity
ci- clay loam
CH -Inorganic clays of high Plasticity
sicl-silty clay loam
MH - Elastic silts
scl - sandy clay loam
OL-Organic silts and silty clays, low Plasticity
sic -silty clay
OH - Organic clays, medium to high plpsticity
c -clay
1. Suitable material for ambas1—eat is available ss Q No Ondlmrs vArrs bmrw on IA. iketcA ew
REMAAw
RKS. .R.dzTi�
La 0-
D
2 Explain bararda requiring special attention is design fsewew, N•nv.tw* eeQ
f3M TE -kL REMARKS:
34
1
1*
37
38101301JU
Ss
SS
a4
U
38
37
36
gi
as u
41
4s
a
tb
48
/7
48
is
5o
S1

IV
LAGOON SUMMARY SHEET & TYPICAL CROSS-SECTION
'TY4 SWAGE;LAGOON
Top Width
10,
Settled Top of Dam': 61.1
51.AO
Bent
report
I I s1
j
o� �Srop'
2.s ( M4.)
2.0 (mac.)
Natural Ground Elev. %I pgj *-5
' a'P Low-t eVcre+A
Zffcnxv — wzt jq5
Construct Top of Dam
Ff11 Yardage: _
r
Slops
Z.gtFef.)
z,0 Cscc )
Cut-off Trench Depth determined by
SCS on site
Width depends on equipment --f
Pipe Type & Size
Start land application
Blev. .. ( /--\ e1ev. �`O _
+' -R w
- - - - - - - - - - - - - - - - rw - - -- - - - - - - - - - A- - - -
Z.S.
ftdo Treatment Volume
5,01,0QQ Cu. ft.
Top of. sludge
elev.
Bottom \. Sludge _Volume
elegy. ,00
I K&4b Temporary
op: e 1 I $I. Storage Volume e I
,r5 2,0 1Cu ft 2.0
Bottom elev. Z ,C17-1
Seasonal'High Water elev. ¢Z.00
Primary Treatment Volume Size: Length:_ Width -- Total Cu. Yds.
Temporary Storage Volume Size: Length *A0,z• Width 3GQ Excay.
Bench Mark Description: F aM1S
Elevation:
iric:oil WP o !, 377.717CF r►etum� r�ag�t `J,zco,�,S7 GF G�ccss� OW Qap I"+ T6P o,+o oP
General Information
Engineering Job Class: 5T
Hazard Class:
Animal Type: �,,,,�6
fivpe operation: FisacLa 7"p Lt)ew,.,jtA —�
mbar of Animals:o '
NI'"E: If construction is not started
w ain one year, this plan is not valid
until a re-evaluation of the design and
flood plain safety hazards are made.
Lagoon for Animal Waste
eruaq FA erns Farm
_ uewemsir County
N G State
U. S. Department of Agriculture
Soil Conservation Service
Designed by: ^pgG -
Approved by:
Title:
Date: -

Client: HANOR-NC
Revised. 12/10/2008
By: JV
Soil
Soil
Field #
Acres
Series
Type
1
47.0
Goldsboro
Sandy loam
2
4.3
Norfolk
Loamy sand
3
3.9
Goldsboro
Sandy loam
4
43.90 OoldsborolllorfolklLynchbuq Sandy loam
5
44.00 GoldsboroRJorf*WLynehbu%Sandy loam
6
22.00
NodolklRains
Sandy loam
7
16.60
Goldsbom/Norfolk
Sandy loam
8
1.00
Goldsboro/Rains
Sandy loam
1
47.0
Goldsboro
Sandy loam
2
4.3
Norfolk
Loamy send
3
3.9
Goldsboro
Sandy loam
4
43.90 Goldsboro/NorfolklLynchburf Sandy loam
5
44.00 GoldsbomfNorfolkJLynchburc Sandy loom
6
22.00
Norfolk(Rains
Sandy loam
7
16.60
GoldsboroMorfolk
Sandy loam
B
1.00
Goldsboro/Rains
Sandy loam
I SZ7
Indicates an assumed R,Y,E.
D!Hxoqltn Produced fmm Effluent
Sows - Farrow to Wean
# of animal unks:
7000
The Wartime! unk:
5.4
Ibs N produced:
37800
Nursery Site
# of animal units:
0
Ibs Wanimai unit:
0.48
Ibs N produced:
0
GIF Site
# of animal units:
0
Ibs Nlanvral unk:
2-3
D
M
Ibs H produced:
0
�. `j'I
Boar Stud Site
0
C
# of animal units:
-U m
Ibs Wanimal unk:
3.7
.�
Ibs N produced:
0
OM
Total Its N Produced from Effluent:
37E00.00
Deficit (-)!Surplus (+) Utilized (ibs):
5273.94
O
tQ
CIO
D
p
�
The Hamor Company, Inc. -THESE ARE ESTIMATES: WETTABLES HAVE NOT BEEN COMPUTED, SETBACKS
Polly Ridge shvc moor DFJmN FIELD VZWTXcn, AND 7= 1 L&T ASSES arifr WLS tmr 8Z=
2009 Nitrogen Uptake Spreadsheet MADE
Field
Slope
Realistic
Unit!
Symbol
%
Crop
Yield
Acre
GoA
0-2
Late -Season Cam
130
Bu
NoS
2-6
Late -Season Com
113
Bu
GoA
0-2
Late -Season Com
130
Bu
GcA NoA, Ly
0-2
Late -Season Com
123
Bu
GoA, NoA/B. Ly
"
Late -Season Com
121
Su
NoA. Re
0.2
Late -Season Com
120
Su
GoA, NcA
0-2
Late -Season Com
122
Bu
GoA, Ra
0-2
Late -Season Com
127
Bu
GoA
0-2
Wheat
65
Su
NoB
2-6
Wheat
59
Bu
GoA
0-2
Wheal
65
Bu
Goo. NoA. Ly
0-2
Wheat
60
Su
GoA NoAJB, Ly
OS'
Wheat
60
Bu
NoA Re
0-2
Wheat
58
Su
GoA, NoA
0-2
Wheat
63
Bu
GcA Ra
0-2
Wheat
60
Bu
Nitrogen
Ibs N
Removed
Ibs N
per ac.
Ibs/unit
pare.
10%Reduction
1.14
14820
133.38
1.14
128.82
1%.94
1.14
148.20
133.38
1.12
137.76
123.96
1.13
135.T3
123.06
1.11
133.20
119,88
1.14
139.08
125.17
1.11
140.97
126.87
2.09
135.85
2.09
123.31
2.09
135.85
2.04
122.40
2.06
123.00
2.01
116.58
2.09
131.67
2.01
120.60
Total tbs
N utilized:
Weighted Awraga:
Nltrog.t produced
from Sludge
Sludge
#
Ibs N
Year Wt. Avg.
Ibs/unit
Animals
Produced
1 262.2661737
0.88
7000
6160
3 262.2661737
0.98
7000
18480
6 252.2661737
0.88
7000
36960
9 252.2661737
0.88
7000
55440
1 252.2661737
0.076
0
0
3 252.2661737
0.076
0
0
6 252.2W1737
0.076
0
0
9 252.2661737
0.076
0
0
1 252.2W1737
0.37
0
0
3 252.2661737
0.37
0
0
B 262.2561737
0.37
0
0
9 252.2661737
0.37
0
0
1 262.2661737
061
0
0
3 262.2681737
0.61
0
0
6 252-2661737
0.61
0
0
9 252.2661737
0.61
0
0
Total Ibs N Produced from Sludge in 3 years: 15450.00
Deficit (-]!Surplus (+) Utilized (Ihs):-10201.06
Total N Applie.
(Ibs) Period
6268.86 Jun 10-Aug 15
493.90 Jun 10 -Aug 15
520.18 Jun 10 -Aug 15
5442.90 Jun 10 - Aug 15
5414.51 Jun 10-Aug 15
2637,36 Jun 10 -Aug 15
2077.86 Jun 10 -Aug 15
126.87 Jun 10 - Aug 15
6394.95 Sep 1 -Apr 30
525.30 Sep 1 -Apr 30
529.92 Sep 1 - Apr 30
5373.36 Sep 1 - Apr 30
5412.00 Sep 1 - Apr 30
2564.76 Sep 1 - Apr 30
2185.72 Sep 1 -Apr 30
120.60 Sep i - Apr 30
45070.94
25227
Acres
24.41865237
73-25595712
146.5119142
219.7678714
0
0
0
0
0
0
0
0
0
0
0
0

Client: HANOR-NC
Revised: 413012008
By. JV
Sal
Sail
Field #
Acres
Series
Type
1
47.0
Goldsboro
Sandy loam
2
4.3
Norfolk
Loamy sand
3
3.9
Goldsboro
Sandyloam
4
43.90 GoldsborolNorfolkAynchburg Sandy loam
5
44.00 GoldsborolNDrfafk&ynchburg Sandy loam
6
22.00
NorfolklRains
Sandyloam
7
16.60
GDldsbarWNgrfolk
Sandy loam
8
1.00
Goldsboro/Rains
Sandy loam
1
47.0
Goldsboro
Sandy loam
2
4.3
Norfolk
Loamy sand
3
3.9
Goldsboro
Sandy loam
4
43.90 Goldsboro/Norfolk/Lynchburg Sandy loam
5
44.00 GokIsboro1Norfo1kA ynchburg Sandy loam
6
22.00
Norfofk/Rains
Sandy loam
7
16.60
Goldsboro/Norfolk
Sandy loam
8
1.00
Goldsboro/Rains
Sandy loam
182.7
Indicates an assumed R.Y.E.
Nitrogen Produced from Effluent
Som - Farrow to Wean
*of animal units;
Ibs Nlanimal unit:
Ibs N produced:
Nursery Site
# of animal units:
Ibs Nlanimal unit:
Ibs N produced:
GIF Sibe
# of animal units:
Ibs Nlanimal unit:
Ibs N produced:
Boar Stud Site
# of animal units:
Ibs Nlanimal unit:
tbs N produced:
Total Ibs N Produced from Erttuettt:
Deficit (-)lSurpius (+) Utilized (Ibs):
?DOO
5.4
37WO
0
0.48
0
0
2.3
0
0
3.7
0
37800.00
11062.67
The Hanor Company, Inc. -THESE ARE ESTIMATES: WETTABLES HAVE NOT BEEN COMPUTED, SETBACKS
Polly Ridge HAVE NOT BEEN FIELD VEtt2FIE13, AND 'Pas PLAT A65H651 = HAS NOT BEEN
2008 Nitrogen Uptake Spreadsheet MADE."'
Nl"en
Field
Slope
Realistic
Unit!
Removed
lbs N
Symbol
tfi
Crop
Yield
Acre
Ibslunit
per ac.
GaA
0-2
Cam
130
Bu
1.14
148.20
NOB
2-6
Coro
113
Bu
1.14
128.82
GoA
0-2
Corn
130
Bg
1.14
148.20
GoA, NoA, Ly
0-2
Coro
123
Bu
1.12
137.76
GoA, NoMB, Ly
0-6
Corn
121
Bu
1.13
136.73
NoA, Ra
0.2
Soybeans
36
Bu
3.89
140.04
GoA, NaA
0-2
Soybeans
37
Bu
3.91
144.67
GOA, Re
0-2
Soybeans
38
Bu
3.89
147.82
GOA
0-2
Wheat
65
Bu
2.09
135.85
NoB
26
Wheat
59
Bu
2.09
123.31
GoA
0-2
Wheal
65
Bu
2.09
135.65
GOA, NoA, Ly
0-2
Wheat
60
Bu
2.04
122.40
GOA, NWB, Ly
D-6
Wheat
6D
Bu
2.05
123.00
NoA, Ra
D-2
Wheat
58
Bu
2.01
116.58
GoA, NoA
0-2
Wheat
63
Bu
2.09
131.67
GOA, Re
0-2
Wheat
60
eu
2,01
120.60
Total Ibs N utilized:
Weighted Average:
Nitrogen Produced from Sludge
Sludge
#
Ibs N
Year WL Avg.
Ibslumit
Animals
Produced
1 267.6156071
0.88
7000
6160
3 267.6156071
0.88
7000
19480
6 267.6156071
0.68
700E
36960
9 267.61%071
GAS
7000
55440
1 267.6156071
0.076
0
0
3 267.6156071
0.076
0
0
6 267.6156071
0.076
0
0
9 267.6156071
0.076
D
0
1 267.6156071
0,37
0
0
3 267.61 %071
0.37
0
0
6 267.6156071
OX
0
0
9 267,6156071
0,37
0
0
1 267.6156071
0.61
0
0
3 267.6156071
0.61
D
0
6 267.6156071
0.61
0
a
9 267.6156071
DA 1
0
0
Total Ibs N Produced from Sludge in 3 years: I B41ta.00
DeOdt (-)/Surplus (+) Utilized abs): -7397.33
Total N
(Ibs)
6966.40
548.77
577.98
6047.66
6016.12
3080.88
2401.52
147.82
6384.95
525.30
529.82
5373.36
5412.00
2564.76
2185.72
120.60
48882.67
267.62
Acres
2101808951
69,05426854
138.1085371
207.1628056
0
D
0
0
0
a
0
0
0
0
0
0
Appilc.
Period
Fab 15 -Jun 30
Feb 15 -Jun 30
Feb 15-Jun 30
Feb 15 - Jun 30
Feb 15 -Jun 30
Apr 1 -Sep 15
Apr t -Sep 15
Apr 1 -Sep 15
Sep 1 - Apr 30
Sep t-Apr 30
Sep 1 - Apr 30
Sep 1 - Apr 30
Sep 1 - Apr 30
Sep 1 - Apr 30
Sep 1 - Apr 3D
Sep 1 - Apr 30

(3127/2DD9) Neal Jordan - 211145.pdf pa e 1
w--AG* W*AM1/
. 4 S Tr-
U9424 -
MEMORANDUM 146
TO: Mr. Neal Jordan, HANOR
-26-09
FROM: Chris Mosley, P. E.
Hal Langenbach, P. E.
SUBJECT: PLAT Rating Sheets for the Polly Ridge Facility
We have completed our evaluation of the PLAT ratings for the fields located at the Polly Ridge
facility. The output sheets from the NCANAT software are attached to this memorandum for
your review.
The following summarizes the PLAT rating results for each field:
Field
PLAT Rating
1
Medium
2
Low
3
Low
4
Medium
5
Medium
b
LOW
7
Medium
8
Medium
Since all fields have a low or medium PLAT rating at this time, a nitrogen based crop goal may
be used to determine the appropriate application rate for each field.
Please let us know if you have any questions or comments.
H.4NaaarAt i11141.wpd
t�ECEIVED 1 DENR 1 D}NQ
AgilifPr PrntQc,tin. Sp
cfion
MAR 3 0 2009

(3/27/2009) Neal Jordan - 211 145.pdf Page 21
NCANAT version: 1.97
PLAT Results For: Edgecombe 3/23/2009 11:26:03 AM
Calendar Year:
County:
Producer Identifier:
Tract Number:
Field Number:
Soil Series:
Crop:
Fertilizers:
applications
Sail Loss:
Receiving Slope Distance
Soil Test 0" - 8"
WV -'actor (DATABASE)
Artificial Drainage System:
Hydrologic Condition:
PARTICULATE P 0
SOLUBLE P o 12
LEACHATE P = 0
SOURCE P - 16
INPUTS
2009
Edgecombe
Polly Rdg
1
GOA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Corn (Grain) : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 4.53 aC in
Lb P205: 53.4 lb
Application Method: All other surface
.895 t/ac/yr
300+ ft
169
1.3
NO
GOOD
OUTPUTS
TOTAL P RATING = 28 (MEDIUM)

(3/2712009) Neal Jordan - 211145.pdf Page 3
NCANAT Version: 1.97
PLAT Results For: Edgecombe
Calendar Year:
County:
Producer Identifier:
Tract Number:
Field Number:
Soil Series:
Crop:
Fertilizers:
applications
Soil Loss:
Receiving Slope Distance
Soil Test 0" - 8"
WV Factor (DATABASE)
Hydrologic Condition:
PARTICULATE P =
0
SOLUBLE P
9
LEACHATE P =
0
SOURCE P a
16
TOTAL P RATING = 25 (LOW)
3/23/2009 11:32:56 AM
INPUTS
2009
Edgeccmbe
Polly Rdg
2
NOS: Norfolk loamy sand, 2 to 6 percent slopes
Corn (Grain} : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 4.53 ac in
Lb P205: $3.4 lb
Application Method: All other surface
2.02 t/ac/yr
300+ ft
129
1.4
GOOD
OUTPUTS

{3/2742009) Neal Jordan - 211145.pdf
NCANAT Version: 1.97
PLAT ReSulte For: Edgecombe 3/23/2009 11:33:38 AM
INPUTS
Calendar Year:
2009
County:
Edgecombe
Producer Identifier:
Polly Rdg
Tract Number:
Field Number:
3
Soil Series:
GoA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Crop-
Corn (Grain) : Conventional
Tillage
Fertilizers:
Swine -Lagoon liquid
Yearly Applied Amount:
4.53 ac in
Lb P245:
53.4 lb
Application Method:
All other surface
applications
Soil Loss:
.76 t/ac/yr
Receiving Slope Distance
340+ ft
Soil Test 0" - 8'
79
WV_Factor (DATABASE)
1.3
Artificial Drainage System:
NO
Hydrologic Condition:
GOOD
OUTPUTS
PARTICULATE P - 0
SOLUBLE P = 6
LEACHATE P a 0
SOURCE P a 16
TOTAL P RATING a 22 (LOW)

(312762009) Neal Jordan - 211145.pdf Page 5
NCANAT Version: 1.97
PLAT Results For: Edgecombe
Calendar Year:
County:
Producer Identifier:
Tract Number:
Field Number:
Soil Series;
Crop:
Fertilizers;
applications
Soil Loss:
Receiving Slope Distance
Soil Test 0" - 8•
WV_Factor (DATABASE)
Soil Test 28" - 32"
WV_Factor (DATABASE)
Artificial Drainage System:
Hydrologic Condition:
PARTICULATE P 0
SOLUBLE P = 17
LEACHATE P 2
3/23/2009 11:34:20 AM
INPUTS
2009
Edgecombe
Polly Rdg
4
GoA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Corn (Grain) : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 4.53 ac in
Lb P205: 53.4 lb
Application Method: All other surface
.895 t/ac/yr
300+ ft
238
1.3
7
1.3
NO
GOOD
OUTPUTS
SOURCE P 16
TOTAL P RATING = 35 (MEDIUM)

(312V2009) Neal Jordan - 211145.pdf Page 6
NCANAT Version: 1.97
PLAT Results For: F.,dgecombe
Calendar Year:
County:
Producer Identifier;
Tract Number:
Field Number:
Soil Series:
Crop:
Fertilizers:
applications
Soil Loss:
Receiving Slope Distance
Soil Test 0' - 8"
WV_FaCtor (DATABASE)
Artificial Drainage System:
Hydrologic Condition:
3/23/2009 11:35:3D AM
INPUTS
2009
Edgecombe
Polly Rdg
5
GoA: Goldsboro fine sandy loam, 0 to 2 percent alopes
Corn (Grain) : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 4.53 ac in
Lb P205: 53.4 lb
Application Method: All other surface
.895 t/ac/yr
300+ ft
204
1.3
NO
GOOD
OUTPUTS
PARTICULATE P a
SOLUBLE P 15
LEACHATE P 0
SOURCE P 16
TOTAL P RATING = 31 (MEDIUM)

