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HomeMy WebLinkAbout390002_PERMIT FILE_20171231MEMO TO: r/f __ �yu >/ Q YEr�'rrL DATE: �99� SUBJECT: lUp' v r / d- /' L S�)1f7e Y/V. sue- as-- �4 �c D�ve�l. d,va STA7g o North Carolina Department of Environment, Health and Natural Resources °� � �� Printed on Recycled Pepei IX1un 4�" � a 01-7 Appendix 1. Lagoon Sludge Survey Forth Revised August 2008 A. Farm Permit or DWQ Identification Number 3 ` Z B. Lagoon Identification e2✓ e S i /�rr Y•- r � l C. Person(s) Taking Measurements W=.Y rL n J�yO ,j 1 �o tt f t f�! c �L✓� t'� D. Date of Measurements 8 -1-5- 1 7 E. Methods/Devices Used for Measurement of: a. Distance from the lagoon liquid surface to the top of the sludge layer: b. Distance from the lagoon liquid surfacp to the bottom (soil) of the lagoon:__ c. Thickness of the sludge layer if making a direct measurement with "core sampler": F. Lagoon Surface Area (using dimensions at inside top of bank): r S (acres) (Draw a sketch of the lagoon on a separate sheet, list dimensions, and calculate surface area. The lagoon may have been built different than designed, so measurements should be made.) G. Estimate number of sampling points:��' a. Less than 1.33 acres: Use S points b. If more than 1.33 acres, acres x 6 = with maximum of 24. (Using sketch and dimensions, develop a uniform grid that has the same number of intersections as the estimated number of sampling points needed. Number the intersection points on the lagoon grid so that data recorded at each can be easily matched.) H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the location of the pump intake, take measurement of distance from liquid surface to top of sludge layer and retard it on the Data Sheet (last row); this must be at least 2.5 ft. when irrigating. I. At the time of the sludge survey, also measure the distance from a Maximum L}'quid Level to the Present Liquid Level (measure at the lagoon gauge pole): L. ° C - tb S c c.o n d a.r`-` <-tX j e- `L� J. Determine the distance from the top of bank to the Maximum Liquid Level 3* t (use lagoon management plan or other lagoon records) K. Determine the distance from the Maximum Liquid Level to the Minimum Liquid Level ^ 3 • Z (use lagoon management plan or other lagoon records) L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level (Item K minus Item I, assuming the present liquid level is below the Maximum Liquid Level): M. Record from the Sludge Survey Data Sheet the distance fkom the present liquid surface level to the lagoon bottom (average for all the measurement points): (0 - 1 N. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top of the sludge layer (average for all the measurement points): in O. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer: • tp P. Calculate the thickness of the existing Liquid Treatment Zone (Item N minus Item L): 6 • S'4 Q. If Item O is greater than Item P, proceed to the Worksheet for Sludge Volume and Treatment Volume. If Item O is equal to or less than Item P, you do not have to determine volumes. Completed by: 'D t ' E- u'15 G. s� Date: 9-1(- 1 Print Name Signature Appendix 2. Sludge Survey Data Sheet* Revised August 2008 Lagoon Identification: 9 ' Completed by: ID i a r-1 Ar LE7w Date:3, •. t(o E Print Name Sionature (A) Grid Point No. (B) Distance from liquid surface to top of sludge (C) Distance from liquid surface to lagoon bottom (soil) (C) minus (B) Thickness of sludge layer Ft. & in. Ft. tenths Ft. & in. Ft. tenths Ft. & in. Ft. tenths 2 "t•o t1.1 3 ,O - 1Q • 2 Z 4 3.o ro•o r7,0 5 Iz. Lj IF co 6 It),b o,7 7 •O o_D .� 8 5 10.0 57 � 9 10 11 12 13 14 15 16 17. 18 19 20 21 22 23 24 !Number of points with readings � X a X Average Of points 52. 3 S' _ °� 1 (, I a '— Z9,3 3 • (p At PUMP Intake X X X X *All Grid Points and corresponding sludge layer thicknesses must be shown on a sketch attached to this Sludge Survey Data Sheet. See Appendix 4 for conversion from inches to tenths of a foot. Forest Blackwell Z, "1 7 r� / )v 9.8 11.1 10.2 10.0 7.8 9.0 6D 3.0 Z.0J � c i ] rZ � 9.8 10.7 10.0 10.0 3.4 8.0 4.5 �,cf o � 2 �•S Hog House ZoiG Appendix 1. Lagoon Sludge Survey Form Revised August 2008 A. Farm Permit or DWQ Identification Number B. Lagoon Identification r—a•" e i —, .00n C. Person(s) Taking Measurements^� s f [ dC e t /• +, e : (�� i ` 1� +'cam ^ `: ``�` D. Date of Measurements 6 P. Methods/Devices Used for Measurement of: a. Distance from the la oon liquid surface to the top of the sludge layer: vR,v� l r R b. Distance from the lagoon liquid surface to the bottpm (soil) of the lagoon: 21 t'rt a'1 a �_ c. Thickness of the sludge layer i a direct measurement with "core sampler": F. Lagoon Surface Area (using dimensions at inside top of bank): v T7 (acres) (Draw a sketch of the lagoon on a separate sheet, list dimensions, and calculate surface area. The lagoon may have been built different than designed, so measurements should be made.) G. Estimate number of sampling points: ( f o Less than 1.33 acres: Use 8 points . If more than 1.33 acres, acres x 6 with maximum of 24. (Using sketch and dimensions, develop a uniform ;rid that has the same number of intersections as the estimated number of sampling points needed. Number the intersection points on the lagoon grid so that data recorded at each can be easily matched.) H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the location of the pump intake; take measurement of distance from liquid surface to top of sludge layer and record it on the Data Sheet (last row); this must be at least 2.5 ft. when irrigating. 1. At the time of the sludge survey, also measure the distance from the Maximum Liquid Level to the Present Liquid Level (measure at the lagoon gauge pole): L—u c -, c d 40 f: J. Determine the distance from the top of bank to the Maximum Liquid Level � 4 (use lagoon management plan or other lagoon records) K. Determine the distance from the Maximum Liquid Level to the Minimum Liquid level _ r� (use lagoon management plan or other lagoon records) L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level (Item K minus Item 1, assuming the present liquid level is below the Maximum Liquid Level): M. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the lagoon bottom (average for all the measurement points): N. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top of the sludge layer (average for all the measurement points): —10 , si�-- O. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer: P. Calculate the thickness of the existing Liquid Treatment Zone (Item N minus Item L): Q. If Item O is greater than Item P, proceed to the Worksheet for Sludge Volume and Treatment Volume. If Item O is equal to or less than Item P, you do not have to determine volumes. Completed by: VjA I Atic t t -<_ ate: µ ( G Print Name Signature Appendix 2. Sludge Survey Data Sheet* Revised August 2008 Lagoon Identification: 3 1— Z Completed by: Quo, . L.k3 t Sc Date: Print Name Sionature (A) Grid Point No. (B) Distance from liquid surface to top of sludge (C) Distance from liquid surface to lagoon bottom (soil) (C) minus (B) Thickness of sludge layer Ft. & in. Ft. tenths Ft. & in. Ft. tenths Ft. & in. Ft. tenths 1 �3.3 10.6 Z. 2 i0. 5 t I. D s' 3 /0,7 1, 4 /0. d to fl 6 t, 10 LCY• 8' G 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Number of points with readings (d X (3 Average of points b 4 .Z 6,5Z s a 6G l .t6 At pump Intake X X X X *Ail Grid Points and eorres ondin stud a layer thicknesses must be shown on a sketch attached to this Sludge Survey Data Sheet.. See Appendix 4 for conversion from inches to tenths of a foot. COMPUTATION S14EET JsDEPARTMENT OFAGRICULTURE c- -5n Rev. r £ . aTVR£RES DIMc CONSERVATION SER2F STATE - a a r L ja - � § & - UJ&ct PzI &z9 tz, I D sEET OF �. a _ AUG-01-2007 12:06 From:BILL CONOVER SR UP 9196032259 To:19195714718 P.2/2 Murnhy-131ro� LC April 9, 2007 Forest Black -well 8114 Dick Blackwell Rd Ox ford, NC 27565 Dear Mr. Blackwell: P.O. Box 856 Warsaw, NC 29398 910-293-3434 910-293-7551 Fax Upon your request, l have inspected the lagoons we discussed at your swine farm. The lagoons, which are now connected, appear to be constructed soundly. The repairs we discussed regarding the improvement of the emergency spillway have been competed successfully providing adequate width and depth. to allow flow from a catastrophic stonn event to exit tllrough the emergency spillway without endangering the loss of the entire lagoon structure. Please continue to monitor the establishment of the vegetation within the disturbed areas. Upon my inspection the vegetation appeared to be emerging and the soils stabilized with mulch. it is critical that the spillway be maintained at a depth of 15" or greater below the top of the dike, in order to maintain the capacity to withstand all storm events. With this letter, I certify that the modification completed on this lagoon spillway are consistent with good construction practices and meet the requirements of the NRCS standards. Should you have further concerns or questions regarding your lagoon structure, please call me at 910-293-5332. Sincerely, &I- c" David Elkin, P.E. Director or Engineering & Technical Services SEAL 024904 �'''�.S���, 08/13/2010 11:16 9196932137 SOIL Oc WATER CONTSERVATION Oxford, NC 27565 To]. (919) 693-7345 Ext. 3 Fax (919) 693-2137 GRANVILLE SWCD PAGE 01 47 Fax Trmsm&al To- �3✓ 1_Ol rl / aw /' S - Pax: - From: tc - r�t�IC .. Cl .1 1.A e...— f4 L � ')1,.IA Pam' 44 WITH COVER in For PJWNW © Please Ca►wtwd 0 Please Reply 0 please Recycle I' PLEASE CALL IF THIS FAX IS NOT LEGIBLE. 17 S (-d ✓ G_ re I G- y -4r' CONSINATION DISTRICTS PROTECTING AMERICA'S NATUAL RKISOURCIS ................... . 0B/13/2010 11.16 9196932137 GRANVILLE SWCD PAGE 02 COMPUTATION SHEET U. S. DEPARTMENT OF AGRICULTURE NRCB-ENG-523 Aiou, }0-9T NAnNAL AWCrl W CONMUl@N31�IYIQ! m 19,9 3•� 1.q +� 4•5 6.f J� -7 G q 10.4 q, q Z k - R on n ec d , n *1s -- � 0) A�)e . Lk'5vi-D cI r (-, 9 w Ave. 51,A11c, <,� — 3, ►N 08/13/2010 11:16 9196932137 GRANVILLE SWCD PAGE 03 Appendix 1. Lagoon Sludge Survey Form Revised August 2009 A. Farm Permit or DWQ Identification Number -3 q — Z_ B. Lagoon Identification r_Q re S T Q I e�C Kwd. t r C, Person(s) Taking Measurements D. Date of Measurements _ i I — I - o � E. Methods/Devices Used for Measurement of a. Distance from the la$�n liquid surface to the top of the sludge layer: Sveve v Rod b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon: c. Thickness of a gludee layer if making a direct measurement with "core sampler". F. Lagoon Surface Area (using dimensions at inside top of bank): a 5 - (acres) (Draw a sketch of the lagoon on a separate Sheet, list dimensions, and calculate surface area. The lagoon may have been built different than designed, so measurements should be made.) G. Estimate number of sampling points: 10 a, Less than 1,33 acrev Use 8 points b. If more than 1,33 acres, acres x 6 — , with maximum of 24. (Using sketch and dimensions, develop a uniform grid that has the same number of intersections as the estimated number of sampling points needed. Number the intersection points on the lagoon grid so that data recorded at each can be easily matched.) H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the location of the pump Intake, take messareWent of distance from liquid surface to top Of sludge layer and record it on the Data Shoat (last row); this must be at least 2.5 ft. when irrigating. 1, At the time of the sludge survey, also measure the distance from the Maximum Liquid Level to the Present Liquid Level (measure at the lagoon gauge pole): a ca cd 06) St Ca.�a►� s tktc_ ct o a"d J. Determine the distance from the top of bank to the Maximum Liquid Level (use lagoon management plan or other lagoon records) K. Determine the distance from the Maximum Liquid Level to the Minimum Liquid Level 1 5 (use lagoon management plan or other lagoon records) L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level (Item K minus Item 1, assuming the present liquid level is below the Maximum Liquid Level): M. Record from the Sludge Survey Data Sheet the dicta ec from the present liquid surface level to the lagoon bottom (average for all the measurement points): N. Record from the Sludge Survey Data Sheet the distance'from the present liquid surface level to the top of the sludge layer (average for all the measurement points): &* � 9 �j 0. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer: j P. Calculate the thickness of the existing Liquid Treatment Zone (hero N minas Item L): a .5� Q. If item O it greater than item P, proceed to the Worksheet for Sludge Volume and Treatment Volume, If item 0 is equal to or lees than Item P, you do not have to determine volumes. Completed by is i R-r, A L� �-+� f y 01 w.�­ Date; Print Name Signature 08/13/2010 11:16 9196932137 GRANVILLE SWCD PAGE 04 Ln` 2 Appendix 2. Sludge Survey 1112ta Sheet* Revised August 2008 Lagoon Identification: ror is r BI & C Kti...,e If Completed by: ►fir A IJ4 r eW�-S Of", Date, _ ro 9 Print Name Signature (A) Grid Point No. (B) Distance from liquid surface to top of sludge (C) Distance from liquid surface to lagoon bottom (soil) (C) minus(B) Thickness of sludge layer Ft, & In, Ft, tenths Ft. A in. Ft, tenths Ft. d+ In, Ft. tenths 1 .S 2 11.0 3 11.0 1 (. 4 �• % �� 5 6 712• 7 0. ✓+ U- D 8 q ,-7 2. 9 3.4 10 11 12 13 14 15 18 17 18 19 20 21 22 23 24 Plumber of points with readings f 0 X p X , p Average of Dints to ' 8 Ll S 3 At pump Intake -7• it X X X X *All Grid Points and corres ondin 'ckncsscs must he shown on a sketch attached to this Sludge S ey 12ata Shtot. See Appendix 4 for conversion from inches to tenths of a foot. • North Carolina Beverly Eaves Perdue Governor NCDENR Department of Environment and Natural Resources CERTIFIED MAIL RETURN RECEIPT REQUESTED Blackwell, Forest C. F. Blackwell Company 8114 Dick Blackwell Rd Oxford, NC 27565 Dear Permittee, Division of Water Quality Coleen H. Sullins Director September 29, 2011 Dee Freeman Secretary SEP 3 0 201 RaIBE�,? 11C�s.��ept 11�?i"v� Subject: Notice of Violation C. F. Blackwell Company Permit Number AWS390002 Granville County As of this date, our records indicate that the above -referenced permit issued to your facility has overdue fees. It is both a condition of your permit and required by Rule 15A NCAC 2T .0105(e) (2) to pay the annual administering and compliance fee within thirty (30) days of being billed by this Division. The following invoices are outstanding: Invoice Number Invoice Date Due Date Outstanding Fee $ 2011 PR003711 5/3/2011 6/2/2011 180 Please include payment for all your current and prior invoices for which the anuual fees are still due. Please remit the total sum of the outstanding fees, made payable to the North Carolina Department of Environment and Natural Resources (NCDENR), in the above amount. Please include Permit Number on your check and mail this payment to: Division of Water Quality — Budget Office Attn: Fran McPherson 1617 Mail Service Center Raleigh, NC 27699-1617 Phone. (919) 807-632I Failure to pay the fee accordingly may result in the Division initiating enforcement actions, to include the assessment of civil penalties. Failure to comply with conditions in a permit may result in a recommendation of enforcement action, to the Director of the Division of Water Quality who may issue a civil penalty assessment of not more that twenty-five thousand ($25,000) dollars against any "person" who violates or fails to act in accordance with the terms, conditions, or requirements of a permit under authority of G.S. 143-215.6A. Therefore, it is imperative that you submit the appropriate fee as requested within thirty (30) days of this Notice of Violation. -contd - 1636 Mail Service Center, Ralegh, North Carolina 27699-1636 Location: 2728 Capital Elivd., Raleigh, North Carolina 27604 Phone: 919.733-32211 FAX: 919.715-05881 Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org An Equai Opportunity 1 Affirmative Action Employer NorthCarolina Aawrally • • If you have any questions concerning this Notice, please contact J. R. Joshi at (919) 715-6698 or at jaya.joshi@ncdenr.gov. Sincerely, Keith Larick, Supervisor Animal Feeding Operation Unit cc: Raleigh Regional Office, Aquifer Protection Section APS Central File (Permit No AWS390002) AUG-01-2007 12:06 From:BILL CONQUER SR UP 9196032259 To:19195714718 P.2/2 Murphy-15"rown,1C April 9, 2007 Forest Black -well 8114 Dick Blackwell Rd Ox ford, NC 27565 Dear Mr. Blackwell: P.O. Box 856 Warsaw, NC 2K398 910-293-3434 914-293-7551 Fax Upon yoLLr request, I have inspected the lagoons we discussed at your swine farn7. The lagoons, which afire now connected, appear to be constructed soundly. The repairs we discussed regarding the improvement of the emergency spillway have been competed successfully providing adequate width and deptb to allow flow from a catastrophic storm event to exit through the emergency spillway without endangering the loss of the entire lagoon structure. Please continue to monitor the establishment of the vegetation within the disturbed areas. Upon my inspection the vegetation appeared to be emerging and the soils stabilized with mulch. It is critical that the spillway be maintained at a depth of IS" or greater below the top of, the dike, izi order to maintain the capacity to withstand all storm events. With this letter, I certify that the modification completed on this lagoon spillway are consistent with good construction practices and meet the requirements of the NR.CS standards. Should you have further concerns or questions regarding your lagoon structure, please call me at 910-293-5332, Sincerely, �bc -tn, David Elkin, P.E. Director orEngineering & Technical Services e $EAL • .024994 r i � Q Q IW 10/06/2006 12:22 9196932137 GRANVILLE SWCD PAGE 01 ' 14.6 hAain St eet P.O: Sax' tiff. • Oxford, NC 275E6. Tel. (919),693-4803, ext.3 Fax (919) 69.3-2137 I ft'XI n Sa 4 74, ; Prix s'yPUWI w C Phwm 0061 (e p R: a: ❑ Ureent © ParReview 0 Please C*mwm.t. ❑.Pink": Reply 13 Please Rewow • Camnmn#m Have .a Joyely da l 10/06/2006 12:22 9196932137 GRANVILLE SWCD _ PAGE 02 4 i talnitad Stec Iep+arftmnt of Agrkpift re — 4 N RCS E Natural Resources conservation Service P.o Sax 10 140 Main 3traet, Sulte 108 Oxford, NO 27HO Tel693mZ346 RAJ NCDWQ f June 26, 2006 Water Quality Section Non -Discharge Compliance/Bnforcernent Unit 1617 Mail Service Center Raleigh, NC 27699-1617 To whom is may concern; Attached you will land Sludge Survey documentation for Forest Blackwell Facility #39-2 in QranviAe County. According to the survey results, the lagoon has an, average treatment zone of 6.4 ft. (9.3 —top of storage vol. or pipe invert of primary stage lagoon minus 2.9 ft- ave. sludge layer thickness). At this time, sludge removal is not necessary. However, we anticipate conducting a second survey in one year to re-evaluate the need f„r a sludge~ removal plan. If you have questions, please feel free to coil. ` 11 Sincerely, I i Diana Lewis District Conservationist i I f i The Natural Resources GQnservatiom Service provides leadership in a partnership effortto help people conserve, rnelntain, and improve our natural resources and envi+onment. Ii An Equal Opportunity Provider and EmpiWto I 10/06/2006 12:22. 9196932137, GRANVILLE SWCD PAGE 03 F Appendix 2. Sludge Survey Data Sbe'et* Lagoon Identification: Sludge Survey pata 511'aet a-V Sr t Ri ^� Completed ey: DI' i-a�.Jl S Date: - l - 06 Print Name Signature PoInt No.cr- - Distance• • . surface- lagoon bottom (so of sludgeto layer M ll rid P au an sa2ddingAda 10= thick== Musl k sh SJUAM Survey Data Sheep. See Appendix 4 for conversion from inches to unths ofa foot. ' Ei E� 15 10/06/2006 12:22 9196932137' GRANVILL.E SWCD f Apptadix 1. Lagoon Sludge Survey Form A. Farm Permit of DWQ Identification Numbcr 3 9 ' Z.. B. Lagoon Identification 1 - C. Pemon(s) Taking Measure(nentS b D. Date of Measurements' ; 3 1 {a- -- E. MethodWevioes Used for Mess mmvent of: I : EL Distance from the lagoon liquid surface to the top of the sludge layer: b. Distance front the lagoon liquid surface to the bosom (soil) of the Lagoon: I I c. Thickness of the sludge layer if malting a direct measurement with "core sampler": I F• Lagoon Surface Area (using dimensions at Inside top of bank): - 5� (acres) (Draw a sketch of thi lagoon on a separate sheet, list dimensions, and calculate surface area ) G. Estimate number of sampling points: I a. Less than 1.33 aches: Use 8 points b. If more than 1.33 'amvs, _ acres x 6 - , with maximum of 24. (Ustng dmcb and dtrnenuions, develop a tmi% m grid that has the some number of intersections as the estimated number of ismpling pouts Deeded. Number the tnta=ction points on the lagoon grid so that data recorded at tech can be easily matched.) PAGE 04 H. Conduct sludge survey and record data on "Sludge Survey Data Shee:P' (Appendix 2), See _{{G c k4L . L At the time of the sludge survey, also measure the distance from the Maximum Liquid Level to the Present Liquid Level (uteMm at the lagoo gange pole): N jA • OQe e4O o r.1 i s o- T6J o Sig_S s. wGg ' t,Av+etT- S K '['�",�,- J. Detetamine the dlstanceifrom the Maximum Liquid Level to the Minimum Liquid Level (use lagoon management plan or other lagoon records): K. Calculate the distance from the present liquid sun%ce level to the Minimum Liquid Level (Item J minus Item I,'assuming the present liquid level is below the Maxirnutn Liquid Level): L. Record from the Sludge Survey Date Sheet the distance from the presentligakd surface level to the lagoon bottom (average for all the measurement points): 3 i w M. Record from the Sludge Survey Data Sheet the div=ce from the present liquid surface level to the top of 8se sludge` layer (avemge fbr all 't is measurement points): G� N. Record from the Siudge Survey Data Shed the avaW thickness of the sludge layer: 0. Calculate the thickness of the existing Liquid Treaunant Zone (]tern M minus item 10 (Note: If Item 0 is less than 4 Wt, a sludge removal and utiiizadon plan may be required by N.C. DWQ. Sue your specific permit or contact DWQ for more infotmadon.) P. Proceed to the Sludge Volume Worksheet if you desire to calculate sludge volume for a rectangular - shaped lagoon with uMform side &lopes. Completed by: Le,•1 i S Date: Print Name Signature 14 10/06/2006 12:22 9196932137 /OWPUTATFOM SHEET � MACS-ENO-M Rev. 10-97 I �I GRANVILLE SWCD PAGE 05 U. S. DEPARTMENT OF AONCULTURE I �r x x X 3 obi i In, t , S•h s.-� '-7 �,s � i Q s•� �a.5 lo.� q.rs ,1 q.8 3.5 .3 k 1,5 vc �.clvi D �e�Itt �' t4 �I A,j e- . l ,D JI L O,, en o Ma Ate- - S I %.,-d yt. Lr—,, c,r �, w "Z . Ct - 30, -7 t1 . �ISrMUM. Rtj u I Va @aPm 6� �rGc 5 d c '• y•o 9 a 133 .I �... t r� u �" p f r t u.�' w+G•�ti � e► rye_ (p . �-{ ' ,E ]f II i I� i Cowear r i�!3 Storage Peo: -� .data Subtotal of 14V from first page: cubic feet Enter any available storage that will be utilized as storage in the new systern- _ . _ _ :..�-_ . <cufeet To determine total volume of waste and runoff to be stored In new structure: cubic feet Select side slopes for stnrctrue: to 1 (1nterior) NOTE: 3:1 Side slopes are tip adnimum recommended inb9ior side slopes for eaten structures. Trial # ituom LammBottom Wdih AL W� Yoturne orov�d btu th�crit$ria in cubic feet 1 170 SO 00 0- thisis greater than the ` cubic feet regutred 77— this is _ - _ -- cubic feet regL&W . 3� -- - - - - -_ #VALUE1l this is OVALUd cubic feet required 4 this is cubic feet rec ftured Ngit that the depth to be selected in this step is not the f flat depth of the stnxlure. V. Direct Precipitation: . Direct rainfall on the structure: 0.6 feet Choose a suceessfW Trial {less evaporation) _ .. . VI. Direct Contrlbution by 25year, 244mur storm: Direct rainfall on the structure: 0.46 feet VO. Freeboard Add: 1-0 feet of freeboard Total height of the structure = 6.04 feet for the selected bottom dmensions of feet long X feet wide Feat dimensions of the structure: 5:0 feet high and 970 feet Fong by 50 feet wide - - - - in the floor and 1-95.2 feet by .7.5.2 feet at the lop Structure sized for: X,,ec► 13tAxX-,�,eq to provide - - -days storage 195.2 feet low at the too 75.2 50 Net wide at the 11.11 feet or seboard— wide top 0.45 feet fwm 2rrrea atone — ._ the fuOttoE1 I Q.13 feet ar ra3nta!! �• il Tfeet used feel h3 for waste. 170 tees long in the tsotfom padding, and nhwtr LD an W W N r W D z H r- r m n d Cooperator It-Ov'ct 1 f5l c442M Storage Period: jF days Subtotal of I -IV from first page: _ cubic feet Enter any avayable storage that will be utilized as storage in the new system: cubic feet To determine totsl volume of waste and runoff to be stored in new structure: cubic feet Select side slopes for structure: ._ -_ to 1 Interior) NOTE: 3.1 Side slopes are the mir�r�r4u[�R A ,,,Pnded interior side slopes for earthen structures. T�I 0 eae�� Q uouo�„ ++ii VVoh me��ttas�a in cd�ic feet 1 170 50 4.00 4373.7.3 this is greater than the cubic feet required 2 cubickm_4 required 3 - - _ - - — - #VALUE1 ^^ this is ffVA UE1 cubic ket required 4 this is cubic fleet required We that the depth to be selected in this step is not the final depth of the structure- V. Direct Precipflation: Direct rainfall on the structure: 0.6-feet Choose a sucoessfeul Trial # Trld I Iew evaporation) A Direct ConttVaution by 25-year, 24-hour storm: Direct rainfall on the structure: 0.46'feet Vet. Freeboard Add: 1.0-feet of freeboard Total height of the structwe = 6.04 feet for the selected bottom dimensions of feet long x - feet wide Final dimensions of the structure: 6.0 feet high and 170 feet long by 5a feet wide _- in the -floor and 200.2- feet by - 80.2 feet at the top Structure sized for: P secs: (3kc kwcW to provide ffMdays, storage 200-2 feet lone at the too 80.2 50 feet wide at the 1.0 rest of freeboard ��_ feetlide top 0.46 teat from 2ryear stc.m ��= in the bottom '� 0.8 feel or rau40 �. 6.0 T feet used feet high 4 for waste, 170 feet long in Ow bottom beckRng, and rtmoH Cn N m 0 In N N N n z c r r- rn En c� cv OCT-13-2006 11:40 From:BILL CONOVER SR VP 9196032259 To:19195714718 P.1/4 y i - - C. Forest Blackwell '-= 8114 Dick Blackwell Rd. Oxford, NC 27365 Phonc:919-693-4494 or919-603-2213 'Faesmute Transftittal To: Joseph Gyamfl Fax - 919-571-4719 From: forest Blackwell Dais: 10A 3/06 Re: Calibration Pages: 4 + Cover i cc, ❑ UMent O For Review ❑ Plow Comment 0 Ruse Re* G Please Recycle f OCT-13-2006 11:41 From:SILL CONOVER SR VP 9196032259 To:191957147le P.2/4 7 tiYy Subject: calibration sheets From* Karl Shaffer <Karl Shai er@nt;su.edu> Date: Thu, 12 Oct 20D613:05:52 -0400 To: tommy_brooks@ncsu.edu Tommy- an excel sheet is attached. 1 had to make some assumptions as to the target depth beeuase each traveler is different. T used 0.70 based on the gun pressure and the measured travel speed and an assumed lane spacing. Here is the calculation; Depth .26 x lane spacing (210 ) x travel speed (26 inches/minute) Depth = 0.70 inches The excel sheet show% an average catch of 0,72 inches so slightly higher but not excessive and a unifomlity, of 90% -excellent. Complete all the,other info on the sheet, including the reel type, number, pressure, pump pressure and file it with his plan and records. Karl Karl Shaffer- Extension Asiociate-Waste Management Soil Science Department- College of Agriculture and Life Sciences NCS U 91.9-515.7538 FAX 515-7494 kari—shaffer@ncsu.edu P.O. Box 7619 Raleigh, NC 27693-7619 _ Part 1.1 Content -Type: text/enriched Brooks s c.. o-C.. ... _ . ... .,... ...._. _.._ .. — ... _..__ _ - 1 calibration 10-11-06,xls ntent-Type: application/octet-stream Content -Encoding: base64 Part 1.3 Content -Type: text/enriched r OCT-13-2006 11:41 From:BILL CONOVE=R SR VP 9196032259 To:19195714718 P.3/4 Irrigation Calibration - Traveler Model Nelson 150SH -1.08 rin2 @72 psi Date:-Oct-06 Target Application Depth (In) Travel Speed (f i,r) 134 Application Time (Hours) 1.08 Gun Angle Flow Rate (Table Value - GPM) 1 Wetted Radius (ft) 140 Distance between yuages i Guage M Distance from Center Initial Catch Corrected Volumes LB 120 L7 104 LS 88 L5 72 L4 56 L3 40 L2 24 t-1 e R1 a R2 24 R3 40 R4 56 R5 72 R6 .88 R7 104 R8 120 0158 0.71 0.78 0.84 0.77 0.78 0.79 0.65 0.60 0.67 0.74 0.74 Av. Catch (in) .721 Av. oev. (in) Precipitation Rate (irVhr) - Equation 0.58 Precipitation Rate (in/hr) - Measured in Field 1-10.67 Christiansen Uniformity Coefficient (Uc) 90.9 Uc, > 85 = Excellent 70 - 85 = good -c 70 = unacceptable Gc. Dev. 0.141 0.011 0.059 0.119 0.049 0.059 0.069 0.071 0.121 0.051 0.019 0.01,9 0. 0. 