(3/2712009) Neal Jordan - 211145.pdf Page 7
NCANAT Version: 1.97
PLAT ReSUItS For: Edgecombe
Calendar Year:
County:
Producer Identifier
Tract Number:
Field Number;
Soil Series:
Crop:
Fertilizers:
applications
Soil Loss:
Receiving Slope Distance
Soil Teat 0" - B"
W —Factor (DATABASE)
Hydrologic Condition:
PARTICULATE P = 0
SOLUBLE P G 3
LEACHATE P = 0
SOURCE P = 16
TOTAL P RATING = 19 (LOW)
3/23/2009 11:37:33 AM
INPUTS
2009
Edgecombe
Polly Rdg
b
NOA: Norfolk loamy sand, 0 to 2 percent slopes
Corn (Grain) : Conventional Tillage
Swine -Lagoon liquid
Yearly Applied Amount: 4.53 ac in
Lb P205: 53.4 lb
Application Method: All other surface
.73 tlac/yr
300+ ft
51
1.4
GOOD
OUTPUTS

(3127/2009) Neal Jordan - 211145.pdf Page 8
NCANAT version: 1.97
PLAT Results For: Edgecombe 3/23/2009 11:36:36 AM
INPUTS
Calendar Year:
2009
County:
Edgecombe
Producer Identifier:
Polly Rdg
Tract Number:
Field Number:
7
Soil Series:
GOA: Goldsboro fine sandy loath, 0 to 2 percent slopes
Crop:
Corn {Grain) : Conventional
Tillage
Fertilizers:
Swine -Lagoon liquid
Yearly Applied Amount:
4.53 ac in
Lb P205:
53.4 lb
Application Method:
All other surface
applications
Soil Loss:
.828 t/ac/yr
Receiving Slope Distance
300+ ft
Soil Test 0" - 8"
169
wv-,Factor (DATABASE)
1.3
Artificial Drainage System:
NO
Hydrologic Condition:
GOOD
OUTPUTS
PARTICULATE P a 0
SOLUBLE P d 12
LEACHATE P c 0
SOURCE P - 16
TOTAL P RATING a 28 (MEDIUM)

(3/27b2Q09) Weal Jordan - 211145.pdf Page 9
NCANAT Version: 1.97
PLAT Results For: F.dgecombe 3/23/2009 11:37:03 AM
INPUTS
Calendar Year:
2009
County:
Edgecombe
Producer identifier:
Polly Rdg
Tract Number:
Field Number:
8
Soil Series:
GOA: Goldsboro fine sandy loam, 0 to 2 percent slopes
Crop:
Corn (Grain) : Conventional
Tillage
Fertilizers:
Swine -Lagoon liquid
Yearly Applied Amount:
4.53 ac in
Lb P205:
53.4 lb
Application Method:
All other surface
applications
Soil LOSS:
.626 t/ac/yr
Receiving Slope Distance
300+ ft
Soil Test 0" - 8"
141
WV_Factor (DATABASEI
1.3
Artificial Drainage System:
NO
Hydrologic Condition:
GOOD
OUTPUTS
PARTICULATE P 0
SOLUBLE P 10
LEACHATE P = 0
SOURCE P - 16
TOTAL P RATING 26 MEDIUM)

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
Mr. Richard C. Anderson
Polly Ridge Farms, 'Inc.
Route 2, Box 166
Tarboro, NC 27886
Dear Mr. Anderson:
1 � •
�.now
CDENFI
NowrH CARou NA DEPARTMENT or
EPMRONMENT AND NATURAL RESOURCES
7artuary 26, 2001
"CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RE: Request for Remission of Civil Penalty
Polly Ridge Farms, Inc.
Farm #33-61
Edgecombe County
File No. DV 00-024
In accordance with North Carolina General Statute 143-215.6A(f), I considered the
information you submitted in support of your request for remission and did not find grounds to
modify the civil penalty assessment of S3,269.90.
There are two options available to you. You may pay the civil penalty assessment or you may
present your request for remission to the Committee on Civil Penalty Remissions of the
Environmental Management Commission. If you choose to pay the penalty. please make your check
T)avable to the Det)artment of Environment and Natural Resources and reference the case number.
Send payment within 30 days of your receipt of this letter to the attention of:
Mr. Steve Lewis
NCDENR
DWQ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Afailing Address: Telephone [phone]
1617 Mail Service Center Fax [phone]
Raleigh, North Carolina 27699-1617 State Courier #52-0 1 -01
An Equal Opporrunin- /AffinnariveAction Enrplo.yer
50% recycled/ 10% post-constuner paper
http: //lz2o. e,ir.state. ire. us
Location:
512 N. Salisbury St.
Raleigh, NC 27699-1617

.,1P
You also have the option of presenting your request to the Committee on Civil Penalty
Remissions, which is comprised of members of the Environmental Management Commission. You
may present your request for remission to the committee and a representative from the Division of
Water Quality will present the case against remission. The Committee on Civil Penalty Remissions
will render a final and binding decision in accordance with NCGS 14313-282.1(c).
If you would like to present your request for remission to the Committee on Civil Penalty
Remissions, please notify Steve Lewis at the above address within 30 calendar days. The next
scheduled committee meeting is in Raleigh on March 8, 2001. If you are unable to attend on this
date, your request will be scheduled for a meeting at a future date.
Thank you for your attention to this matter. If you would like a receipt that your check or
request for remission was received, please send it via certified mail. Please feel free to contact Steve
Lewis at.[phone], extension 539, if you have any questions.
Sincerely,
Kerr T. Stevens
cc: en Schustlr, Raleigh Regional Supervisor
Buster Towell, RRO
File # DV 00-024
Central Files
Alailing Address: Telephone [phone]
1617 Mail Service Center Fax [phone]
Ralei=h. North Carolina 27699-1617 State Courier #52-01-01
An Equal Opportunity /Affirmative Action Emplo"Ier
50% recycled / 109r post-consunter paper
http://h2o.enr.state.tic.us
Location:
512 N. Salisbury St.
Raleigh, NC 27699-1617

W
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
Mr. Richard C. Anderson
Polly Ridge Farms, Inc.
Route 2, Box 166
Tarboro, NC 278816 r� 1" 0 P/'
1
Off! SUBJECT:
M
DFNNR
R,4iElGH kt(;yD�
Dear Mr. Anderson:
NCDENR
NORTH cAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE$OURcEs
October 11, 2000
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Assessment of Civil Penalties for
Making an Outlet to Waters of the
State without a Permit
Farm #33-61
Edaecombe County
File No. DV 00-024
This letter transmits notice of a civil penalty assessed against the Gatlin Hunting Club
Road Farm (Polly Ridge) in the amount of S3,26990 including S769.90 in investigative costs.
Attached is a copy of the assessment document explaining this penalty.
This action was taken under the authority vested in me by delegation provided by the
Secretary of the Department of Environment and Natural Resources. Any continuing violation(s)
may be the subject of a new enforcement action, including an additional penalty.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of
Environment and Natural Resources (do not include waiver form).
Payment of the penalty will not foreclose further enforcement action for
any continuing or new violation(s).
Mailing Address: Telephone [phone]
I617 Mail Service Center Fax [phone]
Raleigh, North Carolina 27699-1617 State Courier #52-01-01
An EqualOppornurin-lAffrinativeAction Employer
50% recYcled / 107c past -consumer paper
http: //lr3o. enr. state. rrc. us
Location:
512 N. Salisbury St,
Raleigh, NC 27699-1617

Please submit payment to the attention of:
Mr. Steve Lewis
NCDENR
DWQ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
i'
2. Submit a written request for remission or mitigation including a detailed
justification for such request:
A request for remission or mitigation is limited to consideration of the
reasonableness of the amount of the penalty and is not the proper procedure for
contesting the accuracy of any of the statements contained in the assessment
letter. Because a remission request forecloses the option of an administrative
hearing, such a request must be accompanied by a waiver of your right to an
administrative hearing and a stipulation that there are no factual or legal issues in
dispute. You must execute and return to this office the attached waiver and
stipulation form and a detailed statement which you believe establishes whether:
(a) one or more of the civil penalty assessment factors in G.S. 143B-282.1(b)
were wrongfully applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage resulting
from the violation;
(c) the violation was inadvertent or a result of an accident;
(d) the violator had been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining
necessary remedial actions.
Please submit this information to the attention of:
Mr. Steve Lewis
NCDENR
DWQ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
m'
3. Submit a written request for an administrative hearing:
If you wish to contest any portion of the civil penalty assessment, you must
request an administrative hearing. This request must be in the form of a written
petition to the Office of Administrative Hearings and must conform to Chapter
150B of the North Carolina General Statutes. You must file your original petition
with the:

Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
AND
Mail or hand -deliver a Copy of the petition to:
Mr. Dan McLawhorn
NCDENR
Office of General Counsel
1601 Mail Service Center
Raleigh, NC 27699-1601
Failure to exercise one of the options above within thirty days, as evidenced by a date
stamp (not a postmark) indicating when we received your response, will result in this matter
being referred to the Attorney General's Office with a request to initiate a civil action to collect
the penalty. Please be advised that additional assessments may be levied for future violations
which occur after the review period of this assessment.
If you have any questions, please contact Mr. Steve Lewis at [phone], ext. 539 or
Mr. Jeff Poupart at [phone], ext. 527.
Sincerely,
Kerr T. Stevens
ATTACHMENTS
cc: Ken Schuster, Raleigh Regional Supervisor w/ attachments
aster 'Howell, RRO
File # DV 00-024 w/ attachments -
Central Files w/ attachments
Public Information Officer w/ attachments

STATE OF NORTH CAROLINA ENVIRONMENTAL MANAGEMENT
COMMISSION
COUNTY OF
IN THE MATTER OF ASSESSMENT } WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST } ADMINISTRATIVE HEARING AND
PERMIT NO. ) STIPULATION OF FACTS
FILE NO.
Having been assessed civil penalties totaling
for
violation(s) as set forth in the assessment document of the Director of the Division of Water Quality
dated, , the undersigned, desiring to seek remission of the civil
penalties, does hereby waive the right to an administrative hearing in the above -stated matter and
does stipulate that the facts are as alleged in the assessment document.
This the day of , 20
SIGNATURE
ADDRESS
TELEPHONE

STATE OF NORTH CAROLINA NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND
NATURAL RESOURCES
COUNTY OF EDGECOMBE
File No. DV 00-024
IN THE MATTER OF )
POLLY RIDGE FARIMS, INC. )
AND RICHARD C. ANDERSON }
FINDINGS AND DECISION
FOR MAKING AN OUTLET TO THE ) AND ASSESSMENT OF
WATERS OF THE STATE OF ) CIVIL PENALTIES
NORTH CAROLINA )
WITHOUT A PERMIT )
Acting pursuant to delegation provided by the Secretary of the Department of
Environment and Natural Resources, I, Kerr T. Stevens, Director of the Division of- Water
Quality (DWQ), make the following:
I. FINDINGS IGS OF FACT:
A. Polly Ridge Farms, Inc. is a corporation organized and existing under the laws of
the State of North Carolina. Richard C. Anderson is the president and registered
agent for Polly Ridge Farms, Inc.
B. Richard C. Anderson and/or Polly Ridge Farms, Inc. owns and operates the Gatlin
Hunting Club Road Farm (Polly Ridge), a swine operation located in Edgecombe
County.
C. Richard C. Anderson was reissued Certificate of Coverage AWS330061 under
General Permit AWG 100000 for Gatlin Hunting Club Road Farm (Polly Ridge)
on June 26, 1998, effective June 26, 1998, with an expiration date of April 30,
2003. This permit does not allow the discharge of waste to waters of the State.
D. On February 17, 2000, in response to a citizen complaint, DWQ staff observed a -
discharge of wastewater by Gatlin Hunting Club Road Farm (Polly Ridge)'from a
sprayfield to a private pond. The pond discharges to an unnamed tributary to
Savage Mill Run, which are Class WS IV NSW waters of the State within the Tar -
Pamlico River Basin.
E. Richard C. Anderson and/or Polly Ridge Farms, Inc. had no valid permit for the
above -described activity.
F. The cost to the State of the enforcement procedures in this matter totaled $769.90.

ftl
Based upon the above Findings of Fact, I make the following:
CONCLUSIONS OF LAW:
A. Richard C. Anderson and Polly Ridge Farms, Inc. are "persons" within the
meaning of G.S. 143-215.6A pursuant to G.S. 143-212(4).
B. The private pond constitutes waters of the State within the meaning.of G.S. 143-
215.1 pursuant to G.S. 143-212(6).
C. The above -cited discharge constituted making an outlet to waters of the State for
purposes of G.S. 143-215.1(a)(1), for which a permit is required by G.S. 143-
215.1.
D. Richard C. Anderson and/or Polly Ridge Farms, Inc. may be assessed civil
penalties in this matter pursuant to G.S. 143-215.6A(a)(2), which provides that a
civil penalty of not more than twenty-five thousand dollars ($25,000.00) per
violation may be assessed against a person who is required but fails to apply for or
to secure a permit required by G.S. 143-215.1.
E. The State's enforcement costs in this matter may be assessed against Richard C.
Anderson and/or Polly Ridge Farms, Inc. pursuant to G.S. 143-215.3(a)(9) and
G.S. 143B-282.1(b)(8).
F. The Director, Division of Water Quality, pursuant to delegation provided by the
Secretary of the Department of Environment and Natural Resources has the
authority to assess civil penalties in this matter.
Based upon the above Findings of Fact and Conclusions of Law, I make the following:
DECISION:
Accordingly, Richard C. Anderson and/or Polly Ridge Farms. Inc. is hereby assessed a
civil penalty of:
for making an outlet to the waters of the State without a
permit as required by G.S. 143-215.1.
$ Sod TOTAL CIVIL PENALTY, which is a 5 percent of
the maximum penalty authorized by G.S. 143-215.6A.
$ 769.90. Enforcement costs
$1 -2- (O_�, sca . TOTAL AMOUNT DUE

j Y.
As required by G.S. 143-215.6A(c), in determining the amount of the penalty I have
considered the factors listed in G.S.143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public
health, or to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs
over which the Environmental Management Commission has regulatory authority;
(8) The cost to the State of the enforcement procedures.
(Date) Kerr T. Stevens, Director
Division of Water Quality

.+.,.
NORTH C,A►ROLINA DEPARTMENT OF
_
ENVIRONMENT AND NATURAL RESOURCES
RALEIGH REGIONAL OFFICE
itM- 1
•u
�MY� .�D�R
Division of Water Quality
.
February 21, 2000
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jwmss 13. HUPIT JR::
J
�' :': Crbl/gRTIOR
Mr. Richard Anderson
Polly Ridge Farm
Route 2, Box 166
•;�r.�ii►wvrisMcoevlrh-�_ .
Tarboro, North Carolina
27886
.�..ww��+�ry.�'
1. i inii.w'V t,iI
Subject: Notice of Violation
J� ��"'��
Z'
Recommendation To Enforce
Polly Ridge Farm
Permit No. AWS330061
Edgecombe County
Dear Mr. Anderson:
On February 17 2000 Mr. Buster Towell of the Raleigh Regional Office
a..�.-.', responded to a citizens complaint at the subject swine facility. The complaint stated
•...u",:-� "'c,Y;;" that wastewater from your facility had gotten into an adjacent drainage ditch that
flows into the complaintant's pond. The complaint investigation revealed the
=4 following:
Wastewater was observed in a drainage ditch that flows through a series of other
ditches that form the head waters of the complaintant's pond. The pond overflows
into an unnamed tributary to Savage Mill Run.
VI 1Y ti FF
/ni: Y.y .itr' ril
Wastewater was ponded in the spray field adjacent to a center pivot irrigation
• 9i"""""="1� =-= system. There was waste contained in a waterway in the spray field that emptied
" _:Y e•. - into the above referenced drainage ditch. Waste in the waterway also ran down
gradient in the opposite direction and was observed in a drainage ditch along side of
the pathway connecting the swine operation and the spray field.
�ttt„;M Savage Mill Run is classified as WS IV NSW waters within the Tar -Pamlico River
Basin.
The above referenced discharge is a violation of Animal Waste General Permit
AWS330061 which requires no discharges to waters of the State, and malting an
outlet to waters of the State without first applying for and receiving the required
' • Permit is a violation of North Carolina General Statute 143-215.1(a).
=0 Please note that violations of NCGS 143-215.1 are subject to civil penalties of up to
-.:. S 25,000.00 per day, per violation.
a�
_•v 3800 BARR[TT DRIVE, SUITE 101, RALEIGN, NORTH CAROLINA 27SOS
- - r .0
PHONE 919.571 •4700 FAX [phone]
OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER • 50% RECYCLEOM0% POST -CONSUMER PAPER
` a - - = 2'^

w+;
. -� -.r..
Mr. Richard Anderson
Polly Ridge Farm
Page 2
The Raleigh Regional Office is considering recommending an enforcement action against you
for the above referenced violation. If you have justification that this violation was caused by
situations or circumstances beyond your control, you should include them with your response.
You should respond to this Notice in writing within fourteen days of your receipt. In the'
absence of any justification, the Raleigh Regional Office will recommend to the Director that an
enforcement action be taken against your facility.
If you have any questions regarding this Notice, please call Mr. Buster Towell at (919) 571-
4700.
Sincerely,
Kenneth Schuster, P.E.
Regional Water Quality Supervisor
cc: Mr. Sim Baluss, Edgecombe County Health Department
Mr. A.B. Whitley, Edgecombe Soil And Water Conservation District
Ms. Margaret O'Keefe, RRO-DSWC
DWQ Nondischarge Compliance Group
PRO Files

• I r41 FE6 2 r_j LVlI�
Division of Environmental Management
CHAIN OF CUSTODY RECORD
For Investigation of ZWly /ZJdfr. ,Fr�eg r�,e.i-L (71Sr�.a�y2_
Samples collected and DKI forme
completed
by:
b On'1.3►
Lab'No.
Station.
No.
Station Location
Date
Time
No. of
Bottles
w
are '4 ,
D
-2-
3�
1(1�d,-
,d Ar C/
Jlf Yz0
t 64,V
Rel �he91
attire)•
R e d by( i tore)
D to / Time
18
R—e-1
Rec
by
Rel
Rec
by
Rel
Rec
by (Lab).
Method of Shipment:
Seal
Security e and Condition: Lock
b :
b
Broken by:
en b:
TAM ITQV A*TiV
No
From Throuith
ContainersLab
.. .. b
is te Time
1 MUM
F r1�.1�if w�.
�.
�.
1� L� .L� �•� . ll�i +a:
��r�!`��'%►'
: i1 i .�

DIVISION OF WATER QUALITY
Chemtsi libonto
I 7 ry Report / Water Quality
�"1� W� S,AMPLETYPE
COUNTY EDGECOMBE ` JPRIORfTY
RIVER BASIN: %� Al_MBTE tNT QA STREAM EFFLUENT
� 1 1
REPORT TO RRP Re8)ona101fice tiCAD COMPLIANCE CHAIN OF CUSTODY LAKE INFLUENT
i�t
Other EMERGENCY ESTUARY
COLLECTOR(S) : TOWELL .•� 2
r
Estimaled BOD Range: C.'f� j Station Leeatioo: POLLY RIDGE HOG FARM
J
Seed: Chlorinated: �5� Remarks:
l
Statio 0 Date Bg00 (yy/mm/dd) Date End iyy/mmidd) Time Beau Time End Depth - DM, DB, DBM Value Type - A, H, L Composite-T, 5, B Sample Type
INTERWAY 2=217 1 1600
BOD 310 92 m /L
COD High 340 m /L
COD law 335 m L
Coliform: MF Fecal 31615 / 10otn1
Coliform: MF Total 31504 / I00mI
Coliform: tube Fecal 31615 / 100m1
Coliform: Feral Sum 31673 /100ml
Residue: Total 500 m L
volatile 505 L
Fixed 510 m L
Residue: Suspended 530 m /L
Volatile535 m L
Fixed 540 L
H 403 units —
Acidity to pil 4.5 436 m L
Acidity to pH9.3435 m /L
Alkalini to H 8.3 415 m L
Alkalini to pH 4.5 410 m L
TOC 680 m /L
Turbidi 76 NTU
Coliform Total Tube '/ l00 mis
COMMENTS
Chloride 940 m L
Chi a: Tri 32217 u L
Chl a: Cuff 32209 u L
Pheophytin a 32213 L
Color. True 80 a u.
Color. (pli) 83 H= C.u,
Color pH 7.6 82 C.U.
Cyanide 720 m L
Fluoride951 m L
Formaldehyde 71890 L
Grease and Oils 556 m L
Hardness Total900 m L
SPeCif1CCond.95 umhos/cm2
MBAS 38260 /L
Phenols 32730 u L
Sulfate 945 m L
Sulfide 745 m JL
Boron
Tannin & Lignin u L
Hexavalrnt Chromium u L
X
NH3 as N 610
110
L
X
TKN an N 625
120
m L
X
NO2 plus NO) as N 630
1.1
m L
X
P: Total as P 665
20
nWL
PO4 as P 70507
L
P: Dissolved as P 666
m L
K-Potassium
L
Cd-Cadmium 1027
u L
Cr-Chrumium:Total1034
u L
Cu 1042
u L
Ni-Nickel 1067
u /L
Pb-- Lead 1051
u L
Z. zinc 1092
u /L
V-Vanadium
u /L
At Silver 1077
u L
AI -Aluminum 1105
u L
Be- Beryllium 1012
u L
Ca- Calcium 916
m L
Co- Cobalt 1037
u "/L
Fc, Iron 1045
u L
U-Lithium 1132 u L
Mg- Ma&Mium 927 L
Mri-Manpoese 1053 u L
Na- Sodium 929 mEVL
ArsenicTola11002 u L
Se-Seleatum 1147 u L
H Mercury 71900 u L
Ba_Bafium u L
Orpoochlorine Pesticides
Oganaphospbonts Pesticides
Acid ITerbicides
Base/Neutral&Acid Extractable 2Wnk3
'IPII Diesel Ranm
Pur ble Or rues (VOA bottle r 'd
TPH Gasoline Range
TPH/BTEX Gasoline Raw
PhyWlamhorr

UtVISltJN Ul- ENVIRONMENTAL MANAGEMENT WATER AL FIELD -LAB FORM (DM1)
COJac-,
�' PRIORITY UDC
RiVF31 BASIN► ` P 1"-
REPORT TJJ:AA0 FRO MR RO aRO WIRO WSRO TS ❑AMBIENT ❑ 62A
AT BM ❑COMPLIANCE CHAIN
Other
OF CUSTOD
Shipped by: Bus Courler, of Other ❑EMERGENCY
COLLECTOR(5): 'Q' I ( f r
Estimated BOD Range: 0-5/5-25 -65/4D-130 100 57 TION LOCATION: �0 ` `
Seed: Yes ElNo Chlorinated: Yes El No REMARKS: r
Station Date Begin (yy/mm/dd) Time Begin Date End
ii✓ e.� %i 20-0. 0 Z . /7 t4 v e
..,-_ -, - .,.a,.
2
COD High 340 mg/1
3
COD Low 335 mg/1
4
Coliform: MF Fecal 31616 /loom]
5
Coliform: MF Total 31.504 /100ml
6
Coliform: Tube Fecal 31615 /100ml
Coliform: Fecal Strap 31673 /loom]
8
Residue: Total 500 mg/I
9
Volatile 505 mg/I
10
Fixed 510 mg/1
11
Residue: Suspended 530 mg/I
12
Volatile 535 mg/I
13
Fixed 540 mg/1
14
pH 403 units
15
Acidity to pH 4.5 436 mg/I
16
Acidity to pH 8.3 435 mg/1
17
Alkalinity to pH 8.3 415 mg/I
18
Alkalinity to pH 4.5 410 mg/1
19
TOC 680 mg/1
20
Turbidity 76 NTU
AMPLE TYPE
❑ STREAM EFFLUENT
❑ LAKE ❑ INFLUENT
Y
❑ ESTUARY
� , d tz 141 I 7q- a Y+--
Time EndiDepth DM DB DBM
Chloride 940 mg/I
Chi a: Trl 32217 ug/I
Chi a: Corr 32209 ug/I
Pheophytin a 32213 ug/I
Color: True 80 Pt -Co
Color:(pH y 83 ADMI
Color: pH 7.6 82 ADMI
Cyanide 720 mg/I
Fluoride 951 mg/1
Formaldehyde 71880 mg/I
Grease and Oils 556 mg/l
Hardness Total goo mg/I
Specific Cond. 95 uMhos/cm2
MBAS 38260� mg/1
Phenols 32730 ug/I
Sulfate 94S rng/I
Sulfide 745 mg/1
For Lab Ilse etNLY
Lab Number t/ll
Date Recelved: 11 00 Time: 6
Rec'd by,From: Bus -Course -Hand D
DATA ENTRY BY: CKs
DATE REPORTED:
t— afdtr
A H L
NH3 as N 610 mg/I
TKN as N 625 mg/l
NO2 plus NO3 as N 630 mgA
Total as P 665 mg/1
PO4 as P 70507 mg/I
P: Dissolved as P 666 mg/l
CdCadmium 1027 ugA
Cr•ChromiurmTotal1034 ugA
CuCopper 1042 ug/I
NI -Nickel 1067 ug/I
Pb-Lead 1051 ugA
Zn-Zinc 1o92 ugA
A9411ver 1077 ug/I
AI -Aluminum 110S ug/I
Be -Beryllium 1012 ug/I
Ca -Calcium 916 mg/I
Co -Cobalt 1037 ugA
Fe4ron 1045 ugA
T S B i \c rG ONXX
LI-Lithium 1132
ug/I
Mg-magneelum 927
mg/I
Mn-Manganese 1055
ug/I
Na-Sodlum 929
mgA
Arsenic:Total 1002
ugA
Se-Selenlum 1147
ugA
Hg-Mercury 71900
ug/1
Organochlorine Pesticides
Otvatgohowhorus Pesticides
Acid Herbicides
Base/ Neutral Extractable Organics'
Acid Extractable Organics
Purgeable Organics (VOA bottle reg'd)
Phytoplankton
Sampling Point X
Conductance at 25 C
Water Temperature IQ
D.O. mg/I
pH
Alkalinity
Acidity
Air Temperature 40
pH 8.3 pH 4.5
pH 4.5 pH 8.3
2
94
10
300 19
400 •
82244 1 431
82243 82242
20
Salinity %
Precipition Un/day)
Cloud Cover x
Wind Direction (Deg)
Stream Flow Severity
Turbidity Severity
Wind Velocity M/H can Stream Depth ft.
Stream Width fL
480
45
132
136
11351
1350
135 64
14
DMI/Revlsed 10A

SION OF WATER QUALITY
Laboratory Report / Water Quality
m��
COUNTY EDGECOME
RIVER BASIN:
t 0 AMBI+ Ej QA
STREAM
XD EFFLUENT
f 0
REPORTTO RRO Regiona1011ice
MP Q CHAIN OF CUSTODY
LAKE
INFLUENT
C^
Other
COLLECTOR(S) : TOWELL
. s RG
ESTUARY
Lab Number
0929
Date Received:
7/20
00Time
Reccved :
0 AM
Received By
DS
Data Released :
AR
Date Reported:
2/29/2000
Estimated DOD Range: Station Location: POLLY RIWE HOG FARM
Seed: Cblvrinated: Remarks:
Station M Date Begin tyy/mm/dd) Datc End (yylmmldd) Time Been Ti. rindDepth - pM, p8. D8M Valor Type - A,11, L Composite-T, S.
8 Snmpk Type
PONDING IN FIELD 20000217 1550
BOD 310 110 m L
COD High 340 m /L
COD Low 335 m /L
Coliform: MF Fecal 31616 / IOOmI
Colifmm: M F Total 31504 /100m1
Coliform: tube Fecal 31615 / loom]
Coliform: Fecal SM 31673 / 100m1
Reskhw. Total 500 L
Volatile 505 m L
Fisted 510 L
Residue_ Sus 530 m L
Voladle 535 m L
Fixed 540 m L
H 403 units
Acidity to pH 4.5 436 m /L
Acidiryto H 8.3435 m /L
Alkalinity to pli 83 415 m L
Alkalinity to Ell 4.5 410 m /L
TOC 690 m L
Turbidity 76 NTU
Coliform Total Tube "/ 100 mis
COMMENTS
Chloride 940 m L
Chi a: Tri 32217 u L
Chi a: Corr 32209 u /L
Fheophytin a 32213 u L
Color True 80 Cu.
Color. H) 83 PH= C.U.
Color. pH 7.6 82 C.U.
Cyanide 720 L
Fluoride 951 !-
Formaldehyde 71980 m L
Grease and. Oils 556 L
Hardrsm Total9W oWL
Specific Cond. 95 umhos/cm2
MBAS 38260 nWL
Phenols 32730 u /L
Sulfate 945 m L
Sulfide 745 m L
Boron
Tannin & Li n u L
Hexavatent Chromium u L
X
NH3 a$N610
130
m /L
x
TKN an N 625
150
mg1L
X
NO2 plus NO3 as N 630
0.07
m L
•
P: Total as P 665
25
m L
AN as P 70507
m L
P: Dissolved as P 666
m /L
K-Potassium
L
Ca- Cadmium 1027
u L
Cr-Chromium:Total1034
u /L
Cu- Copper 1042
u L
Ni-NicW 1067
u /L
Pb- Lead 1051
u L
Zn- Zinc I092
u L
V-Vanadium
L
A Silver 1077
u /L
Al -Aluminum 1105
EEL
Be- Beryllium 1012
u L
Ca- Calcium 916
m L
Co. Cobalt 1037
u L
Fe- Iron 1045
u L
lli-Lithium 1132 u L
M Magmium 927 M&LL
Mn-Man nest 1055 u L
Na- Sodium 929 L
Arsenic -Total 1002 u L
Se -Selenium 1147 u L
HL, Mc=ry 71900 u L
Ba_Barium u
OfgaOXhlarine Pesticides
Organophosphonts Pesticides
Acid Herbicides
Base/Neutral&Acid Extractable Organics
TPH Diesel Ran
Purgzable(VOA book 'd
TPH Gasoline
TPH/BTEX Gasoline Ran
Phytoplankino

DIVISION OF ENVIRONMENTAL MANAGEMENT WATER ALI FIELD -LAB FORM (DMI)
COUNTY '—' %+v C PRIORITY AMPLE TYPE
RIVER BASIN_ N A-
REPORT•YO: ARO FRO MR aRO W1RO WSRO TS ❑AMBIENT ❑ STREAM EFFLUENT
Other
er ❑COMPLIANCE CHAIN ❑ LAKE ❑ INFLUENT
Other -
OF CUSTODY '
Shipped by: Bus Courfer�ther ❑ EMERGENCY ❑ ESTUARY
Z_
Seed: Yes ❑ Nor Chlorinated: Yes ❑ Ndl
Station # Date Begin
mow+`
P t" r ti r, a•L `"�,fJCJ
1 BOD5 310 mgA
21 1COD High 340 mg/I
Fnr lab H.. r1N1.V
Lab Number: J Dt
�7 �j
Date Received -al. l.1.9
Time: t
Rec'd b From: Bus -Court - and Del
DATA ENTRY BY: CK:
DATE REPORTED:
STATION LOCATION: 1 v
REMARKS: r � �+" t n SP rw F%r Q� Q
(yy/ram/dd) Time Begin Date End Time End Depth OM bB pBM Value Type Composite Sample
3
ICOD
Low 335 mg/1
4
Coliform: MF Fecal 31616 /100.1
5
Coliform: MF Total 31504 /100ml
6
Coliform: Tube Fecal 31615 /I00ml
7
Coliform: Fecal Strep 31673 /loom]
8
Residue: Total 500 mg/I
9
Volatile 505 mg/I
10
Fixed 510 mg/1
11
Residue: Suspended 530 mg/I
12
Volatile 535 mg/I
13
Fixed 540 mg/I
14
pH 403 units
15
Acidity to pit 4.5 436 mg/I
16
Acidity to pH 8.3 435 mg/I
17
Alkalinity to pH 9.3 415 mg/l
18
Alkalinity to pH 4.5 410 mg/I
19
TOC 680 mg/1
20
Turbidity 76 NTU
Chloride 940 mgA
Chi a: Trl 32217 ug/1
Chi a: Corr 32209 ug/I
Pheophytln a 32213 ug/1
Color: True 80 Pt -Co
Color:IpH ) 83 ADMI
Color. pH 7.6 82 ADMI
Cyanide 720 mg/1
Fluoride 951 mg/I
Formaldehyde 71880 mg/I
Grease and Oils 556 mg/1
Hardness Total900 mg/I
Specific Cond. 95 uMhos/cm2
MBAS 38260 mg/1
Phenols 32730 ug/I
Sulfate 945 -on
Sulfide 745 mg/l
NH3 as N 610 mgn
TKN as N 625 mg/]
NO2 plus NO3 as N 630 mgA
Total as P 665 mgA
PO4 as P 70507 mg/l
P: Dissolved as P 666 mg/l
Cd-Cadmium 1027 agA
CrChromium:Totaf 1034 USA
Ca -Copper I042 ug/l
NI -Nickel 1067 ugA
Pb-Lend 1051 ugA
Zn-Zinc 1092 USA
AW6ilver 1077 ag/I
AI -Aluminum 1105 ug/I
Be -Beryllium I012 noA
Ca -Calcium 916 mg/l
Co -Cobalt 1037 ngA
1=e-lrOn 1045 USA
Li -Lithium 1132
ugA
Mg -Magnesium 927
mg/I
Mn-Manganese 1055
ug/1
Na-Sodlum 929
mg/I
Arsenfc:Total 1002
ug/l
Se-Selenlum 1147
ug/i
Hg-Mercury 719W
ug/1
Organochlorine Pesticides
Organophosphorus Pesticides
I I Acid Herbicides
Base/ Neutral Extractable Organics J
Acid Extractable Organics
I I Purgeable Organics (VOA bottle reg'd) I
I I Phytoplankton I
Sampling Point %
Conductance at 25 C
Water Temperature 40
D.O. mgA
pH
Alkalinity
Acidity
Air Temperature 40
pH 83 pH 4.5
pH 4.5 pH 8.3
2
94
to
300 1&
400 To
82244 1431
82243 182242
20
Salinity 76
Precipitlon On/day)
Cloud Cove 7i
Wind Direction O7eg)
Stream Flow Severity
Turbidity Severity
Wind Velocity M/H 114ean
Stream Depth it
Stream Width fL
480
145
32
136
1351
1350
35
64
14
DMiAteAsed 10/96

27/16/2M 16:a1 2526233327 PAGE 61
b
,t
TO: BUSTER.
FROM: CR.EEKSIDE FARMS
POLLYRIDGE FARMS
(RICHARD C ANDERSON)
PAGES INCLUDING COVER SHEET S
PHONE NO: 252 823 4730
a

07/16/2032 16:41 2528233327
PAGE 02
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PAGE 03
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SAMPLE TYPE K_Predictive,) Diagnostic
., (circle one I see instructions)
m GROWER INFORMATION
�
Telepiane No.
fi►a�t' f' '�frj�_ - .-
(IYi-±--V ,QSinrej-.- .-/v.'r✓r - �.fXsr17
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Nortb Caton" Departanent of Agricultare and Consumer Services
Waste Advisory Section, Agronomic Division
4300 Reedy Creek Road
Ra#eiigfr, NC 27507-646S
Telephone No. ( } (Telephone No. (
(1A1'r OP'Mr) W'� I ([asr-NAW-)
CC�Y1 ( f t7J-� j (Ciro QM
All Agrannrnu. Division reports are accessible warhe- intermt ar bttpJfagronomy-aarstate. ric.ust
Farm ID Sampled by:
Lab Num Sample Waste Application
(Lan U9E) ID Code Sample Description I Comments Methods
Corresponding Sample ID
Soil Plant Solution lab Use
r
- _ I
HOW TO FILL DU£ THE INFORMATION SHEET
Sample •I}pe — Nedictive. is for a routine check of nutrient content plus interpretation and general recomrnendarions. Diagnostic is for special
assistance in crrLt,ing scrsp,-cted nutritional prublems. Specific interpreration and recorrinnendations are provided.
Grower Inforrnation — Print telephone nante, inachng address, county (sarnple ociginarion} and €ce informarion,
Farm UD — Provide farm identitication or location (no more than 16 lercefs).
Sample ID — Provide sample identification (no iaore than six digits or letters). Pis( the same iD on sample coatainem.
R'aste Code — Identify the type of waste in :lie sample by using codes (see back of information shrct)-
Sample Uescriptiou f Cornmentc — Provide additional descriptive infarTn aion, especialiy J a specific waste code is not idcribEed. Give a brief
statement of prutrlem or purpose Lrr sampling (necessary for diairostic samples).
Application Methods Seler:t one or two application methods €rorn rite list at the cigbt for estimation of nutrient availabrh ry.
Corresponding Sample II) — List the ID's of anY ntatclung s<5il, plant, anti solution samples submitted-
N
APPLICATION METHODS
BR= Waste broadc4SLUn soil sorface-and leti
uncovered for our weekot Lontrer
5I = Waste broadcast on soil Surface
and pLowed or disked into soil
within twv days
IN - Waste injected directly into the sail
and covered imnaediatety
III = Waste applied through urigation
system and left uncovered for one
week or longer

in
m
w
0
a
SAMPLE YPE t. Predict;v� Diagnostic I North Carolina Department of Agrictdture and Constuner Services
(circle one 1 see instructions) Waste Advisory Section, Agronomic Division
4300 Reedy Creek Road
GROWER INFORMATION Raleigb, NC 27607-W5
Teleptione No_ ) g 3- RSP
CONSULTANTS TO RECENT: AD1DMONAL COPIES
Telephone No. ) Telephone No-{ )
1c]If) f,d/+C./.:. `f5tirsej rl .1 [ZIY1 i/1' m (Mdrrss} [Aad�es
_ [Orr] ( ) tom) (CVY) (SMV) CAP)
PAI'ritL: . - _f1100 persaiirpk = : All Agrnrwrnic Division reports are accessihfe via the inm-met ar http:llagronomy.agr.slate.ne.usl
i4takechs to NCTIk & _
srC'� - - _' ( l =
Ecero
Na Samplrs PaS�nenl A� t P
Farm ID: Sampled by. A Z Date: 7I L5I0-0-
Lab Num Sample Waste Application Corresponding Sample ID
tucuw) iD Code Sample Descriptrou l Comments Methods Soil Plant Solution LabUsc
I I IA i I I t L
How TO DILL OUT THE INFORMATION SHEET
Sample T}pe — Pri.dictive is for a routine check of nutr'sentcoateat plus interpretation and general recommendations. Diagnostic is for special
assistance in solving suspected nutritional pmhlerns- Specific iawrpretatton and recommendations are, provided
Grower Information — Print telephone, narne, mailing address, county (sample origination) and tee inforrt]ation
Farm 11) — Provide farm iden(&calion or locaucin (no nrDle. than 16 letrers).
Sample ID Provide sample identification (no rrtoic than six digits or le[tets)_ Put the same ID on sample containers.
%Vaste Code — Identify the type of waste in the sample by using codes (see_ back of information .sheet)
Sample Description/ Comments — Provide additional desccipcive inforn]ation, especially if a specific waste ac]de i, not identified. Give a brief
statement of problem or purpose in sampling (necessary for diagnostic sarap[es).
4pplicarion Metirrxts -- Select one or two application methods from the list at the right far estimation of nutrient availability.
Gorrrsponding Sample ID — Li.si flit 1D's of any nmxt ii]tg soi€, plant, acid solution sample_S submietezi_
APPLICATION METtfODS
BR= Waste broadcascon soil surface and left
uncavered Far One week oc longer
SI = waste broadrasr on soil surface
and plowed or disked into sail
wi(hio two days
LN = Waste iajer-W dLmctty into the soil
and covered 6ncnediarely
LR = Waste applied through irrigation
system and left wtcavered For one
wrek or longer