0 0 C { 4 OCT-13-2006 11:42 From:BILL CONOVER 5R VP 9196032259 To:19195714718 P.4'4 Application Dlatribution • Cadman Column SCoiumn 5 r OCT-13-2006 11:40 From:BILL CONWER 5R VP 9196032259 To:19195714718 P.1f4 -- C. Forest Blackwell 9114 Dick Blackwell Rd, i Oxford, NC 27565 - - Phone: 9194934484 or 919-603-2213 . FkSfilfik To: Joseph Gyamf i Fax* - 919-571.4718 From: Forest Blackwell Dale: 10/13/06 Re: Callhrasion Pages: 4 +Cover cc: ❑ urgent 0 For Review ❑ PNsae Comment ❑Please Reply ❑ Fleas Recycle 39 yv,'Il .......................... OCT-13-2006 11:41 From:SILL CONOVER SR VP 9196032259 To:19195714718 4' k Subject: calibration sheets From: Karl Shaffer <Karl_Shaffer@ncsu.edu> Dato, Thu, 12 Oct 2006 13:05:52 -0400 To: tummy—brooks@ncsu.edu Tommy- an excel sheet is attached, i had to make some assumptions as to the target depth beeuase each traveler is dirrerent. T used 0.70 based on the gurt pressure and the measured travel speed and an assumed June spacing. Here is the calculation; Depth =19.26 x glint (197) lane spacing (210 Et) x travel speed (26 inches/minute) Depth = 0.70 inches The excel sheet showi an average catch of 0,72 inches so slightly higher but not excessive and u uniformity of 90% -excellent. Complete all the other info on die sheet, including the reel typo, number, pressure, pump pressure and file it with his plan and records. Karl Karl Shaffer- Extension Associate -Waste Management Soil Science Department- College of Agriculture and Life Sciences NCS U 9J9-515.7538 PAX 515-7494 karl_shaffer@ncsu.edu P.O. Box 7619 Raleigh, NC 27695-7619 Part 1.1 Content -Type: text/enriched I Tommy Brooks calibration 10-11-116.x19 Content -Type: application/octet-stream Content -Encoding: base64 Part 1.31 Content -Type- text/enriched i tSS�r ti �'Z I1 OCT-13-2006 11:41 From:BILL CONOVER SR VP 9196032259 To:19195T147ie P.3/4 r� Irrigation Calibration - Traveler Model Nelson 150SR -1.08 rin @72 psi Date: j` Target Application Depth (in) Travel Speed (H/hr) 134 Application Time (lioura) 1.08 Gun Angle Flow Rate (Table Value - GPM) 197 Wetted Radius (ft) 140 Distance between guages Guage * Distance from Center L8 120 L7 104 L6 88 1.5 72 L4 56 L3 40 L2 24 L1 8 191 8 R2 24 83 40 R4 56 R5 72 R6 88 R7 104 Re 120 mitiar 0. Converted Volumes Dev. 0.58 0.141 0.71 0.011 0.78 0.059 0.84 0.119 0.77 0.049 0.78 0.059 0.79 0.069 0.65 0,071 0.60 0.121 0.67 0.051 0.74 0.019 0.74 _ 0.01,9 Av. Catch (In) Av. Dev. (in) Precipitation Rate (in/hr) - Equation 0.68 Precipitation Rate (in/hr) - Measured in Field 0.67 Christiansen Uniformity Coefficient (Uc) 90. Uc: > 85 = Excellent 70 - 85 = good i 70 m unacceptable c�0, k; OCT-13-2006 11:42 From:9ILL CONOVER SR VP 9196032259 To:19195714718 P.4-4 0 .8 .7 �.6 1.5 ).a 3.3 0.2 0l 0.[ N AppllcMion Dlatributlon • Cadman WyR Nuw Column Column 10/06/2006 12:22 9196932137 GRANVILLE SWCD PAGE 01• r 70: lip $t 4 : fm= 6,,zcJ1 Zk 134 2tt�ye/ q4eo Z-0G ❑urvem 0 ftr.Rwiww 11 Phio Con mmt. D..Phese Reply fl Pwme ROCYCAS • Commmntm - _ Have .a love-* - 10/06/2006 12:22 9196932137 GRANVILLE SWCD PAGE 02 ` Uelbdd 9"11W DepwUmmt at Affirkt&MV0 - NRCS Natural Raaoura ee Conservotlon Service P.P Rex 14 140 main Street, Suite 108 Oxford, NC 27566 Tel NCDWQ June 26, 2006 Water Quality Section Non -Discharge Compliance/Enforcement Unit 1617 Mail Service Center Raleigh, NC 27699-1617 To whom is may concern, Attached you will find Sludge Survey documentation for Forest Blackwell Facility #39.2 in Granville County. According to the survey results, the Iagoon has an average treatment zoiae of 6.4 ft. (9.3 —top of storage vol. or pipe invert of primary stage lagoon minus 2.9 R- ave. sludge layer thickness). At this time, sludge removal is not necessary. However, we anticipate conducting a second survey in one year to re-evaluate the need for a sludge removal plan. If you have questions, please feel free to call. Sincerely, Diana Lewis District Conservationist The Natural freeource3 Conservrtbn SOMce provides leadership In a partnenhlp effort to help people Conserve, rnaintaln, antl improve our natural resources and envirOrdnent. An Equal Opportunity Provider and Emvioyer V 1r.0`/06/2006 s, t 12:22 9196932137 Appendix 2. Sludge Survey Data Sheet* GRANVILLE 'SWCD PAGE 03 Lagoon fderMCetion: Sludge survey Data Sheet K Completed by: bi his A t cis ` .Date: — 1— Uri Print Name Slgneture PointOrld .. Distance to lagoon bottom (soil) sludge 1 tayer See .Appendix 4 for conversion fro►n inches to tenths of a foot, 15 10/06/2006 12:22 9196932137 GRANVILL,E SWCD PAGE 04 ri r Appendix 1. Lagoon Sludge Survey Form A. Farm permit or DWQ Identification Number 3,4 ' Z B. Lagoon Identification 1 C. Parson(s) Taking Mean remettts b . L.Qs�S E! . 43tr—AC L-.+e~ L t K . 4w {f D. Date of Meastttements 3 k , 4 C% _ E. Mdhods/Devioes Used for Measttretnettt of: a. Distance from the lagoon liquid Pwfaae to the top of the sludge layer: b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon: c. Thickness of the sludge layer if maldng a direct tnessuremcnt whh "Core :ampler": F. Lagoon Surfaoe Area (using dimensions at Inside top of bank): -- 51 (acres) (Draw a sketch of the lagoon on a separate sheet, list dimensions, and oalculate surface area.) G. Estimate number of sampling points: to a. Less thine 1.33 rwres: Use g points b. If more than 1.33 acres, ____� acme x 6 = _ . with maximum of 24. (Us4 sketch and dwwnaiena, devebp a unifutm grid that has the same mmrber of itttwwrtions w on estbndotl umber of mTling poino needed. Number the intersection points on the larooa grid 4o that dam recorded at tech can be wily mod".) H. Conduct sludge murvey and record data oa "Sludge Survey Data Slime' (Appendix 2). See 1. At the time of the sludge survey, also measure the distance froth the Maximum Liquid Level to the Present Liquid Level (weesure at the lagoo gauge pole): J,j ow let; & *-) i s a. TWO S#s—fis, waif Mr"e1 - S �^t3ra'..�. J. Determine: the distance flora the Maximum Liquid Level to the Minimum Liquid Laved (use lagoon management plan or other lagoon records): K. Calculate the dinwee from the present liquid sur&w level to the Minimum Liquid Level (Item J minas Item I, assuming the present liquid level is below dte Maximum Liquid Lovel): L. record li om the Sludga Survey Date Sheet the distenoe from the present liquid surface level to the lagoon bottom (average for all the teeasureareM Points)' ,t M. Record from the Sludge Survey Dam Sheet tha distmee !}om the present liquid xWface level to the top of ore sludge layer (average for all the measurement points): K Record ftm the Sludge Survey Data Sheet the average thickness of the sludge layer: 2 _ 0. Calculate the thickeess of the existing Liquid Treamtettt Zone (Item M mkaus item IQ: (Note: If Item 0 is less thao 4 feet, a eiudge removal aid utilization plan may be required by N.C, DWQ. See your specific permit or contact DWQ for more infarmsdon.) P. Proceed to the Sludge Volume Worksheet if you desire to calculate sludge volume for a rectangular - shaped lagoon with uniform side slopes. Complctad by: Data. Print Name Signature 14 10/06/2006 12:22 9196932137 j COMA MTYOM SHIFT NRCS-Ema-= Rev. 10-97 r-. GRANVILLE SWCD PAGE 05 U. I DEPARTiMENr OF AGRICULTURE ! fa70+Sb/v� �'"FiL� 1.70 ®x a 7�8 �O.7 io•6 �•� ro.� Q x W x Q x a X 10.5 16.1., q.g q•g j3 DA ov^ u►d'C� i 1 I Ave- . L-:c`.; � LcJ�` G. • tj /due,, t—o q•3 f f i iN�n�Vnn 2[yJfreo( @ bf en s�adjc. ii•o '. -01 ' 3 33? I �.ocrperarar;remtf 1514CAP—We storageA iiod:', :.-r W_ . �� Subtotal of I4V from first page: cubic feet Eller any a+ralable storage that will be utilized as storage in the new system: To determine total voltune of waste and ninoff to be stored In new stricture: cubic feet Sew side slopes ldr structure: to 1 (Iroo too NOTE. 3:1 Side slopes are OV minimum 6e?r mended intmior side slopes for earthen structures. Trial # ftwtwna ftQggMyadrn Pat _9 re P[9V�ft-dhy this criteria in cubic feet 1 170 S0 C M76.0- this is 3 � is4I/Al�t1El it>ts is M9(9 that the depth to be selected in this step is not the final depth of the structure. this is Direct Precoutlon: E?kW rainteil on the structure: 0-6 feet (less evaporation) _ Direct Costrtbution by M-year. 24 hour storm: Direct rainfall on the structure: 0.49 feet Freeboard cubic feel greater than the cubic feet required cubic feet required cubic d nxpir+ad MOVALUE! cubic Net requiM Choose a sucpessful Tfiel fi . Add: 1 -0 feet of heeboard Trial height of the structure = 5.04 feet far the selected bottom dimensions of ieet long X feet wide Final dimensions of the structure: &0 feet high and 170 feet Fong by 50 feet wide in the floor and 1951- feet by 7.5:2,feet at the lop Structure sized for: )5�.etr Ot44Xwtq. to provide days storage 195.2 feet long at the tco W I— LO m lD m N 50 75.2 A wide Meet wide at the 1.0 feet of rreeboerd _ the bottom top 0.4$ feet ham 75 reap store `. 0.6 fmtofrainha —� 5A feet high T feet used v n 170 feet Iwrg in the bottom 3 for waste. bedding, and runoff m m Cooperator. 't r e5 Subtotal of I-N from first page: cubic feet Enter a available storage that will be utilized as store i the any �98 a ye n 1 new system: .._ attic feet To determine bohd volume of waste and runootf to be shored in new structure: cubic feet Salad side slopes for sinwlune. to 1 (interior) NOTE 3.1 Side slopes are the'rrtiry'r1� r tRr fr nded interior ++ii�c side slopes for eafthen st7ut res. Trial 0 ss nss�ow awnyy Vo��v��this���n�ic 1 170 50 4.00 - feet this is areatortl m ttte cubic fast reared 43333.3 2 this is cubic feet required 3 OVALUE1 this is RYA ElU cubic beet required 4 this is cubic teat required NOW that the depth to be idecled in Ift step is not the rinal depth of the stricture- V. Direct Pmdpitstkwr Direct rainfall an the shuchue: 0-6-fed Choose a successful Trial 0 rise (less evaporation) A Direct Contrthutkm by 25 yaw, 244rour storm: Direct rainfall on the sbWuFe: 0.46 feet V?L Freeboard Add: 1.0=feet of freeboard Total height of the struchre = 6.04 feet for the selected botbm dimensions of feel long x feet wide Final di pensions of the structure: 6.0 feet high and 170 feet long by 50 feet wide in the floor and 200.2- feet by 80.2 feet at the top Structure sized for T;90-f-s4 e-31c-cift'wc1j to provide saw days storage 2W-2 teat long at the too 80.2 50 feet wide at the t.0 feet d trabboarC �� 3t Yide top 0,46 feet from 25-Year lk Fm the bottom `r 0.6 fear of raairq —� �. 6.0 feal�sed feel: high 4 forwaste, 170 feat long in 9* bottom bedftp. OW renoe CO m m N m CD v+ N LD %D In W w m c£3 a Forest Blackwell C. F. Blackwell Company 8114 Dick Blackwell Oxford NC 27565 Dear Forest Blackwell: Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Kl1hek; P_.E,, Director Division of Watery allty—j October 1, 2004 r i -' {- Cd O 3 111L , sir;.- ' -• � Subject: Certificate of Coverage N6`AWSa900_02 ; f C. F. Blackwell Company Swine Waste Collection, Treatment, Storage and Application System Granville County On June 11, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill 733 (Session Law 2003-28). In accordance with your application received on February 11, 2003 and in accordance with the directive of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Forest Blackwell, authorizing the operation of the subject animal waste collection, treatment, storage and land application system in accordance with General Permit AWG100000. The issuance of this COC supersedes and terminates your previous COC Number AWS390002 which expires October 1, 2004. This approval shall consist of the operation of this system including, but not limited to, the management of animal waste from the C. F. Blackwell Company, located in Granville County, with an animal capacity of no greater than an annual average of 1256 Feeder to Finish 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 September 30, 2009. 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 State General Permit.' Since this is a revised State General Permit, it contains new requirements in addition to most of the conditions contained in the previous State General Permit. Enclosed for your convenience is a package containing the new and revised forms used for record keeping and reporting. Please pay careful attention to the record kee in and monitoring conditions in this permit. Aquifer Protection Section -Animal Feeding Operations Unit OCT 1 5 20� one 1636 Mail Service Center, Raleigh, North Carolina 27699-1638 ! NorthCarolina Phone:919-733-3221 ! FAX: 919-715-058811nternet: h2o.en r, state.nc. us Vaturally An Equal OpportunitylAffirmative Action Employer-- 50% Recycledll0% Post Consumer Papei (/ `« 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 NRCS standards are met prior to restocking of the facility. Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any lagoon, 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, 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 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) 571-4700. If you need additional information concerning this COC or the General Permit, please contact Duane Leith at (919) 715-6186. Sincerely, for Alan W. Klimek, P.E. Enclosures (General Permit AWG100000) cc: (Certificate of Coverage only for all cc's) Raleigh Regional Office, Aquifer Protection Section Granville County Health Department Granville County Soil and Water Conservation District Permit File AWS390002 APS Central Files o�o� war�9Q� May 15, 2003 Mr. Forest Blackwell 8114 Dick Blackwell Road Oxford NC 27565 SUBJECT: Retraction of Notice of Violation C. F. Blackwell Farm Farm # 39-2 Granville County Dear Mr. Blackwell:' 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 :, l "l m � t i C E5 r c On April 17, 2003, you were sent a Notice of Violation for having high freeboard in your lagoon. Diana Lewis, District Conservationist, reported to DWQ on May I` that your freeboard marker was inaccurate and you actually had more than nineteen inches. Therefore, the Notice of Violation is hereby retracted and has been removed from your file. If you have any questions, please call Steve Lewis at 733-5083, ext. 539. Sincerely, Klimek, P.E. cc: Facility File — Non -Discharge Compliance/Enforcement Unit ale gh7Regiana] .Office Customer Service: Mailing Address: Telephone (919) 733-5083 1-877-623-6748 1617 Mail Service Center Fax (919) 733-0059 Raleigh, North Carolina 27699-1617 State Courier #52-01-01 An Equal Opportunity/Affirmative Action Employer 50% recycled/ 10% past -consumer paper http✓/h2o. enr.state. nc. us A NCDENR Location: 512 N. Salisbury St. Raleigh, NC 27699-1617 United States Department of Agriculture MRCS Natural Resources Conservation Service P.O Box 10 146 Main Street, Suite 108' Oxford, NC 27565 TO: J.D. Hester RRO, Division of Water Quality RE: Forest Blackwell Lagoon Marker Facility, # 39-2.: FROM: Diana Lewis . District Conservationist, MRCS DATE: May 1, 2003 Sometime during the week of April 7, 2003, Mr. Blackwell called DWQ to report he had reached his begin pump mark, or so he thought. However, at that time, he still had 2" left when he began to pump out waste as verified by the survey readings. On April 30, 2003 1 visited F.Blackwell's hog operation to gather data for completion of his Plan of Action for High Freeboard. I took survey readings to verify accurate elevations of top of dam, emergency spillway, begin pump, and end pump markers. The survey showed that the begin pump marker was 2" below the reading I obtained. Mr. Blackwell informed me that his floating dock had tipped over on top of the PVC pipe with the markers during a heavy wind storm in March, and this more than likely caused the pipe to shift a little. In the attached photo, you can see the corrected begin pump elevation above the old mark with black tape. If you have any questions or concerns, please feel free to contact me. Thank you. The Natural Resources Conservation Service provides leadership in a partnership effort to help people conserve, maintain, and improve our natural resources and environment. An Equal Opportunity Provider and Employer 89x384 pixels LA)/ Lj;. /V WC s f off 512ro-3 4:22 P.%4 14 United States Department of Agriculture o N RCS Natural Resources Conservation Service P.0 Box 10 146 Main Street, Suite 108 Oxford, NC 27565 TO: J.D. Hester RRO, Division of Water Quality RE: Forest Blackwell Lagoon Marker Facility # 39-2 FROM: Diana Lewis District Conservationist, MRCS DATE: May 1, 2003 `I EQ C C DE�'R�l 4? fl�yR�cI�NgL Sometime during the week of April 7, 2003, Mr. Blackwell called DWQ to report he had reached his begin pump mark, or so he thought. However, at that time, he still had 2" left when he began to pump out waste as verified by the survey readings. On April 30, 2003 I visited F.Blackwell's hog operation to gather data for completion of his Plan of Action for High Freeboard. I took survey readings to verify accurate elevations of top of dam, emergency spillway, begin pump, and end pump markers. The survey showed that the begin pump marker was 2" below the reading I obtained. Mr. Blackwell informed me that his floating dock had tipped over on top of the PVC pipe with the markers during a heavy wind storm in March, and this more than likely caused the pipe to shift a little. In the attached photo, you can see the corrected begin pump elevation above the old mark with black tape. If you have any questions or concerns, please feel free to contact me. Thank you. The Natural Resources Conservation Service provides leadership in a partnership effort to help people conserve, maintain, and improve our natural resources and environment. An Equal Opportunity Provider and Employer JPFG irjage 289084 pixels v 5�,U;4 d i v 3}1911a LC0j)g E/14� W / G IA",I VA `., 1 /Ner. S 1 of 1 5/2/43 4:22 PM ai'? x3 "•d� n-3' - E-:<i'' E 33l - - 6.. 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Y � Start lt FileMaker Pro ,E+ j �iiif�:a€EI=[?f§<FF.t;>Rs 3°;rIE} P1i<PYh =[ ii tll '�I�,�lEiii�E$} s FtY E rE f;E ll 1;0 R, III iflBil;E166i�1011s P111,fi ��Y e� i IB!°,lE@II�� .� iLE Nl +�,��?�®I�a� Qti®i� 5 44,F?�I�; April 15, 2003 CERTIFIED MAIL RETURN RECEIPT REQUESTED 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 Forest Blackwell — 8114 Dick Blackwell E 9 Y Oxford NC 27565 APR 2 �, SUBJECT. Notice of Violation 2 L, Request for Information D NR RALEI HG HE _M.. `"`---------�_ Inadequate Freeboard. C. F. Blackwell Company #39-2 Granville County Dear Sir or Madam: On February 28, 2003, a representative of your animal operation informed the Division of Water Quality (DWQ) that there was inadequate freeboard in the lagoon(s) serving this facility. This lack of adequate freeboard is in non-compliance with the Certificate of Coverage issued to this facility on June 1, 2000. In addition to this Notice of Violation (NOV), this non- compliance is subject to an appropriate enforcement action by DWQ. This action can consist of one or more of the following: a civil or criminal enforcement action; an injunction; and/or a requirement to apply for coverage under an individual permit. The action chosen will be based on complete evaluation of all factors that resulted in the inadequate freeboard; the actions taken to restore the needed freeboard; and the actions being proposed to prevent the problem from reoccurring. To assist.us in our review, please provide the Raleigh Regional Office with an evaluation of the reasons for the freeboard violation(s) and a strategy to prevent future freeboard violation(s). This evaluation and strategy must include but is not limited to the following: Current Freeboard level(s) Freeboard level records in the lagoon(s) for the past 12 months up to the date of submittal Spraying records for the past 12 months up to the date of submittal J 4 Customer Service: Mailing Address: Telephone (919) 7334083 Location: 1-877-623-6748 1617 Mail Service Center Fax (919) 733-0059 512 N. Salisbury St. Raleigh, North Carolina 27699-1617 State Courier #52-01-01 Raleigh, NC 27699-1617 An Equal Opportunity / Affirmative Action Employer 50% recycled / 10% post -consumer paper http://h2o. enr, state.nc. us Inadequate Freeboard Page 2 Rainfall records for the past 12 months for this site up to the date of submittal (if available) Cropping system and PAN specified in the CAWMP. If the cropping system was not in compliance with the facility's CAWMP, provide details of the cropping system in place for the past 12 months. A summary of actions taken to restore the needed freeboard in the lagoon(s) including but not limited to removal of animals from the site, delay of restocking of animals, pumping and hauling waste to another site (specify site), securing additional irrigation equipment, and securing additional spray sites. A description of water conservation measures in use at the facility and the date(s) installed. If the lagoon level(s) are still in violation of the facility's CAWMP and Permit, provide an updated Plan of Action as to how the facility will return to compliance. Provide a detailed description of the actions taken or proposed to be taken to insure that there are no further freeboard violations at this facility. This information must be received by the Raleigh Regional Office at the 'following address no later than 10 days following receipt of this letter. Division of Water Quality 3800 Barrett Drive Raleigh, NC 27609 Once this information is received and evaluated by the DWQ staff, a determination will be made as to the appropriate compliance/enforcement actions to be taken. Each case will be' evaluated on its own merit. The efforts by the owner/producer to notify DWQ of the problem, efforts made to resolve the problem once identified, and efforts proposed to prevent future problems will be positive factors in this determination. Nothing in this letter should be taken as removing from you either the responsibility or liability for this non-compliance or future cases of non-compliance. If you have ,any questions regarding this letter, please do not hesitate to contact our Raleigh Regional Office Staff at (919) 571-4700. Sincerel Alan W. Klimek, P.E. __t!;17Director cc: Raleigh Regional Office Non -Discharge Compliance/Enforcement Unit Central Files REVLON VP AND GM T 919 603 2259 03/26/03 16:18 15 :01 /01 NO:970 J.D. Hester Waste Water Division 3/26/03 Due to excessive amounts of rainfall, J.D. Hester was notified on February 28`h 2003 that the lagoon free board level was 18 inches from the spillway (4 1/2 Meet from top of lagoon). Upon good weather, on March 5"' 2003 and on several good weather days that followed, pumping was done on field 7 on }gulls 1, 2, 3, and 4. As a results the lagoon tree board level is currently at 2 feet 4 inches from spillway. if you have any questions, please feel free to contact me, Charlton forest Blackwell 811.4 Dick Blackwell Rd. Oxford, NC 27565 919-693-4484 dh/c 01) J04(4q Iq -�Y'71-<17)9 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 March 15, 2000 FOREST BLACKWELL C. F. BLACKWELL COMPANY 8114 DICK BLACKWELL OXFORD NC 27565 IT __V_T fflk�_w A&4 • 21 NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Application No. AWS2 Additional Information C!C:T_Blackwell Compt Animal Waste Operatic 4Ta_nvi11e.Count3 Dear Forest Blackwell: 4 h; CD L Est The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application. Additional information is required before we can continue our review. Please address the following by April 14, 2000: Please provide the Operation and Maintenance Plans for the two lagoons at this facility. 2. Your Waste Utilization Plan (WUP) lists the yield for Fescue as 5.4 tons per acre. This is higher than the current recommendation of 3.9 tons per acre on Georgeville soils. Please contact your technical specialist to revise the Waste Utilization Plan or provide justification that supports the increased yield as shown in the current WUP. Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. 3. Please also provide Best Management Practices (BMPs) that are to be implemented at this facility should be identified (check the appropriate BMPs) on the Insect Control Checklist and on the Odor Control Checklist. Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. Please reference the subject permit application number when providing the requested information. All information should be signed, sealed, and submitted in duplicate to my attention at the address below. The information requested by this letter must be submitted on or before April 14, 2000 or the Division will return your application as incomplete in accordance with 15A N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit. Please be advised that operation of the subject animal waste management system without a valid permit is a violation of North Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental Management Commission. If you have any questions regarding this request, please call me at (919) 733-5083, extension 533. Sin Fy, Donald Friday Environmental Technician Non -Discharge Permitting Unit cc: Raleigh Regional Office, Water Quality Permit File 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone 919-733-5083 FAX 919-715-6048 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director Forest Blackwell Double B Dairy 8114 Dick Blackwell Oxford NC 27565 Dear Forest Blackwell: NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 1 December 30, 1999 R y b Subject: Fertilizer Application Recordkeeping _'` ' Animal Waste Management System Facility Number39=2` Granville•Gounty.- 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, DRYS, 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 (919) 733-5083 ext. 571. Sincerely, Kerr T. Stevens, Director Division of Water Quality cc: Raleigh Regional Office Granville County Soil and Water Conservation District Facility File 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 Fax 919-715-6048 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper Forest Blackwell 8114 Dick Blackwell Rd. Oxford, NC 27565 6,ggl D State of North Carolina Department of Environment and Natural Resources Raleigh Regional Office Subject: Notice of Deficiency Facility #39-2 Forest Blackwell Farm Granville County Dear Sirs: Outlined below is the plan to correct the two deficiencies. 1. Lagoon Level: The reel has been received and is operating. We will be pumping as much as possible to correct this deficiency. 2. Ground Hog Holes: The ground hog holes are being filled in with dirt. We are searching for other ways to get rid of these animals. If you have any suggestions on how to get rid of the animals chemically, we would appreciate any suggestions you may have. Thank you Forest Blackwell State of North Carolina Department of Environment and Natural Resources Raleigh Regional Office James B. Hunt, Jr., Governor Wayne McDevitt, Secretary Mr. Forest Blackwell 8114 Dick Blackwell Road Oxford, North Carolina 27565 Subject: Notice of Deficiency Facility # 39-2 Forest Blackwell Farm Granville County Dear Mr. Blackwell: NCDENR NORTH CAROLINA 0ffPMRTMENT QR EpohRommeNT ANo N/I-URAL RESOURCES DIVISION OF WATER QUALITY October 20, 1997 On October 9, 1997, Terri Hollingsworth from the Raleigh Regional Office conducted a compliance inspection of the subject animal facility. This inspection is part of the Division's etfiuts to determine compliance with the States animal waste nondischarge rules. The inspection determined Qrat the swine operation was not discharging wastewater into waters of the State. However, deficiencies were observed which should be addressed immediately to pr-:vent a possible illegal discharge. Illegal discharges of wastewater to waters of the State are subject to civil penalties of up to $10,000 per day, per violation. The amount of fi ceboard in your lagoon was inadequate. Animal waste lagoons are required to maintain enough freeboard (19 inches) so that no discharge of wastewater will occur during any rainfall event less severe than a 25 year/24 hour stonn. I understand you have recently installed a irrigation system and are awaiting a new reel from the manufacturer. Please attempt to secure delivery or make alternative arrangements to address the inadequate freeboard in a timely manner. In addition, the inspection noted the presence of numerous ground hog holes in the lagoon walls. I recommend that you eliminate the infestation and repair the damage to ensure the integrity of our lagoon. Please respond in writing to this office, within 14 days of receipt of this letter, outlining your specific plans to correct these problems. I would like to remind you of the requirement to have an approved Animal Waste Management Plan by December 31, 1997. This plan must be certified by a designated technical specialist or a professional engineer. I encourage you to seek the assistance of the technical specialist of your choice to ensure all necessary modifications to your operation are implemented and certified prior to the statutory deadline. For a listing of certified technical specialists or assistance with ,your waste management plan, please contact your local Soil and Water Conservation District off ice. The Raleigh Regional Office appreciates your cooperation in this matter. If you have any questions regarding this inspection please call Teri Hollingsworth at (919) 571-4700. Linrel 4 Kenneth Sch , er, Regional Supervisor cc: Granville County Health Department Diana Lewis, Granville Soil and Water Conservation District Margaret O'Keefe, DSWC-RRO DWQ Compliance Group RRO Files 3W Barrett Drive, Suite 101, Raleigh, NC 27609 Telephone 919-5714700 FAX 919-5714719 An Equal Opportunity Affirmative Action Employer 50% mcycled/10% port -consumer paper 2�k ❑DSWC Animal Feedlot Operation Review Y �„. [►WQ Animal Feedlot Operation Site Inspection ' [Gr1outirie O Complaint O Follow-up of DWO ins cction O Follow-up of DSWC review O Other Date of Inspection I l Q Facility Number 3 2. ,,,,,,,,,, �� Time of Inspection �a .3e] 24 hr. (hh:mm) Mlfegistered ©Certified [3 Applied for Permit ©Permitted 13 Not Operational Date Last Operated: County:................r-^X� ..ti.................................... Qql��o; ,-�Owner Name: �Q!C....... `aG,G�.`?5.,....................................... Phone No:... ...,............. Facility Contact: ..... Title: . .................... Phone No:........ ................ Mailing Address:..g���.....