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
Mr. Richard C. Anderson
Polly Ridge Farms, Inc.
Route 2, Box 166 ,
Tarboro, NC 27886
Dear Mr. Anderson:
4
M-64 RE
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND N.aruRAL RESOURCES
November 22, 2000
Remission Request
Polly Ridge Farm
Farm # 33-61
Edgecombe County
File #DV 00-024
This letter is to acknowledge receipt of your request for remission of the civil penalty
levied against the subject facility. This request will be reviewed at the next scheduled conference
on December 6, 2000, and you will be notified about the Division's decision concerning
remission.
If you have any questions, please call me at [phone], ext. 539.
Sincerely,
Steve Lewis
Non -Discharge Compliance & Enforcement
cc: Ken Schuster, Raleigh Regional Supervisor w/attachment
Met- owel , RRO w/attachment
Central Files w/attachment
File # DV 00-024 w/attachment
,hailing Address: Telephone (9I9) 733-5083
1617 Mail Service Center Fax [phone]
Raleigh, North Carolina 27699-1617 State Courier #52-01-01
An Equal Opportunill•/Affirnrative Action Employer
50% recycled / 10% post -consumer paper
http: //h2o. etir.state. zzc. us
Location:
512 N. Salisbury St.
Raleigh, NC 27699-16.17

J
STATE OF NORTH CAROLINA
COUNTY OF EDGECOM13E
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
PERMIT NO.
ENVIRONMENTAL MANAGEMENT
COMMISSION
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO. DV 00-024
Having been assessed civil penalties totaling t V o 6b for
violation(s) as set forth in the assessment document of the Director of the Division of Water Quality
dated, 0k�- douC) , the undersigned, desiring to seek remission of the civil
penalties, does hereby waive the right to an administrative hearing in the above -stated matter and
does stipulate that the facts are as alleged in the assessment document.
This the q-Lh day of move .U,6 r , 20 od .
ADDRESS
SIGNATURE
C 1u'Cecg
TELEPHONE

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
Mr. Richard C. Anderson
Polly Ridge Farms, Inc.
Route 2, Box 166
Tarboro, NC 27886
Dear Mr. Anderson:
NCDENR
NORTH CARO4INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
January 26, 2001
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RE: Request for Remission of Civil Penalty
Polly Ridge Farms, Inc.
Farm #33-61
Edgecombe County
File No. DV 00-024
In accordance with North Carolina General Statute 143-215.6A(f), I considered the
information you submitted in support of your request for remission and did not find grounds to
modify the civil penalty assessment of S3,269-90.
There are two options available to you. You may pay the civil penalty assessment or you may
present your request for remission to the Committee on Civil Penalty Remissions of the
Environmental Managm ement Commission. If you choose to pay the penalty, please make your check
payable to the Department of Environment and Natural Resources and reference the case number.
Send payment within 30 days of your receipt of this letter to the attention of:
Mr. Steve Lewis
NCDENR
DWQ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Alailing Address: Telephone [phone]
1617 Mail Service Center Fax [phone]
Raleigh. North Carolina 27699-1617 State Courier #52-0 1 -0 1
An Equal Opportunity /Affirmative Action Employer
50% recYcled / 10% post -consumer paper
hap://112o.enr.srate.nc. its
Location:
512 N. Salisbury St.
Raleigh, NC 27699-1617

You also have the, option of presenting your request to the Committee on Civil Penalty
Remissions, which is comprised of members of the Environmental Management Commission. You
may present your request for remission to the committee and a representative from the Division of
Water Quality will present the case against remission. The Committee on Civil Penalty Remissions
will render a final and binding decision in accordance with NCGS 143B-282. I (c).
If you would like to present your request for remission to the Committee on Civil Penalty
Remissions, please notify Steve Lewis at the above address within 30 calendar days. The next
scheduled committee meeting is in Raleigh on March 8, 2001. If you are unable to attend on this
date, your request will be scheduled for a meeting at a future date.
Thank you for your attention to this matter. If you would Iike a receipt that your check or
request for remission was received, please send it via certified mail. Please feel free to contact Steve
Lewis at.[phone], extension 539, if you have any questions.
Sincerely,
Kerr T. Stevens
cc: Ken Schuster, Raleigh Regional Supervisor
usterrelTioruell, RRO
File # DV 00-024
Central Files
Mailing Address: Telephone [phone]
I617 Flail Service Center Fax [phone]
Raleigh, North Carolina 27699-1617 State Courier #52-0I-01
An Equal Opportunity /Affirmative Action Employer
5017r recycled / 1017r post -consumer paper
hnp:11712o.enr.state.nc.us
.Location:
512 N. Salisbury St.
Raleigh, NC 27699-1617

DIVISION OF WATER QuMATY p jOi
' Chnniel- t.nilnralary Nrporl 7 l{a1rr 0—lily a
W� SAINPJ-F7}'.PT
11Ii )GFCONITIL PRFO I.rY 1 r��y1
HIVE itIt%SIN: ANWIFN1' QA SiREAhit� 2JEFF1. .NT'1
HEF'tiRi'I [1 KR[1 Regional Office COAIf'E.IAitil'F C'IL11N []F CUSTUp1' I hAIiE l•.� E�INFLU Nr s
nrh,r I:R1Flu.i'NC'1 VISI1 Ili I ❑ ISIUAR)A `
Lab Number
1 W 1683
Dale Received:
3/2/2001
Time Received:
2:15 PM
Received By
H
s � la
Dafaf
�
AR
r ., :
4/30/2001
L.hnuh'd 11011 Ranxr: Srauuu t.-miun-. PLA.IS RIDGE COC
Seed: Chlorivaled: Rrnurrkc
Stan." a Dale Regin (>yhrrraldrq Uare find (ryfu-,/dd) Time Begin Time !ud Ueplh • BNL BB, VBPT Value Type - A, 11, L Crimposite-T, S, B 1 Sample Type
20010302 1 0930
110I)310 1ng-L
COIF high 340 mg L
Cl ll f I ot, 335 nig I.
t_o1ilr+111' 1,11' 1,%A 3106 :"10llml
Culilnnn: N117 lotel 31504 /1001ri1
colilot In: lubc I'c•Cal 31615 :'IWn11
Coli!iarn. Fccal Sirep 31673 %100ml
PcSiduC: Moral 50 mg.:L
Volatile 51!9 mg'I.
Fisrd Sit! nlg•I
Itryidw:: \Uslx'nd+'d 3311 mr. I
V,dalily 515 n1g, L
kxc,l 5411 sn , I.
gl t dui units
Al Ii Iirr to pH S : Or, art; I
Acidity Io PI I F.3 135 m • L
Alkalinity in PH 8 3 4I5 mg:L
Alkalinity to 114.5 -s 10 nl - L
[ tC 6.40 mg ' L
I ulbidiiv 76 N TU
Cohlnl rn I wal l ul,c "!Use) Mid
(-(t?f?IKYIs
Chloride 940 mg; L
Chi a: 1 ri 32217 ug- I.
Chi a. Carr 322(N ug- I_
Phcu Irvlin a 32713 u :L
Color: -I-nic 80 c.u.
Color:! II ) 83 P11= C.u.
Caton, pi17,6 82 C.U.
Cyanide 726 In /L
Fluoridc951 m %I.
For rnaldvh%de 7 1850 m ,/I_
[ ireau and ()il< 536 n1 ^ L
Ilardn11s Iulal M) n1R%t.
S x-cificCum, 95 umhu5/cm2
itil ISA$ 3926U mF']-
I'hrnnit 32730 lig I
S51H31e 945 rog- L
Sullidc 745 nr /L
Boron
annin & Li^-nin ug: L
HeaavaleniChromium u IL
X
NE13asN61D
5.8
m /L
X
TKN an N 625
11
m /L
X
NU2 plus NO3 as N 630
<0.5
m /L
X
P:'I'mal as P 665
8.5
m /L
PO4 as 1' 70507
mg/ L
P: Dissolved as P 666
m / L
K-Potassium
m /L
Cd- Cadmium 1027
u /L
Cr-Chromium:Total 1034
u /L
Cu-Co ter 1042
u /I-
Ni-Nickcl 1067
u /L
M Lead 1051
u /L
7.n• Zinc 1092
u /L
V-Vanadium
u /L
A •- Silver 1077
u , L
AI -Aluminum 1103
u 'L
Be - Be 'llium 1012
u /L
Ca- Calcium 9 16 .
m /L
Co -Cobol 1037
u /L
Fe -Iron 1045
u /L
Li -Lithium 1132 u L
Ai - Magnesium 927 m L
Ma -Man nac 1055 u /L
Na- Sodium 929 m L
Arsenic.Tota11002 u L
Se -Selenium 1147 u L
H - MCrCUFY 71900 u L
Ba_Barium u L
Organochlorine Pesticide
Orgartuphosphorus Pesticides
Acid Herbicides
Base/Neutral&Acid Extractable Organics
TPH diesel Ran
Pui-geable Organics (VOA bottle re 'd)
TPH Gasoline Ran
TPH/BTEX Gasoline Range
Ph lankton

DIVISION OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
COCINTY PRIORITY
RIVER BASIN
REPORT TO: ARO FRO MR RRO WaRO WIRO WSRO TS ❑AMBIENT ❑ QA
AT BM
Other ❑COMPLIANCE CJ<HAIN
OF CUSTODY
Shipped by; Bus Courier, taff Other ❑E.MERGENCY
COLLECTOR(.S):� L1^f 52
/
STATION LOCATION: V
Estimated BOD Range: 0-5/5-25/25.65/40-130 or 100 plus - /
Seed: Yes ❑ No ❑ Chlorinated: Yes ❑ No ❑ REMARKS:
SlatlOn t7 Uate 8eg1n (yy/mm/dd) Time Begin Date End
Cf�1>
1
HOUS 3i0 mg/l
COD High 340 mg/1
2
3
COD Tow 335 mg/1
COIIFOrm: MF Fecal 31616 /100ml
4
Colllorm: MF Total 31504 /100ml
(�
COIIfOrm: Tube Fecal 31615 /100ml
7
f
Colllorm: Decal Strep 31673� /100ml
H
Residue: Total 50O n1g/1
J t)
----- Volatile 505 mg/I
--Fixed Si0 mg/I
{ I
- ----
Itesldue: Suspended 5.,I - �m!r/I
1_2_
-
- —Volatile 535 — mg/I
1,1
�
Fixed 540 mg/I
-----------
lA
PH 403 units
Acidity to pH 4.5 436 (ng/I
15
Acidity to PH 8.3 435 mg/I
16
17
Alkalinity to pH 8.3 415 mg/1
18
Alkalinity to pit 4.5 410 mg/I
19
TOC 680 mg/I
20
Turbidity 76 NTU
SAMPLE TYPE
❑ STREAM
❑ LAKE
❑ ESTUARY
j
T !Z V
EFFLUENT
❑ INFLUENT
Fnr I -.h nee r%N1 V
Lab Number:
Date Received:4 Tlme:
Rec'd by: From: Bus -Courier nd Del
DATA ENTRYBY: CK:
DATE REPORTED:
k.e ZI.
Time End Depth DM DB DBM Value Type
A H L
Chloride 940 mg/I
Chi a: Trl 32217 ug/1
Ch1 a: Corr 32209 ug/I
Pheophytin a 32213 ug/1
Color: True 80 Pt -Co
Color:(pll 1 R3 ADMI
Color: Of 7.6 82 ADMI
Cyanide 720 _ mg/1
Fluoride 951 mg/I
Formaldehyde 71880 mg/I
(lrense and ()11ti !'.St;---� mg/I
Hardness Total900 mg/I
Specific Cond. 95 uMhos/cm2
MBAS 38260 mg/I
Phenols 32730 u9/1
Sulfate 945 mg/1
Sulfide 745 mg/I
N}13 as N 610 mg/I
TKN as N 625 mg/1
N?3,PhLs NO3 as N 630 mail
Total as P 665 mg/I
1104 as P 70507 mg/I
P: Dissolved as P 666 mg/I
Cd-Cadmlurn 1027 ugh
CrChrundum:Tota11034 ugA
Cu-Cupixr 1042 ug/1
NI-Nlckcl 1067 rrg/I
Pb-Lead 1051 �ug/I
Zn-Zinc 1092 ug/I
Ag-Silver 1077 ug/I
AI -Aluminum 1105 ug/I
Be-Berylltum I012 USA
Ca-Calclum 916 Mail
Co -Cobalt 1037 ug/I
Fe -Iron 1045 ug/I
mposile Sample Type
T S B C G GNXX
LI-Lithium 1132 ug/1
Mg Magnesium 927 mg/I
Mn-Manganese 1055 ug/I
Na-Sodfum 929 mg/1
Arsenic -Total 1002 ug/I
Se-Selenlum 1147 ug/I
fig -Mercury 71900 ug/t
Organochlorine Pestkldes
Organophospliorus Pesticides
Acid Ilerb}ckles
Base/ Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle reg'd)
Phytoplankton
Sampling Point
Conductance at 25 C
Water Temperature @0i
U.O. mail
pl1
Alkalinity
Acidity
Air Temperature 40
PH 8.3 pli 4.5
pH 4.5 pH 8.3
2
94
1(}
300 �L-
Cloud Cover %
400 •
82244 431
82243 J8224.2
20 _
Salinity %
Precipition (In/day)
Wind Direction (Deal
Stream Flow Severity
Turbidity Severity
Wind Velocity M/11
Mean Stream Depth It.
Stream Width ft.
480
45
132
136 01
1135!
1350
135
64
14
1 CJ
/Revised

DIVISION OF IYATER QUAIATY ✓ 0 +` p�
Chemistry Labnrxinry Repurt I Rater Quality C> •� O Cia
0 SAMMEAYll-
Cutltill' LI)GLCOMBEi PRIORLY. yj 1
RIVER BASIN : 0 AMSIEN'C EJOA S'CREAIs! r X, EFF1JUfN'C
HF:PORI ']O RRO Regional Office COMPLIANCE CHAINOFCUSTODY- ❑ LAKE .;INFLUENT �
Other EMERGENCY VISIT ID ESTUARY 1 ''
- j�
('UI,I,E:CIt1R1S1 : 10WELL
Lab Number
1 W 1678
Date Received:
3/2/2001
Time Received:
2:15 PM
Received By
HMW
�
:
s I 1/0Data�Celmsod
A
Date Reported:
4/30/2001
E.limalyd 11017 Bauer: Slatinn 1-uralinn: SACK GROUND PULLY RIDGE
Srrd: Chlurinaled:. Remarks:
Slatinn 9 Date Beein (yy/mmfdd) Date End lyylrnrnldd) Time Begin Time End I Depth - D51. DB, DBM Value Type - A, 11, L Composite-T, S, B Sample Type
RD(A I CI [ 20010302 0850 1 1 1 1 =1
BOR 310 mg'L
C011 High 340 nip 1.
illy, L
--
l'u4ilnrnr h1F Icral 31n1h � Ilahnl
Colilinm: MY Total 31504 ; 100m1
Cnliform: tube Fecal 31615 /100ml
Coliform:Fecal Suc 31673 /100m1
Residue: -fatal 500 mg- L
Volatile 505 mg `L
Lixcd 510 mg,'L
Rc,idnr 1,11•cndri5L0 m; 1,
Val.nilv-535 111 !L
Fixed 540 m 'L
1�l1 d03 unit%
Arnbls w VI I, 431• mg 1.
Acidity to pll S.3135 mg'L
ARaliniirtopllS-1413 mg-'L
Alkaliniiv to pli 4,5 410 mg, L
I OC 680 m I L
I urbidity 76 NI U
Cali form Total Tube "/100 MIS
('t)}rkWN Is
C71110ride940 m /L
Chl a: 11i 3221
PIL,o 1hy1111 a 32213 11'1L
Color: I we Stl C.U.
Color: (pit) 93 P11= C.u.
Color. pil 7.6 62 C.u.
Cvanide 720 ru /L
Fluoride 951 mg%L
Formaldehyde 71SFU nl %L
f urasc and Oils 55n [lip. 'I .
laldncss Iutal 90U ut ;'I.
Specific Cond. 95 umhos/Cm2
AIBAS 392W
PlscnOs 127,311 uk I -
Sulfate 945 m -'L
Sulfide 745 m %L
Boron
Tannin & Li nin u %L
HexayalentCluamium u /L
X
N113asN610
0.83
m L
TKN an N 623
<1.0
m /L
Y
NO2 plus NO3 as N 630
<0.5
m /L
x
I','fotal as 1' 665
<0.5
mg/ L
PO4 as P 70501
TELL
P: Dissolved as P 666
mglL
K-Potassium
mg1L
Cd- Cadmium 1027
u L
Cr-Chromium-Total 1034
u /L
Cu- Copper 1042
u L
Ni-Nickrl 1067
u /L
Pb- Lead 1051
u /L
Zn- Zinc 1092
u /L
V-Vanadium
u /L
At- Silrer 1077
u L
AI -Aluminum 1105
u :L
Be- Bervilium 1012
a 'L
Ca- Calcium 916
m /L
Co- Cobalt 1037
u /L
Fc- Iron 1045
u /L
Li -Lithium 1132 u L
Mg- Magnesium 927 m /L
Mn-ManRancsc 1055 11A.
Na- Sodium 929 m /L
Arunic:Total1002 /L
Se- Selenium 1147 u /L
H - Mercury 71900 u L
Ba Barium u L
rmthlorinc Pesticides
Otganophosphorus Pesticides
Acid Herbicides
Rase/Neutral&Acid Extractable Or inics
1 NI Di=1 Range
Purgeable Organics(VOA bottle 'd)
TPH Gasoline Range
TPH/BTEX Gasoline kang
Phytoplankton

D1V1S1�N OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1) For LablIse ONLY
CaUNTY s Lab Number:
— 7 1 LSy Date Received PRIORITY SAMPLE TYPE � q�qTime;/1
RIVER BASIN �� i t�
REPORT TO; ARO FRO MR0,kj0 aR0 WiRO WSRO TS ❑AMBIENT ❑ Qp ❑ STREAM EFFLUENT Rec'd by: From: Bus-Courie an
Other
er ❑COMPLIANCE CHAIN ❑ LAKE ❑ INFLUENT DATA ENTRY BY: CK:
Other {j��j OF CUSTODY
Shipped by: Bus Courle taf Other LJEMERGENCV ❑ESTUARY C) � DATE REPORTED:
COLLECTOR(S): /v/ f0 JI
STATION LOCATION; v V ,I �� re t Ct
Estimated BOD Range: 0 5/5 25/ /40-130 or I00 plus`, —
Seed: Yen ❑ Nt, REMARKS: e L7 r''//
N Chlorinaledc Yes _ __�/, -__. _
St on tJ
D o,
Begin (yy/mm/dd) Time Begin I Date End
1cz-
U
1
BOD5 310 mg/1
COD High 340 mg/1
,l
3
COD Low 335 mg/1
4
CaHform: MF Fecal 31616 0100ml
5
COIIIOrm: MF Total 31504 /100m1
6
Colllorm: Tube Fecal 31615 /100ml
7
Colilorm: Fecal Sirep 31673 /100mi
y 8
Residue: Total 500 mg/I
9
Volatile 505 mg/I
IQ
Fixed 510 mg/I
I 1
Residue: Suspended 530 _ 11+4/1
._ 1-2
- Volatile 535 - mg/l
13
Fixed 540 mg/I
14
pH 403 - - -- units
^_ 15
Acidity to pH 4.5 436 mg/I
16
Acidity to plf 8.3 435 mg/1
17
Alkalinity to pH 8.3 415 mg/1
18
Alkalinity to pit 4.5 410 mg/I
1 t)
TOC 680 mg/I
20
Turbidity 76 NTU
Time End Depth DAI DB DBM Value Type
A H L
Chloride 940 mg/1
Chi a: TO 32217 ug/1
Chi a: Corr 32209 ug/1
Pheophytln a 32213 ug/I
Color. True 80 - Pt -Co
Color.(Pil� J 83 ADMI
Color: pH 7-6 82 ADM]
Cyanide 720 mg/1
Fluoride 951 mg/I
Formaldehyde 71880 mg/1
Grease and Oils 556 mg/l
Ifardness TOtal900 mg/I
Specific Cond. 95 uMhos/cm2
MBAS 38260 mg/I
Phenols 32730 ug/I
Sulfate 945 mgA
Sulfide 745 mg/I
NH3 N 610 mg/1
K as N 625 mg/I
NO as NO3 as N 630 mgA
P: Total as P 665 mg/1
1'04 as P 70507 mg/I
P: Dissolved as P 666 mgA
CdCadmlum 1027 ugA
Cr-Chrondum-Total1034 ugA
Cu-Copper1042 ug/1
NI -Nickel 1061 ug/1
Pb-Lead 1051 ug/1
Zn-Zinc 1092 ug/l
Ag-Silver 1077 ug/I
AI -Aluminum 1105 ug/1
Be-Berylllum 1012 ug/I
Ca -Calcium 916 mg/1
Co -Cobalt 1037 ug/I
Fe -Iron I045 ug/I
T 5 B C G
NXx
LI-Lithium 1132
ug/I
Mg -Magnesium 927
mg/I
Mn-Manganese 1055
ug/I
Na-Sodium 929
mg/I
Arsenic -.Total 1002
ug/I
Se -Selenium 1147
ug/1
Hg-Mercury 71900
ug/I
Organochlorine Pesticides
Organophosphorus Pesticides
( I Acid I lerbkldes I
II Base/ Neutral Extractable Organics i
Acld Extractable Organics
I I Purgeable Organics (VOA bottle reg'd)
Phytoplankton I
Sampling Point %
Conductance at 25 C
Water Temperature (C)
U.O. mg/1
pH
Alkalinity
Acidity
Air Temperature (0
PH 8.3 PH 4.5
pli 4.5 PH 8.3
2
94
10
300 1. _
400 a
82244 1431
82243 182242
20
Salinity %
Precipition Ort/day)
Cloud Cover %
Wind Direction ()eg)
Stream Flow Severity
Turbidity Severitg
11350
W End Velocity M/H
can Stream Depth ft.
Stream Width IL
4 0
45
132
136
11351
35
64
4
nrA I In —A —A I WRA.

DIVISION OF WATER QUALITY
Chemiw) I.aburalon Report 11%ater Qualify
NV 5AMME-iYPE
('(II�N 11' EDGECOAIRE
I'RIOR11Y
RIVER [JASIN :
AMBIENT F--] QA
❑ STREAM
.❑ EFFLUENT
REPORT" 10 RRU Regional Office
COMPLIANCE .� CIiAIN OF CUSTODY
� LAKE
� INFLUENT
Other : -
EMERGENCY VI51-FID
ESTUARY
COOL F.CTOR4S1 101VE 1.1.
Lab Number :
1 W 1682
Date Received:
3/2/2001
Time Received;
2:15 PM
Received By
HM
Data RlReascd :
s r �a
AR
Date Reported:
4/30/2001
tm; alyd HOD Raugr: Sratinu Luratiun: FIlil.l) I WA11iRWAY
S—J: r'hlm inw& Remarks:
Sl atinn x hate Begin 4+rlmmrdd) [late End 43 y1mmlddl '1 imr lupin '1 ime End lyeplh - PM, DB, UBM Value Type - A, 11, L Compesile-T, S. B Sample Type
2001030' O'130
Ito 117 310 mg!L
L'011 I liglr 340 rnr I.
L't III 1— 335 mv.. I,
Cohlorm: MF Fecal 31616 /100m1
Coliform: htF Iota131504 /100ml
Coliform: tube Fecal 31615 /100nit
Coliform: Fecal Strep 31673 i 100MI
Residue:`€otal 50o mg/! -
Volatile 505 m 'L
Fixed 310 m : L
RCSOUC; Susq+endCd 5M in !L
VA'Ilde 335 nu • 1.
Fixed 5-10 Ing L
I'll 403 units
,l ri,tili Ii ;,it 4 ) 47t; t1q, 1-
Aiidin tL) d13.34t5 mg'L
AIkaIi6ty to plB S.3 415 mg- L
,Ukalinils to pH 4.5 410 mg,L
[ `C nX11 mg %l-
€mhidits lrt N €U
u_nldrnm Iu1.11l111z•-:'IIX? [ills
('I)NIN1l:\1�:
Chloride 940 mg/1-
Chl a' I I 32217 ug'I.
Chl .u: ('nlr 322tN a +r 1.
Pflco hv[in a 12213 u %L
Color: True 80 C.U.
Cotoc 401 ) 83 Ell= C.U.
Color: p€I 7.6 62 C.u.
Cvanide 720 m /L
Fluoride 931 m /L
Formaldehede 71830 m /L
Greasc and Oils 556 m / L
11arduess I oiat goo n1/ 1.
Sperilic Cond. 95 u111hus/cm2
N1RAS 38260 mg/L
I'hrnols 327311 lig L
Sullale 945 In : L
Sulfide 745 m ,'L
Boron
l annin & Li nin u /I.
I fexivalent ChIC)PIkill .
7-1
x
N113,'sN610
a0.5
m /L
x
4KN an N 625
1.4
m /L
x
NO2 plus NOS as N 630
5.7
m /1-
X
P: Total as P 665
1.2
m /L
PO4 as P 70507
mg1L
P: Dissolved as P 666
m /L
K-Potassium
m L
Cd- Cadmium 1027
u L
Cr-Chromium:Tcta11034
u L
Cu-Co r 1042
u /L
Ni-Nickel1067
u /L
l'b- Lead 1051
u /L
Zn- Zinc 1092
u /L
V•Vanadium
u /L
Ag-Sihvi 1077 '
u /L
AI- Aluminum I105
u i L
Bc Benllium f012
u /L
Ca- Calcium 916
m /L
Co -Cobalt 1037
u /L
Fe- Iron ID45
u /L
Li -Lithium 1132 u L
M • Magnesium 927 m L
Mn-Man nose 1055 u /L
Na- Sodium 929 m L
ArsenicTotal1002 ug/L
Se- Selenium 1141 L
H - Mercury 71900 u L
Ba_Barium u /L
Oritanuchlorine Pesticides
Organopho3phorus Pesticides
Arid Herbicides
Base/Neutral&Acid Extractable O Hies
TPH Diesel Range
PurFable Organics (VOA bottle re 'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Ph lanhlon

U11�S1(:*1..OF ENVIRONMENTAL MANAGEMENT WATER QUALITY
FIELD -LAB FORM (DMI)
-
L� '.�Vc,�^ry j?—
COUNTY
—
PRIORITY
SAMPLE TYPE
-
RIVL'R BASIN
REPORT TO:
� � n
J" ap`
AHO 12110 MR(CRR aR0 WiRO WSRO TS
❑Ab[EIIENT ❑ Q
El STREAM
EFFLUENT
I
AT iM
AT
❑COMPLIANCE
❑
❑
CHAIN
LAK1i
INFLUENT
F... 1 .h 11.. nNI V
Ls<b Number:
Date Receive Time:
10
Rec'd by: From: Bus-Courle an
DATA ENTRY BY.: CK:
—.---._....� _. OF CUSTODY -- -�-- —
Shipped by: Bus Cnurke talc Other J ❑ EMERGENCY ❑ ESTUARY DATE REPORTED-
Other
Z�: j ] I
Estimated BOD Range: 0-5/5-25/ 5/40 130 or 100 plus STAT OCATION;
Seed: Yes ❑ No Chlorinated: Yes ❑ Nu REMARKS:
'cam- a
Station Date Begin (yy/mm/dd) Time Begin pate End Time End Depth DM DB DBM Value Type Composite Sample
n v Z " I t / A H L T S B C G GNXX —
1
DODS 310
COD High 340
2
335
3
ico6yow
_ 4
Collform: MF Fecal 31616
Colliorm: MF'Total 31504
U
C++liform: Tube Fecal 31615
7
Colliorm: Fecal Strep 31673
Residue: Total 500
8
9
Volatile 505
1_0
Fixed 510
.. 1 1
----
1(esfrLi e: Suspended 530 —
- -------'-
--_--Volatile
1-2
535
13
I'I
1-11 403 - -- - --- - - -
1 J
Acidity to pit 4.5 436
16
Acidity to pH 8.3 435
17
Alkalinity to pH 8.3 415
Alkalinity to pit 4.5 410
tO
TOC 680Turbidity
76
mg/1
mg/!
/100ml
/100ml
/ina... r
mg/I
mg/1
Chloride 440
N}1 as N 610 mg/I
as N 625 mg/l
30N
170
NO lus NO3 as N 630 mg/1
P: Total as P 665 mg/1
PO4 as P 70507 mg/l
P: Dissnlved as P 666 mg/I
CdCadmium 1027 ugA
Cr-Chromium:Total1034 ugA
Cu- Copper 1042 USA
NI-Nlckul 1067 ug/l
Pb-Lead 1051 ug/l
7.n-Zinc 1092 110/1
AS -Silver 1077 ug/1
AI-A)uminum 1105 ug/I
BByllu102 ug/Im
Ca-Calclum 916 mg/I
Co-Coball 1037 ug/l
Fe -Iron 1045 ug/I
LI-Lithium 1132 USA
Mg -Magnesium 927 mg/l
Mn-Manganese 1055 ug/I
Na-Sodium 929 mg/I
Arsenic:Total 1002 ug/I
Se -Selenium 1147 ug/I
Hg-Mercury 71900 USA
Organochlorine Pesticides
Oiganophosphorus Pesticides
Acid I lerbickles
Rase/ Nrulrnl Exlractnblr Organics
Add Extractable Organics
Purgeable Organics (VOA bottle reg'd)
Phytoplankton
Sampling Point %
Conductance at 25 C
Water Temperature (C)
D.O. mg/I
pH
Alkalinity
Acidity
Air Temperature (C)
pit 8.3 pli 4.5
pti 4.5 pH 8.3
2
94
10
300 .
400
82244 431
82243 182242
20
Salinity
Precipition On/day)
Clbud Cover R
Wind Direction (peg)
Stream Flow Severity
Turbidity Severity
Wind Velocity M/H
Mean Stream Depth It.
Stream Width ft.
480
45
32
36
1351
1350
35
64
4
rFAL

DIVISION OIL N-ATF11 QUALITY
( lrrnflalr) I.nhnrurnrr Itrlrm I I Walrr t)uallly
0 SAMPLE EXIT
t'utr111' -- P:Ix;P.CUn[1t1':
PRIORITY
R I%1:lt R%SINc
AMBIENT QA
STREAM
EFFLUENT
REI'6R1 -10 RRO Rcgionai Office
COMPLIANCE: Kj CIIAIN OF CUSTODY
LAKE
INFLUENT
t 11— : -
EMERGENCY V[Slr ID
Ej ESTUARY
rul,l-I:Clnitl S] 1OWEl.l.
_
]0
Lah Number
1 W 1687
I late Rcxelved :
3/ 2/2001
rime Received:
2:0 PM
Received By
H W
7atd'Re[eased :
AR
Date Reported:
4/30/2001
E,limmc-1 110111tanpr: Station Location! PULLY RIDGE MIDDLE F-2
S—d: Chlarinarrdc Remarks:
Station a Date Begin (y�fmmldd) Dale End (371mmfdd) lime Begin Time End Depth - D\I, DB, DBAI Value Type - A, H, L Composite-T, S. B Sample Type
20010302 1 1 Ills
11E1031D
52
mg,L
CUE 1 1 Eigh 3 Id
mg [.
(. 11) 1 m, 335
"IF. I
.\
Gililol ns: Ml' l tv-11 31616
63
! Illtlnd
Cobfurm: NIF -I ota131504
: IDoml
Colifulm: tube Fecal 31615
:"IMA
Culiform: Fecal Sliep 31673
/ loom]
Residue'rotal Soo
mg,'L
Volatile 505
mq'L
Fixed 310
m •L
11,idur: tiuc ,cnded 5311
111g' I.
Vol tlllc 535
Irl "1.
Fiwd 5,30
Ing 'I.
_
Idl SII�
7.8
unils
Al bin
•, I
A odes to 'II 8.3,133
Ing 1.
AlkAinm toI'll S 3 415
Ing L
%JL. lmity to 1,11 1.5 .HIl
nlg [.
I oc 6so
nlg'I.
Iurbidity 76
N1 U
Coliform retallubc
`iE00rills
("1)N}I1:N1 ti:
Chloride 940 m /L
Chl a1 ri 32217 of:; I.
Chl a: Carr 322(" a 'I.
Theo hylina32213 U /1.
Color- True So C.U.
Colas: (ll ) 83 pll= c_u,
Color- H 7.6 82 c.u.
Cyanide 720 m /L
Fluoride 9i1 m i L
Formaldehyde 71880 m /L
Grease and Oils 556 rn /1.
llardru•s5 Io1ut911D nl /l.
ti ifrc Cond, 95 umhos/cm2
n1 B AL, 382M n1 ;/I.
Phrur-1. 327311 lig I,
Sullaw 945 nl /L
Sulfide 745 mg- L
flown
1 artnin & Li nin a 'L
Hcsas'a]enl Chromium u i L
X
NH3 asN610
0.60
m /L
X
IKNanN623
5.1
m /L
x
NO2 plus NO3 as N 630
22
m /L
X
P: Tblal as P 663
1.2
m /L
PO4 as P 7D507
MFVL
P: Dissolved as P 666
m L
K-Potassium
m L
Cd- Cadmium 1027
u /L
Cr-Chromium:Tota11034
u /L
Cu-Ca r ID42
u /L
Ni-Nickel 1067
u /L
i'b.LcadID5t
u /L
Zn- 7_inc 1092
u /L
V-Vanadium
u I.
A ;. Silccl 1077
It •rl.
Al- Aluminum 1105
uF.IL
Re-flen3hum 1012
u /L
Ca- Calcium 916
m /L
Co- Cobah 1037
u /L
Fc• iron 1045
u /L
Li -Lithium 1132 ugfL
hi - Magnesium 927 L
Mn•Man nose 1055 u /L
Na- Sodium 929 m L
Arstnic.Tota11002 u L
Se. Selenium 1147 u L
H - Mercury 71900 u L
Ba_Barium u L
Or nochlarine Pestiades
0irgaricipbosphorus Pesticides
Acid Herbicides
Rase/NCulral&Acid Extractable Organics
1191 1licscl Range
PUTgcabIc Organics (VOA bottle 'd)
1P11 Gasoline Ran
TPH/B1 EX Gasolirrc Range
Ph to lankton

DIVIS]gAp OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
COUNTY PRIORITY
RIVER BASIN ❑AMBIENT ❑ Qp
REPORT TO: ARO FRO MR RRO aRO WIRO W$RO TS
OtheerrAT ❑COMPLIANCE CHAIN
Other
OF CUSTODY
Shipped by: Bus Courier, Ot/her ❑EMERGENCY
COLLECTOR(S): V G✓ /
STATION LOCATION:
Estimated SOD Range: 0-5/5.25/ 5 �5/40 j�0 or 100 plus
Seed: Yes ❑ No El Chlorinated: Yes C] No ❑ REMARKS:
Station i/ Date Begin (yy/mm/dd] Time Begin Date End
1
BODS 310 mg/I
COD Hig 40 mg/I
2
3
-- Law 335 Fri g/1
4
Cnllform: MF Fecal 31616 /loom,
5
CnlHnrm: All' Tidal :11SO4---- - -- /tWhrll
1i
Calllorm: Tube Fecal 31615 /100m1
C1111140rnl: FOCal Slrpp 31673---/100oll
7
—
S
Residue: Total 500--^
mg/I
9
Volatile 505 mg/t
10
Fixed 510 mg/I
1 I
Residue: Suspended 530 mg/I
12
Volatile 535 mg/I
13
Fixed 540 mg/I
14
pH 403 units
15
Acidity to pH 4.5 436 mg/I
16
Acidity to pH 8.3 435 mg/l
17
Alkalinity to pH 8.3 4I5 mg/l
418
Alkalinity to pit 4.5 410 mg/1
19
TOC 6 10 mg/l
Turbidity 76 NTU
SAMPLE TYPE
❑ STREAM EFFLUENT
❑ LAKE ❑ INFLUENT
❑ ESTUARY
�z.drX /,.-,-ll 0//4
Time EndiDepth DM DB DBM IVa
Chloride 940 mg/I
Chi a: Tri 32217 llg/i
Chl a: Corr 32209 ug/1
--
11heophytin a 32213 ug/I
Culul: True 80
Colorapfl� ) 83 ADMI
C' 10r: 1,11 7,6 82 —� Alfbfl
Cyanide 720 mg/t
Fluoride 951 mg/I
Formaldehyde 71980 mg/1
Grease and 011s 556 mg/1
Hardness Total900 mg/I
Specific Cond. 95 uMho5/cm2
MRAS 38260 mg/1
Phenols 32730 ug/l
Sulfate 945 mgA
Sulfide 745 mg/1
C_ 1 .1. rl­ !]NI V
Lab Number j/
Date Recel ed Time:
Rec'd by: From: Bus-Courie and
DATA ENTRY BY: CK:
DATE REPORTED:
A H L
NF N 610 mg/1
TK — N 625 mg/1
NO2 03 :!s N 630 mg/1
Total as P 665 mg/I
1'04 nx 1' 70507 -- nlfl/1
P: Dissolved as P 666 mg/1
Cd-Cadmium 1027 ugA
Cr-Chr01111um.Total1034. ugA
Cu-Copper1042 ug/I
NI -Nickel 1067 ug/1
Pb-Lead 1051 ug/i
Zn-Zinc 1092 ug/1
Ag-Silver 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/l
Ca -Calcium 916 mgA
Co -Cobalt 1037 u9/1
Fe -Iron 1045 ugA
Composite I Samplj! Type
T S B Cll�'_G
LI-Lithium 113Z ug/I
Mg-Magneslum 927 m9/I
Mn-Manganese 1055 ug/I
Na-Sodium 929 mg/l
Arsenic:Totnl 1002 rig/1
Se -Selenium 1147 ug/I
Ito -Mercury 71900 ug/1
Organochlorine Pesticides
Olganophospllorus Pesticides
Acid Ilerbicides
Base/ Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle reg'd)
Phytoplanklon
Sampling Point %
Conductance at 25 C
Water Temperature (C)
D.O. mg/I
pH
Alkalinity
Acidity
Air Temperature (C)
PH 8.3 pH 4.5
pH 4.5 pH 9.3
2
94
to
300j•
400 •
82244 431
82243 182242
20
Salinity :6
1'rcclplllnn On/dny]
Cloud Cover %
Wilk[ Mrection (Deg)
Stream Flow Severity
Turbidity Severity
Wind Velocity MAI
44ean Stream Depth ft.
Stream Width ft.
4.9
45
32 r
36
1351
1350
35
64
4
� � v
DM I11tev1wd 10/86