��..�':.�����.�'��lx!..... .f.. ...�.��Y�........, .(..,...... .......................... Onsite Representative:.... L .... C . Integrator: .......................,...................................................... Certified Operator,.... ........................ `Operator Certification Number...................................... Location of Farm: Cvieo{! >A Latitude �_�0 4 49 Longitude • ` " Design Current Design Current Design Current Swine •.. Capacity Population Poultry Capacity Population Cattle Capacity Population ❑ Wean to Feeder eeder to Finish k'ZejQ k'LC1e~] ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars ❑ Layer ❑ Dairy ❑ Non -layer I 1 10 Non -Dairy ❑ Other 1 G- Tota! Design Capacity] Total SSLW Number of Lagoons / Holding Ponds. ❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area ❑ No Liquid Waste Management System General 1. Are there any buffers that need maintenance/improvement? ❑ Yes ©No 2. Is any discharge observed from any part of the operation? ❑ Yes 210 Discharge originated at: ❑ lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? ❑ Yes lid'n'0 , b. If discharge is observed, did it reach Surface Water') (if yes, notify DWQ) ❑ Yes t. Ko c. If diSchar-e is observed, what is the estimated flow in CMI/min? c1, Does cliseharge bypass a lagoon system? (Il' yes, notify DWQ) Clt1 Yes , �, � vo 3. Is there evidence of past discharge from any part of the operation? ❑ Yes 2<o 4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes M,,,</O 5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes M40 maintenance/improvement? 6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes T. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ;7No 7/25/97 Continued on back . Facility Number: 1%c� — 2 8. Are there lagoons or storage ponds on site which need to be properly closed? Structures (Lagoons,tiolding Ponds, Flush Pits etc. . 9. Is storage capacity (freeboard plus storm storage) less than adequate? Structure I Structure 2 Structure 3 Identifier:'CO-'O 4.. .................... Freeboard (ft):..............�.V .................... ............ ............ ......... I......................... � ..k 10. Is seepage observed from any of the structures? ❑ Yes (,lo Ries .❑ No Structure 4 Structure 5 Structure 6 .......................................................................................................... 11. Is erosion, or any other threats to the integrity of any of the structures observed'? I2. 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 , 'SGJ -....t ...... —'.................................................................................................................................. 16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? t4 A p,wi Nth' 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 Pennitted 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? 0, No.violatians ar deficiencies were noted dtiring this:visit. - You'will receive no ftirttier correspondent a about this:visit. ..........I ......................... ❑ Yes UP<o Yes [�'GO ❑ Yes ET"No ❑ Yes [9< ❑ Yes i.tk o ❑ Yes [--]No ❑ Yes 0,Ko ❑ Yes [9<o Ries 0 No Cl Yes GJ-?<o ❑ Yes M<O ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 1:. to . ;Y,r ���=pit �► ��. ;�..��- ��{ — L.►.�a�� w� ce�� 7/25/97 ReviewerfInspector Name Reviewer/Inspector Signature: t Date: State of North Carolina Department of Environment, Health and Natural Resources Raleigh. Regional Office James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary Forest Blackwell 8114 Dick Blackwell Rd. Oxford, NC 27565 �EEHNFZ Division of Soil and Water Conservation June 11, 1997 SUBJECT: Operation Review Summary and Corrective Action Recommendation Double B Dairy Facility No. 39-2 Granville County Dear Mr. Blackwell, On June 3, an Operation Review was conducted of Double B Dairy, facility no, 39-2. This Review, undertaken in accordance with G.S. 143-215.10D, is one of two visits scheduled for all registered livestock operations during the 1997 calendar year. The Division of Water Quality will conduct a second site inspection. During the Review, it was determined that waste was not being discharged to the waters of the State, and the animal waste collection, treatment, storage and disposal systems were properly maintained and operated under the responsible charge of a certified operator. A copy of the completed review form is enclosed for your information. The following observances and management deficiencies were discovered and noted for corrective action or response: 1. Animal burrows were found on lagoon berm and sides. Please fill in burrows to prevent possible structure damage due to the potential water flow pathway a burrow can provide. 2. There were no stop/start pumping level markers. Please contact your technical specialist and arrange to have these inserted prior to January 1998. The Division of Soil and Water Conservation appreciates your cooperation with this Operation Review. Piease=da-not heslt`ate-to call me at 919/571-4700 ext. 208 if you have any questions, concerns or need additional information. Sincerely, Marg6r" et O'Keefe Environmental Engineer I cc: Granville Soil and Water Conservation District Judy -Garrett; U1latei {1u`afity_Regional"supervisor, DSWC Regional Files 3800 Barrett Drive, Suite 101, i FAX 919-571-4718 Raleigh, North Carolina 27609 N� An Equal Opportunity Affirmative Action Employer Voice 919-571-4700 500/6 recycled/10% post -consumer paper State of North Carolina Department of Environment, Health and Natural Resources James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary November 13, 1996 Forest Blackwell Double B Dairy 8114 Dick Blackwell Oxford NC 27565 SUBJECT: Operator In Charge Designation Facility: Double B Dairy Facility ID#: 39-2 Granville County Dear Mr. Blackwell: Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly, requires a certified operator for each animal waste management system that serves 250 or more swine by January 1, 1997. The owner of each animal waste management system must submit a designation form to the Technical Assistance and Certification Group which designates an Operator in Charge and is countersigned by the certified operator. The enclosed farm must be submitted by January 1, 1997 for all facilities in operation as of that date.. Failure to designate a certified operator for your animal waste management system is a violation of 15A NCAC 2H .0224 and may result in the assessment of a civil penalty. If you have questions concerning operator training or examinations for certification, please contact your local North Carolina Cooperative Extension Service agent or our office. Examinations have been offered on an on -going basis in many counties throughout the state for the past several months and will continue to be offered through December 31, 1996. Thank you for your cooperation. If you have any questions concerning this requirement please call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026. Si2Preston A.Howard, Jr., L.,ector Division of Water Quality Enclosure cc: Raleigh Regional Office Water Quality Files P.Q. Box 27687, ���CRaleigh, North Carolina 27611-7687 An Equal Opportunity/Affirmative Action Employer Voice 919-715-4100 50% recycled/ 10% post -consumer paper - Facility Number:.39 - Z Division of Environmental Management Animal Feedlot Operations Site Visitation Record Date: z 9 Time: 12 pm General Information: Farm Name:. JnU6jC_ __,B VAt YK _ County: i/ Owner Name: Phone No: Sep �.�, (� .�" One Site Representative: a i tegrator: Mailing Address: go&y .>;rK ZMeRiel! Rql, _ tAi-of Al-C. 2;?5-4S Physical' Address/Location iMaur►•l,¢ A 6eK Al Xdw GMy-A+..�_�i. � - Latitude: / 1 Longitude: I I Operation Description: (based on design characteristics) Type of win No. of Animals Type of PoultryNo, of Animals T�` of Cattle No. of Animals psow DLayer k0a, iry _ ONursery oNon-Layer ef KFeeder 'Other Type of Livestock: Number of Animals: Number of Lagoons: ,(include in the Drawings and observations the freeboard of each lagoon) Facility- Inspection: (S4- _ Z- �rr Lagoon Z_3 Is lagoon(s) freeboard less than 1 foot + 25 year 24 hour storm storage?: Yes P 0 ❑ Is seepage observed from the lagoon?: Yes ❑ No Is erosion observed?: Yes ❑ No ®� Is any discharge observed?: Yes ❑ No W— ❑ Man—made ❑ Not Man—made Cover Crop Does the facility need more acreage for spraying?: Does the cover crop need improvement?: (list the crops which need improvement) Crop type: __.r.st"t. Acreage: ^J1t'�Q ( Yes ❑ No i Yes ❑No� M-PA) Setback -Criteria Is a dwelling located within 200 feet of waste application?: Yes ❑ No Q% Is'a well located within 100 feet of waste application?: Yes ❑ No E,]� Is animal waste stockpiled within 100 feet of USGS Blue Line Stream?: Yes ❑ No Is animal waste land applied or spray irrigated within 25 feet of Blue Line Stream?: Yes ❑ No _ Maintenance Does the facility maintenance need improvement?, Yes ❑ No i Is there evidence of past discharge from any part of the operation?: es ❑ o Does record keeping need improvement?: fJt9I '� .ir es li�to ❑ Did the facility fail to have a copy of the Animal Waste Management Plan on site?: � Sc�7G� ��� —/ Yes PO ❑ Explain any Yes answers: [ofA).mA LLA- Ui) OR /71 hP.—I e 41- 0 1 An �,V. nt' Signature: !J, cc: Facility Assessment Unit Use Attachments if Needed Drawings or Observations: AOI—January 17; 1996 State of North Carolina Department of Environment, Health and Natural Resources Raleigh Regional Office 3800 Barrett Drive Suite 101 Raleigh, NC 27609 Subject: Management Deficiency Notification Hog Operation SR 1415 Granville County Dear Sirs: 91h5 Per the request of your letter dated 8/15/95 the following addresses how I plan to correct the lagoon freeboard level to meet the State of North Carolina standard. Every Tuesday and Thursday for 2 hours per day beginning on 9/07/95 the lagoon will be irrigated. This will be done until the level meets the State of North Carolina Standard (19 inches of freeboard). I am aware that recent news publicity has forced your office to focus on the hog farthing operations in general. Please be aware that I have operated this hog operation for the past ten years without incident. We have and will continue to have our own high standards with which we will operate. Sincerely, , �Q C. Forest Blackwell cc: Granville County Health Department Granville County Soil and Water Conservation Steve Bennett - Regional Coordinator, Water Conservation Kenneth Schuster, P.E. Regional Supervisor James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary Boyce A. Hudson, Regional Manager State of Notir tamlina Department of Environment, Health and Natural Resources Raleigh Regional Office 3800 Barrett Drive Suite 101 Raleigh, NC 27609 Subject: Management Deficiency Notification Hog Operation SR 1415 Granville County Dear Sirs: gldq-5 Per the request of your letter dated 8/15/95 the following addresses how I plan to correct the lagoon freeboard level to meet the State of North Carolina standard. Every Tuesday and Thursday for 2 hours per day beginning on 9/07/95 the lagoon will be irrigated, This will be done until the level meets the State of North Carolina Standard (19 inches of freeboard). I am aware that recent news publicity has forced your office to focus on the hog farming operations in general. Please be aware that 1 have operated this hog operation for the past ten years without incident. We have and will continue to have our own high standards with which we will operate. Sincerely, C. Forest Blackwell cc: Granville County Health Department Granville County Soil and Water Conservation Steve Bennett - Regional Coordinator, Water Conservation Kenneth Schuster, A.E. Regional Supervisor James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary Boyce A, Hudson, Regional Manager State of North Carolina Department of Environment, �.{ Health and Natural Resources Raleigh Regional Office James B. Hunt, Jr., Governor Jonathan B, Howes, Secretary Boyce A. Hudson, Regional Manager Division of Environmental Management August 15, 1995 Mr. Forest Blackwell 8114 Dick Blackwell Rd. Oxford NC 27565 Subject: Management Deficiency Notification Hog Operation SR 1415 Granville County Dear Mr. Blackwell: On August 1, 1995, Mr. Danny Smith from the Raleigh Regional office conducted a compliance inspection of the subject animal facility. This inspection is a part of the Division's efforts to determine potential problems associated with liquid waste disposal systems. Mr. Smith's'site visit determined that wastewater from your facility was not discharging to the surface waters of the state. Nor were any manmade pipes, ditches, or other prohibited conveyances (for the purpose of willfully discharging wastewater) observed. However, as a result of the inspection, the following management deficiencies were observed: -Your lagoon has little freeboard, less than 6 inch in some areas. This problem should receive prompt attention in order to prevent a future discharge or a lagoon breach. A properly functioning lagoon should have at least 19 inches of freeboard. In addition to continued waste facility management, these deficiencies must be immediately addressed to help prevent the possibility of an illegal discharge. The Raleigh Regional Office will require a written response to the aforementioned issue within 30 days of receipt of this letter. You should specifically address how you plan to correct this problem and submit a schedule (with dates) stating when these management deficiencies will be corrected. Effective wastewater treatment and facility stewardship are a responsibility of all animal facilities. The Division of Environmental Management is required to enforce water quality regulations in order to protect the natural resources of the State. Accordingly, illegal discharges of wastewater to surface waters of the State are subject to the assessment of civil penalties of up to 3800 Barrett Drive. Suite 101, Raleigh, North Carolina 27609 Telephone 919-571-4700 FAX 919-571-4718 An Equal Opportunity Affirmative Action Employer 60%recycled/ 10%}post-consumer paper Mr. Blackwell Page -2- $10,000 per day, and may also result 'in the loss of deemed permitted status, requiring immediate submission of a waste management plan. This office would also like to take this opportunity to remind you that you are required to have an approved animal waste _management plan by December 1997. This plan must be Certified by a designated technical specialist or a professional engineer. For a listing of certified technical specialists or assistance with your waste management plan you should contact your local Soil and Water Conservation District. The Raleigh Regional 6ffice appreciates your cooperation in this matter. If you have any questions regarding your inspection please call Danny Smith at (919) 571-4700. Sincerely, Kennet us er, P. E. Regional Supervisor /ds H:\animdnll cc:- Granville County Health Department Granville County Soil and Water Conservation District Steve Bennett - Regional Coordinator, Division of Soil and Water Conservation bf;NorthCarolina Invent of;Environment, i�and Natural Resources. i Reglonai Office " B "Hunt; J�:;'Governor� qn,,B: Howes, Secretary A Hudson `Regional Manager - ATr Div,isioTi- of. Environmental �:EHNR Management August . 15, , 19.95 . st�Blackwell � �.;• �;:. " - , k: `'Blackwell;.'Rd.. C 2756'5 Uhe aYhlCs i LL Ri? J:c.'. iy s,,;,Iftir..rx, : Subject: Management -Deficiency '`Notification war mr, ias:iacx . r .......... On :.;Auust Hog Operation �SR_ � 1415 �" •��� M�-• • �-� Granvil3re��•County �„ • ' _ wel lrrx'K TS t•.wjn: .n•µx..[i - a vi - 1, 1995,0.Mr. Danny ,S'mith .from the Raleigh Regional .ed.-a.,:.compliance inspection of -:the aub.ject animal s: inspect=ion ,pis a=_•part: ;of �.the- Divisions . of f orts -to Ztial= prroble'ms sassociated-:with 1-squid;waste -disposal-.__.'._ . Qiyv <Ai cXx.��`.^;C34W4.F_ _,•'i.' .�'w kiw- ',3,. 1 w. •:. -. - " "Y,_ - �1a •f "S_6�'.-:5; r r^fi 'tri ,4. .E.i_ I _ Ft'1. .S•"'�.. - A'as s te,, y it iddtermxrned `that <iaastewater f-r' om you... ' ..n-.,. n ..•w.,w.a ' +•.-N�1....ae.r ,.w..,, . -,.not drscharging,. to'�.the' •surface -watersy=of . the fate,: -:: � � x convewancesr-(,for t a adur osep of �w allfuli ;l discharging r wastewater) OF observed . However, :.,,,as a _.result. _of .the inspection,. the following .,;management' °deficiencies were -:observed::. • -Your lagoon -has little freeboard, aess than 6 inch in some areas.: 'This problem :should receive: .prompt attention in order 4:.-to,'prevent. a future discharge or;=a,.;agoon::breach. :A properly. :func.tioni,ng lagoon ,should have :at least 19 inches of freeboard... .r-•a. ,: � _. � ,- . In,•:,addifton , to con xnued =.waste 'facilitg_+Tnianagement, these"" ` de'ficiencfes_..must ,:be- immediately.,addressed to.'helpprevent the ..possibility;ofan�i'llegal�dsc}arge. TherRaleghr-Regional;Officew;:- 4, x ; ' wil' require a :.written 'respons`e� o the aforementroned -issue within;: + r •'i r• �730. days; Yof�Mrece pt of this -letter._ Y'--. i ld ,specifically address . A)how ;youp1"an -to correct this :problem "'anti submit, a !schedule (with- ,_ "; ,dates j .stating .when., .these -management deficiencies will be' 1 � corrected r :Effective,°.was.tewater,treatment,,gand .facility stewardship are .,a -•�responskb 11ty,'. -of all anIma'l'­" ' facilit'ies . The Diy.i'si on= of ' wEnvironmentah:i aManagement ism_-required;{�to 4enforce .water=:.quali.ty. - . regu1,ations �ri�order�to;,.protect the 'natural resources 'of the State: ` ., ccordingly, '-illegal' discharges',of wastewater to surface .waters .of :the State _are;.subject to the assessment'of civil penalties of up, to Barrs#t Drtie„Salta° 101,-"Ralelgh, North`Carollr a 27609 Telephone.919=571-4700 FAX 9,19-571-4718 An'Equal OpportunitrAffirmative Action Employer 5096rrecycled/ 10%pod-consumer. paper ' -may also result in the loss of deemed "Itt6d,' 'si:a�ibs-, -requiring immediate submission of a wast e te management en plan. Ths� i-office would.also like to take this 'opportunity to remind y0 YPI that a. are required to have an approved animal waste aqement,p -an, by December 1997. This plan must be Certified by ­ "-"d'-jg-i!ghat6d�-,,t:EichnidaI -specialist or a professional engineer. For e a'_� A s, ng, certified technical specialists or assistance,with your waste' .-management,plan you should contact your 16cal Soil and ater -District. ,W onservat -­_�.,-Th6' Rd-Xe gh`.';:Regional,-'Office appreckates. --�your cooperation:Ah I'n'-regarding matter.'.,�.Z.If you have.:any questios.your''in's'pection tz_ -.glpAse 'call "Danny Smith at. (919) 571-4700. Sincerely., j, Kenneth Schuster, -,P.. - Regional -,Superviisor- Zds --H:\animdnll cc: Granville County Health Department Granville County Soil and Water Conservation Diistrict Steve Bennett 'Regional Coordinator, Division of Soil -and Water Conservation 1 R Q"AL I T1' SECT 3 ON TO RRO P _ 02i02 4 -1995 15: 26 FROM DEM IDS a Site Requires Immediate A *[ens Facility No. DIVISION OF ENVIRONMENTAL MANAGEMENT ANIMAL I Farris Name/Owner: ( ll: Mailing Address: // County: Integrator: On Site Representative:, Physical Addressa ocadon: . C Phone: Z 7�V-5 Type of Operation: Swine X Poultry- Cattle Design Capacity: Number of Animals on Site: DEM Certif c tion Number: ACE DEM Certification Number': ACNEW Latitude:_ Longitude: _' Elevation: `meet Circle Yes or No Does the Animal Waste Lagoon have,sufficient freeboard of 1 Foot + 25 year 24 ho7rm event (approximately I Foot + 7 inches) Yes oro Actual Freeboard: Inches Was any seepage observed from the lagoon(s)? Yes or69 Was any erosion observed? Yes o5 Is adequate land available for spray?or No is the cover crop adequate? e or No Crop(s) being utilized: Does the facility meet SCS niinimum setback criteria? 200 Feet from Dwellings or No 100 Feet from Wells? e or No <: he animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or o' >� artilnal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line'? Yes 06 . s anima.] waste discharged into waters of the state by ixran-made ditch, flushing system, or other JT-j!a.r man-made devices? Yes 06 if Y4s, Please Explain. '.)t tcs the facility waintain adequate waste managernent records (vo umes of manure, land applied, spray "gated on specific acreage with cover crop)? Yes or 10 cc: Facility Assessment Unit Use Attachments if Needed. 3L� TOTAL P.02 Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: QfRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Arrival Time: ; Departure Time: County: Region: Farm Name: Owner Em il• C? - to 3— 14 4 Owner Name: Phone: +fig 4_q —(p — t Q(toe --g J'0 j Mailing Address: _. .. J/Cc Physical Address: Facility Contact: Title: Onsite Representative: Integrator: Phone: Certified Operator: 'FA � C'5* � A C . Certification Number: (D.3 Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: s i MCA Design Current Design Current Design Current Swine Capacity P.ap. Wet• Pain Capacity Pop. Cattle, Capacity Pop. Wean to Finish [Layer I IDairy Cow Wean to Feeder I lNon-Layer I I Dairy Calf Feeder to Finish ? Dairy Heifer Farrow to Wean Design Current Dry Cow Farrow to Feeder D Point° Caaei 'Op. Non -Dairy Farrow to Finish Layers Beef Stocker Gilts Non -La ers Beef Feeder Boars Pullets Beef Brood Cow Turke s cry, ,,, Turke Poults Other Other �arua¢nnaunuriFtnwn,ay„,ntt�suxnnrrxrmn33ur,+nn+rnrrs«mn[�nmrrr.Ynnemr.:aaynni uumsro�r+annnin«rwr.mn,r«vann.e+ aarx+a++vw Discharpes 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 XNo ❑ NA ❑ NE ❑ Yes jZrNo ❑ 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 W No [] NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters [] Yes 0 No ❑ NA ❑ NE of the State other than from a discharge? Page I of 3 21412015 Continued Facili Number: I 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: Spillway?: Designed Freeboard (in): Observed Freeboard (in):� 5. Are there any immediate threats to the integrity of any of the structures observed? 9Yes ❑ No ❑ NA ❑ NE (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a /Yes ❑ No ❑ NA ❑ NE waste management or closure plan? If any of questions 4-6 were answered yes; and the situation poses an immediate public health or environmental threat, notify DWR 7. Do any of the structures need maintenance or improvement? Yes ❑ No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? VYes ❑ 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 ZYes ❑ No ❑ NA 0 NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Ef Yes ❑ No ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area 12. Crop Type(s): 13, Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? Z"Yes ❑ No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? 1� Yes D No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable Yes ❑ No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? XfYes ❑ No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? �es ❑ No [] NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? Yes [] No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check WYes❑ 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. W1 Yes ❑ No ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall inspections 22. Did the facility fail to install and maintain a rain gauge? Yes ❑ No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 9Yes [:]No ❑NA ❑NE ❑ Weather Code ❑ Sludge Survey []NA ❑NE ❑ NA ❑ NE Page 2 of 3 21412015 Continued [Facility Number: Date of Inspection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes ❑ No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes ❑ No ❑ NA ❑ NE the appropriate box(es)below. ❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels ❑ Non -compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 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 duality 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 DNA ❑ 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 facilRy'to better explain situations (use additional pages as necessary). ao 11 CCaA; bm-lr,v 01-5 -r "i aoil sw4%.o- Svcvcy 8-15-I`) 0-3,% �� (o •S�{ S'.L. O a. CQ (p 4.3 a - t v - i 7 umA, lvt�I 7 - 3 4 - 1 ") Lo DO O CO„ `3 y rv1 1 . D 2, Reviewer/Inspector Name: Reviewer/Inspector Signat Page 3 of 3 Phone: Date: 21412015 Division of Water Resources Facility Number ®- l'J" a 0 Division of Soil and Water Conservation 0 Other Agency Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: J21"Routine F 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I BUT ,Arrival Time: Departure Time: County: Region: Farm Name: Owner Email: dortct , b �a[` �'rs3£ l (- 6'e14 1 DrV.ci q ! 3 93 G3 GL .X Owner Name: �� fe S + U)2 fl _ Phone: 9/9- _{0 93 Y y g y Mailing Address: Physical Address: Facility Contact: Title: Phone: Onsite Representative: Certified Operator: e, F . Fere-:5 r Back-up Operator: Location of Farm: Latitude: Integrator: Certification Number: AU A_1$,5+may9 Certification Number: S 51 m ct (3 4MA Design Current Design Current Swine Capacity Pop. Wet Poultry Capacity Pop. Wean to Finish Layer Wean to Feeder I iNon-Layer Feeder to Finish Farrow to Wean Design Current Farrow to Feeder A hlr&EkDryPoultry Capacity Pop. Farrow to Finish [Layers Gilts Non -La ers Boars IPullets Other I ITurkeyPoults Other I 10ther Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notify DWR) c� What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWR) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Longitude: Design Current Cattle Capacity Pop. Dairy Cow Dairy Calf Dairy Heifer Dry Cow .Non -Dairy Beef Stocker Beef Feeder Beef Brood Cow ❑ Yes,,00No ❑ NA ❑ NE ❑Yes ❑No ❑NA ❑NE ❑Yes ❑No ❑NA ❑NE ❑ Yes ❑ No ❑ Yes�►No ❑ Yes J2<o ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE Page 1 of 3 21412015 Continuer! ihacili Number: a 9 - 0 113ate of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes p<'o ❑ 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): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ YesEj'No ❑ NA ONE (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 �2 �No ❑ NA ❑ NE waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR 7. Do any of the structures need maintenance or improvement? ❑ Yes ,Eno ❑ 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 ❑ Ye�o ❑ NA ❑ NE maintenance or improvement? Waste Atmlication 10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes J1<l0 ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes j?No ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area 12. Crop Type(s): 13. Soil Type(s): SAj g nPC-'t\ n 1 e (1u Q Q 0 1 g &,r\01 14. Do the receiving crops differ from those designated in the CAW MP? ❑ Yes No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes Rio ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes g3<o ❑ NA [] NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes PNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑Yes�o ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes"L21No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 4o ❑ NA ❑ NE the appropriate box. ❑ WISP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other. 21. Does record keeping need improvement? If yes, check the appropriate box below, ❑ Yes �Io ❑ 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? El Yes �'i to ❑ NA ❑ NE Page 2 of 3 21412015 Continued Facili Number: Date of Inspection: ' 24. Di the facility fail to calibrate waste applicaatio ipment as required 6y the permit? ❑ Yes EfNo ❑ NA ❑ NE 25Is the facility osut of comp l cue with permit condit�ons,erhrat\ed to slud e? If yes, check ❑ Yes No ❑ NA ❑ NE the appropriate box(es) below. C9e. &-T"A ❑ 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? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 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: ❑ Yes allo ❑ NA ❑ NE ❑ Yes/�No ❑ NA ❑ NE ❑ Yes P�-No ❑ NA ❑ NE ❑ Yes ;ZNo ❑ NA ❑ NE ❑ Yes eNo ❑ NA ❑ NE ❑ Yes [21"No ❑ NA ❑ NE 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes PTNo [DNA ❑ NE 33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ,KNo ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes 2 No ❑ NA ❑ NE Comments (refe"r to question*).`EXplaih�any YES` -answers and/or, any additional )recommendations or any. other comments., Use dra Wings of-faeility,to better explain,situatio`ns (use. additional,pages,as necessary). 7 31-1r7 WOOOCOs9 rir. I 1 0 2, SVLl . LCv"-- h 5Lolva-1t7) r7 b- & W 00 34 b 4 1. 4 3 1" r e" o bc.C&W I. D go, &CA �- lJur� .d� p►�cCcr�.� W v v 2 ' a s i a-U dvria I , b tA tw�(6�.�P�1 OA-d tvr. w r% A. 1% A4- Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of 3 o, 5hAz r a� I�c.e l a J 31 g W lanl ru V/M l l Phone: q ! `f - /9l �4a3,( Date: 21412015 Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: alautine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Arrival Time: Departure Time: County: j 1p Region: Farm Name: �o ,' F, ^�� ��( l< ��� Owner Email: �13 �. 3 q 11? (y O 3 C*59!�r- Owner Name: Phone: q L� Mailing Address: Physical Address: Facility Contact: Onsite Representative: Certified Operator: C, E, 0 hr k LLe-=U Back-up Operator: Title: Location of Farm: Latitude: Phone: Integrator: Certification Number: (A[ 14 1-3 -3.--3!' Certification Number: Longitude: j�� Design Swine Capacity Wean to Finish Current Pop. Design C«urrent Tetoultry Capacity Pop. YXL La er Layer Design Current C•attie Capacity Pop. Dairy Cow Wean to Feeder Dairy Calf Dairy Heifer Dry Cow Feeder to Finish Farrow to Wean Design Current Dr.ryyjPoultr Ca acit l;o Layers Farrow to Feeder Farrow to Finish Non-Dai Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets 113cef Brood Cow r 40ther urke s urke Pouets Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Fieid ❑ Other: a. Was the conveyance man-made? b. Did the discharge reach waters of the State'? (If yes, notify DWR) c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system'? (If yes, notify DWR) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? El Yes ONo ❑NA ❑NE ❑ Yes Z No ❑ NA ❑ NE ❑ Yes XNo ❑ NA ❑ NE ❑ Yes o No ❑ Yes -�No ❑ Yes .�No [] NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE Page 1 of 3 21412015 Continued (Facility Number: jDate of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Z^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: 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.) T 6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes V(No ❑ NA ❑ NE waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR 7. Do any of the structures need maintenance or improvement? ❑ Yes ZNo ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes VrNo ❑ 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? TT Waste Al2plication 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 l0 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area 12. Crop Type(s) 13. Soil Type(s): "Low s I arl I LS -- 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ZNo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application'? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents [j Yes No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes 0. No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ZNo ❑ NA ❑ NE the appropriate box. ❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes tNo ❑ NA ❑ NE Page 2 of 3 21412015 Continued Facili Number: - Date of Inspection. 2 Did the facility `il��to calibrate waste application equipment as required by the permit? ❑ Yes 0PfNo No ❑ NA ❑ NE 2 t e aci i out ol'compliance with permit conditions related to sludge? if yes, check ❑Yes ❑ NA ❑ NE the appropriate box es below. (�S W—C( so IS box(es) ❑ 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? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 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 the drains exist at the facility? If yes, check the appropriate box below ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes %f No ❑ Yes { No ❑ Yes VNo ❑ NA ❑ NE ❑ NA ❑ NE ❑NA ❑NE ❑ Yes ® No ❑ NA ❑ NE r ❑ Yes No ❑ Yes No ❑ Yes ;0 No E] NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE Comments.(refer to ynestion #E):,Exptain,any YES answers and/or any additional recommendations or any other comments.-, Use d'rawinas 4 facility to �better,explain situations (use additional pates as'necessary). (V4,A�.j -_4s1gc.A .. &._� 5-015-)U W0a 9 1 SS 01 Ito wOa 59,TS O 1= ao t g .= I, 3s 110 $ C000 a$�l0 0) wooly 75 0 = 019 `f 11 1 t4 -3.aS I5 LO0oss`d50 1- 55 o 0 1 Z s octet 167geIT) lOe^ nt.A. i Anf, w��l+ .� Aft 11 /tR n n nn nn� N1L/1e1L ./ r.l Reviewer/Inspector Name: Reviewer/Inspector Signati Page 3 of 3 Phone: �� q � / I I �I Date: 7 fi I& 21412015 '�— 1)i'vision of Water Quality Facility Number - 0 Division of Soil and Water Conservation Q Other Agency Type of Visit: Compliance Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance Reason for Visit: ORoutine O Complaint Q Follow-up Q Referral 0 Emergency O Other O Denied Access Date of Visit: Arrival Time: � Departure Time: County: Region: Farm Name: C , F. BtnCK.i }ea Co Owner Email: Owner Name: EdljlL - l`«1.LLLA Lkese P Phone: - -- 9_3 G Mailing Address: Physical Address: Facility Contact: Title: Phone: Onsite Representative: Certified Operator: ' Back-up Operator: Location of Farm: Latitude: Discharses 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? Integrator: Certification Number: 1 $ Certification Number: 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 the 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 observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Longitude: ❑ Yes Zo ❑ NA ❑ NE ❑ Yes ePrNo — ❑ Yes PfNo ❑ Yes [3"No ❑ Yes Z No ❑ Yes ,?No ❑NA ❑NE ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE Page 1 of 3 21412011 Continued acili Number: - Date of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? [] Yes J2'Rfo ❑ NA ❑ NE a. if yes, is waste level into the structural freeboard? ❑ Yes �KNo ❑ NA ❑ NE Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: �n Is - Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 217No ❑ 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 2 No ❑ NA ❑ NE waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes [2rNo ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 2fNo ❑ 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 [ I� o ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 12 'Io ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [] Yes RNo ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)) ❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area 12. Crop Type(s): 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes J�J`No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes J21No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes allo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes Jam-' No ❑ NA ❑ NE Re uired Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes Z!'No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [—]Yes dNo ❑ NA ❑ NE the appropriate box. ❑ WUP []Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other: 21. Does record keeping need improvement'? If yes, check the appropriate box below. ❑ Yes ;],No ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code ❑ Rainfall []Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ,WNo o ❑ 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 Facile `Number: - Date of Inspection: — / 24. Qi t e faci 'ty fail to calibrate waste application equipment as required by the permit? ❑ Yes �O ❑ NA ❑ NE 25.(lsqJ4ci?ik[oofcompli% e w perin5t conditions related to sludge? If yes, check [:]Yesj2rNo ❑ 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: 25. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes EErNo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 0No ❑ NA ❑ NE Other issues 28. Did the facility fail to property dispose of dead animals with 24 hours and/or document ❑ Yes P-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 ZNo ❑ 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 ,2!rNo ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 2fNo ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes .ETNo ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes 2fNo ❑ 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). t 3) 1a D �,S 1 1CC t D. 5-Is W0a 5-0`bs rv= 1,55 Q-a,/�- (q k? 00 1 a i'? tv-- o ks?' to 6a U0,40 N = 1 IS ► a Ta-i� + a o 1 L/ Q" a-cx-� . je- " LX , d:ouj 't&Xk6y, �- ReviewerlInspector Name: Reviewer/Inspector Signature: Page 3 of 3 Phone: Cf ! a Q9 I Lt Date: 21412011 -:-,t? - r (Type of Visit: 0 Com nce Inspection O Operation Review 0 Structure Evaluation 0 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: ti6—=-J Departure Time: County: Farm Name: 7e/ f Cf,/+Z�� Owner Email: Owner Name: Mailing Address: Physical Address: Facility Contact: Title: Phone: Phone: ' r Onsite Representative: Q �' Integrator: Certified Operator: Certification Number: Back-up Operator: Location of Farm: Latitude: Certification Number: Longitude: Region: Design Current Design'. Current Design Curr Swine Capacity Pop. Pent Wet"Poultry Gapacity Pop. C►attle Capacity op. f U� Wean to Finish La er DairyCow Wean to Feeder Non -La er DairyCalf Feeder to Finish DairyHeifer Farrow to Wean Design Current D Cow Farrow to Feeder Dr P,oultr Ga aci P,o Non -Dairy Farrow to Finish Layers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Turkeys Other Turkey Poults NJ Other Other Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA ❑ NE Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: a. Was the conveyance man-made? ❑ Yes N ❑ NA 5No ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ NA ❑ NE c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes❑ NA PNo [3 NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters []Yes ❑ NA ❑ NE of the State other than from a discharge? Page 1 of 3 21412011 Continued Its " Facili yNumhtr: Date of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No "NA [3 NE a. If yes, is waste level into the structural freeboard? ❑ Yes No [OD NA ❑ NE Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: •} I �- Designed Freeboard (in): Observed Freeboard (in): tr 5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes 217No ❑ 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 t, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes �NoTE] A ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No A ❑ NE (not applicable to roofed pits, dry stacks, and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ 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 l0 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) L�17✓ h S'rV1�}CC , 4= P �GG.1 _ %�?!V U � � 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes N NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑Yes A No�]N ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes o A ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes 0 No,:� NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑Yes o ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes �N0NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑Yes ❑ NA ❑ NE the appropriate box. ❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements []Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ETNo ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections Survey 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N Z[:] ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NE Page 2 of 3 21412011 Continued Faciiit Number: jDate of Ins ection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Nc 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 No A ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑Yes No ❑ NA ❑ NE and report mortality rates that were higher than normal? 29, At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. 30. Did the facility fail to notify the Regional Office of emergency situations as required by the permit? (i.e., discharge, freeboard problems, over -application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 34. Does the facility require a follow-up visit by the same agency? ❑ Yes o ❑ 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). 5 l41 jse Sk "/'7 qr " -L' p r A'�t' a 0� n Iz- 4-e Zo 1 f " Reviewer/Inspector Name: Reviewer/Inspector Signature: (34 .S Page 3 of 3 Phone: —V 7--40 Date: 21412011 (Type of Visit: (Compliance Inspection V Operation Review (_) Structure Evaluation U Technical Assistance Reason for Visit: 0ekoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Arrival Time: Departure Time: County: Region:( Farm Name: l Ir sI/��J _ Owner Email; Owner Name: �10(` [ � Phone: 1 IQ` (0 Mailing Address: 03 Physical Address: Facility Contact: Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Title: Phone: Integrator: n1 5L /_ 0-i Certification Number: Certification Number: Latitude: Longitude: Design Current Swine C•apaeg kly Wean to Finish Wet Poultry Layer Design Capacity Current Pop. Cattle Dai Cow Design Current Capacity Pop. Wean to Feeder Non -La er DairyCalf Feeder to Finish DairyHeifer Farrow to Wean Farrow to Feeder Farrow to Finish 1]rt I;oultr� Layers Design C•.a aci Current P■o , D Cow Non -Dairy Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Other Other Turkeys Turkex Poults Other rr 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? (it' yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? ❑ Yes ,E io ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes,,EIINo ❑ NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes—E5No ❑ NA ❑ NE of the State other than from a discharge? Page I of 3 21412011 Continued r Iracili Number; jDate of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ET<o ❑ 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: 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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes 0 No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes )2'1�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 ;2*110 ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 2rNo DNA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [,_2�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): 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ,,7No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ZNo ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes JE3 No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes ,❑'go ❑ NA ❑ NE 18. is there a lack of properly operating waste application equipment? ❑ Yes C;k&o ❑ NA ❑ NE RegLuired Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE 20. Does the facility fail to have ail 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,;fflio ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes, La<o ❑ NA ❑ NE Page 2 of 3 21412011 Continued 'Facili Number: I Date of Inspection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes JZNo ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ;2 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 3lNo NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes /j�� ❑ 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. [:]Yes ONo ❑ NA ❑ NE 30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ONo ❑ 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 El 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 �'o ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ] Yes No ❑ NA ❑ NE y' 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:�,t tip Phone: Reviewer/Inspector Signature: Page 3 of 3 DateV 9 -7Z 21412011 t Type of Visit: 0 Compliance 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 0 Denied Access Date of Visit: Arrival Time Departure Time: County: 64,rijy%yj i I le Region:�� Farm Name: r , Ei 8 kxr, k we I Cp Owner Email: klok" [ 1 (,&,I _t9JoC CJd1,c Owner Name: b lac k W-f- 11 Phone: 9 R— (0 Q 3— y 4214 Mailing Address: 919 ` & O3 4 3 b3 Physical Address: Facility Contact: Onsite Representative: Title: Phone: Integrator: N t,e t7 b y E5,ir`oeArr %_ L I r► Certified Operator: Certification Number: Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Design C+urrent Design Current Swine Capacity Pop. Wet Poultry C«apacity Pop. Wean to Finish La er Design C►urrent ttle CaCapacity Pop. DaiEX Cow Wean to Feeder Non -La er Dairy Calf Feeder to Finish a- Farrow to Wean Design Current Farrow to Feeder Dr, Imoultr, Ga acit P,o , Daiy Heifer Dry Cow Non -Dairy Farrow to Finish Layers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Other Other Turke s Turkey Poults Other Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? [:]Yes V No [:IN A ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE d. Does the discharge bypass the waste management system? (if yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes E!fNo ❑ NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 0No ❑ NA ❑ NE of the State other than from a discharge? Page I of 3 21412011 Continued Way 111 - - . Y ,Facili Number: 19 Date of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes jErNo a. Ifyes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE ❑NA ❑NE (1� Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 1 Identifier: Spillway?: t Designed Freeboard (in): r 1 1 Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ONo ❑ 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 0No ❑ NA ❑ NE waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? [:]Yes ONo ❑ 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 ONo ❑ NA ❑ NE maintenance or improvement? Waste AnDliCation 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [21;o [] NA ❑ NE maintenance or improvement? 7­ 1 1. Is there evidence of incorrect land application'? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc. ❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area 12. Crop Type(s): 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes VNo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes FAo ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes o ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes o ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes o ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? E] Yes No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes P<o ❑ NA ❑ NE the appropriate box. ❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements []Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ETNo ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes o 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑NA ❑NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE ❑ NA ❑ NE Page 2 of 3 21412011 Continued •Facilit Number: Date of Inspection: 24. Did the facility fail to calibrate jwaste a lication equipment as required by the permit? ❑ Yes ell ❑ NA ❑ NE 25. "ii t c mt Z'e �th p con i ions related to sludge? If es, e eck ❑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 ONo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 0No ❑ NA ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ZrNo ❑ 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 VINo ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately. T 30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ff No ❑ NA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes EfNo ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes VN o ❑ 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 —ff I 2(No ❑ NA ❑ NE Comments (refer to, question #)::Euplain any YIES aifswers.and/or any additional°reeortimendations"or:any othe'r comments; j. T "1 : Use drawings of facility to better explain situations (use additional pages, as necessary). � f, �I ' �T 9-He ea. Y-Ib-1 a W 0(D(0430a , Cts i0--9-1I Ia_$--11 a-(.0-1a LOo63Ba6 v,toe) —5— 11 5 "i -lN 9-3-11 woo'R,go O� ,� G �, 3_ a a_ I *X I. ,5 7- v cam( M 0 -r I► t , vT s Dori ft OM-tt �.a� a � Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of '3 Phone: 'l1 % _u;0451 Date: 5 rl y I 21412011 type of visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance teason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Arrival Time: //;a Departure Time: c County:C�ra%/� Farm Name: 1514 41,10 / `-c,�/ti Owner Email: Owner Name: Mailing Address: Physical Address: Phone: Facility Contact: Title: Phone: Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Integrator: Certification Number: Certification Number: Longitude: Region: Design Current Deslgn Current Design Current Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop. Wean to Finish La er Daig Cow Wean to Feeder Non -La er Dairy Calf Feeder to Finish Dairy Heifer Farrow to Wean Design Current Dry Cow Farrow to Feeder Dr. P,o_ultr. Ca aci P.o Non -Dairy Farrow to Finish La ers Beef Stocker Gilts Non -La ers Beef Feeder Boars Pullets Turke s Beef Brood Cow Other Turkey Poults Other rTOther Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other; a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does the 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 observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? ❑ Yes e2<0 ❑ NA ❑ NE ❑ Yes ONo ❑ Yes J:]-No ❑ Yes E2-1�o ❑ Yes �o ❑ Yes No ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE ❑NA ONE ❑NA ❑NE Page I of 3 21412011 Continued Facilit Number: 17 Date of Ins ection: 2 — 1 / Waste Collection &'Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes/EfNo ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes [TNo ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? ❑ Yes No ❑ NA ❑ NE ❑ Yes J23No ❑ 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? ❑ Yes ,[EINo ❑ 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 JDI�o ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 23 No ❑ NA ❑ NE maintenance or improvement? I. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes Flo ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground D Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area 12. Crop Type(s): 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes�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 ❑ Yes �'No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes,,ONo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes J:;-N6 ❑ 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;g!o ❑ NA ❑ NE the appropriate box. ❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes ;�fNo ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 1211�o ❑ NA ❑ NE Page 2 of 3 21412011 Continued Faciliq Number: i - Date of inspection: 2. 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 t 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 ;21�o ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes P-Ko-, ❑ 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 �NoD NA ❑ NE Ifyes, contact a regional Air Quality representative immediately. 30. Did the facility fail to notify the Regional Office of emergency situations as required by the [3 Yes J 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 ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: ep-K, 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes .0 "" ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative`? ❑ Yes 'jD`Nlo ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes 12r9o ❑ NA ❑ NE Comments (refer;to questions#): Explain any YES answersand/or any add#tionaLrecomniendations or any other comments : �; P, Use drawings of facility to better explaiWsituations:(use additional pages as necessary). 56,) k_ V // C-a43 r4kr,1 � o ��,�� yP�✓ O-z -- /a s-/y- i/ /r, ~ I,/ Reviewer/Inspector Name: Reviewer/Inspector Signature: Phone: /`7�` TQC Date: ` ,'2 , /1 Page 3 of 3 21412011 Type of Visit J,"Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit JZfRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: Arrival Time: Departure Time: - �G County:"11P Region: &"/ Farm Name: r fj9644 'V// CC Owner Email: Owner Name: �'�/pS`r �1 Phone: Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: Integrator: Phone No: Certified Operator: Operator Certification Number: Sack -up Operator: Back-up Certification Number: Location of Farm: Latitude: = e = { Longitude: = ° = ' = « Design @UFrer Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population ❑ Wean to Finish ❑ Layer El Dairy Cow ❑ Wean to Feeder ❑ Non -Layer ❑ DairyCalf ❑ Feeder to Finish ❑ DairyHeifer ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars Dry Poultry ❑ Layers ❑Non -La ers ❑ Pullets ❑ Turke s ❑ D Cow ❑ Non -Dairy ❑ Beef Stocker El Beef Feeder ❑ Beef Brood Cow Other ❑ Other ❑ Turkey Poults ❑ Other Number of Structures; Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (if yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes FI—No ❑ NA ❑ NE ❑ Yes ;No ❑ NA ❑ NE ❑ Yes P No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ff No ❑ Yes FrNo (DNA ❑ NE ❑ Yes eNo ❑ NA ❑ NE 12128104 Continued Facility Number; `j f —dZ Date of Inspection �r Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed'? (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? ❑ Yes R NO ❑ Yes a - Structure 5 ❑NA El NE El NA [I NE Structure 6 ❑ Yes keNo ❑ NA ❑ NE ❑ Yes XfNo ❑ 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? ❑ Yes KNo ❑ NA ❑ NE 8. Do any of the stuctures 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 maintenance/improvement? ❑ Yes P No ❑ NA ❑ NE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �Ko ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 1bs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil []Outside of 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 ET*No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes P No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes 4 No ❑ 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 i:g:��11"d�i',�"s�:c�� Com'reients (refer to question #) lEzplairi any YES answers and/or any recommendations,or;any,other comment � �- ,,,y.> Viz. f i q; ,, cT z ��' r dg's 'x Use drawings;of facility to-;better<expla�n situations l(use additional page"s as necessary): g t : *;� , e aa', Reviewer/Inspector Name 161 <. %i��_ z G 11ftliftilI Phone: 1p-791-5' ReviewerA nspecto r Signature: Date: %" 2-=/0 Page 2 of 3 12128104 Continued .Facility Number, —LZ I Date of Inspection Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZrNo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ONo ❑ 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 �jNo ❑ NA ❑ 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 ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 9No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes PNo ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E�No ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ;2'No ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge'? ❑ Yes 0No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes VNo ❑ NA ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes allo ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes 2'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 ;R-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 7INo ❑ NA ❑ NE General Permit? (ic/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ffNo ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes WNo ❑ NA ❑ NE Add tional;Commi nts and/or Drii ngs, <` 1 4 ` AI i t, ;. /\' J m. d a#1i.�.. .�f AL 51 -1dSc 541rVy 4-0-e -_4 1 v4 Sle cw�,70 3- Ir -1U y Page 3 of 3 12128104 Division of Water Quality Facility Number c Z. 0 Division of Soil and Water Conservation 0 Other Agency Type of Visit compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit Gr'toutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: L S'Gq Arrival Time: Departure Time: y s— I County: G�^� � Region: /rAG Farm Name: &Cr_4 h'f // Cr _ Owner Email: Owner Name: Mailing Address: Phone: Physical Address: Facility Contact: ����sf J/G�1lL,-i/I Title: Phone No: Onsite Representative: Integrator: Certified Operator: Operator Certification Number: Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: = = 4 = Longitude: = ° = 1 = 4i Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle ❑ La er ❑ Non -La et ❑ Wean to Finish ❑ Wean to Feeder ❑ Feeder to Finish / ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars Other ❑ Other Dry Poultry ❑ Lavers ❑ Non -Layers ❑ Pullets ❑ Turkeys ❑ Turkey Pou Its! ❑ Other Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at; ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? Design Current'; Capacity Population ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heife► ❑ Dry Cow ❑ Non-Dai ❑ Beef Stocket ❑ Beef Feeder ❑ Beef Brood Cowl x1:y 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 No ❑ NA ❑ NE ❑ Yes ONo ❑ NA ❑ NE ❑ Yes gi-No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes h!o ❑ Yes 2No ❑ NA ❑ NE ❑ Yes ZNo ❑ NA ❑ NE 12128104 Continued Facility Number: 9 — Gi Date of Inspection -� Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ANo ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes �3No ❑ 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 ,0No ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes J2"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 threat, 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? ❑ Yes ONo ❑ 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 0No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes J3 No ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes WNo ❑ 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 Z No ❑ NA ❑ NE 15, Does the receiving crop and/or land application site need improvement? ❑ Yes Z No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes ONo ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes ZNNo ❑ NA ElNE 18. Is there a lack of properly operating waste application equipment? ❑ Yes ONo ❑ NA ❑ NE omments (refs"rtoquestion#} ''.Explain'any YES�answ,ers ani!'I:gr ai�yrecv mendationsor any other comments.` _�Si# 74cx `v .._. r .x �fil.t _� 7, : 11K� diflt 6Ea _r4xx .. fx 4> : c .G „fi r G z' ..,.�,4 Reviewer/Inspector Name / prj Phone: �� Reviewer/inspector Signature: Date: Y-2 P_D % Page 2 of 3 12128104 Continued Faci ity Number: Date of Inspection �L -a4 Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropirate box. ❑ WDP ❑ Checklists ❑ Design El Maps ❑Other ❑ Yes ;2No ❑ NA ❑ NE ❑ Yes ONNo ❑ NA ❑ NE 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ONo ❑ 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 ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 0No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes P<o ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [2'No ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ff No ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes P No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes P No ❑ NA ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes JZ`No ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes jl�`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 RfNo ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 3 l . 