vY
DIVISION OF RATER QUALITY
r:hemkin L+baral— Rep.'s /1V'aler 0—tiq
W❑ Spl•IPLE TYP� +�
t'0UV11' F:l3GECOh1BE - 1_RIORI LL-
RIVER R.VSI1 : El AM1IBIEN1 QA ED STREAM M.X-� FFFkUENT
REPOR110 RRO Regional Office COMPLIANCI: Ej CIIAINOFCUSIODY LAKE 0 INFLUENT
Oil— : - MF,R(;ENCY VISI T 11) FS I VARY
ful.l,lrlultl sl ,-FOVV'E:1_L 0 � .
Esl�nutrd BUT) Raney: Slatimr I acntinn: I'UI-Ll' Rll X;E FIELD #1
S-1: fhlo.hwt & Remarks
Simi." p Date Begin O}Immldd) Bale End f.s/mmldd) Time Begin Time End lhpih - Ual. BB, 0BM V'alue Type - A. N. L Compmile-T, 5. B Sample Type
CANAL F-1 20010302 . Ito0
BOD 310 13 mgiL
CL)[) IIigi, nif, L.
L't )P 1 ors 335 mg L
X
Cnlifurm: MF Frcal 31616 lox ;'1001111
Cnlifmm: AIF'I'otal315i11 llWntl
L'ulihormtube Fecal 31615 i loond
Colilorm: Fecal Strep 31673 / 100m1
Residue: l otal 500 mg!L
Volatile 305 MAIL
Fixed 510 nrF.l.
Residue. Susrrndal 530 mg I.
Volatile 535 mg, L
Fixed 540 mg:'f-
p11403 7.5 units
Ar idil•: lay PII 4.513r mg L
Acidity to PEI 8.3433 mg-L
Alkalinity to pH 8.3 415 mg� L
AlLalinily 10 pli 4-5 410 rrtg L
IOC 680 mR,L
I mFidi[s 76 N I
0,111oMI I Mal -I uIv ". 100 mis
Chloride 940 m /L
Chl a: I ii 32217 ug%I.
Chl aCurt 32711) ug 1.
Pheo hviin a 32213 u ,'L
Color: 1 iue Su c.u.
CaWt: ( II ) 83 plf= c.u.
Color: pI1 7-6 82 Cu.
Cvanidc 720 m /L
Fluoride 95l mR/L
Fonnaldchede 71880 m iL
Grcise and Oils 556 m L
llaldncss 7'ots19W n1 /L
Specific Cond. 95 umhos/cm2
hIRAS 38260 mg/I.
Phenols 32730 ug L
Sulfate943 m :L
Sulfide 745 mg/L
Boron
Tannin & Lignin u /L
Hcxavaleat Chromium u /L
NIDasN610
17
m L
X
TKN an N 625
24
m / L
X
NO2 plus NO3 as N 630
1.1
m %L'
X
P:'1'otal as P 663
6.7
m L
PO4 as P 70507
ns /L
P: Dissokcd as P 666
m /L
K-potassium
m /L
Cd-Cadmium 1027
u /L
Cr-Chromium Total 1034
u /L
Cu-Co r 1042
'
u /L
Ni-Nickel 1067
u /L
Pb- Lead 1051
ujVL
Zn-Zinc 1092
u L
V-Vanadium
u /L
A-Silser 1077
u ,L
Al- Aluminum 1105
u /L
Be- Ben•Ilium 1012
u :L
Ca- Calcium 916
m /L
Co -Cobalt 1037
tiglL
Fe- Iron 1045
u L
Li -Lithium 1132 u L
Mg-, Magmium 927 TLV L
Mn-Mariganese 1033 u L
Na•Sodium929 m L
Arsenic-Total1002 u L
Sc- Selenium 1147 u L
H - Mercury 71900 u L
Ba Barium u /L
Or nochlorine Pestiddes
Orconophosphoris Pesticides
Acid Herbicides
Base/Neutral&Acid Extractable Or nits
TPH Diesel Range
Pursteable Organics (VOA bottler 'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Phytoplankton

For Lab Use ONL
tj1VI9?0N OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1) (
COUN�� �ii/iI -4J _ PRIORITY
RIVER BASIN [ ✓.
REPORT TO: ARO FRO MRO R WORO WIRO WSRO TS ❑AMBIENT ❑ QA
Ot er ❑COMPLIANCE CIiA1N
Other
OF CUSTODY
Shipped by: Bus CoUrler, Other 11 EMERGENCY
CUI,LFCTOR(S): rkf 4
Letlmaled BOD Range: 0-5/5-25/2r �/40-I30 0 00 plus STATION LOCATIUN-A/� �
Seed: Yes ❑ No ❑ Chlorinated: Yes ❑ No ❑ FILMARKS: —
SAMPLE TYPE
❑ STREAM EFFLUENT
❑ LAKE ❑ INFLUENT
❑ ESTUARY6, D L
Lab Number:
__C7 —
pate Received:
Time: LQy
Reed by:
From: Bus -Courier an
DATA ENTITY BY:
CK:
DATE REPORTED:
Statlnn !f Dntc Begin (yy/mm/rid) Time Begin
Date nd
E
Tim End
Depth pDB DBM
hi
Value Type
A H L
Composite
T S B
Sampl
C C GNXX
1
2
3
4
r
:G
.8
t)
10
i 1
1 2
13
14
15
16
~ 17
1R
19
20
Lf-Lithium 1132 ug/I
Mg -Magnesium 927 mg/I
BOD5 310 mg/1
Chloride 940 mg/1
as N 610 mg/1
COD High 340 mg/1
Chi a: Tr] 32217 u9/1
TK a N 625 mg/1
COD w 335 m9/1
Chi a: Corr 32209 ug"I
N plus NO3 as N 630 m9A
Mn-Manganese 1055 ug/I
iffoliform: MF Fecal 31616 /100m1
Caliform: MF Total 31504 /IOOmt
Pheophytin a 32213 ug/I
: Total as P 665 mg/I
Na-Sodium 929 mg/I
Colnr: True 80- Pt -Co
1104 as P 70507 y�mg/I
Arsenic. -Total 1002 ug/I
Coliform: Tube Fecal 31615 /I00ml
Color:(PH ) 83 ADM]
P: Uissnlved as P 666 mg/1
Se -Selenium 1147 ug/I
Coliform: Fecal S1TeP 31673 /100ml
Color: pit 7.6 82 ADMI
Hg-Mercury 71900 ug/I
itesidUP! Tntal 500 tug/I
Volatile 505 mg/I
Cyanide 720 mg/I
Cd-Cadmlum 1027 ug/I
Organochlorine Pesticides
Fluoride951 mg/1
c"Chrondum:Total1034 ug/I
OrganophosphorusPe_sticides
Fixed 510 ma/1
Residue: Suspended 530 111!1/1
Volatile 535 W — _ - mg/I
1-ixed 540 mg/I
Formaldehyde 71880 mg/I I
Grease and Oils 556 mg/I
Cu-Coplm 1042 ug/I
Ni-Nickel 1067 ug/I
Pb-1_eod 1051 ug/I
Acid Ilerbicldes
hardness Toial 900 mg/1
Specific Cond_ 95 ul<lhos/cm2
Zn-Zlnc 1092 ug/I
Base/ Neutral Extractable Organics
pH 403 units
MBAS 38260 mg/1
Phenols 32730 ug/1
Acid Extractable Organics
Acidity to ph 4.5 436 mg/I
Ag-Silver 1077 ug/I
Acidity to pit 8.3 435 mg/I
Sulfate 945 mg/1
AI -Aluminum 1105 ug/I
Purgeable Organics (VOA bottle reg'd)
Alkalinity to pH 8.3 415 mg/I
Sulfide 745 mg/I
Be-Bery1110m 1012 ug/I
Alkalinity to pH 4.5 410 mg/I
Ca -Calcium 916 mg/i
TOC 680 mg/1
Co -Cobalt 1037 ug/I
Turbidity 76 NTU
Fe -Iron 1045 ugA
Phytopiankton
Sampling Point %
Conductance at 25 C
ater Temperature
D.O. mgA
Pti
Alkalinity
Acidity
Air Temperature (C)
pH 8.3 PH 4.5
pH 4.5 pH 8.3
2
94
10
300
400 •
82244 431
82243 182242
20
Salinity %
Preclpition Oniday)
Cloud Cover %
Wind Direction 0]eg)
Stream Flow Severity
Turbidity Seventy.
Wind Velocity M/H
can Stream Depth ft.
Stream Width fL
480
45
32
36
1351
1350
35
64
4

02/12/2001 00:23 919442577.
VERNON RHODES
,2—. — / -�— e) /
13)A S AP,
e/��o A--
� i

02/1212001 0a:27 919442577= VERNON RHODES
Battleboro, N, C.
February 9, 2001
Mr. Tommy Stevens, Director
NC DENR
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Dear Mr. Stevens,
I, Vernon R.4odes, III, am writing you concerning mailing an
Annual Animal Waste Management Permit Fee by mietake.
The facility permitted by error is Facility Y33-45 with Vernon
Rhodes, Jr. being listed as the owner. The reason and history for
this permit fee being paid by error is as follows.
After my father, Vernon Rhodes, Jr., died in Aug. 1999, my mother,
Daphne Rhodes and I met with Mr. Buster Towell to discuss our plans and
our options. Mr. Towell visited us on Feb. 5, 2000. In our meeting we
informed Mr, Towell we were no longer operating the dairy and asl�ed
what were the proper channels to go through as far as NCrjpNR was Con-
cerned with our situation. Mr. Towell advised that we complete a Re-
moval Request Form concerning our facility.
On March 1, 2000 we completed and mailed this fora to NCD1JNk. we,
as you can see by the copy enclosed, did not date this fora at the top or
the personal letter attached to the Removal jP0 ,rTf). Mr. Towell said t,,ie
letl;or was accountedfor Dec. 2000 at th-e=Role gh7=of-f.ice with no record
as for how long it had been in the=o=f-is:e�in-zR.al.eigh. f
Now, for the permit in question. On Nov, 8, 2000 we received a. letter
for the Annual Waste Permit Renewal Fee. At that time I had not re-
ceived any correspondence that we had been removed from the previous
transaction back in M,a.rch. (The Removal ,Request Form) . After talking to
Sue Honewood and gran McPherson, I interpreted to mail the permit fee
until the matter about being removed was settled. I interpreted to
change the permit from Vernon Rhodes, t7,. to Vernon Rhodes, TII at that
time. Qbvicusly this has trot ba'an.,the right t.h�ng to do.
I hope this letter is not as confusing to you as T gun to all the
rules, regulations, permits, etc. This has been a very stressful and
trying time since my father's death for several reasons. Soon after
he died we were affected deaxly by Hurricane loyd. Then in Dec. 1999
we sold the herd of cows. Due to the waste management plan costs there
are a lot of financial obligations still left here for us to deal with.
Any fines or penalities would be devastating at this time due to this
error.
I don't want to put any blame or fault on any one of yourNCD a)NR
employees ar people named in this letter. It was my .lack of knowledge
of the "system.'s0 terms,etc, for this permit being mailed.

02/12/2001 00:32 9194425773 VERNON RHODES FAGS 01
Even though I do not own a cow and never received a milk check, I
always worked with my mother and father. After my father pass ed away,
I tried to .handle as much of the paper work acid decisions to releive
mother of th,,s ae possible. She is seventy years old with a lot of
uncertainty of her Future at this time as well as myself.
Again, I know I mailed the permit fee by mistake. Talking with
Mr. Towe11 in Feb. 2001, I have been informed that you may be the only
one that can help me in this situation.
This I am sure to you is not a well composed letter, however,
,it is as honest as T can be. Any help you can.be in rescinding the
permit and the liabilities along with it would be greatly appreciated.
Since 1997 we have passed all .inspections after the plan was put
into effect that I am aware of. We .have, since closing the dairy
operation, done every thing expeoted of us such as maintaining lagoon,
.fences, and cows not being confined on the lot that 1. an aware of also.
I ask sincerely that if at all
If you have any questions regarding
daytime or 252-985-1555 at night.
Copies Attached:
possible you help us in this matter.
this, please call me at 252-442-5773
Sincerely,
i
Gernon a es, I

a
• : STATE OF NORTH CAROLINA
.Department of Environment and Natural Resources ,
Raleigh Regional Office
FILE ACCESS RECORD
SECTION on DATE/TIME :60arrj
NAME C-VIA REPRESENTING;St.!
Guidelines for Access: The staff of the -Raleigh Regional Office is dedicated to making public
records in our custody readily available to the public for review and copying. We also have the
responsibility to the public to safeguard these records and to cant' out our day-to-day program
obligations. Please read carefully the following before signing the form.
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment for file review so you can be accommodated.
Appointments are scheduled between 9:00 a.m. and 3:00 p.m. Viewing time ends at 4:45
p.m. Anyone arriving without an appointment may view the'files to the extent that time and
staff supervision are available.
2. You must specify files you want to review by facility name or incident number, as appropriate.
The number of files that you may review at one appointment will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is 2.5 cents for ALL copies if making more than 25 copies =.there is no charge_if
less than 25 copies are made. Payment is to be made by check, money order, or cash in the
administrative offices.
4. FILES MUST BE KEPT IN THE ORDER YOU RECEIVED THEM. Files may not be taken
from the office. No briefcases, large totes, etc. are permitted in the file review area. To
remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor for
which you can be fined up to $500.00.
5. In accordance with General Statute 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
6. The customer must present a photo ID, sign -in, and receive a visitor sticker prior to reviewing
files.
FACILITY NAME COUNTY
1. �[��,r�l Ede cmrnbe,Cf7
2.
3.
4.
5.
�. �1�Uf ly zG iz R"yUGVV\
Signature and Name of Firm/Bu iness Date Time In Time Out
Please attach a business card to this form if available

ot'0 W a rFRpG
July 12, 2004
CERT1FiED MAIL
RETURN RECEIPT REQUESTED
Mr. Richard Anderson
179 NC 97 E
Tarboro, NC 27886
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
SUBJECT: Assessment of Civil Penalties for Violation(s) of
N.C. General Statute(s) 143-215.1
Gatlin Hunting Club Road Farm (Polly Ridge)
Edgecombe County
File No. DV 04-011
Permit No. NCA233061
Dear Mr. Anderson.
This letter transmits notice of a civil penalty assessed against Richard Anderson in the amount of
$5,516.83, including $716.83 in enforcement costs.
Attached is a copy of the assessment document explaining this penalty. This action was taken
under the authority vested in me by delegation pursuant to N.C.G.S. 143-215.6A(h). Any continuing
violation(s) may be the subject of a new enforcement action, including an additional penalty.
Within thirty days of receipt of this notice, you must do one of the following:
Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and
Natural Resources (do not include tivaiver form). Payment of the penalty will not
foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Keith Larick
Water Quality Section
1617 Mail Service Center, Raleigh,
North Carolina 27699-1617
OR
DEl�IR
Customer Service. Malting Address: Telephone [phone] Location:
1-877-623-6748 1617 Mail Service Center Fax [phone] N. Salisbury St.
Raleigh, North Carolina 27699-1617 State Courier #52-01.01 Raleigh, NC 27699-1617
An Equal Opportunity/Afffrmative Action Employer
50 % recycled / 10% pos t-consumer paper
http://h2o. enr.state.nc. us

Mr. Anderson
Page 2
7112/2oo4
2. Submit a written request for remission including a detailed justification for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred
or the accuracy of any of the factual statements contained in the civil penalty assessment
document. Because a remission request forecloses the option of an administrative hearing, such a
request must be accompanied by a waiver of your right to an administrative hearing and a
stipulation and agreement that no factual or legal issues are in dispute. Please prepare a detailed
statement that establishes why you believe the civil penalty should be remitted, and submit it to
the Division of Water Quality at the address listed below. In determining whether a remission
request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 1438-282.l(b)
were wrongfully applied to the detriment of the violator;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator has been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted
in writing. The Director of the Division of the Division of Water Quality will review your
evidence and inform you of his decision in the matter of your remission request. The response
will provide details regarding the case status, directions for payment, and provision for further
appeal of the penalty to the Environmental Management Commission's Committee on Civil
Penalty Remissions (Committee). Please be advised that the Committee cannot consider
information that was not part of the original remission request considered by the Director.
Therefore, it is very important that you prepare a complete and thorough statement in support of
your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for
Remission of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of
Facts" form within thirty (30) days of receipt of this notice. The Division of Water Quality also
requests that you complete and submit the enclosed "Justification for Remission Request." Both
forms should be submitted to the following address:
Keith Larick
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-I617
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition form from the Office of
Administrative Hearings. You must file the petition with the Office of Administrative Hearings
within thirty (30) days of receipt of this notice. A petition is considered filed when it is received

Mr. Anderson
Page 3
7/12/2004
in the Office of Administrative Hearings during normal office hours. The Office of
Administrative Hearings accepts filings Monday through Friday between the hours of 8:00 a.m.
and 5:00 p.m., except for official state holidays. The original and one (1) copy of the petition
must be filed with the Office of Administrative Hearings. The petition may be faxed - provided
the original and one copy of the document is received in the Office of Administrative Hearings
within five (5) business days following the faxed transmission. The mailing address for the
Office of Administrative Hearings is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Telephone (9I9) 733-2698 Facsimile: [phone]
A copy of the petition must also be served on DENR as follows.
Mr. Dan Oakley, Registered Agent
DENR (4
1601 Mail Service Center
Raleigh, NC 27699-1601
AND�1t�
Keith Larick
DWQ
1617 Mail Service Center
Raleigh, NC 27699-1617
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced
by an internal date/time received stamp (not a postmark), will result in this matter being referred to the
Attorney General's Office for collection of the penalty through a civil action. Please be advised that
additional penalties may be assessed for violations that occur after the review period of this assessment.
If you have any questions, please contact Keith Larick at [phone], extension 571.
Sincerely,
Teffrey 0. Poupart
Supervisor
Non -Discharge Compliance/Enforcement Unit
ATTACHMENTS
cc: Ken Schuster, Raleigh Regional Office w/ attachments
Buster Towell, Raleigh Regional Office w/ attachments
File DV 04-011, w/ attachments
Central Files w/ attachments
Public Information Office w/ attachments

STATE OF NORTH CAROLINA
COUNTY OF EDGECOMBE
IN THE MATTER OF
RICHARD ANDERSON
FOR MAKING AN OUTLET TO THE
WATERS OF THE STATE OF
NORTH CAROLINA WITHOUT A PERMIT
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND
NATURAL RESOURCES
FILE NO. DV 04-011
}
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to delegation provided by the Secretary of the Department of
Environment and Natural Resources, and the Director of the Division of Water Quality, I, Jeffrey
O. Poupart, Supervisor of the Non -Discharge Compliance and Enforcement Unit of the Division
of Water Quality (DWQ), make the following:
I. FINDINGS OF FACT:
A. The Polly Ridge Farm, Inc. is a corporation organized and existing under laws of
the State of North Carolina. Richard Anderson is the President and Registered
Agent.
B. Polly Ridge Farm, Inc. and Richard Anderson own and operate the Gatlin Hunting
Club Road Farm (Polly Ridge), a swine farm located in Edgecombe County.
C. Richard Anderson was issued Certificate Of Coverage NCA233061 under
General Permit NCA200000 for Gatlin Hunting Club Road Farm (Polly Ridge) on
April 9, 2003 effective April 9, 2003s with an expiration date of July 1, 2007. This
permit does not allow the discharge of waste to the waters of the State.
D. On February 4, 2004, DWQ staff observed a discharge from a spray field into an
unnamed tributary to Savage Mill Run. Savage Mill Run is classified as Class
WS-IV NSW waters of the state within the Tar -Pamlico River basin.
E. Richard Anderson had no valid permit for the above -described activity.
F. The cost to the State of the enforcement procedures in this matter totaled $716.83.