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 [ErNo ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes ;3 ❑ NA ❑ NE � � r�ty,t " - Additional Comments and/orfDrAw�ngs -. y s '. ? y4 .,t. ,. .. '': .t � , + IRV �.r ,AL Page 3 of 3 12128104 Page 3 of 3 12128104 Type of Visit Co pliance Inspection O Operation Review O Structure Evaluation O Technical Assistance Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other [I Denied Access Date of Visit: Arrival Time: Departure Time: County: Region: Farm Name: + �� l0.0 V LA -le— t 1 fi V`t1�7"`A rl��! Owner Email: 9 Owner Name: Mailing Address: Physical Address: Facility Contact: Onsite Representative: Title: Integrator: Phone No: Certified Operator: Operator Certification Number: Back-up Operator: I Back-up Certification Number: Location of Farm: Latitude: = 0 Longitude: = ° = 1 = 1{ Co4 q 5a O4 _ S b 06 Design Current Design Current Design Current Swine C►apac�ty Population Wait Poultry C►apacity Population Cattle Capacity Population ❑ Wean to Finish ❑ La er ❑ Dairy Cow ❑ Wean to Feeder ❑ Non -Layer I ❑ Dairy Calf ❑ Feeder to Finish 1 ' ❑ Dairy Heifer ❑ Farrow to Wean Dry Poultry ❑ Dry Cow ❑ Farrow to Feeder ElNon-Dairy ❑ Farrow to Finish ❑ Layers ElBeef Stocker ❑ Gilts ❑Non -Layers El Beef Feeder ❑ Boars ❑ Pullets El Beef Brood Cow ❑ Turkeys Other ❑ Other ❑ Turkey Poults 10 Other N umber 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? Page 1 of 3 ❑ YesXNo ❑ NA ❑ NE ❑ Yes ONo ❑ NA ❑ NE ❑ Yes 6No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes P'No [I Yes WNo [I NA ❑NE ❑ Yes VrNo ❑ NA ❑ NE 12128104 Continued Facility Number: Date of Inspection Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZNo ❑ 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 El Maps El Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ;3 No ❑ NA ❑ 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❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes LQ No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [IYes ICJ NNo ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes LEI No ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit.? ❑ Yes hIo ❑ 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 lssues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ZNo ❑ 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 (—ZrNo ❑ 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 ONo ❑ NA ❑ NE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? El Yes p No ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes K<o ❑ NA ❑ NE AdditionalCorriments and(iir+Drarvinl;s' .' x`` '„�. ;+ i 0 ME'ilI M �1FIt Page 3 of 3 Facility Number: Date of Inspection Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes t71 No ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes P No ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Q Designed Freeboard (in): Observed Freeboard (in): � (Q t 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes PNo ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not property addressed and/or managed ❑ Yes 2 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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes VNo ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes gNo ❑ 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 PfNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes XNo ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. []Yes grNo ❑ 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 .,EfNo ❑ 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 0 No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ❑ Yes ZNo ❑ NA ❑ NE ❑ Yes [;]-No ❑ NA ❑ NE Comments refer to question #): Explain any YES answers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): Reviewer/Inspector Name K i. t r; : -. % Phone: L Cl k '79/- Reviewer/Inspector Signatu e: C Date: Page 2 of 3 12128104 Continued ' PERMIT: 3 Cj - (0� CONTACT: E-MAIL: �-�- DATE: 1 a 12008 Q�, (o 0-0 �a M OIC: Foc e5+- Blackwall Awiq)$33` CELL#: - - INTEGRATOR: r k t .o e�M.I i� c� van OciX\- v �_ 2 0`� J �o .p1?—�7a=-n c a& _ Division of Water Quality Facility Number r 2 Division of Soil and Water Conservation e) Other Agency Type of Visit 1P Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 99 Routine O Complaint O Follow up O Referral Q Emergency O Other ❑ Denied Access Date of Visit: Arrival Time: Departure Time: County: nv vz_ Region: Farm Name: ko, �!-+Q m An Owner Email: Owner Name: __ UY� t Phone: Mailing Address: `T J LV_ ekokG k uj e_(` ��j Y-G G 2 �� Physical Address: Facility Contact: �a e `� Title: ✓ Phone No: Onsite Representative: ruY �f l _. IaC, W a { Integrator: Certified Operator: Y �f l a �`�' �' Operator Certification Number: Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: [= e 0 i = Longitude: 0 ° =1 = 1{ VA csh>n ti Ivy tee~ �� Swine Wean to Finish Wean to Feeder �eeder to Finish Farrow to Wean Farrow to Feeder Farrow to Finish Gilts Boars Other ❑ Other Design Current Design Current Capacity; Population Wet Poultry Capacity Population _ [:]Layer - ❑Non -La et Dry Poultry ❑ Layers ❑ Non -Layers ❑ Pullets ❑ Turkeys ❑ urkey 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? Cattle Design Current: Capacity Population',," ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifer ❑ Da Cow ❑ Non -Dairy ❑ Beef Stockei ❑ Beef Feeder ❑ Beef Brood Cow Number of Structures: b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 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 �9 No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ❑ No ❑ Yes No ❑ NA ❑ NE ❑ Yes PWNo ElNA ❑ NE 12128104 Continued Facility Number: — 2 Date of Inspection 2 O Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 19No ❑ NA ❑ NE TVa. If yes, is waste level into the structural freeboard? ElYes El No ❑ NA ❑ NE cture I Strpqture 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: tr Spillway?: Designed Freeboard (in): 11 Observed Freeboard (in): 1 Err- 5. Are there any immediate threats to the integrity of any of the structures observed? EpYes ❑ 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 ElNA ❑ 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 stuctures lack adequate markers as required by the permit? ❑ Yes JMNo ❑ NA ❑ NE (Not applicable to roofed pits, dry stacks and/or wet stacks) j1 9. Does any part of the waste management system other than the waste structures require ❑ Yes }TNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ElNE maintenance/improvement? ?2 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes FN o ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) [:]PAN ❑ FAN > 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 l 12. Crop type(s) . 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes o ❑ NA ElNE 18. Is there a lack of properly operating waste application equipment? ElYes 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): f .�-,elf �, "� . ,�.c� ✓s (�-' Reviewer/Inspector Name JC')Ly&h ) Phone: 7 Ik z� Reviewer/Inspector Signature: Date: v Z8104 Continued z Facility Number: — Date of Inspection d Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropirate box. ❑ WUp ❑ Checklists ❑ Design ❑Maps El Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ElYes No El NA El NE ❑ NA ❑ NE ❑ Yes 11 No ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather 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 19 No ❑ NA ❑ NE ❑ Yes No [INA ElNE ElYes No ❑ NA ❑ NE ❑ Yes r No ❑ NA ❑ NE ❑ Yes 1� No [:1 NA ❑ NE ❑ Yes ' ] No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes ITNo ❑ NA ❑ NE ❑ Yes ?No ❑ NA ❑ NE ❑ Yes _PMNo ( ❑ NA El NE ❑ Yes No [I NA ❑ NE Additional Comments and/or Drawings: \ e�J owl 6 \. C4 w.s tSVI- S C P-u � w i Q G�.� V T K-1 � `�2; ` CSC C��sw}2/28/04 Q„v.�] \�>Z Division of Water Quality ❑ Division of Soil and Water Conservation ❑ Other Agency Facility Number: 390002 Facility Status: Active Permit: AWS390002 ❑ Denied Access Inspection Type: Compliance Inspection Inactive or Closed Date: Reason for Visit: Other I County: Granville Region: Raleigh Date of Visit: 08/30/2007 Entry Time:11:10 AM Exit Time: Farm Name: C. F. Blackwell Comfy Owner: Fgl: stst C�Blackwell Incident #: Owner Email: Phone: 919-693-4484 Mailing Address: 8114 Dick Blackwell Rd Oxford NC 27565 _ Physical Address: Facility Status: ❑ Compliant ❑ Not Compliant integrator: Location of Farm: Latitude: 36"26'52" Longitude: 78'41'48" Mountain Creek Rd. between Sam Blackwell Rd. and Dick Blackwell Rd. Question Areas: Discharges & Stream Impacts Waste Collection & Treatment © Other Issues Certified Operator: Forest C Blackwell Operator Certification Number: 18339 Secondary OIC(s): On -Site Representative(s): Name Title Phone On -site representative Forest Blackwell Phone: Primary Inspector: Joseph Gyamfi Phone: Inspector Signature: Secondary Inspector(s): Date: Inspection Summary: . Site visit was conducted to collect GPS data to update farm coordinates in BIMS if necessary, and for creating new reliable location maps in the future. *Mr. Blackwell was not available on site, but I informed him on phone about this visit and its intended purpose. Page: 1 Permit: AWS390002 Owner - facility: Forest C Blackwell Facility Number: 390002 Inspection Data: 08/30/2007 Inspection Type: Compliance Inspection Reason for Via It: Other Waste Structures Type Identlfler Closed Date Start Data Designed Freeboard Observed Freeboard .agoon PRIMARY Lagoon SECONDARY 41.00 Page: 2 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 08/30/2007 Inspection Type: Compliance Inspection Reason for Visit: Other Discharges & Stream Impacts Yes No NA NE 1. Is any discharge observed from any part of the operation? ❑ ■ Cl ❑ Discharge originated at: Structure ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the Stale? (if yes, notify DWQ) ❑ ■ ❑ ❑ c. Estimated volume reaching surface waters? d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ 0 ❑ ❑ 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 Waters of the State other than from a ❑ ■ ❑ ❑ discharge? Waste Collection, Storage & Treatment Yes No NA NE 4. Is storage capacity less than adequate? ❑ ■ ❑ ❑ If yes, is waste level into'structural freeboard? ❑ 5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe ❑ ■ ❑ ❑ erosion, seepage, etc.)? 6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ 0110 or closure plan? 7. Do any of the structures need maintenance or improvement? U 0 U U 8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑ dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑ improvement? Other Issues Yes No NA NE 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 those ❑ ■ ❑ ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. 31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑ 32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑ 33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑ Page: 3 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 08/30/2007 Inspection Type: Compliance Inspection Reason for Visit: Other Page: 4 Division of Water Quality ❑ Division of Soil and Water Conservation ❑ Other Agency Facility Number: 390002 Facility Status: Active Permit: AWS390002 ❑ Denied Access Inspection Type: Compliance Inspection Inactive or Closed Date: Reason for Visit: Routine County: Granville Region: Raleigh Date of Visit: 07/27/2007 Entry Time:09:20 AM Exit Time: Incident #: Farm Name: C. F. Blackwell Comoanv Owner: Forest C Blackwell Owner Email: Mailing Address: 8114 Dick Blackwell Rd Oxford NC 27565 Physical Address: Facility Status: 0 Compliant ❑ Not Compliant Location of Farm: Integrator: Latitude: 36°26'52" Mountain Creek Rd. between Sam Blackwell Rd. and Dick Blackwell Rd. Phone: 919-693-4484 Longitude: 78°41'48" Question Areas: Discharges & Stream Impacts Waste Collection & Treatment Waste Application Records and Documents Other Issues Certified Operator: Forest C Blackwell Secondary OIC(s): Operator Certification Number: 18339 On -Site Representative(s): Name Title Phone On -site representative Forest Blackwell Phone: 24 hour contact name Forest Blackwell Phone: Primary Inspector: Joseph Gyamfi Phone: Inspector Signature: Date: Secondary Inspector(s): Page: 1 Permit: AWS390002 Owner - facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 07/27/2007 . Inspection Type: Compliance Inspection Reason for Visit: Routine Inspection Summary: ' Irrigation Calibration dated 7/25/07, Uc = 89.6, Flow rate = 223GPM (Table value) " Sludge survey for primary lagoon dated 3/31/06, sludge thickness = 2.9'. Producer has put in "bugs" (microorganisms) into lagoon to decrease sludge volume overtime. Seems to be working fine by visual observation of microbial activities. Sludge survey to be conducted by end of year. ' Good vegetation cover on lagoon dike, well maintained. ` Spillway on secondary lagoon has been filled in, Engineer's certification/approval available ` Only two waste applications have occurred this year; 4/11/07 and 4/18/07 on corn silage (Field 7A). Records are complete. ' Soil test report dated 4/18/07, need to put out a ton/acre of lime as recommended on Field 7A. ' Waste analysis: 5/2107 = 2.6, 11/15/06 = 1.9 ' Crop yield, stocking and mortality records on site ' Reviewed Lagoon freeboard levels and rainfall records (5) Please continue to eradicate ground hog activities and fill the holes in the embankment. (About 7 holes counted on both lagoons). Page: 2 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 07/27/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine Regulated Operations Design Capacity Current Population Swine Swine - Feeder to Finish 1,256 595 Total Design Capacity: 1,256 Total SSLW: 169,560 Type Identifler Closed Date Start Date Designed Freeboard Observed Freeboard agoon PRIMARY 14.00 agoon SECONDARY 41.00 54.00 Page: 3 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number: 390002 Inspection Data: 07/27/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine Discharges & Stream Impacts Yes No NA NE 1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑ Discharge originated at: Structure ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑ c. Estimated volume reaching surface waters? 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 Waters of the State other than from a ❑ ■ ❑ ❑ discharge? Waste Collection, Storage & Treatment Yes No NA NE 4. Is storage capacity less than adequate? ❑ ■ ❑ ❑ If yes, is waste level into structural freeboard? ❑ 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 that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑ or closure plan? 7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑ B. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑ dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑ improvement? Waste Application Yes No NA NE 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑ improvement? 11. Is there evidence of incorrect application? ❑ ■ ❑ ❑ If yes, check the appropriate box below. Excessive Ponding? ❑ Hydraulic Overload? ❑ Frozen Ground? ❑ Heavy metals (Cu, Zn, etc)? ❑ Page: 4 Permit. AWS390002 Owner - Facility: Forest C Blackwell Inspection Date: 07/27/2007 Inspection Type: Compliance Inspection Facility Number: 390002 Reason for Visit: Routine Waste Application Yes No NA NE PAN? ❑ Is PAN > 10%/10 lbs.? ❑ Total P205? ❑ Failure to incorporate manure/sludge into bare soil? ❑ Outside of acceptable crop window? ❑ Evidence of wind drift? ❑ Application outside of application area? ❑ Crop Type 1 Com (Silage) Crop Type 2 Winter Annual Crop Type 3 Fescue (Hay) Crop Type 4 Fescue (Pasture) Crop Type 5 Crop Type 6 Soil Type 1 Georgeville Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑ Plan(CAWMP)? 15. Does the receiving crap and/or land application site need improvement? ❑ ■ ❑ ❑ 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ ❑ 17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑ 18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑ Records and Documents Yes No NA NE 19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ■ ❑ ❑ 20. Does the facility fail to have all components of the CAWMP readily available? ❑ ' ■ ❑ ❑ If yes, check the appropriate box below. WUP? ❑ Page: 5 Permit: AWS390002 Owner -Facility: Forest C Blackwell Facility Number: 390002 Inspection Date: 07/27/2007 Inspection Type: Compliance inspection Reason for Visit: Routine Records and Documents Yes No NA NE Checklists? ❑ Design? ❑ Maps? ❑ Other? ❑ 21. Does record keeping need improvement? ❑ ■ ❑ ❑ If yes, check the appropriate box below. Waste Application? ❑ 120 Minute inspections? ❑ Weather code? ❑ Weekly Freeboard? ❑ Transfers? Q Rainfall? ❑ Inspections after > 1 inch rainfall & monthly? ❑ Waste Analysis? ❑ Annual soil analysis? ❑ Crop yields? ❑ Stocking? ❑ Annual Certification Form (NPDES only)? ❑ 22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑ 23, If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ■ ❑ ❑ 24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ ■ ❑ ❑ 25. Did the facility fail to conduct a sludge surrey 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 phosphorous loss assessment (PLAT) certification? ❑ ■ ❑ ❑ Other Issues Yes No NA NE 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 those ❑ ■ Q ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? if yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. Page: 6 Permit: AWS390002 Owner -Facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 07/27/2007 inspection Type: Compliance Inspection Reason for Visit: Routine VAs Nn N4 NF 31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑ 32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑ 33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑ Page: 7 Type of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance Reason for Visit `0 Routine O Complaint O Follow up O Referral O Emergency ()Other ❑ Denied Access Date of Visit: ! D Arrival Time:. i� Q Departure Time: County: aVI) Region: Farm Name: n c'\ _ _5_a�'1G�e ` cl� "P<:A,, Owner Email: / 27 Owner Name: �'�-T a c Q I Phone: ��y� 43 �? Mailing Address:'' Physical Address: Facility Contact: Title: i Onsite Representative: C` rx G C V'e Certified Operator: e ae-L" j- Q Back-up Operator: Phone No: Integrator: Ivy �d � n c Operator Certification Number: PJ } Back-up Certification Number: Location of Farm: Latitude: ❑ 0 0 S ❑it Longitude: = o ❑ d ❑ it Design Current Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population ❑ Wean to Finish ❑ La er ❑ Dairy Cow ❑ Wean to Feeder ❑Non -La er ❑ Daia Calf Feeder to Finish U Dr. '1'oultr Y•Y DDailry Heifer ❑ Dry Cow ❑ Non -Dairy Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ La ers ❑ Beef Stocker ❑ Gilts ❑ Non -Layers El Beef Feeder ❑ Boars El Pullets ❑ Turke s ❑ Beef Brood Cow Other ❑ Turkey Poults ❑ Other ❑ Other Number of 5truetures: Discharees & 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 tWNo ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes []No ❑ Yes No ❑ Yes No ❑ NA ❑ NE ❑ NA ❑ NE Page I of 3 12128104 Continued 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): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? ❑ Yes QPNo ❑ Yes ❑ No Structure 5 El NA [I NE ❑ NA ❑ NE Structure 6 ❑ Yes `P No ❑ NA ❑ NE ❑ Yes lNo ❑ 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? ❑ Yes No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require ❑ Yes Pfiqo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? ❑ Yes 7 No ❑ NA Cl NE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ITNo ❑ 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 ❑ Ey'dence of Wind Drift ❑ Application Outsi e of Area 12. Crop type(s) c ta\.1t1 — / , � � `` °�/), r ' 6,( ( 2 a Z ` } IFC—p I 13. Soil type(s) C-1--e-0 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 1�No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes 17. Does the facility lack adequate acreage for land application? ❑ Yes 18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE No ❑ NA ❑ NE No ❑ NA ❑ NE No ❑ NA ❑ NE Comments (refer to question #): Explain any YES answers and/or any recommendations or any other:comments Use drawings of facility to better explain situations. (use additional pages as necessary): Reviewer/Inspector Name __-�c;c: - - } -- - ---]Phone: _J Reviewer/Inspector Signature: Page 2 o 3 ! e- �l\ r Date: I & I & 1 O 12128104 Continued Facility Number: 39 — Date of Inspection Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes EP No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE the appropriate box. ❑ WUP El Checklists El Design El Maps El Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 1�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 'PNo ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No E�NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA 1�NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No ❑ NA 1PNE 26. Did the facility tail to have an actively certified operator in charge? El Yes T No El NA J❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No E�INA ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes T No ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes No ElNA ElNE 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 I� 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 _VNo ❑ NA ❑ NE Additional Comments and/or. Drawings: AL LJ , ( Vj 1 •�I` I6r"� 1' t Y J A r L� �.�,�.F� 3� `21•'z;r vv� r� V f!t(�f Or 1 �� �S� �fi� T��`fvC moo, ��-.,I Y��� � ►n � �'`°ca,11', J,. 116 Page 3 of 3 v5� 1�2 1 ` 1r ,,,,, � 12128104 Ci4 �yu c� C�k ,go-``.- r c,. 1 1� r �A �� / G�c t,n� �'1 s �S Vl� ra Division of Water Quality ❑ Division of Soil and Water Conservation ❑ Other Agency Facility Number: 390002 Facility Status: Activg _ Permit: &W39002Q❑ Denied Access Inspection Type: Compliance Inspection _ Inactive or Closed Date: Reason for Visit: Routine County: Granville Region: Raleigh Date of Visit: 10/06/2006 Entry Time:09:45 AM Exit Time: Farm Name: C. F. Blackwell CQmg_any Owner: Forest C Blackwell Incident #: Owner Email: Phone: 91 M93-4484 Mailing Address: 8114 Dick Blackwell Rd Oxford NC 27565 Physical Address: Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Location of Farm. Latitude: 36°26'52" Longitude: 78'41'48" Mountain Creek Rd. between Sam Blackwell Rd. and Dick Blackwell Rd. Question Areas: Discharges & Stream Impacts Waste Collection & Treatment Waste Application Records and Documents Other Issues Certified Operator: Forest C Blackwell Operator Certification Number: 18339 Secondary OIC(s): On -Site Representative(s): Name Title Phone On -site representative Forest Blackwell Phone: 24 hour contact name Forest Blackwell Phone: Primary Inspector: Joseph Gyamfi Phone: Inspector Signature: Secondary Inspector(s): Date: Page: 1 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number: 390002 Inspection Date: 10/06/2006 lnspectlon Type: Compliance Inspection Reason for Via It: Routine Inspection Summary: :Animal population records available. Waste application records complete and balanced, - Please separate the balancing of PAN rates For Wheat/Oats and that for Corn. - For field 1, charge the first two applications on 3/11/06 and 3/7106 to Wheat and that on 3/16/06 to Corn to avoid overapplication on the wheatloats. ' COC and Permit available ` WUP revised on 7122/03 ' Soil test report dated 3/29/06, lime must be applied on fields 2, 3 & 7A as recommended. ' Waste analysis: 4/12/06 = 3.9, 8/3/06 = 1.8 ' Freeboard levels & rainfall recorded with initials. - Changes in levels are consistent with pumping and rainfall events. ` Sludge survey completed in June 2006. Request copy of results and mail to DWO Raleigh Office. ` Producer to calibrate irrigation equipment by 10131/06. Deadline 10/1 has passed. Mail results to DWO Raleigh Office. * Spray fields in good shape. Page: 2 M Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 10/0612006 Inspection Type: Compliance Inspection Reason for Visit: Routine Regulated Operations Design Capacity Current Population Swine O 5wine - Feeder to Finish 1,256 950 Total Design Capacity: 1,256 Total SSLW: 169,560 Waste Structures Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard agoon PRIMARY agoon SECONDARY 37.00 Page: 3 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number: 390002 Inspection Date: 10/06/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine Discharges & Stream Impacts Yes No NA NE ...................... .........._.,..,..,..,................................ ,..,...... ,..,..,..�................. 1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑ Discharge originated at Structure ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑ c. Estimated volume reaching surface waters? 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? Cl ■ ❑ ❑ 3, Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a ❑ ■ ❑ ❑ discharge? Waste Collection, Storage & Treatment Yes No NA NE 4. Is storage capacity less than adequate? ❑ ■ ❑ ❑ If yes, is waste level into structural freeboard? ❑ 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 that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑ or closure plan? 7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ B. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑ dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑ improvement? Waste Application Yes No NA NE 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑ improvement? 11. Is there evidence of incorrect application? 00013 If yes, check the appropriate box below. Excessive Ponding? ❑ Hydraulic Overload? ❑ Frozen Ground? ❑ Heavy metals (Cu, Zn, etc)? ❑ Page: 4 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number : 390002 Inspection Date: 10/06/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine Waste Application Yes No NA NE PAN? ❑ Is PAN > 10%/10 lbs.? ❑ Total P205? ❑ Failure to incorporate manure/sludge into bare soil? ❑ Outside of acceptable crop window? ❑ Evidence of wind drift? ❑ Application outside of application area? ❑ Crop Type 1 Com (Silage) Crop Type 2 Winter Annual Crop Type 3 Fescue (Hay) Crop Type 4 Fescue (Pasture) Crop Type 5 Crop Type 6 Soil Type 1 Georgeville Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑ Plan(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 orwettable acre determination? ❑ ■ ❑ ❑ 17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑ 18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑ Records and Documents Yes No NA NE 19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ■ ❑ ❑ 20. Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑ If yes, check the appropriate box below. WUP? ❑ Page: 5 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number: 390002 Inspection Date: 10/06/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine Records and Documents Yes No NA NE Checklists? ❑ Design? ❑ Maps? ❑ Other? ❑ 21, Does record keeping need improvement? ❑ ■ ❑ ❑ If yes, check the appropriate box below. Waste Application? ❑ 120 Minute inspections? ❑ Weather code? ❑ Weekly Freeboard? ❑ Transfers? ❑ Rainfall? ❑ Inspections after n 1 inch rainfall & monthly? ❑ Waste Analysis? ❑ Annual soil analysis? ❑ Crop yields? ❑ Stocking? ❑ Annual Certification Form (NPDES only)? ❑ 22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑ 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ❑ ■ ❑ 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 phosphorous loss assessment (PLAT) certification? Cl ❑ ■ ❑ Other Issues Yes No NA NE 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 those ❑ ■ ❑ ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. Page: 6 Permit: AWS390002 Owner - Facility: Forest C Blackwell Inspection Date. 1 D10612006 Inspection Type: Compliance Inspection Facility Number : 390002 Reason for Visit: Routine Other Issues Yes No NA NE 31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑ 32. Did Reviewerlinspector fail to discuss reviewlinspection with on -site representative? ❑ ■ ❑ ❑ 33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑ Page: 7 ❑ Division of Water Quality Division of Soil and Water Conservation ❑ Other Agency Facility Number: 390002 Facility Status: Active Permit: AWS390002 ❑ Denied Access Inspection Type: Operations Review Inactive or Closed Date: Reason for Visit: Routine County: Granville Region: Raleigh Date of Visit: 11l1612005 Entry Time:08:30 AM Exit Time: 09:25 AM Farm Name: C. F. Blackwell Company [+71TIT-Ta Z—= I Incident #: Owner Email: Mailing Address: 8114 Dick Blackwell Rd _ Oxford NC,ZZSQ_„ Physical Address: Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Location of Farm: Latitude: 36°2 '5Z- _ Longitude: 78041'4 ". _ Mountain Creek Rd. between Sam Blackwell Rd. and Dick Blackwell Rd, Question Areas: Discharges & Stream Impacts Waste Collection & Treatment Waste Application Records and Documents Other Issues Technical Assistance Certified Operator: Forest C Blackwell Operator Certification Number: 18339 Secondary OIC(s): On -Site Representative(s): Name Title Phone On -site representative Forest Blackwell Phone: 24 hour contact name Forest Blackwell Phone: Primary Inspector: Betsy Gerwig Phone: Inspector Signature: Secondary Inspector(s): Date: Page: 1 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number: 390002 Inspection Date: 11/16/2005 Inspection Type: Operations Review Reason for Visit: Routine Inspection Summary: *soils - 4/4/05 - limed fields that required lime - no problems `waste - 4118/05 N = 3.0, haven;t pulled last sample yet *applic records - complete, need to record weather code & inpsection initials *freeboard & rainfall - complete, need to initial form after checking lagoon after more than 1" of rain or more .sludge survey & Irrig cal - due by Oct 1, 2006 *crop yld - complete *stocking - complete *discussed new records, sludge removal, irrig cal *lagoon - good veg cover, continues to work on burrowing animals - good job *flds - look good *facility - clean & mowed Page: 2 Permit: AWS390002 Owner - Facility: Forest C Blackwell Inspection Date: 11/16/2005 Inspection Type: Operations Review Facility Number: 390002 Reason for Visit: Routine Regulated Operations Design Capacity Current Population Swine Q Swine - Feeder to Finish 1,256 1,200 Total Design Capacity: 1,256 Total SSLW: 169,560 Waste Structures Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard agoon PRIMARY agoon SECONDARY 48.00 Page: 3 Permit: AWS390002 Owner - Facility: Forest C Blackwell Facility Number: 390002 Inspection Date: t t/16/2005 Inspection Type: Operations Review Reason for Visit: Routine Discharges & Stream Impacts Yes No NA NE 1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑ Discharge originated at: Structure ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑ c. Estimated volume reaching surface waters? 