Based upon the above Findings of Fact, I make the following:
H. CONCLUSIONS OF LAW:
A. Richard Anderson is a "person" within the meaning of G.S. 143-215.6A pursuant
to G.S. 143-212(4).
B. Savage Mill Run constitutes waters of the State within the meaning of G.S.143-
215.1 pursuant to G.S. 143-212(6).
C. The above -cited discharge constitutes making an outlet to waters of the State for
the purposes of G.S. 143-215. 1 (a)(1), for which a permit is required by G.S. 143-
215.1.
D. Richard Anderson may be assessed civil penalties in this matter pursuant to G.S.
143-215.6A(a)(2), which provides that a civil penalty of not more than twenty
five thousand dollars ($25,000.00) per violation may be assessed against a person
who is required but fails to apply for and secure a permit required by G.S. 143-
215.1.
E. The State's enforcement costs in this matter may be assessed against Richard
Anderson pursuant to G.S. 143-215.3(a)(9) and G.S. 143B-282.1(b)(8).
F. The Supervisor of the Non -Discharge Compliance and Enforcement Unit,
Division of Water Quality, pursuant to delegation provided by the Secretary of the
Department of Environment and Natural Resources and the Director of the
Division of Water Quality, has the authority to assess civil penalties in this matter.
Based upon the above Findings of Fact and Conclusions of Law, I make the following:
III. DECISION:
Accordingly, Richard Anderson is hereby assessed a civil penalty of:
$ A/ For making an outlet to the waters of the State without a permit as
required by G.S. 143-215.1.
$ 114i 2C 0TOTAL CIVIL PENALTY
$ 716.83 Enforcement costs.
$ Sl(-D TOTAL AMOUNT DUE

As required by G.S. 143-216.6A, in determining the amount of penalty I have considered the
factors listed in G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to public health, or to
private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
12TIDy
( Date) Jeffrey 0 oupart, Supervisor
Non -Discharge Compliance and Enforcement Unit
Division of Water Quality

STATE OF NORTH CAROLINA
COUNTY OF _Edgecombe
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
ENVIRONMENTAL MANAGEMENT
COMMISSION
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
Richard Anderson } STIPULATION OF FACTS
FILE NO. DV 04-011
Having been assessed civil penalties totaling $5,516.83 for violation(s) as set
forth in the assessment document of the Director of the Division of Water Quality dated _Jul. 12,
2004 , the undersigned, desiring to seek remission of the civil penalties, does hereby waive the right
to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged
in the assessment document.
The undersigned further understands that all evidence presented in support of remission of
this civil penalty must be submitted to the Director of the Division of Water Quality within thirty
(30) days of receipt of the civil penalty assessment. No new evidence in support of a remission
request will be allowed after thirty (30) days from the receipt of the civil penalty assessment.
This the day of , 20_
SIGNATURE
ADDRESS
TELEPHONE

JUSTIFICATION FOR RENIISSION REQUEST
DWQ Case Number: DV 04-011 County: Edgecombe
Assessed Party: Richard Anderson
Permit No. (if applicable): NCA233061 Amount Assessed: $5,516.83
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission. Waiver of Right to an Administrative Hearing, and Stipulation of
Facts" form to request remission of this civil penalty. You should attach any documents that
you believe support your request and are necessary for the Director to consider in evaluating
your request for remission. Please be aware that a request for remission is limited to
consideration of the five factors listed below as they may relate to the reasonableness of the
amount of the civil penalty assessed. Requesting remission is not the proper procedure for
contesting whether the violation(s) occurred or the accuracy of any of the factual statements
contained in the civil penalty assessment document. Pursuant to N.C.G.S. § I43B-282.1(c),
remission of a civil penalty may be granted only when one or more of the following five factors
applies. Please check each factor that you believe applies to your case and provide a detailed
explanation, including copies of supporting documents, as to why the factor applies (attach
additional pages as needed).
(a) one or more of the civil _pe_nalty_ assessment factors in _N.C.G.S. I43B-282.1(b)
were wrongfully applied to the detriment of the petitioner (the assessment factors are listed in
the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future
occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the
violation was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary
remedial actions (i.e., explain how payment of the civil penalty will prevent you from performing
the activities necessary to achieve compliance).
EXPLANATION:

1//4
Tease sign the .®,gknowledeement of Receipt letter g]jd„return to:
Division of Water Quality
Raleigh Regional Office e`\jS�
1628 Mail Service Center ���
Raleigh NC 27699-1628 2��4
Attn: Charlene SLepheas
ACKNOWLEDGEMENT OF RECEIPT
TO: ; Y,
Division/ Section: 8
Re: Rereint of Enforcement Submittal
Date of Receipt: 0
This Acknowledges receipt by the Division of Water Quality of the _ _ *44v-,
CAZ330(eI _ Enforcement Action. This Acknowledgement is for file purposes only.
Received By; �yc _
(Signature)
Le -
(Printed Name)

Division of Water Quality
Raleigh Regional Office
1628 Mail Service Center
Raleigh NC 27699-1628
Attn: Charlene5tephens
1'
D rn/ Section:
Amy I OUS ' 1 + M1
Date of Receipt:
This Acknowledges receipt by the Division of Water Quality of the
Q91 UZ33Q101 Enforcement Action. This Acknowledgement is for file purposes only.
Received By:
(Signature)
(Printed Name)

MEMORANDUM
1'0: Jeff Poupart, Supervisor
Non -Discharge Compliance and Enforcement Unit
Through: Ken Schuster, P.E., Water Quality Supervi
Raleigh Regional Office Zfi �QC�
Through: John Hunt, Environmental Engineer
From: Buster Towell, Environmental Specialist {'3
Subject: Polly Ridge Farm Enforcement
Permit No. NCA233061
Edgecombe County
On February 4, 2004, RRO staff observed an illegal discharge from the Polly Ridge Farm via run off from a
land application event. Four mini guns were spraying in a field located close to the front of the property
where it could be easily seen from the road. Conditions had been wet due to a recent snow event, and DWQ
staff investigated the spray event further. Ponding was observed in and around the four solid set guns that
were in operation and staff followed run off to a field ditch that flows into an adjacent beaver pond.
There was no one on site that was responsible for the land application and a call was made to Mr. Richard
Anderson, the Owner of the facility. Mr. Anderson's assistant said that she would call Jason Jones on the
farm radio and have him to get back to site as quickly as possible.
Once Mr. Jones got back to the site it was determined that wastewater had gotten into the beaver pond that
borders the farm. This pond flows into an unnamed tributary to Savage Mill Run, which is classified as WS
IV NSW waters of the Tar -Pamlico River Basin. There was also 1 mini gun observed in a back field that
caused run off into another arm of the very large beaver swamp, which also flows, to Savage Mill Run.
Please find attached the following information relating to this enforcement action:
1. Enforcement Findings and Decision and Assessment Factors.
2. Nov\Recommendation To Enforce dated February 9, 2004
3. Mr. Anderson's response
4. DWQ Inspection Report
5. Copy of COC NCA233061
6. Sample analysis and Chain of Custody
7, Maps and photographs of farm and discharge event
It•additional information is required please call Buster Towell at the Raleigh Regional Office.

STATE OF NORTH CAROLINA
COUNTY OF EDGECOMBE
IN THE MATTER OF RICHARD ANDERSON
AND THE POLLY RIDGE FARM, INC.
FOR MAKING AN OUTLET TO THE
WATERS OF THE STATE OF
NORTH CAROLINA WITHOUT
A PERMIT
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND
NATURAL RESOURCES
File No.DV
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to delegation provided by the Secretary of the Department of Environment and Natural
Resources, and the Director of the Division of Water Quality, I Jeffrey 0. Poupart, Supervisor of the Non -
Discharge Compliance and Enforcement Unit of the Division of Water Quality (DWQ), make the
following:
FINDINGS OF FACT:
A. The Polly Ridge Farm, Inc. is a corporation organized and existing under laws of the State
of North Carolina. Richard C. Anderson is the President and Registered Agent.
B. Richard Anderson owns and operates the Polly Ridge Farm, Inc., a swine farm located in
Edgecombe County.
C. Richard Anderson and the Polly Ridge Farm Inc., was issued Certificate Of Coverage
NCA233061 under General Permit AWG100000 on April 9, 2003, effective from the date
of issuance, with an expiration date of July 1, 2007. This permit does not allow the
discharge of wastes to the waters of the State.
D. On February 4, 2004, DWQ staff observed a discharge of wastewater from the Polly Ridge
Farm from land application activity. The discharge entered in to an unnamed tributary to
Savage Mill Run within the Tar -Pamlico River basin.
E. Polly Ridge Farm had no valid permit for the above described activity.
F. The cost to the State of the enforcement procedures in this matter totaled 716.83.
Based upon the above Findings of Fact, I make the following:
II. CONCLUSIONS OF LAW:
A. Polly Ridge Farm, Inc, is a "person' within the meaning of G.S. 143-215.6A pursuant to
G.S. 143-212(4).
B. Savage Mill Run constitutes waters of the State within the meaning of G.S.143-215.1
pursuant to G.S. 143-212(6)
C. The above cited discharge constitutes making an outlet to waters of the State for the
purposes of G.S. 143-215.l(a)(1), for which a permit is required by G.S. 143-215.1

J
D. Polly Ridge Farm, Inc. may be assessed civil penalties in this matter pursuant to G.S. 143-
215.6A(a)(2), which provides that a civil penalty of not more than twenty five thousand
dollars($25,000.00) per violation may be assessed against a person who is required but
fails to apply for and secure a permit required by G.S. 143-215.1
E. The State's enforcement costs in this matter maybe assessed against Polly Ridge Farm,
Inc. pursuant to G.S. 143-215.3(a)(9) and G.S. 143B-282.1(b)(8).
F. The Supervisor of the Non -Discharge Compliance and Enforcement Unit, Division of
Water Quality, pursuant to delegation provided by the Secretary of the Department of
Environment and Natural Resources and the Director of the Division of Water Quality, has
the authority to assess civil penalties in this matter.
Based upon the above Findings of Fact and Conclusions of Law, I make the following:
I11. DECISION:
Accordingly, Polly Ridge Farm, Inc is hereby assessed a civil penalty of:
for making an outlet to the waters of the State without a permit as required by
G.S. 143-215.1.
TOTAL CIVIL PENALTY,
as authorized by G.S. 143-215.6A.
71�_ 683 Enforcement costs.
TOTAL AMOUNT DUE
As required by G.S. 143-216.6AC, in determining the amount of penalty I have considered the factors
listed in G.S. 14313-282.1(b), which are:
(1) the degree and extent of harm to the natural resources of the State, to public health, or to private
property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
( Date } Jeffrey O.Poupart, Supervisor
Non -Discharge Compliance and Enforcement Unit
Division of Water Quality

Assessment Factors
Violator: Polly Ridge Farm, Inc Richard C. Anderson, owner
Region: Raleigh
l . The degree and extent of harm to the natural resources of the State, to public health, or to private
property resulting from the violation: Minimal environmental harm was observed due to the fact that it was
discovered quickly and that clean up efforts were made in a timely manner. There were approximately
30,OOO,gallons of wastewater that was land applied within a 2 hour period. The majority of the ponded
water in both spray fields was collected and pumped back into the lagoon. It is estimated that at least 85%
of the wastewater was recovered.
2. The duration and gravity of the violation. Land application activity started at 1:30 pm and ended at 3:30
when D WQ staff observed the discharge and called staff from Polly Ridge Farm to shut the system down.
The exact amount of wastewater lost is unknown. The problem associated with this was that the conditions
were too wet to land apply wastewater on that date. There had been a snow event the week prior and there
was still snow standing in the edge of the woods adjacent to the spray field. The ground was saturated and
much of the water sprayed was ponding. It did eventually run off the fields into the adjacent ditch.
3. The effect on ground or surface water quantity or quality or on air quality: Samples collected indicated
that there were high nutrient levels that were being discharged as well as high BOD levels. The wastewater
discharged into a beaver swamp that has the headwaters located within the property lines of the farm. This
beaver pond then flows into the old Savage Mill Pond that continues on into savage Mill Run within the
Tar -Pamlico River Basin.
4. The cost of rectifying the damage: unknown. There were several people involved in the clean up
efforts. The majority of the costs would be related to hourly time per man involved as well as the cost of
fuel and equipment used.
5. The amount of money saved by noncompliance: Minimal.
6. Whether the violation was committed willfully or intentionally: The Region does not believe that the
motive was to cause run off, however Mr. Jones did state that.he thought that he would be able to land
apply waste during that time and made a decision to spray.
7. The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority:
Notice of Violation ------- February 21, 2000 for discharge to ut to Savage Mill Run
Enforcement Action DV-024 for above referenced discharge assessed civil penalty.
Notice of Violation --------- April 26, 2001 for excessive wastewater ponding in fields
Notice of Violation --------- July 25, 2002 excess debris in lagoon
Notice of Violation ---------February 9, 2004 for current discharge to Savage Mill Run

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8. The cost to the state of the enforcement procedures:
Buster Towell 8 hrs. Field time $ 187.76
8 hrs Enf. Time 187.76
John Hunt I hr. 23.77
Ken Schuster 1 hr. 35.55
Mileage 76 miles I way @ .31/mile
2 trips 2/4/04 and 2/5/04 94.24
Lab costs 87.75
Administrative cost 100.00
Total Cost $ 716.83
9. Type of Violator: Swine Operation 7000 sow Farrow to Wean
10. Violators degree of cooperation (including efforts to restore) or recalcitrance:
Employees of Polly Ridge Farm started clean up efforts the evening of February 4, 2004 and continued
until mid day on February 5, 2004. Wastewater that had run into the field ditches and water that had
ponded in both spray fields was pumped back into tanks and returned into the waste lagoon on site.
11. Mitigating factors: See above
Assessment factors:
A. I W C—NA
B. Receiving Stream—ut to Savage Mill Run Tar -Pamlico River Basin.
C. SOCIJOC----- NA
D. Copy of MP Screen ---- NA
E. Copy of Limits page —NA
F. Damage —small amount of nutrient and BOD loading to surface waters
CERTIFICATION;
I certify that the information in this report is true to the best of my knowledge.
J
t/
'Ffr'incipal Investigator
in `] �� y
Date

ry,
Michael F. Easley, Governor
o�oF'1'rArE9QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gj 7 Alan W. Klimek, P.E. Director
Colleen H. Sullins, Deputy Director
. Division of Water Quality
Q 'C
February 9, 2004
CERTIFIED MAIL
TURN RECEIPTRECEEPT RE UESTED
Mr. Richard Anderson
Gatlin Hunting Club Road Farm (Polly Ridge)
179 N.C. 97 East
Tarboro, North Carolina 27886
Subject: Notice of Violation
Recommendation To Enforce
Polly Ridge Farm
COC No. NCA233061
Edgecombe County
Dear Mr, Anderson:
On February 4, 2004, Mr. Buster Towell of the Raleigh Regional Office observed land application
activity in progress at the subject swine operation. Four guns were spraying from a small solid set system
located in the back section of field # 1, located near the green houses. Mr. Towell determined that
wastewater from this activity was ponding in the field and that the wastewater was actively entering the
adjacent ditch. Your Office was notified and Mr. Jason Jones arrived on site at approximately 3:30 pm and
immediately shut the pump off.
Both Mr. Towell and Mr. Jones tracked the run off in field ditch into the woods where the ditch entered a
beaver swamp. Mr. Jones also indicated that he had also sprayed with one solid set gun in a small field'
located at the back of the property. It was also determined that a discharge occurred from this activity that
entered a beaver swamp near the back of the farm. Both ditches on your property are unnamed tributaries to
Savage Mill Run which is classified'as WS-IV NSW waters within the Tar -Pamlico River Basin.
Please note that the above refrerenced discharges of wastewater are violations of North Carolina General
Statute 143-215,1(a)(1) which states the following:
No person shall do any of the following things or carry out any of the following activities until or unless
such person shall have applied for and shall have received from the Commission a permit therefore and
shall have complied with such conditions, if any as are prescribed by such permit ------------- _-----------
Make any outlets into waters of the State.
The above violations are subject to civil penalties of up to $ 10,000.00 per violation, per day, and in some
cases up to $ 25,000.00 per violation.
In addition to the discharge violations above the site visit identified several other violations of your
Certificate of Coverage and NPDES Permit. Please note the following:
Raleigh Regional Office 1628 Mali Service Center
Water Quality Section Raleigh, NC 27699-1628
A
phone [phone] Customer Service
ne
Ao Carolina
aiur*
facsimile [phone] 1-877-623-6748

Mr. Richard Anderson
Polly Ridge Farm
Page 2
Qpgration and Maintena ice Requirement Condition No. 16, states--------- that within 120 days of the
effective date of the Certificate of Coverage (COC) issued under the permit that a device shall be installed
to automatically stop irrigation activity during precipitation events or the perm itee can designate that the
OIC or a designated back up OIC will be on site during all land application activity. The commitment must
be submitted in writing to the Division within 120 days following the effective date of the COC.
To date, the Division of Water Quality has received no designation as to which method your facility will
use. Also note that you are the Operator In Charge of record in the DWQ data base. Mr. Jason Jones is
currently listed as invalid due to non payment of annual fees.
Condition No. 20. of the O & M_ Requirements states -------- that waste shall not be applied on land that is
flooded, saturated with water, frozen or snow covered at the time of land application.
It was very evident that both fields were too wet to receive wastewater without either excessive ponding or
direct run off to surface waters.
MouitorinQ and Reporting Requirement Condign No. 9. states that if any discharge occurs from any part
of the waste system that a waste analysis shall be collected from the lagoon within 72 hours of the time that
the producer becomes aware of the discharge. The waste analysis shall include fecal coliform bacteria, five
day biochemical oxygen demand (BOD), total suspended solids (TSS) ,total phosphorus, ammonia -
nitrogen, TKN'as nitiogeq and nitrate. These analysis shall be preformed by an accredited laboratory and
shall be submitted to the Division within 30 days of the discharge event.
Condition No; 10 states that all records required by this permit shall be maintained and available to be
inspected. On the date of inspection the freeboard records were not available. Mr. Jones stated that his
regular work buck was in the shop and that the freeboard log book was in the truck.
With this Notice you are also requested to submit an updated Wettable Acre Determination, which does
include the two fields where the discharge event occurred. The documents that were submitted to the
Division with the permit application do not show any solid set irrig400n installed in these fields.
This up date should include the number of hydrants in each field, and'the actual wetted area that each
sprinkler head ccvered.,This is important in order to accurately reflect the amount of waste applied to each
site.
Please respond to this Notice in writing within ten days of your receipt. Your response should include any
justification you may have that the above violations were caused by circumstances or events beyond your
control. In the absences of any such justification, the Raleigh Regional Office will recoi nd that the
Director proceed with the enforcement action. If you have any questions regarding this Notice you should
contact Buster Towell at [phone].
2K=e4thchuster.
ely
P.E.
Regional Water Quality Supervisor
Cc: Edgecombe County Health Department
DWQ Nondischarge Compliance Group
Ms. Betsy Gerwig, RRO-DSWC
RRO Files

Richard C. Anderson
Polly Ridge Farms, Inc.
179 NC 97 East
Tarboro, N.C. 27886
Kenneth Schuster, P.E.
Regional Water Quality Supervision
DWQ-NCDENR
RE: LOC No. NCA 233061
Edgecombe County
In response to Mr. Towell's Investigation, I must agree with him with regards to my
employee Jason Jones, pumping on a wet field and thereby causing a small spill. He used
extremely poor judgment, and we are all regretful for it. In response to the spill, Mr.
Jones got a team together to contain the spill and pump out the contained area and
returned the collection to the lagoon, this was effective.
Management changes are as follow, no longer may Mr. Jones start a waste system
without my daily approval of acceptable conditions and equipment. In addition, Mr.
Jones choice of a higher volume system rather than a low volume center pivot would not
have caused the problem, and had I known he was irrigating the farm that day, I would
have stopped him.
In response to other conditions, rain breaker devices have been installed, and an
additional employee is enrolled in the next certification class and will give us backup at
this position. A waste sample has been taken to lab and results are on file. On the day of
said incident Mr. Jones truck did break down, and was given a different vehicle. His
records were up to date upon inspection. He will remember to keep his records with him
at all times. With regards to Mr. Jones permit a check was sent on December 3Is', 2003
and upon checking with WPCSOCC their records showed that the check had not been
received. A new check along with a copy of the carbon copy of the first check has been
issued. Jason credit hours are up to date.
We regret this occurrence and assure you that this type of error will not occur again.

Type of Visit Compliance Inspection 0 Operation Review O Lagoon Evaluation
Reason for Visit O Routine Q Complaint O Follow up Q Emergency Notification Other ❑ Denied Access
F th Number Uatc of �'itit:
Permitted 0 Certified 0 Conditi nally Certified © Registered
Farm Name:
Owner Name:
Mailing Address:
Time:
Date Last Operated Above Threshold:
County. Gr 712
Phone No: 2 — f 73p
Facility Contact: ` G h r g ^ d e t'a Iti Title: Phone No: �q
Onsite Representative: Integrator: _,&.'D /�-- _
Certified Operator: _ t]►✓ �� Operator Certification Number: I k/4 L i Z 0
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • L. 1 _ Longitude • �
Design
Swine Ca acift
Current
Populatiol
Wean to Feeder ,
❑ Fecdwto Finish
arrow to Wean
Farrow- to Feeder
Farrow to Finish
❑ Gilts
Boars
Number of Lagoons
Holding Ponds / Solid Traps
C
Design Current Design Current
Ppultry Ca aci Population Cattle Ca atity Population
10 Layer I ❑ Dairy
IQ Non -La er ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
uid
Present
Mct ari ggti 8 StE9gm IMRActs
1. Is any discharge observed from any part of the operation? ❑ No
Discharge originated at: ❑ Lagoon Sorav Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑ Yes
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ) ❑ 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 o
2, is there evidence of past discharge from any part of the operation? ❑ Yes �Ewo,
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 1�'No
Wes, xg Collection & Treatment
4, is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes R o
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

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acility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
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 GiC_l►' t C'WN91-'J
❑ Yes
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
O No
14.
a) Does the facility lack adequate acreage for land application?
d �� 0 Z S 1 �S�
❑ Yes
❑ No
b) Does the facility need a wettable acre determination? 11 At "� � j�/1 � )" c� �
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination? < 44 n e C a , _' _� e 'qC r[ S
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required
Records &- Documents
17.
Pail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
0-144
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
es
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge. freeboard problems, over application)
❑ Yes
23,
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
es
No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit
- >� •-. .1 •-�- .. - - H ,at •--e"�w��,:nxa:.Ur:�a.tr."ri tircx-.7�-.e x w. .,, - r
Comments (refer to Question`. 'Eiplsiu aa+;YES ahsw er`s apd/or, atry;ncotasueaetEatioas' or ttxy other eomme""' tr +�";' w`"
S
Use drawings of facility, to better explain sstuations. (use addltilonal'pages as nec. 4essary) F
: �c��y .s 0 Field Goav tnal Notes
.��:K4+�'-: .-+os..+�+r-r•,. »•r.. e..a...r,c-.. i�iro�y e.
r
SOt%Ay,�� Wh. Q F-•o/ t' Ss3�ir.sy�a� CrVh >�.��/c� J ��Sv'+�r
- G u t1_
' o_ (4,P111 0 b o J ') I, �. f r t_ L
1W
Reviewer/Inspector Name ,x •"' ''z r r. .. ..» . y".��,;Ti: e� "'<'�"
Reviewer/Inspector Signature: Date: .Z a
05103101 Continued

AJ
F W A L, 9y Michael F. Easley, Governor
William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural. Resources
j Alen W. Klimek, P. E., Director
Division of Water Quality
April 9, 2003
Richard Anderson
Gatlin Hunting Club Road Farm (Polly Ridge)
179NC97E
Tarboro NC 27886
Subject: Certificate of Coverage No. NCA233061
Gatlin Hunting Club Road Farm (Polly Ridge)
Swine Waste Collection, Treatment,
Storage and Application System
Edgecombe County
Dear Richard Anderson:
On March 14, 2003, the North Carolina Division of Water Quality (Division) issued an NPDES General
Permit for swine facilities. The General Permit was issued to enable swine facilities in.North Carolina to
obtain coverage under a single permit that addresses both State and Federal requirements.
In accordance with your application received on January 30, 2003, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Richard Anderson, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with NPDES
General Permit NCA200000. The issuance of this COC supercedes and terminates your COC Number
AWS330061 to operate under State Non -Discharge Permit AWG100000.
This approval shall consist of the operation of this system including, but -not limited to, the management
of animal waste from the Gatlin Hunting Club Road Farm (Polly Ridge), located in EdgecombeCounty,
with an animal capacity of no greater, than an annual average of 7000 Farrow to Wean swine and the
application to land as specified in the facility's Certified Animal Waste Management Plan (CAWMP). If
this is a Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows.
Where boars are unneccessary, they may be replaced by an equivalent number of sows. Any of the sows
may be replaced by gilts at a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until July 1, 2007. Pursuant to this COC, you are
authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed General Permit. Since this is a new joint State and
Federal general permit it contains many new requirements in addition to most of the conditions contained
in the current State general permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay carefui_attention tothe record keeping
and monitoring conditions in this permit. The_Devices to Automaticallv Stop Irdinition Events Form
must be returned to the Division of Water Quality no later than 120 days following ,receipt of the
Certificate of Coverage_ the Animal Facility Annual Certification Fonn must bg completed and returned
to the Division of Water QuafiV by no later than March Ist of each year.
SM
Non-01scharge Permitting Unit Internet httpJ/h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 276MI617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50`yo recycled/10% post -consumer paper

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current MRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C, the Clean Water Act and 40 CFR 122.41 including civil penalties, criminal
penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A namelownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual NPDES Permit by contacting the staff member listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at (919) 57.1-4700. If you need additional information concerning this COC
or the General Permit, please contact Michelle Barnett at [phone] ext. 544.
Sincerely,
v
for Alan W. Klimek, P.E.
Enclosures (General Permit NCA200000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
Raleigh Regional Office, Water Quality Section
Edgecombe County Soil and Water Conservation District
Permit File NCA233061
Permit File AWS330061
NDPU Files
i. ' .I
i '`� APR 2 3 L003

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Report to: ` G WATER QUALITY SECTI; ~`rrn Pa ,� of�
AIN OF CUSTODY (COC) RECO { D',•, L 14
NC DENRIDWQ LABORATORY checkonc CENTRAL ARO WaRO
For Investigation of:
a/
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Sample collector (print name)
and DM-1 forms completed by:
6or
L Q e`� LLB
Sample collector's signature:ti
Field storage conditions and location (When applicable):
Lab Use Only
LAB NO.
STATION NO,
STATION LOCATION
DATE
SAMPLED
TINIE
SAMPLED
NUKIBER
OF
CONTAINERS
7
C, V
R quishe (sign,gn=): / �_
Date
Time
: IS
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Date
Time
Received by (signature):
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Time
Reiinquished by (signature):
Date
Time
Received by (signature):
Date
Time
Me t e t (circlea
State 1 d-de ive
Fed a x re ther:
Security Type and Conditions:
Sealed by:
Broken by:
I,NTRALABORATORY CHAIN OF CUSTODY - Lab Use Only
LAB NUMBERS
FROM THROUGH
-ANALYSES
REQUESTED
WN
QAIFormslSnmple Receiving\COC form WQ -tl Id

FEB i
_ ...� „AZYi�tON,OiE'4N14'1lER QUALITY
Chem(" Laboratory Report / Water Quality
�5• S�CLE=�'PF
'OUNTI' EIIGLCOhIBE pglO l
IIVF.RBASIN : ❑ AMBIFNF QA ❑ STREAM A❑ EFFLUE,'9T
TPORTTO RRO RegionalOffrcc COMPLIANCE CHALYOFCUSTODY I LAKE iNFLUENT
EMERGENCY VISIT 10 ESTUARY Data I�k.- - AR
(MLECTOR(S) : B TOWELL Omc Repuned: 211t✓210W
,limited ROD Range: Srxtion Location: POLLY R[0GE IIOG FARM RUN OFF
Seed: Chlorinated: Remark~:
[lion / Date Been W/nindddl Date Mind (yylmmldd) Tate Begin Time End I Depth. DAI, DB, DBAI Value Type - A. H. L Cwuposike-T, S, Sample TS'pe
RONTFIE1-n-'f10Jf1�R1 I I m
ROD 310
100 me0-
COD Hich t.1O
mg/L-
COD IA. 335
melt.
Cnlifexm,-MF Fi f31616
J10hnf
Ca[ifnxm: hlF TmallI.%W
11O0m1
Cnlifnrm: tube Fecal 31615
/10Oml
Cohform: Fetal Strep 31673
/10fhnl
Resider: Trxal 500
m+Jl.
Volatile505
mgJL
Fixed 510
melt.
Re. idue' Sus ended 5.10
mc1L
Volatile 535
me/l.
[:ncd W
mrJL
H 403
units
Aothay to pH 4.5 436
mo.
Aciduv to PH 8.3 415
mIJL
Alkalinity to pH 9.3 415
me/L
Alkalinity ter pU 45 4 f0
mFfL
TOC 690
mglL
Tu t"q 76
NTU
Cuhrmn Taal Tuhc
"![[Nl mE
IMENTS :
ChMnJc 940 mv/L.
CM a: T6 32217 u
Chia: Cray 32_'09 -- ugL
Phcxrh tin a 3"13 utJL
Cr 6tr Tmc Rn C.U.
Cnhx: t fl 1 83 pfi= cu.
Cnhx-. p1l 7.6 82 C.U.
Cvamic 7-10 mgA.
Fluoride 95l mg/L
Ftxmalelehvdc 7[880 mrJL
Umasc and Oils 556 mgA.
I tarJnrss Trxal 9O0 m
specific Corm. 95 umhos/cm-'
MBAs 38260 mJL
Phcmrts 32730 urJL
Sulfanc 945 melt.
Sulfide 745 m
Rarun
Tannin h Linin ue/L
ffcxa%a1cnt Chromium ue&
Bicarirortatc mg/L
Carixnalc melt.
N113a,N610 m
TKN an N 6-15 m
NO2 PIUS.NO3 as N 6-10 m
P; Taal - P 665 mg
POJ w P 70507 mcJL
R Ms.. ,Imd as P 666 mrJL
K-Potassium m2l1.
Cd-Cadmium 1027 u LA—
Cr- hmmlum:Tlxal 1034 u
Cu-Cr rI0J2 Uyt
M-Nickct 1067 u
Ph- Lead 1051 VPIL
Tat --Zinc 1092 u
V-Vanadium u
A - Sir— 1077
AI -Aluminum 1105 u
Be- Benllium 1012 uc/L
Ca- Calcium 916 m
Co- COMI 1037 uriL
Fc- Iron 1045 uc/L
la -lithium 1132 ur/L
M-Matmesium9'-7
Mn-Maneane a 105% urJL
N.-_, ►Qium 929 m
Areenic:Tntaf 1002 u
Sc. Selenium 1147 ue1L
fit!- hfcrcur� 7190n urJL
Ba Barium udL
0 a whloritx Pesticides
O anopbm s Pesticides
Acid HcrNcrdcs
BaxlNewrld Acid Eerraetable Organics
TP[( I]i l Range
Pur ahic Organics (VOA txxt[c 'd)
TPH Gasafine Ranee
TPWBTEC Gasoline Ranec
Phsl ank[rm

DIVISION OF WATER QUALITY
Chemistry laberatary Report! Water Quality
] SAWLETYPF
COUNTY EDGECOMBE PRIORITY
RIVER BASIN: ❑ AMBIENT QA El STREAM E) EFFLUENT
REPORT TO RRO Regional Off" ID COMPLIANCE El CHAIN OF CUSTODY LAKE INFLUENT
Other ❑ EMERGENCY iVISIT If)i ESTUARY
COI r FCTORIS) : B TOWEL L-
Lab Number :
4WO560
Date Rcccised:
21512004
Time Received :
9-10 AM
Received By
DS
y f I
! r
Data Released :
•AR
Dan Repr. W -
2r_312004
Eatirated BOD Range. Slathn Location: POLLY RIDGE: I IM FARM RUN OFF
Seed: (.1Nrtuated: Remarks:
iutica 9 Date Be n (yrhwmdddI Date End (yyhnmldd) Tine Begin flare End I Depth • DM, DB. DBM Value Type. A.11, L Carnposd.T. S. Sample Type
1ACKFlEMRUNOFF3 20040MM I I 163n
BOD 310 -riL
COD Hio 340 MCA
COD L.f 335 mgfL
Conform: MF Feed 31616 /I O0m1
Coltfnrrtr: MFTaal 3I.W 110(kN
Cdifum- luhe Feca131615 /IrXkrd
Conform: Fecal Strep 31673 1100m1
Residre: Total 500 MrJL
Volatile 501 m
Fr;rd 510 mrJL
Resider: Suspffded 5-10 MVIL
V 0461C 535 m
fixed W mrJL
pH 103 units
Acidity to pit4.54.% mr/L
Actdily to pH 83435 mfJL
Alkalinit 10 pH 8.3415 m
Alk.linoytopH415410 mrJL
TOC 680 mg4,
TwNdity 76 NTU
Coliform Tad Tube '1100 ml
-OMMENTS :
ChIoridr940 m -
ChI a: Tri 32217 utIL
Chi a: Cm 32209 u
!tToyti..32213 urIL
Cokr. True tut C.U.
Colo: (FAI l 8.1 PH= C.U.
Cokx pH 7.6 82 C.U.
C aide 720 m
FhKWidr 951 m
Furmaldeh 71880 MOIL
Grease and Oils 5.% m
Hardness Taal 9D0 m
Srxcirw Cnnd. 95 umkdcm2
MBAS 38260 W44-
PhcF"5 32730 urJL
Sulfate 945 -EJL
Sulfide 745 m
Boron
Tannin & Upnin aSIL
Hcaawlcrrt Chnm um utIL
RKmbnnate milli,
Carbonate m
X
NH3asN610
50
TE ILL
X
TKN an N 625
56
-EJL
X
NO2 plus NO3 as N 630
34
_rjL
X
P: Tool as P 665
11
POI as P 70507
P: Dmwlvtd as P 666
m
K-Pnrassium
m
Cd-Cadmium 1027
uriL
Cr-Chromium.Taal M14
u
Cu- CMxm 1042
UFJL
Ni-Nickel t067
UEJL
Pb_ Lead 1051
urJL
Z - Zoe 1092
u
V•Varu lirum
urJL
A -Sihe 1077
UPI-
Al- Aluminum 1105
utJL
Be- Bcrytlium 1012
urfL
Ca- calcium 916
mriL
Co- Cabab 1037
urJL
Fc- Iron 1045
urJL
Li-L ithiurit 1132 UYL
M - Wilriesnim 927 m
Mn-Man _ 1055 u
Na- Sodium 929
Arscmec TnU1 1002 urA.
Sc-Selenium 1147 urfL
HE- Mercury 719M uvqc
Ba_Barium
Organoch)rinne Pesticides
Pesticides
Acid Herbicide,
BaWNewmt&Acid Extractable -
TPH Mcs. Ranrc
Purpeable Orizimics (VOA bottle 'd)
TPH Gasoline R=gc
TPRIBTEX Gasoline Range
Phyl laktor
ZI r
F

/A
/ Q j/` DIVISION OF WATER QUALITV
vI.\.�)cmislrl• Laboratory itepori! Waler Quality
1V SAMPLFTYPS
OUNTY EDGF.COMBE t-!-li +;;rr.•l�,R��
IVERBASIN: � j T-�BIENT a QA STREAM \❑ EFFLUENT
EPORTTO RRO RcgicmalOfficc + �� �[aCOMPLIANCE %� CIIAIN OF CUSTODY LAKE INFLUENT
EMERGENCY V1$ITiU ESTUARY
OLLECTOR(S) : BTMVFLL � a
stimsled BOD Range:
Seed:
Chlorinated:
Station Location: POLLY RW.E FARM RUNOFF
Remarks:
216M N Dale Bepia Lslelmmldd I Thar Fad hylmmlddl Time Be=in Time End mptb - DNL IiI , t INI Value Type - A, ff. 1. Comlwsile-T• 5. 11 SamPfe Tsi e
MNAVAMP '_t11111l2111 1545
BOA 310 83 G3. G8 m L
COD Hi h.W m /L
COn Lt+w 335 m j L
Colifurm: MF Fecal11616 ilNlml
Colifnrm: MF Tntal 3i 5M / looml
Coliform: tube Fecal 3W5 /100m1
Colifnrm: Fecal 31673 /111fhnl
ResidurTotaf 500 m /L
Volatile 505 m •/L
Fixed 510 myj L
Residue: Su5pended 530 m•/L
Volatile535 m /L
Fixed 540 mg1 L
H 4M units
Acidity to H 4.54,16 mr2L
Acidity to RH 83 435 m /L
Alkalinity to pH 83 415 L
Mkalinih'to pH4.5410 m L
TOC 680 m • L
Turbiditl• 76 NE
Coliform Total Tuck It10 mis
'ONIMENTS :
Chloride m /L
Chl a: Tri.12?17 yjl L
Chl a: G= 3M19 u • L
Ptk, hrtina32213 uyj L
Color: True FA C,u.
Color. H K% H- Cu.
Color. EH 7.6 82 C.U.
Cvanide720 m /L
Fluoride 951 m L
Formaldehyde 71Afs<1 m L
Grease and Oils 556 m /L
Hanlnecs TMal900 m /L
S ificCond.95 umhns crn2
MBA5.M2W mylL
Phenots?27:0 u L
Salfate945 m L
Sulfide 745 m L
Horan
Tannin & Li nin u /I.
Hexavolenl Chromium u L
Bicartxmate mg/. L
Cartx+nate m L
NH3 as N 610 m L
TKN an N h25 m • L
NCQ plu, NO3 as N 6Yt m • L
P: Total as P 665 m •/ L
P 4 as P 70507 m/ L
P: Dtssoh awl as P 46h m L
K-Potassium mgj L
Cd-Cadmium1027 u /L
CrChmmium:Totallf134 u L
Cu- Copper ID12 u /L
Ni-Nickel1067 u /L
Pb- Lead 1051 u /L
Zn• Zinc 1092 u / L
IV -Vanadium u /L
A - Silver W77 u L
Al- Aluminum 1105 u /L
Be• Ben•Ilium 1012 u L
Ca-Cakium916 m L
Co-CnMltlp37 u L
Fe- lmn 1M5 u •/L
Li -Lithium 1132 u L
Mg- Kta nc: ium 927 m • L
Mn-Man •am— 1055 u L
Na.-;Mium 9P7 M&4
Arsenk-Total 1002 u L
Se -Selenium 1147 u E
l; - Wnmry 719M u 1,
Ba Barium u L
Or nochlorine Pk�ticidrs
Orga has horus Pesticides
Acid Herbicides
Base/Neutral&Acid Extractath anics
111H Diesel Range
Purgeable antis(VOA tx+tHc 'd
TPH Gascdine Range
TPH j0 EX Gasoline Ran
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