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 Waters of the State other than from a ❑ ■ ❑ ❑ discharge? Waste Collection, Storage & Treatment Yes No NA NE 4. Is storage capacity less than adequate? ❑ ■ ❑ ❑ If yes, is waste level into structural freeboard? ❑ 5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe ❑ ■ ❑ ❑ erosion, seepage, etc.)? 6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑ or closure plan? 7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑ 8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑ dry stacks and/or wet stacks) 9. Does any part of the waste managements ystem other than the waste structures require maintenance or ❑ ■ ❑ ❑ improvement? Waste Application Yes No NA NE 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑ improvement? 11. Is there evidence of incorrect application? ❑ ■ ❑ ❑ If yes, check the appropriate box below Excessive Ponding? ❑ Hydraulic Overload? ❑ Frozen Ground? ❑ Heavy metals (Cu, Zn, etc)? ❑ Page: 4 Permit: AVVS390002 Owner - Facility: Forest C Blackwell Inspection Date: 11/16/2005 Inspection Type: Operations Review Facility Number: 390002 Reason for Visit: Routine Waste Application Yes No NA NE PAN? ❑ Is PAN > 10%/10 lbs.? ❑ Total P205? ❑ Failure to incorporate manure/sludge into bare soil? ❑ Outside of acceptable crop window? ❑ Evidence of wind drift? ❑ Application outside of application area? ❑ Crop Type e 1 Fescue (Hay, Pasture) Crop Type 2 Corn (Silage) Crop Type 3 Winter Annual Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Georgeville Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑ Plan(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 acre determination? ❑ ■ ❑ ❑ 17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑ 18. Is there a lack of properly operating waste application equipment? ❑ Is ❑ ❑ Records and Documents Yes No NA NE 19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ■ ❑ ❑ 20. Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑ If yes, check the appropriate box below. WUP? ❑ Page: 5 Permit: AW5390002 Owner - Facility: Forest C Blackwell Inspection Date: 11/16/2005 Inspection Type: Operations Review Facility Number: 390002 Reason for Visit: Routine Records and Documents Yes No NA NE Checklists? ❑ Design? ❑ Maps? ❑ Other? ❑ 21. Does record keeping need improvement? ■ ❑ ❑ ❑ If yes, check the appropriate box below. Waste Application? ❑ 120 Minute inspections? ■ Weather code? ■ Weekly Freeboard? ❑ Transfers? ❑ Rainfall? ❑ Inspections after > 1 inch rainfall & monthly? ■ Waste Analysis? ❑ Annual soil analysis? ❑ Crop yields? ❑ Stocking? ❑ Annual Certification Form (NPDES only)? ❑ 22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑ 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ❑ ■ ❑ 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 phosphorous loss assessment (PLAT) certification? ❑ ❑ ■ ❑ Other Issues Yes No NA NE 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 those ❑ ■ ❑ ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. Page: 6 Permit: AVVS390002 Inspection Date: 11/16/2005 Owner - Facility: Forest C Blackwell Inspection Type: Operations Review Otherlssues 31. Did the facility fail to notify regional DWO of emergency situations as required by Permit? 32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? 33. Does facility require a follow-up visit by same agency? Facility Number: 390002 Reason for Visit: Routine Yes No NA NE ❑■❑❑ ❑ ■ ❑ ❑ ❑■❑❑ Page: 7 Permit: AWS390002 Owner- Facility: Forest C Blackwell Inspection Date: 11/16/2005 Inspection Type: Operations Review Technical Assistance Needed 34. Waste plan revision or amendment ❑ 35. Waste plan conditional amendment ❑ 36. Review or evaluate waste plan wlproducer ❑ 37. Forms need (list in comment section) ❑ 38, Missing components (list in comments) ❑ 39. 21-1.0200 re -certification ❑ 40. Five & Thirty day Plans of Action (POA) ❑ 41. Irrigation record keeping assistance ❑ 42. Organize/computerization of records ❑ 43. Sludge evaluation ❑ 44. Sludge or Closure plan ❑ 45. Sludge removal/closure procedures ❑ 46. Waste structure evaluation ❑ 47. Structure needs improvement ❑ 48. Operation & maintenance improvements ❑ 49. Marker check/calibration ❑ 50. Site evaluation ❑ 51. Irrigation calibration ❑ 52. Irrigation system design/installation ❑ 53. Secure irrigation information (maps, etc.) ❑ 54. Operating improvements (pull signs, etc.) ❑ 55. Wettable acre determination ❑ 56. Evaluate WAD certification/rechecks ❑ 57. Crop evaluation/recommendations ❑ 58. Drainage work/evaluation ❑ 59. Land shaping, subsoiling, aeration, etc. ❑ 60. Runoff control, stormwater diversion, etc. ❑ 61, Buffer improvements ❑ 62. Field measurements (GPS, surveying, etc.) ❑ 63. Mortality BMPs ❑ 64. Waste operator education ❑ 65, Operation & maintenance education ❑ 66. Record keeping education ❑ 67. Crop/forage management education ❑ 68. Soil and/or waste sampling education ❑ 69. PLAT Assessment ❑ 70. Other ❑ Facility Number: 390002 Reason for Visit: Routine Provided 11 11 11 El El 11 13 13 13 U 13 El ❑ Page: 8 Permit: AWS390002 Owner - Facility: Forest C Blackwell Inspection Rate: 11/16/2005 Inspection Type: Operations Review List Improvements made by Operation Improvement 1 Improvement 2 Improvement 3 Improvement 4 Improvement 5 Improvement 6 Facility Number: 390002 Reason for Visit: Routine Page: 9 'I F-1 Type of Visit P(Compliance 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: % IS Arrival Time: Departure Time: County: Region: Farm Name: VAe.ts,,X_ Co. _ Owner Email: Owner Name: ID—Ws� 4A4Vreir f Phone: Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: Certified Operator:ir{ast- Qlf1cT- Back-up Operator: Location of Farm: Swine Wean to Finish Wean to Feeder Feeder to Finish Farrow to Wean Farrow to Feeder Farrow to Finish Gilts Boars Phone No: Integrator: �lMh�l.t Operator Certification Number: Back-up Certification Number: Latitude: r1­0 o © � Longitude: UK] l ° © I ® 11 Design Current Design Current Capacity Population Wet Poultry Capacity Population ❑ La er �� - ❑ Non -La er Other ❑ Other j Dry Poultry ❑ Layers ❑ Non -Layers ❑ Pullets ❑ Turke s ❑ Turkey PoultI ❑ Other Discharges & Stream impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? Design Current Cattle Capacity Population ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifet ❑ Dry Cow ❑ Non -Dairy ❑ Beef Stocker ❑ Beef Feeder ❑ Beef Brood Cowl 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 01N. ❑ NA ❑ NE ❑ Yes ;No ❑ NA ❑ NE ❑ Yes gNo ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ILI No ❑ Yes EfNo ❑ NA ❑ NE ❑ Yes PNo ❑ NA ❑ NE 12128104 Continued ti Facility Number: 32— Z Date of Inspection Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes�No ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes VNo ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: _ c_ 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 'ZNo ❑ 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 �ffNo ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes XNo ❑ 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 oNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes D�<o ❑ NA ❑ NE maintenance/improvement? , ..,/ 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes l,Ll No ❑ NA ❑ NE El Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground El 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) uu ItJt t,_,LOQV (S,, 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ONo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? Cl Yes ;3'No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,❑ Yes VNo ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes J'No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes [�No ❑ NA ❑ NE 7A- 1: i Reviewer/Inspector Name " j °k� �_ �� r� Phone: Di) Reviewer/Inspector Signature: Date: 12128104 Continued Facility Number:32 — Z Date of Inspection I r Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ;D No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes )ZNo ❑ NA ❑ NE the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other 21. Does record keeping need improvement? If yes, check propriate �yx be w ❑ Yes �o ❑ NA ❑ NE ❑ Waste pplication Weekly Fre oard ❑ stAna�ys'3 �❑ So A'haiysis ❑Transfers ❑ Anal Certification ❑ Rainfall ❑ Stockin ❑ Cro Yield ❑ 120 Minute Iris ections ❑ Month/ an�7aste 1" Rain Inspections ❑ Weather Code g p P Y p 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes O N ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 2�NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes oNo ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes No ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes �Ko ❑ 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 PNo ❑ 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 ZNo ❑ 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 ETNo ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes 0'No ❑ NA ❑ NE Additionat�Coinments,:andlor DrawingsxMV nQ�o vtM�t CL•c�. � Q��w � � ..Gu p 12128104 Type of Visit grCompliance inspection O Operation Review O-.Wgoon Evaluation Reason for Visit 0'Routine O Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access Facility Number i Date of Visit: I [.Permitted fiJ' ertified 13 Conditionally Certified 13Registered Farm Name: .....4 F— duct......60.................................................. Owner Name: ......�.....&���t�.................................. . ........................... Mailing Address: Facility Contact: .............................................................................. Title: Onsite Representative: 3 04 Time: 10 Not Operational 0 Below Threshold Date Last Operated or Above Threshold: ......................... Coanty: ,,,,C I................................................... ....................... Phone No: PhoneNo :................................................... Integrator: ...................................................................................... Certified Operator:a s `„aF�we � .... Operator Certification Number: Location of Farm: wine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 • ' " Longitude • 4 " Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. if discharge is observed, was the conveyance man-made? b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) c. If discharge is observed, what is the estimated flow in gal/min'? d. Does discharge bypass a lagoon system? (If yes, notify DWQ) 2. Is there evidence of past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Structure I Structure 2 Structure 3 Structure 4 Structure 5 IdentiFier: ................................. ...... r..................................................... ....... Freeboard (inches): O 2 Y 12112103 ❑ Yes J 0 ❑ Yes P1116 ❑ Yes /E-' No ❑ Yes /Mo ❑ Yes�No ❑ Yes �lo ❑ Yes i2 0 Structure 5 Continued Facility Number: — Date of Inspection 3 8 -r' Required Records & Docaments 21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ;21flo 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (ie/ WUP, checklists, design, maps, etc.) ❑ Yes �N 23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes;Wo ❑ Waste Application ❑ Freeboard p� as Analysis ❑ Soil pling qwx�- r 24. Is facility not in compliance with any applicabl1e s tback riteria in effect at the time of design? ❑ Yes �vo 101-1161l -14 25. Did the facility fail to have a actively certifie op&e ator in charge?/ $33 �. ' ❑Yes XNo 12�0 . f04 r2.N 26. Fail to notify regional DWQ of emergency sit ns as required by General Permit? M•x , (ie/ discharge, freeboard problems, over app ony —2' z ❑ Yes o 27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes P!O 28. Does facility require a follow-up visit by same agency? ❑ Yes;5No 29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes / NPDES Permitted Facilities 30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes No 31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No 33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No 34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No 35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain ❑ 120 Minute Inspections ❑ Annual Certification Form 10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. /i�tr^P 7V 6 • 1 W G P- M 712 1I6 &u>* J3 crur'k4 ti 4ft.4 r(4 �i- lf�k yAd- 12112103 Facility Number: — 2 Date of Inspection I b 3 1 fie 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? (If any of questions 4-6 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenance/improvement? 8. Does any part of the waste management system other than waste structures require maintenance/improvement? 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level, elevation markings? Waste Application 10. Are there any buffers that need maintenance/improvement? 11. Is there evidence of over application? ❑r Excessive Ponding El PAN [I Hydraulic Overload 12. Crop type .SM G F- i (O Pti1 , ORC mow.[cdA'. s . ZSUAZI 13. Do the receiving crops differ with those designated in the Certi 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? Animal Waste Management Plan (CAWMP)? 16. is there a lack of adequate waste application equipment? Reauired Records & Documents 17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (ie/ WUP, checklists, design, maps, etc.) 19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ;ago ❑ Yes tZNo ❑ Yes ;_eKo ❑ Yes ( Flo ❑ Yes J2<1 ❑ Yes 'P?iO ❑ Yes 0No ❑ Yes /�I N�R <o Cl Yes o El Yes El No ❑ Yes ❑ No ❑ Yes /TNo ❑ Yes VNo ❑ Yes g] No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ca< ❑ Yes ;21�0 22. Fail to notify regional DWQ of emergency situations as required by General Permit. (ic/ discharge, freeboard problems, over application) ❑ Yes Pio 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes Ido 24. Does facility require a follow-up visit by same agency? ❑ Yes LtflVo 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes TT _ V © No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. f@omments (refer t6 question,,#) Explain ahy YES,abswers and/orpany recommendationsyor any,other comments. Use drawings of facthty to better e%plain situations: (use,adilitional'pages as necessilry) r _[�f�ield Cony ❑Final Notes 7. �e- �...., .. Reviewer/Inspector Name I Reviewer/Inspector Signature: Date: 05103101 Continued Type of Visit Z Compliance Inspection 0 Operation Review 0 Lagoon Evaluation Reason for Visit 0Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access Date of Visit: 0 Time: Facility Number Not O erational Below Threshold Permitted Certified 0 Conditionally - , nditionnallllyCertified Lj Registered Date Last Operated or Agove Threshold: Farm Name: C� J1�-c.Lu,•e� � County: Owner Name: Mailing Address: Phone No: Facility Contact: Title: Phone No: Onsite Representative: Certified Operator: Location of Farm: Integrator: Operator Certification Number: Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' 06 Lf Longitude ' 6 Design Current Design Current Design Current Swine 'Ca aci Population Poultry Capacity Population Cattle Capacitv Population, ❑ Wean to Feeder ❑ Layer EF1 Dairy Feeder to Finish (p2 ❑ Non -La er Non -Dairy ❑ Farrow to Wean El Farrow to Feeder ❑Other ❑ Farrow to Finish Total Design Capacity ❑ Gilts ❑ Boars Total SSLW Number of Lagoons ❑ Present Subsurface Drains ❑ La oon Area 10 Spray Field Area Holding Ponds 1 Solid Traps ps ❑ No Liquid Waste Management System �. "T, E Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) c. If discharge is observed, what is the estimated flow in gal/min? d. Does discharge bypass a lagoon system? (if yes, notify DWQ) 2. Is there evidence of past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Identifier: �t[ Freeboard (inches): 05103101 ❑ Yes ; NO ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ;2No ❑ Yes ONO ❑ Yes VNO Structure 6 Continued F { Facility Number: — 7i Date of Inspection L 03 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? (If any of questions 4-6 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenance/improvement? 8. Does any part of the waste management system other than waste structures require maintenance/improvement? 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? Waste ADnlication 10. Are there any buffers that need maintenance/improvement? 11. Is there evidence of over a placation? [I Excessive Ponding El PAN El Hydraulic Overload 12. Crop type CDW 5. 1 1;c C 1 OrG"4 ek;s ' 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? 14. a) Does the facility lack adequate acreage for land application? b) Does the facility need a wettable acre determination? c) This facility is pended for a wettable acre determination? 15. Does the receiving crop need improvement? 16. Is there a lack of adequate waste application equipment? Required Records & Documents 17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 18. Does the facility fail to have all components of the Certified Animal Was Management Plan readily available? (ic/ WUP, checklists, design, maps, etc.) 3( Wn_ �3 1'7 33(les, 19. Does record keeping need improvement? (ie/ irrigation, freeboard, w°alys s & s /0.> 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) ❑ Yes ,❑No ❑ Yes�o ❑ Yes ;�No ❑ Yes '2<o ❑ Yes Z No ❑ Yes l�o ❑ Yes No [:]Yes ,Ll No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No ❑ Yes Vo ❑ Yes ❑ Yes o 04eYes No ❑ Yes ONo ❑ Yes ZNo ❑ Yes IzNo 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ANo 24. Does facility require a follow-up visit by same agency? ❑ Yes ZNo 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes gNo 0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. jC�omments:(refer to gaestlonZExplawl'�kofir-W'��S answers and/orilityw,lie'Altuatigns:"(use additional pages as necessary) a Field Copy ❑Final Notes i $ l •P -r-1-702— I- yr Ale dr t . / ` /� /A, cnjoc( orc r Sw,�tQt L E f5 a tnr Reviewer/Inspector Name /F, a Reviewer/Inspector Signature: Date: VI.VoS 05103101 Continued V - Facility Number: 3 Date of Inspection 29 03 Odor Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below liquid level of lagoon or storage pond with no agitation? 27. Are there any dead animals not disposed of properly within 24 hours? 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, roads, building structure, and/or public property) 29. Is the land application spray system intake not located near the liquid surface of the lagoon? 30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or or broken fan blade(s), inoperable shutters, etc.) 31. Do the animals feed storage bins fail to have appropriate cover? 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Additional,Commentsand/or .Drawings:;`.` ❑ Yes No ❑ Yes ONo ❑ Yes 2`10 ❑ Yes �No ❑ Yes zl�( ❑ Yes No ❑ Yes T 05103101 (Type of Visit Compliance Inspection O Operation Review 0 Lagoon Evaluation I Reason for Visit 011outine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access Date of Visit: fp 0� Time: rO = D Facility Number Not Operational Below Threshold Permitted 5x—ertified Q Conditionally Certified [3 Registered Date Last Operated or Above Threshold: Farm Name: � � County: _ 6faA411 c� Owner Name: Mailing Address Phone No: Facility Contact: Title: /1 Phone No: Onsite Representative: Integrator:.--. J�-1 Certified Operator:Operator Certification Number: Location of Farm: P Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude ` '`DesignCurrent..?,' Design Current Design Current Swine Capacitvy.. PopulationPoultry Capacity Population Cattle Capacity Population ❑ Wan to Feeder ❑ La er ❑ Dairy ceder to Finish ! Z 1 241� ❑Non -La er I IE] Non -Dairy ❑ Farrow to Wean N ❑ Farrow to Feeder ❑ Other ❑Farrow to Finish ❑ Total Design Ca'pacify' Gilts 3 El Boars �; Tota1.SSLW; Numberbf Lagoons E IDSubsurface Drains Present ElLa oon Area JE1 Spray Field Area Holding,l'onds /k$p djTraps ,r.. F ❑ No Liu uid Waste Manaeement Svstem �, a� ;• �, , ; - Discharges !& Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) c. If discharge is observed, what is the estimated Flow in gal/min? d. Does discharge bypass a lagoon system? (If yes, notify DWQ) 2. Is there evidence of past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Structure I Structure 2 Structure 3 Structure 4 Identifier: c Freeboard (inches): �ti GCS Structure 5 ❑ Yes No ❑ Yes 15No ❑ Yes PO ❑ Yes No ❑ Yes No ❑ Yes / 110 El Yes o Structure b 05103101 Continued Facility Number: -- Date of Inspection 5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes seepage, etc.) L `�' 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? El 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 etj"No 8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes No 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? ❑ Yes No .an Waste_Aunli on 10. Are there any buffers that need maintenance/improvement? ❑ Yes Rv< 11. Is there evidence of over ap lication? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes 12. Crop type (1 S+C n 4 SGi[l- l !1Wlte 1 W[�fF 1 � ^ 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No 14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No b) Does the facility need a wettable acre determination? Cl Yes ❑ No c) This facility is pended for a wettable acre determination? ❑ Yes ONO 15. Does the receiving crop need improvement? ❑ Yes o 16. Is there a lack of adequate waste application equipment? El Yes Ll No Required Records & Documents 17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes No 18. Does the facility fail to have all components of the Certified Animal Wilt Management Plan readily available? (ie/ WUP, checklists, design, maps, etc.) (j[21j6t❑ Yes No 19. L Does record keeping need improvement? (ie/ irrigation, freeboard, wysis & soy sample reports) ❑ Yes „❑ No 20. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑Zo 2 t. Did the facility fail to have a actively certified operator in charge? El Yes 22. Fail to notify regional DWQ of emergency situations as required by General Permit? ❑ Yes (ie/ discharge, freeboard problems, over application) o 23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? El Yes /N 24. Does facility require a follow-up visit by same agency? ❑ Yes �No 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes &No © No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. Comments.{refer to;guestian':#) )E _plain any YESranswers andloi='anyre"c"'a"'a i'tine'�` nd t�ians orAany o't r comments. , t x ,r ,Us ���dzrawi gs affacility p g y) '�' �' Field Copy ❑ Final Notes , A� uatiQns {nse additional a eB a5 nCCe99aC LA Reviewer/Inspector Name sr „ Reviewer/Inspector Signature: Date: 10 2 05/03/01 1 Continued Facility Number: — Bate 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 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? Additional Comm ents�andl6r,.DriiWings: ❑ Yes,2rNo ❑ Yes E,d'1�'O El Yes //�K0 ❑ Yes P No El Yes 0o ❑ Yes eNo El Yes 05103101 ]Type of Visit compliance Inspection O Operation Review O Lagoon Evaluation for Visit O Routine O Complaint. O Follow up O Emergency Notification O Other ❑ Denied Access Facility Number Dale of Visit. q 6I I Time: Not Operational 0 Below Threshold 13 Permitted U Certified0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ......................... Farm Name: ... .."`�l.......... k!.... ........................ County: ---- ��'��¢..... ........... ............... ..... .................. OwnerName: ....... :Sri.......`!`"'K.................................................................. Phone No:...C...9f9.J....x..............................»:. FacilityContact: ............... ........................... Title:................................................................ Phone No:................................................... MailingAddress:.. 1... ........��a�.'^'.'.':`.f'..................•--•---.......................................................................................................... .......................... Ca�c, lr,q St,�►K Onsite Representative:........................................................................................................... Integrator:.....---................................................................ Certified Operator:.... ......ws1......v........ ....K....................................................................... Operator Certification Number:.......................................... Location of Farm: Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • ' '° Longitude �• �� ��� Design.:'" Currrent „ Design Current Design? Carreint> Capacity" Ca aciPulation Cattle tCa aci'popSv ...e"Watson -' Wean to Feeder ❑Layer ❑Dairy eeder to Finish jZ ❑Non -Layer ❑Non -Dairy ❑ Farrow to Wean []'Farrow to Feeder ❑ Other ;" ❑ Farrow to Finish Total Design Capacity, , ❑ Gilts E: ❑ Boars Total.SSi:W �' i,, Number Lagoons Subsurface Drains Present Lagoon Area I[] Spray Field Area off HoliLng Ponds / Sohd Traps , ❑ No Liquid Waste Management System Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) c. II' discharge is observed, what is the estimated flow in gal/min? d. Does discharge bypass a lagoon system? (If yes, notify DWQ) 2. Is there evidence of past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Structure 1 Structur- 2. Structure 3 Structure 4 Structure 5 MPA4 Identifier: .......i.�. ................... SR................................................................................................................... a �. Freeboard (inches): Yv 30 5100 ❑ Yes (7No ❑ Yes )�'No ❑ Yes KNo ❑ Yes No ❑ Yes No ❑ Yes �No ❑ Yes No Structure Continued on back Facility Number: — y Date of Inspection Printed on: 10/26/2000 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes XfNo 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? XYes ❑ No 8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes 21"No 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? ❑ Yes /[3N0 Waste Application 10. Are there any buffers that need maintenance/improvement? ❑ Yes &No 11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No 12. Crop type s ���� G?raSS 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ONo 14. a) Does the facility lack adequate acreage for land application'? ❑ Yes TO No b) Does the facility need a wettable acre determination? El Yes O c) This facility is pended for a wettable acre determination'? ❑ Yes No 15. Does the receiving crop need improvement? ❑ Yes �No 16. Is there a lack of adequate waste application equipment? Yes (�' 0 ElJ Reauired Records & Documents 17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes 0"No 18. Does the facility fail to have all components of the Certified Animal W4 to anagement lapp readily available? (ie/ WUP, checklists, design, maps, etc.) / Ir7!(ro/ j.� t9lvv []Yes WNo ✓ j rn a (.I.y j ZoID+ 19. Does record keeping need improvement? (te/ irrigation, freeboard, w ��adlysis & soi sample reports) ❑ Yes 4 No 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ,10<0 21. Did the facility fail to have a actively certified operator in charge? ❑ Yes RrNo 22. Fail to notify regional DWQ of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) ❑ Yes 01Ro 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes A] No 24. Does facility require a follow-up visit by same agency? ❑ Yes ,INo 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ,`No 0: Q yiolaEicjnjs;off d�fgen! ips wgre pgte� cltrririg �his:visit! Yo>jr will r'eegiye tjo fa�thr . , Cor'res' oridene'e: about: this visit.. • . '. . - . '. ...... Ir4,a; Com iaents(r'efer to 'uestiion # Ez lain an YES an , , ` q' ) P y . swers and/or'any recommendations or:any other comments s r -;1{ ' i 9 ty:. p additional pages as necessary) a Use d(r aw�ngs of faeili to better explain situations. {use-additro„ 7� l�'Jj�s a e� / µexgts �otle G�vth.-c� (�L� ail Y4, A, �� (�o�.✓ �1'[ _ �.�,��►� ,lLc�,�•1 USG �(i ��s � � �� %��� 02t 0f (01 Reviewer/Inspector Name ••u Reviewer/Inspector Signature Date: 5/00 r . Facility Number: Date of Inspection at Printed on, 10/26/2000 Odor Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes)?I**No liquid level of lagoon or storage pond with no agitation? 27. Are there any dead animals not disposed of properly within 24 hours? '"p.� ❑ Yes P O 28. Is there any evidence of wind drift during land application? (i.e. residue on neig vegetation, asphalt, ❑ Yes/2TNo 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 INo 30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or or broken fan biade(s), inoperable shutters, etc.) ❑ Yes gfNo 31, Do the animals feed storage bins fail to have appropriate cover? ❑ Yes (VNo 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes 7fNo 5100 +� -' Division of. Water Quality io Q Division of Soil and Water Conservation Q Other=Agency' r> Type of Visit oCompliance Inspection Q Operation Review O Lagoon Evaluation Reason for VisitRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access Wtt: of Visit: '31 6 00 Time: I Printed on: 7/21/2000 Facility Number Q Not Operational Q Below Threshold pb'ft_i © Permitte Certified 13 Conditionally Certified jj Registered Date Last Operated or Above Threshold: ................ �o GCS T B L+4C 1Li„} E C.,L County: Ga,►�,J .�. FarmName; ........................................................................................................................................................................................................ OwnerName: ................................................... ........................................................................ Phone No:....................................................................................... Facility Contact:...............................................................................Title:................ Phone No: ................................................................................................... MailingAddress: .................................................................................................................. .......................... . a-�s"r B t�A Gk_ ate ..................... �R. °LS...J Onsite Representative: a........ „_,,,,,,,,,,,�.1 l.. Intel,rator: �........................ .......................... Certified Operator;,,,,,,,,,,,, .. Operator Certification Number: Location of Farm: ❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ° Longitude • C�4 « Design Current Design Current Design Current Swine Capacity Population Poultry Capacity Population Cattle Capacity Population ❑ Wean to Feeder ❑ Layer 1 ❑ Dairy I :d ceder to Finish I ZS C Z3 ❑ Non -Layer I JE1 Non -Dairy ❑ Farrow to Wean ❑ Farrow to Feeder ❑Other ❑ Farrow to Finish Total Design Capacity ❑ Gilts ❑ Boars Total SSLW Number of Lagoons I `Z 10 Subsurface Drains Present ❑ Lagnnn Area JE1 Spray Field Area Holding Ponds / Solid Traps 0 No Liquid Waste Management System Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? ❑ Yes 2fNo Discharge originated at: ElLagoon ElSpray Field ❑ Other a. If' discharge is observed, was the conveyance man-made? [--]Yes ONO In, If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes eNo c. II'dischar%,c is observed. What is the CS1i1T1atCd flow in gal/Tnin'. d, Does discharge bypass a lagoon systern? (If ycs, notify DWQ) ❑ Yes PErNo 2. Is there evidence of past discharge from any part of the operation? ❑ Yes Kj No 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 0"No Waste Collection & Treatment 4. Is storage capacity (Freeboard plus storm storage) less than adequate'? StrttCtUre I Structure 2 Structure 3 Identifier: Freeboard (inches): 5100 O(Spillway*kz. ❑ Yes JZ/No Structure 4 Structure 5 Structure 6 ...................................... ............................. .............................. I............ Continued on back 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 CaA."i S. ES Cua O(2CW4 C_a¢.aS W A J1}L.s 13, Do the receiving crops differ/with those designated in the Certified Animal Waste Management Plan (CAWMP)? 14. a) Does the facility lack adequate acreage for land application? b) Does the facility need a wettable acre determination? c) This facility is pended for a wettable acre determination? 15. Does the receiving crop need improvement? 16. Is there a lack of adequate waste application equipment? Required Records & Documents 17.. Fail to have Certificate of Coverage & General Permit readily avail ble? -'5 ts�7 18. 'Does the facility fail to have all components of the CertifieNnim Waste Management Plan readily available? (ie/ WA checklists, design, maps, etc.) 19. Does record keeping need improvement? (ie/ irri on, freeboard, wasfaha yysis & soil s rhp 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? �'vc� yigl iiQnjs:oe d rj1Cp6 cies •*ere'noted• doriog Ns•vWW'. Y'oo :will teoiye 4o fukho corresnorideit& abbt C this visit. :................................... . �r Vl' ,Z-nA •a-J 1rJr; nE AP40 LJkLA_,S . ❑ Yes XNo ❑ Yes P(No ❑ Yes RfNo ❑ Yes �dNo ❑ Yes No 1 { { s ❑ Yes ;2No ❑ Yes B No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes P16 ❑ Yes 00 ❑ Yes Rio ❑ Yes .!fNo ❑ Yes ,❑ No ❑ Yes , r ❑ Yes No ❑ Yes JZ No ❑ Yes P o ❑ Yes Z(No ❑ Yes r - - v t� �N ��' '�' 'nl,.°rta:1 Tu r•��f�'f�f """V '�< �' t 4'i1'.,wa?ryr rjj^+�,€a :fil, 3 _ �� P ` ,� Reviewer/Inspector Name w'r"� UIJ'i / 4 1'- l I fi if �a :! `d Reviewer/Inspector Signature: E tJ- j Date: 9 Facility Number: 3 — Date of .Inspection I9 {; Odor Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes O'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 PlTo 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ZNo 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 )ZrNo 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.) ❑ YesZP4o 31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑<0 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ONo if_ , 13°, 13 Division of Soil and:Water+ConserVabon 'Q erationtReviewE E, r il f .E ', .,. ¢€i to. -I` .,,,r ii ilt�i -'p. ,i. J'I [r D'visioa of Soil antl 3Water 3Conse3rtaboni ,ComplianceiInspect�on t lr t: 1 i i d ! - i E i) I, e� , �i j E- f i i.if vision of Water Qui31�ty9 Compltancellnspectton { I ': 1 3 „ i a ' _.! i i i I: � i r� 3 36 �01 ! 1 i F ! i l € E 11 1, 3 c� €- k37�r ct i3Nl.t `Other A - O eiataon Review V ; �1 j .;Fi ' ;:. d. € i �- �: ©.:z genCJ, !'-. t, s<.i .. Iff Routine O COmplaint O Follow-up of DWO inspection O Follow-un of DSWC review O Other IFacility Number I Date of Inspection Time of Inspection 24 hr. (hh:mm) Gfermitted [3 Certified 1 [] Conditionally Certified 0 Registered Not Operational Date Last O/perated: Farm Name: ......... �:.k.bl ....... .. r County:....... .J....r..!e......................................... ..................................................11........ .....,. Owner Name ......�6..P. ..................... 11 lVA ......................................... Phone No:...... ........ 4R..�...'...... .4�.. r............................... FacilityContact:.........�..+.........................r.............................-............. Title:...........................................................,.... Phone Nod::.................................................... I q Mailing Address: i? .�.......................'J.ti..................r�.�'t" 1(....J ``..... .............Q�`...................... 1.'.L............ ..... ...` ........... Onsite Representative:........................................................................................................... Integrator: ....... Cf.P....!..✓.. 4......... .Y.x✓:.N.$............... /� f ry Certified Operator: i "re.� ...........................( .!..:� ��.c .[..c (................. Operator Certification Number:.,........................................ ............ ..... Location of Farm: ....................................................................................-................................ Latitude • 6 " Longitude • C 44 E -Swine , Design Current Canacitv Ponulation ❑ Wean to Feeder Q'Feeder to Finish t 2S(o � Zrp ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts, ❑ Boars Design Current Design Current Poultry CapacityCapicity Population Cattle Capacity Population ❑ Laye 10 Dairy ❑ Non -Layer EE] ❑ Non -Dairy ❑ Other Total.Design Capacity Total SSL W Number of Lagoons Z ❑ Subsurface Drains Present t¢ ❑ Lagoon Area ❑Spray Field Area 0 -` HolcHng Ponds / Solid Traps ❑ No Liquid Waste Management System Discharges & Stream Impacts — / 1. Is any discharge observed from any part of the operation? El Yes 010 Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? ❑ Yes �� o b. If discharge is observed, did it reach Water of the State? (Il'yes, notify DWQ) El Yes �'N//o c. If discharge is observed, what is the estimated flow in gal/ruin? d. Docs 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 Mo 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes j/No Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway ❑ Yes C� No Structure I Structure 2. Structure 3 Structure 4 Structure 5 Structure 6 Identifier: 'rf TP(owe"I' Freeboard(inches): ..... 2................................................................a.................................................................... .°............... ..... 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ElYes o seepage, etc.) 3/23/99 Continued on buck Faciliby Number: 34 — Z� 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 [Z'No (If any of questions 4-5 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 B No 8. Does any part of the waste management system other than waste structures require maintenance/improvement? [-]Yes [1V0 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level [[� elevation markings? ❑ Yes B No Waste Anulication 10. Are there any buffers that need maintenance/improvement? ❑ Yes [(No 11. Is there evidenceof over application? ❑ Excessive Ponding ❑ PAN ❑ Yes @11No 12. Crop type cc f N s`(� Ste. Gr ` PS[ 8t �.• _ s 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan.(CAWMP)? ❑ Yes No 14. a) Does the facility lack adequate acreage for land application? ❑ Yes VNo b) Does the facility need a wettable acre determination? ❑ Yes V,�NYo c) This facility is pended for a wettable acre determination? ❑ Yes E lvo 15. Does the receiving crop need improvement? ❑ Yes 02�No 16. Is there a lack of adequate waste application equipment? ❑ Yes IM Required Records & Documents 17. Fail dNo to have Certificate of Coverage & General Permit readily available? ❑ Yes 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 CeN(o 19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes 3"No 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes DNo 21. Did the facility fail to have a actively certified operator, in charge? ❑ Yes N�No 22. Fail to notify regional DWQ of emergency situations as required by General Permit? DeNo (ie/ discharge, freeboard problems, over application) ❑ Yes 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 9�No 24. Does facility require a follow-up visit by same agency? ❑ Yes WINO 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes VNo 10 yiolatidris:or deficiencies ire noted• during this visit::Y:oit :Wili•reeeiyenipttirgr. corresiDoridence: abooirt: this visit • ......::::::.: • : • . • . • .. • : • : • :...... • . . . . : . : . ...... . IR_ r� 4R su.�p6 c au e_e c k eOIJ o,r c . AL Reviewer/Inspector Name t Eaa:r .,'�:.,.gg E3 Hnv €a. Reviewer/Inspector Signature: Date: 3/23/99 Facility Number: — Date of Inspection '� 'l► Odor Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes [T5_0 liquid level of lagoon or storage pond with no agitation? 27, Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 20S 0 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes JPNo 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 CXo 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 <O 31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 52<0 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? M<s ❑ No 3/23/99 Routine O Complaint O Follow -tip of DW I Facility Number I Registered [3 Certified E3 Applied for Permit © Permitted Farm Name:.....11�...:..............h....... Ilow-up of DSWC review O Other Date of inspection Time of Inspection. (= 24 hr. (hh:mm) 10 Not Opera Date Last Operated: Countv:..[1'1 ✓1L......... ........................... OwnerName: ................................................... ........................................................................ Phone No:....................................................................................... Facility Contact:.............................................................................. Title: MailingAddress: ..................................................................................................................... Onsite Representative:... .. ............... 6-. /. ..� rl a.k.Jr=,...... Certified Operator;.......... Location of Farm: .................................... Phone No:................................................... ..................................................................................... .......................... Integrator:...................................................................................... Operator Certification Number; Latitude • ' it Longitude 0` 4 " ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars ]-Non-U ] Other Non - Subsurface Drains Present Ej© Lagoon Area JU Spray Field Area No Liquid Waste Management System y W General 1. Are there any buffers that need maintenance/improvement? ❑ Yes No 2. Is any discharge observed from any part of the operation? ❑ Yes No - Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? ❑ Yes No b. If 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 gaUmin? 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 1 4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes No 5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes #N0 maintenance/improvement? 6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No 7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes 1�1 []/No 4 Facility Number: -� 8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes [�No Structures (Lagoons.Holding Ponds, Flush Pits, etc.) 9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes VNo Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: .�.C` ?�' �1 .!r , 6.x d. ri.VA.. :............................................................................................................................................. Freeboard{ft):........................ *.............. ..:.�:�.......�L..}}...................................... .................................... .................................... ..................... ............... 10. Is seepage observed from any of the structures? ❑ Yes [�No 11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes [ No 12. Do any of the structures need maintenance/improvement? 11Yes ❑ No (If any of questions 9.12 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes [Xio Waste Application 14. Is there physical evidence of over application? ❑ YesA!fNo (If in excess of WMP, or runoff ent ring waters 1of the State, notify DWQ) /� 15. Crop type ..7r �G.�1. .......... �..r�?2 .�U........�•••D. C.1`1 �rr ............`:................................................... ..... 16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? 17. Does the facility have a lack of adequate acreage for land application? 18. Does the receiving crop need improvement? 19. Is there a lack of available waste application equipment? 20. Does facility require a follow-up visit by same agency? 21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? 22. Does record keeping need improvement? For Certified or Permitted Facilities Only 23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? 24. Were any additional problems noted which cause noncompliance of the Certified AWMP? 25. Were any additional problems noted which cause noncompliance of the Permit? []•No.vioiatioits or: deficiencies.were"noteddu' 'in'g this:visit.-You:riifl receNe'n' ,further:- . cdfresp )Meh�c d out �this'. visit:: ; : : , . ... ; :.. . ; . ' . .:.: • ; . I I . r1­�- ;A) -4VA � I-�(_ y N5P��riot). )6 -rb P-076up f zl/r-r7ce--,% GNU.. /V k/vP ►'b K TCyvv — ❑ No /❑ Yes P No ❑ Yes YNo ❑ Yes WNo ❑ Yes XNo ❑ Yes 4.No ❑ Yes '�No ❑ Yes FfNo ❑ Yes llf No ❑ Yes �KNo � E-Fk-zz i 640 r,NC- /%ZWzE- r- 4Et-1C. Cd f-A) q( t N Okk�6 'TO F_' � �f � 0' . 7/25/97 Reviewer/Inspector Name I Reviewer/Inspector Signature.&AU&AA„ * 0%,t-j - Date: to [3 D' ision of Soil and Water Conservation [j Other Agency s„ x Division of Water Quality ; 10 Routine O Coniolaint O Fellow -up of DWQ inspection O Follow-up of DSWC review O Other j Date of Inspection G Facility Number Time of Inspection d 24 hr. (hh:mm) Megistered Ercertified 13 Applied for Permit © Permitted 10 Not Operational Date Last Operated: Farm Name......... ... 9 #C......................... � /- i Ar4 j, �. lQ.............................................. n,!(•e.4rx`..........{...............1................................... County:..........(/.�.t.............. Owner Name: ........... . ame:............EC::..........,...................GJI.ftG! w..u................................ Phone No: ...... ..`.. �/..vS.L1......................................... Facility Contact: r�'..........1acicw.t~.��.............. Title: ........................................ Phone No: rMailing Address:........... ................................... .......... .............. .... ............................................................�........ Onsite Representative:......(. 1� �� integrator:-...�+ JR I � ....5:...........: A.t_..............................................: ........ ................. ........ i....�t...'U, Certified Operator-,........ ..t s.... ........................% . ..<<......... ............ .... Operator Certification Number ......................................... Location of Farm. ...................................................................................................................................................................................`.....................I............ e S' l0�` ( G�.w t..11 �J................................................ Latitude • ° 0 « Longitude �• �° �" Design „"" Current a�, " Design "„ Current `Design Current i. Swine °Capacity Poptylation, '" Poult'ry , f ^. Capacity PoPulati6nhCattle f ` Capacity Ptipulatioe y ❑ Wean to Feeder ; ❑ Layer ❑ Dairy Q eeder to Finish i 2 Z ❑Non -Layer `" ❑ Non -Dairy ❑ Farrow to Wean x al- ❑Farrow to Feeder 10 Other ❑ Farrow to Finish , L Total Design Capacity" ❑ Gilts ' zTollSSLW p x ❑Boars x. Numbewof Lagoons IHolding,Ponds3, ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area �� ❑ No Liquid Waste Management System 4 w t General 1. Are there any buffers that need maintenance/improvement? 2. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. if discharge is observed, was the conveyance man-made? b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) c. If discharge is observed, what is the estimated flow in gal/rnin? d. Does discharge bypass a lagoons I ystem? (If yes, notify DWQ) 3. Is there evidence of past discharge from any part of the operation? 4. Were there any adverse impacts to the waters of the State other than from a discharge? 5. Does any part of the waste management system (other than lagoons/holding ponds) require maintenancelimprovement? 6. is facility not in compliance with any applicable setback criteria in effect at the time of design? . 7. Did the facility fail to have a certified operator in responsible charge? 7/25/97 ❑ Yes N�o ❑ Yes 0"Na ❑ Yes E o ❑ Yes (<, ❑ Yes ErNo ❑ Yes No ❑ Yes U110 ❑ Yes No ❑ Yes L.7N0 ❑ Yes Continued on back t ti Facility Number: 2ct — Z_ 8. Are there lagoons or storage ponds on site which need to be properly closed'? Structures (I,ap-ootis.Iloldini! Ponds, Flush Pits, etc.) 9. Is storage capacity (freeboard plus storm storage) less than adequate? Structure 1 Structure 2 Structure 3 Identifier: �Jf.�,awJ�r v� � �.. .... .... � � ........................... Freeboard (tt): Z� 10. Is seepage observed from any of the structures',? ❑ Yes la -No ❑ Yes �' Structure 4 Structure 5 Structure 6 11. Is erosion, or any other threats to the integrity of any of the structures observed? 12.1 Do any of the structures need maintenance/imlrovement? (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 ma.rintum liquid level markers? Waste Annlicatioil 14. Is there physical evidence of over application'? , (If in excess of WIMP, or runoff entering waters of the State. nofify DWQ) 15. Crop typeL..........,5..'..`.'�rP.............�rG i�urr.................................. . 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. ils 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? f 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 AW,IMP? 25. Were any additional problems noted which cause noncompliance of the Permit? ....I ...................... ❑ Yes o ❑ Yes 1>'l<O ❑ Yes No ❑ Yes i o ❑ Yes 21110 ..................'.............................. ❑ Yes ❑ No ❑ Yes o Cl Yes G i1 0 ❑ ' Y ' ZY [9 No as ❑ No ❑ Yeti ❑ Yes i o 0 No.violations or deficiencies. were noted during this visit..Vou.will receive no further : correspbfndence A oiit this.visit:: L7 Ycs 0 No ❑ Yes L'No ❑ Yes G��fNo Cornmenis (refer'to question #}:; Explain any YES answers and/or an, % recbtr>nendattons:or any other conamen#s: f Use.draw�ngs ot`facihty Eo;better explain situations "(usi additional pafics as necetisary): „ µ r �' ecAwjnry b as S/0 N Uoes f � aVe eN4 t`�e L JF6X a F Wgs�e /�'la nrayo MINI J�1q.�� Ne �S Ia X4le19y jPt9id„rctl drT-ee — C. It 0 %aN.c L ew. .i 7/25197 Reviewer/Inspector Name s 4t1ct ' e a6 r star e� Reviewer/Inspector Signature: Date: Q V. © Division of Soil and Water Conservation - Operation Review -"" 0 Division of Soil and Water Conservation - Compliance Inspection © Division of Water Quality - Compliance Inspection 0 Other Agency - Operation Review. 0 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 hollow -It of DSIVC review 0 Other Facility' Number L .. �—_ �. �.o�� Date of Inspection I'hile of lnspeclion 24 hr. (hh:mm) 13 Permitted ❑ Certified 0 Conditionally Certified © Registered JE3 Not Opera Date last Operated: Farm Name: County: h�••!!:[:'. �... ... .................... Owner Name: Phone No: Facility Contact: .......................................... .............................. Title: ..... Phone No:............. Mailing Address: ............................... . ........................................................................................................................................................................ ......................... • Onsite Representative:,..................... ....."..!...:''L............. Integrator: .................................. ,..................... I ................ ..,.......... Certified Operator: ...................................................... .... ............................................... Operator Certification Number:.......................................... Location of Farm: ....................... .............................................................. ........................................ .............................. ............................................ ...............:............................ ............................ .............. ......... ............................................................................. ......... ........................................... Latitude Longitude • �� ��« Design Swine Capacity Wean to Feeder Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars Current Population Design Current Design Current Poultry Capacity Population Cattle Capacity Population ❑ Layer ❑ Dairy 10 Non -Layer ❑Non -Dairy Other Total Design Capacity Total SSLW IT (i G Number of Lagoons JE1 Subsurface Drains Present 110 Lagoon Area ❑ Spray Field Area Holding Ponds 1 Solid Traps ❑ No Liquid Wuste Management System Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation (If yes, notify DWQ)? Discharge originated al: ❑ Lagoon ❑ Spray Field [:]Other a. If discharge is obscrved,'was the conveyance man-made" h. If discharge is observed. did it reach: ❑ Surface Waters []Waters of the State c. If dischai'Le is observed. what is the estimated 11ow in -al/min? d. Does discharge bypass a lagoon systom? 2. Is there evidence of past discharge from any part of the operation? 3. Were there any adverse impacts to the waters of the State other than from a discharge? Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? Structure I Structure Structurc 3 Identifier: ?oak, oL Frechoard(inches): .........r. ............................."7................................................. Structure 4 Structure 5 ❑ Yes E No ❑ Yes P No ❑ Yes JA No ❑ Yes V No ❑ Yes A! j No ❑ Yes F No ❑ Yes qNo Structure 6 1 /6/99 Continued on back Facility Number — - [late of Inspection 5. Are there any immediate threats to the integrity of any of the structures observed'? (ic/ trees, severe erosion, ❑ Yes VNo seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? ❑ Yes [YNo (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 VrNo 8. Does any part of the waste management system other than waste structures require main tenancelimprovetnent? ❑ Yes No 9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum liquid level elevation markings? ❑ Yes No Waste Application 10. Are there any buffers that need maintcnancclirnprovcment? ❑ Yes P(No 11. Is there evidence of over application? ❑ Ptmding ❑ Nitrogen ❑Yes �TNo 12. Crop type ...�..� �- �. ......Q C• ....... N ............................................................................................................................. 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?'es ❑ No 14. Does the facility lack wettable acreage for land application? (footprint) ❑ Yes 'No 15. Does the receiving crop need improvement? ❑ Yes C?'fVo 16. Is there a lack of adequate waste application equipment? ❑ Yes INo Reouired Records & Documents 17. Fail to have Certificate of CovgQa�ge & Gen ermit r dil}, available? nor `1 -r P i 7r� �[1 ❑ Yes INO 18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (iel WUP, checklists, design, maps, etc.) ❑ Yes 12'1�0 19. Does record keeping need improvement'? (ic/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes VN0 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes RNo 21, Did the facility fail to have a certified operator in responsible charge? [IYes P'No 22, Fail to notify regional DWQ of emergency situations as required by General Permit? XN0 (ic/ discharge, freeboard problems, over application) ❑ Yes 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes �'N0 24. Does facility require a follow-up visit by same agency? ❑ Yes VNo N: Aio'latiorts.or. dehde' n' des :were nokd. during :this -visit- . You krill:re>'eive no further e6t�•respotide>ike:tbotifthisvisit.;:•:•:•:•:•:•.•:•:•.•:•:•:•:•:•.•:•:•. .•:... ...• •.•.• • • .:. Comtnents'(refer to question #): Explain any YES answers and/or any recommendations or any,other comments.. Use drawin s of facility to better explain situations. use additional a es as necessa g y P ( P g ry):� ,. "a 17 *uC csrY e F net,,) t-L) U 1O W t rH ore( c f�e� 0:;e^4 du F71 X"-p F�2 ��ti� �r s� �7- 1 Y Reviewer/Inspector Name ,A4 "4,� O't E--t Reviewer/Inspector Signature: / Q A Date: y � 5 16/99 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 September 15, 1999 CERTIFIED MAIL RETURN RECEIPT REQUESTED Forest Blackwell Double B Dairy 8114 Dick Blackwell Oxford NC 27565 Farm Number: 39 - 2 Dear Forest Blackwell: JW 1 � • NCDEN'R NORTH CAROLINA OF_PARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RECEIVED WATF nt Igr FTYSt~CTION . FEB 2 5 2000 Non-Diftherge Permitting You are hereby notified that Double B Dairy, in accordance with G.S. 143-215.10C, must apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty (60) days to submit the attached application and all supporting documentation. In accordance with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any owner or operator who fails to.submit an application by the date specified by the Department SHALL NOT OPERATE the animal waste system after the specified date. Your application must be returned within sixty (60) days of receipt of this letter. Failure to submit the application as required may also subject your facility to a civil penalty and other enforcement actions for each day the facility is operated following the due date of the application. The attached application has been partially completed using information listed in your Animal Waste Management Plan Certification Form. If any of the general or operation information listed is incorrect please make corrections as noted on the application before returning the application package. The signed original application, one copy of the signed application, two copies of a general location map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the application package. The completed package should be sent to the following address: North Carolina Division of Water Quality Water Quality Section Non -Discharge Permitting Unit 1617MO Service Center Raleigh, NC 27699-1617 If you have any questions concerning this letter, please call Susan Cauley at (919)733-5083 extension 546 or Charles Alvarez with the Raleigh Regional Office at (919) 571-4700. Sincerely, s for Kerr T. Stevens cc: Permit File (w/o encl.) Raleigh Regional Office (W/o end) 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone 919-733-7015 FAX 919-715-6048 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper D). Aoolication and Handling Equipment + Check the approprime box see- b ex c K, Existing or e.-rianding facility with existing wnstnooligglion e i m n (WGP or I) Animal waste application equipment specified in the plan has been either field calibrated or evaluated in accordance with existing design chars and tables and is able to apply waste as necessary to accommodate the waste management plan: (existing application equipment can cover the area required by the plan at rates not to exceed either the specified hvdraulic or nutrient loading rates. a schedule for timing of apciications has been established; required buffers tan be mainiained and calibration and adjustment guidance are contained as part of the plan)..... J New. expanded. or existing facility %vithriut_gnting nsieap2lication equipment for srrav irrigation. (I) _Animal waste application equipment specified in the plan has been designed to apply waste as necessary to at:comiiiada vibe waste management plan: (proposed application equipment can cover the area required by the plan at rates not to exceed eidter, the specified hydraulic or nutrient loading rates: a schedule for timing of applications has been established: required buffers can be maintained: calibration and adjustment guidance are contained as pan of the plan). expanded or existing facility :vithout existing waste at,t,licatinn equipment for land spreading pelt usinv 4r,mv irrigation, (WUP or 1) Animal waste application equipment specified in the plan has been selected to apply waste as necessam; to accommodate the waste management plan: (proposed application equipment can cover the area required by the plan at rates not to exceed either the specified hydraulic or nutrient loading rates: a schedule for timing of applications has been established; required buffers can be maintained: calibration and adjustment guidance are •contained as part of the plan). Name•of Technical Specialist (Please Print): Affiliation Daze Wort Comaleied: Address (Agency): Phone No.: Signature: Date: E) Odor Control. Insect Control. Mortality 'Manaeement and Emergency. Action Plan (SD. SI. WUP. RC or D The waste management plan for this facility includes a Waste Management Odor Control CheC.Uist. an Insect Control Checklist. a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and insects have been evaluated with respect to this site and Best Manag�.-ment Practices to Minimize Odors and Best Management Practices to Control Insects have been selected and included in the waste managcrnem plan. Boni the 4lortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility. tiame of Technical Specialist (Please Print): Affiliation Date Wor Computed: Address (Agency): Phone Nat: Si -nature: Date: F) N ritten Notice of New or_ExDnnding Stone Farm The rollo«ing signature block is only to be used for new or expanding swine farms that begin construction after June 21, 1996. If the facility was built before ,tune 21. 1996, when was it constructed or last expanded I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and ail property owners who own property located across a public road. scree_ or highway from this new or expanding swine farm. The notice was in compliance with the requirements of vCGS 106-805. A copy of the notice and a list of the property owners notified is attached. Warne of Land Owner: Signature: Date: Name of Nlanager (if different from owner;: Signature: ANVC -- .august 1. 1997 Date: Animal Waste 'Manaaernent Plan Certification (Please'tyoe or print all information that does not reuuire a sienatur!) E cistln� ` or... Nevi :' `or: EYparide� (please circle -one)'.. General 'Information: , Name OI Farm: Double lI Dairy Facility �To: 39�---4Z� Owner(s) dame: Forest Blackwell Phone Lo:f,�) r.gg_7_Z7_ tifailinQ Address:. 8114 Dick Blackwell Road Farm Locarion: CouriEy Farm iS IOCated in: Granville Latitude and Longitude: a 1 7E% yl /S Integrator: - Please anac h a'copy of a cotinty road map -with location identified and describe below (Be specific: road names. directions, mileoOS1. etc.): 12 miles N of Oxford on Mountain Creek Road between 96 and Cornwall Road. Operation Description: T tipe of Srvine No. of Animals :) Wean to Feeder X Feeder to Finish l Z 5 !o .J Farrow to Wean .J Farrow to Feder ,Zt Farrow to Finish 0 Gilts n Boars Type of Pour n• V - , ' Type fir Czrrle :Vo. of animals D LarE6 Dairy Vr :1Pull , 1D 1'w 0 -11 iT T� •'"' DEC 3 0 19Y1 Orher Type of Livesrock: Mprtber of animals: WATER QUALITY SECTON Non -D;schorGe, Compibw Enf Vy -.-�r, ry y} Pre:�=ozrs�.�es:zr.:.C�rnac�.^.=•�`�-•��•-;�:-�ldatrrarer:Desren:C^aa�ctt�::.•� �?>-��--•I"oral:Deszzn�G.•macttv.µ'•.�-•�� •� .acreage Available for Application:_ _I�Q Required acreage: f ii 1 Number of Lagoons 1 Storage Ponds : Torai Capacity: 340 13 O Cubic Feet (ft3) r 14 4o' S'f 3 ;4 _ ,01 Z _- 193, S 87 f+; Are subsurface drains present'on the farm: YES or N'O (please circle one If YES: are subsurface drains present in the area of the LAGOON o FRAY FIEi D (please circle one) aR st xia icx%as xie yie ie%i,Xi.%i..%it ak iiae%%iaxx%ai aj[Kr.a.%xaa is ai y4 s'a fk is %]i i+seM Ye sa ijl]!?.xx[iaae}t iixi,�r,ie%it %ai i•kia )t ae l+Ttxi. ai i. :e a. Owner / 1Ianacer Aryreeme'rlt I (weI verify that all the above infoa adon is Correct and will be updated upon changin_. I (we) understand the operation and maintenance procedures established in the approved animal waste manaazntent plan for the farm named above and wiil imple-ment these procedures. I (we) know that any expansion to the. existing design capacity of the waste treatment and storage system or consu action of new facilities will require a new certiticadon to be submitted to the Division of Environmental 1%-lana2ement before the new animals are stocked. E (we) understand that there must be no discharge of animal waste from the storage or application ivstem to surace waters of the state zither directly through a man -trade conveyance or from a storm event less severe than the 2-5-year, 24-hour storm and there must not be run-off from the application of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be minimized using technical standards develoved by t,5e Natural Resources Consen-adon Service. The approved plan will be filed at the farm and at the office of the local Soil and Water Conse.— ation District. I (we) know that arty modification must be approved by a technical specialist and submitted to the Soil and water Conservation District prior to implementation. A change in land ownership requires .written notiFication.to DEM.or a ne:v.certification (if -the approved Ian is chanced) within 60 days of a title transren //ff tiarne of Land Owner :rfrlf _- Sinarure: Date: Fame of Manaeer(if differcnt from o"I"ner): - Signature: Date: A%VC -- Au,_,us. 1. 1997 1 COD a�.a- Technical Specialist -Certification I As a technical specialist designated by the North Catalina Soil and Water Conservation Conttnissiun pursuant to 15A NCAC 6F .0005. I certify that the animal waste management system for the- farm' named above has an animal waste management plan that meets or'exct:eds standards and specifications of the Division,.of En%ironmental `lanagement (DEN) as specified in 15A NCAC 2.4.0217 and the USDA -Natural Resources Conservation Szn'ice (MRCS) andlor the North Carolina Soil and Water Conservation Commission -pursuant to I5A NCAC-2H.0317 and 15A NCAC 6F .0001- .0005. The following elements are included in the plan as applicable. While each category designates a technical specialist Who may sien each certification (SD, SI, WL-P, RC. I), the technical specialist should only certify parts for which they ate te=hnicy ly competent. II Certification of Design �RGoeRI :rr DE,f�LrED AND CGN.17,c�/oY� _. oN 4979 A) Collection. Storage. Treatment System_ LA4d•.� es Z DF1/s."•e n .4.v� Co.+i�T���a� Chic.: the appropriate box IOU j q8� 34 Existing facility without retrofit (SD or WUP) _ Storage volume is adequate for operation capacity: storage capability consistent with white utilization requirements. J New. expanded ar r t tted.fa ' ' Y__(S.D) ..-knimal waste.stomee ui "entI= r ijuch as but not limited to collection Svstems. lagoons and ponds. have been desian-eA to meet or exceed the minimum standards and specifications. Name of Technical Specialist (Please Print) lG VA.JS A.ftiliation_(jspQ-NRe_s ' _ Date Wort: Completed:.ez_- i4?8i Address (Agency): geor mem Die��u� D�4e14 , Ns x7Lid _Phone No.: 2/9-?.S�•-l�iL Signature: Date: IA-/9- 572: B) Land ADDlication Site (WUP) The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is suitable for waste management; hydraulic and nutrient loading rates. Name of Technical Specialist (Please Pant): D tA-0A At • LCL41S _ Affiliation V 5D 14 IJ R e 5 _ Date Work Completed: - �l Address ( Agency): . ti • a r-LL2 M G f.'i Phone No.. rl (`1 t; 4 3- kG GY Signature: �! � Date: 12 —Z3 —22 C) Runoff Controls from Exterior Lots Check the anpropraare box Facility %vitheut exterior lots (SD or WUP or RC) This facility does not contain anv exterior lots. Z� Facility with exterior lots (RC) Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in accordance with technical standards developed by N-RCS. Name of Technical Specialist (Please P-int): N A A L t� _ffiiiation U - C.5 Date `L'uri: Catn>alztzd: Address (AQencv): a � G Z7 Phone No.: -1 f5 G 03 Si�ratur�' Ghn.Gti - Date:�ylL3 ���- _ gals C-kUgust 1. 199 r A9-0 0-0 Kf-9cSad. S /1000 Rev. 419101 ANIMAL WASTE UTILIZATION PLAN • Producer: Forest Blackwell Location: 8114 Dick Blackwell Oxford NC 27565 Telephone: (919)693-4484 Type Operation: Existing Feeder to Finish Swine Number of Animals: 1256.00 hogs (Design Capacity) STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon APPLICATION METHOD: Irrigation The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface water.and/or groundwater. The plant nutrients in the animal waste should be used to reduce the amount of commercial fertilizer required for the crops in the fields where the waste is to be applied. This waste utilization plan uses nitrogen as the.limiting nutrient. Waste should be analyzed before each application cycle. Annual soil tests are strongly encouraged so that all plant nutrients can be balanced for realistic yields of the crop to be grown. Several factors are important in implementing your waste utilization plan in order to maximize the fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner: 1. 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. 2. Soil types are important as they have different infiltration rates, leaching potentials, cation exchange capacities, and available water holding capacities. 3. Normally waste shall be applied to land eroding at less than 5 tons per acre per year. Waste may be applied to land eroding at 5 or more tons per acre annually, but less than 10 tons per acre per year providing that adequate filter strips are established. 4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen. Either of these conditions may result in runoff to surface waters which is not allowed • under DWQ regulations. Page: 1 ANIMAL WASTE UTILIZATION PLAN 5. Wind conditions should also be considered to avoid drift and downwind odor problems. 6. To maximize the value of the nutrients for crop production and to reduce the potential for pollution, the waste should be applied to a growing crop or applied not more than 30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or disking will conserve nutrients and reduce odor problems. This plan is based on the waste application method shown above. If you choose to change methods in the future, you need to revise this plan. Nutrient levels for different application methods are not the same. The estimated acres needed to apply the animal waste is based on typical nutrient content for this type of facility. Acreage requirements should be based on the waste analysis report from your waste management facility. In some cases you may want to have plant analysis made, which could allow additional waste to be applied. Provisions shall be made for the area receiving waste to be flexible so as to accommodate changing waste analysis content and crop type. Lime must be applied to maintain pH in the optimum range for specific crop production. •This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC 2H .0217 adopted by the Environmental Management Commission. • AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.) 1256 hogs x 1.9 tons waste/hogs/year = 2386.4 tons AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR 1256 hogs x 2.3 lbs PAN/hogs/year = 2888.8 lbs. PAN/year Applying the above amount of waste is a big job. You should plan time and have appropriate equipment to apply the waste in a timely manner. The following acreage will be needed for waste application based on the crop to be grown, soil type and surface application. Pages 2 'y�/�� ANIMAL WASTE IITILIZATION PLAN • TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ---- or ------- APPLY RESID. APPLIC METH N TIME 494 1 GeB CS 18 216 6.46 1395.36 I Mar -Jul 494 -1 494 2 �,C T 494 3 ^4 9 4 is 494 1-5 GeB B GeB 494 17 IGeB 3E-NOV WA 1 1100 I FESG 15.4 1202. 1 CS 118 1216 I WA 1 11-00 z CS 18 216 I WA 11 1100 I OGH 1 5 .O w 1250 I 6.46 1646 SEPT-MAR 2.84 1575.1 FE - 4.34 1937.44 Mar -Jul 4.34 1434 SEPT-MAR 3.69 1797.04 Mar -Jul 3.69 1369 SEPT-MAR 12.5$ 3145 FE-JUN, I I END I I I I I I I V Oro(iatdie'ss RyE v,l,,, 4. Ge. B is L� -,4 o- wc4-va( ) w%,.; ,- yield 4esfr TOTAL 1829 $ . 94 ?ar co, W_ 6, ' (-".4"me (,o.� r+K-.j C.E'S (as pet Mcs4i bwj , Li ve s�v&k Ce^l-) - Indicates that this field is being-overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future, regulations may . require farmers in some parts of North Carolina to have a Page: 3 t f r" ANIMAL WASTE UTILIZATION PLAN • • nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. Page: 4 `• ANIMAL WASTE UTILIZATION PLAN • TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE (Agreement with adjacent landowners must be attached.) (Required only if operator does not own adequate land. See required specification 2.) TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ---- or ------- APPLY RESID. APPLIC METH N TIME 1455 7a GeB CS 18 216 7.72 1667.52 Mar -Jul 1455 I-7a I IWA Il 1_100 1 17.72 1772 MAR 101001 TOTAL12439.52 • Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. ** Acreage figures may exceed total acreage in fields due to overseeding. * lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial nitrogen (COMM N) supplied. The following legend explains the crop codes used in tables 1 and 2 above: CROP CODE 4 CROP UNITS PER UNIT 12 CS CORN SILAGE FESG FESCUE - GRAZED TONS 37.5 OGH Orchardgrass Hay tons 50 WA i WINTER ANNUALS AC 100 Paae: 5 .ANIMAL WASTE IITILIZATION PLAN U TABLE 1 TABLE 2 TOTAL TOTALS FROM TABLES 1 AND 2 ACRES LBS AW N USED 29.91 8298.94 7.72 2439.52 37.63 10738.46 * BALANCE -7849.66 *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. U • D.-- - c ANIMAL WASTE UTILIZATION PLAN • *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. Acres shown in each of the preceding tables are considered to be the usable acres excluding required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas not receiving full application rates due to equipment limitations. Actual total acres in the fields listed may, and most likely will be, more than the acres shown in the tables. See attached map showing the fields to be used for the utilization of animal waste. SLUDGE APPLICATION: The waste utilization plan must contain provisions for periodic land application of sludge at agronomic rates. The sludge will be nutrient rich and will require precautionary measures to prevent over application of nutrients or other elements. Your production facility will produce approximately 464.72 pounds of plant available nitrogen per year in the sludge. If you remove the sludge every 5 years, you will have approximately 2323.6 pounds of PAN to utilize. Assuming you apply this PAN to hybrid bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you will need 7.74533333333* acres of land. If you apply the sludge to corn at the rate of 125 pounds of nitrogen per acre, you will need 18.5888 acres of land. Please be aware that these are only estimates of the PAN and land needed. Actual requirements could vary by 25t depending on your - sludge waste analysis, soil types, realistic yields, and application methods. APPLICATION OF WASTE BY IRRIGATION The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil structure, soil texture, water droplet size, and organic solids. The application amount should not exceed the available water holding capacity of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the crop. If surface irrigation is the method of land application .for this plan, it is the responsibility of the producer and irrigation designer to ensure .that an irrigation system is installed to properly irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and Page: 7 • ANIMAL WASTE UTILIZATION PLAN amounts of nitrogen shown in the tables may make this plan invalid. The following table is provided as a guide for establishing application rates and amounts. Tract Field Soil Type Crop Application Rate (in/hr) Applic. Amount (inches) 1455 7a GeB CS .4 *.75 1455 WA .4 *.75 494 1 GeB CS .4 *.75 494 2 GeB FESG .4 *.75 494 3 GeB CS .4 *.75 494 5 GeB CS .4 *.75 494 7 GeB OGH .4 *.75 4 "1 WA .4 *.75 494 "3 WA .4 *.75 494 WA .4 *.75 * This.is the maximum application amount allowed for the soil assuming the amount of nitrogen allowed for the crop is not over applied. In many situations, the application amount shown cannot be applied because of the nitrogen limitation. The maximum application amount shown can be applied under optimum soil conditions. Your facility is designed for 180.00 days of temporary storage and the temporary storage must be removed on the average of once every 6.00 months. In no instance should the volume of the waste be stored in your structure be within the 25 year 24 hour storm storage or one foot of freeboard except in the event of the 25 year 24 hour storm. It is the responsibility of the producer and waste applicator to ensure that the spreader equipment is operated properly to apply the correct rates to the acres shown in Tables 1 and 2. Failure to apply the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid. Page: 8 } ANIMAL WASTE UTILIZATION PLAN • Call your technical specialist after you receive the waste analysis report for assistance in determining the amount of waste per acre and the proper application rate prior to applying the waste. NARRATIVE OF OPERATION The waste storage lagoons have been in operation since 1996. The design and construction were certified by Frank Evans, CET-NRCS. The waste irrigation system was designed by Llew Gilliam and reviewed/approved by H.R. Pate,Jr. CET- NRCS. This waste utilization plan is based on actual wettable acres which were computed by Frank Evans. This resulted in a revision of WUP 11/99 by D.Lewis, DC. • go Page: 9 s WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade conveyances, direct application, or direct discharge during operation or land application. Any discharge of waste which reaches surface water is prohibited. 2. There must be documentation in the design folder that the producer either owns or has an agreement for use of adequate land on which to properly apply the waste. if the producer does not own adequate land to properly dispose of waste, he/she shall provide a copy of an agreement with a landowner who is within a reasonable proximity, allowing him/her-the use of the land for waste application. It is the responsibility of the owner of the facility to secure an update of the Waste Utilization Plan when there is a change in the operation, increase in the number of animals, method of utilization, or available land. 3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop yields based on soil type, available moisture, historical data, climatic conditions, and level of management, unless there are regulations that restrict the rate of application for other nutrients. 4. Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste may be applied to land that is eroding at 5 or more tons, but less than 10 tons per acre per year providing grass filter strips are installed where runoff leaves the field. (See FOTG Standard 393 -Filter Strip) 5. Odors can be reduced by injecting the.waste or disking after waste application. Waste should not be applied when there is danger of drift from the irrigation field. 6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated on conventionally tilled cropland. When applied to conservation tilled crops or grassland, the waste may be broadcast provided the application does not occur during a season prone to flooding. (See "Weather and Climate in North Carolina" for guidance.) 7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that -runoff does not occur offsite or to surface waters and in a method which does not cause drift from the site during application. No ponding should occur in order to control odor or flies. 8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the surface is frozen. 9. Animal waste shall be applied on actively growing crops in such a manner that the crop is not covered with waste to a depth that would inhibit growth. The potential for salt damage from animal waste should also be considered. Page: 10 LJ WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a high potential for leaching. Waste nutrient loading rates on these soils should be held to a minimum and a suitable winter cover crop planted to take up released nutrients. Waste shall not be applied more than 30 days prior to planting of the crop or forages breaking dormancy. 11. Any new swine facility sited on or after October 1, 1995 shall comply with the following: The outer perimeter of the land area onto which waste is applied from a lagoon that is a component of a swine farm shall be at least 50 feet from any residential property boundary and from any perennial stream or river (other than an irrigation ditch or canal. Animal waste other than swine waste from facilities sited on or after October 1, 1995), shall not be applied closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips). 12. Animal waste shall not be applied closer than 100 feet to wells. 13. Animal waste shall not be applied closer than 200 feet of dwellings other than those owned by the landowner. 14. Waste shall be applied in a manner not to reach other property and public right-of-ways. 15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by a discharge or by over -spraying. Animal waste may be applied to prior converted cropland provided they have been approved as a land application site by a "technical specialist". Animal waste shall not be applied on grassed waterways that discharges directly into water courses, and on other grassed waterways, waste shall be applied at agronomic rates in a manner that causes no runoff or drift from the site. 16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall not be discharged into the animal waste management system. 17. A protective cover of appropriate vegetation will be established on all disturbed areas (lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as necessary, to protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc., are limited to areas where considered appropriate. Lagoon areas should be kept mowed and accessible. Berms and structures should be inspected regularly for evidence of erosion, leakage or discharge. Page: 11 s�WASTE UTILIZATION PLAN • RE UIRED SPECIFICATIO S 18. if animal production at the facility is to be suspended or terminated, the owner is responsible for obtaining and implementing a "closure plan" which will eliminate the possibility of an illegal discharge, pollution and erosion. 19. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should be kept on site. 20. Animal waste can be used in a rotation that includes vegetables and other crops for direct human consumption. However, if animal waste is used on crops for direct human consumption it should only be applied preplant with no further applications of animal waste during the crop season. 21. Highly visible markers shall be installed to mark the top and bottom elevations of the temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be managed to maintain the liquid level between the markers. A marker will be required to mark the maximum storage volume for waste storage ponds. 22. waste shall be tested within 60 days of utilization and sail shall be tested at least annually at crop sites where waste products are applied. Nitrogen shall be the rate - determining element. Zinc and copper levels in the soils shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted for optimum crop production and maintained. Soil and waste analysis records shall be kept for five years. Poultry dry waste application records shall be maintained for three (3) years. Waste application records for all other waste shall be maintained for five (5 ) years. 23. Dead animals will be disposed of in a manner that meets North Carolina regulations. Page: 12 • ANIMAL WASTE UTILIZATION PLAN WASTE UTILIZATION PLAN AGREEMENT Name of Farm:C.F. Blackwell Company Owner/Manager Agreement I (we) understand and will follow and implement the specifications and the operation and maintenance procedures established in the approved animal waste utilization plan for the farm named above. I (we) know that any expansion to the existing design capacity of the waste treatment and storage system or construction of new facilities will require a new certification to be submitted to the North Carolina Division of Water Quality (NCDWQ) before the new animals are stocked. I (we) also understand that there must be no discharge of animal waste from this system to surface waters of the state from a storm event less severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the farm office and at the office of the local Soil and Water Conservation District and will be available for review by NCDWQ upon request. Name of Facility Owner: Forest Blackwell (Please print) Signature: ] Date: ,� Z.,S,O(� (�-d' - a Name of Manager(If different from owner) : Signature: Date: Name of Person Preparing Plan: (Please print)DIANA LEWIS Affiliation:NRCS Phone No. 919-693-4603 Address (Agency): P. O. BOX 10 OXFORD NC 27565 Signature: ! Date: 7d 8.0I Page: 13 State of North Carolina Depar*cnent of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor y. Bill Holman, Secretary Kerr T. Stevens, Director June 1, 2000 Forest Blackwell C. F. Blackwell Company 8114 Dick Blackwell Oxford NC 27565 I IT 1 • • NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURGEs Subject: Certificate of Coverage No. AWS390002 C. F. Blackwell Company Swine Waste Collection, Treatment, Storage and Application System Granville County Dear Forest Blackwell: In accordance with your application received on February 24, 2000, we are forwarding this Certificate of Coverage (COC) issued to Forest Blackwell, 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 C. F. Blackwell Company, located in Granville County, with an animal capacity of no greater than 1256 Feeder to Finish and the application to land as specified in the Certified Animal Waste Management Plan (CAWMP). The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC, you are authorized and required to operate the system in conformity with the conditions and limitations as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to surface waters. "An adequate system for collecting and maintaining the required monitoring data and operational information must be established for this farm. Any increase in waste production greater than the certified design capacity or increase in number of stocked animals above the number authorized by this COC will require a modification to the CAWMP and this COC and shall be completed prior to actual increase in either wastewater flow or number of animals. 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. 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. 1617 Mail Service Center, Raleigh, NO 27699-1617 Telephone 919-733-5083 FAX 919-715-6048 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper Certificate of Coverage AWS390002 C. F. Blackwell Company Page 2 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 (919) 571-4700. If you need additional information concerning this COC or the General Permit, please contact Don Friday at (919) 733-5083 ext. 533. l F n2000 f UEHNR RALEIGH REGIONAL OFFICE cc: (Certificate of Coverage only for all cc's) Granville County Health Department Raleigh Regional Office, Water Quality Section Granville County Soil and Water Conservation District Permit File NDPU Files e State of North Carolina Department of Environment and Natural Resources RECEIVED WATER QUALITY SECTION FEB 2 5 2000 Division of Water Quality Non -Discharge Permit Application Form Nor}Discharge permit#nd (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) General Permit - Existing.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 that are appropriate. If a question has not been completed by the Division, please complete as best as possible. Do not leave any question unanswered. 1. GENERAL INFORMATION: 1.1 Facility Name: Double B Dairy_ _ 1.2 Print Land Owner's name: Forest Blackwell 1.3 Mailing address: 8114 Dick Blackwell City, State: Oxford NC Zip: 27565 Telephone Number (include area code): 693-7277 1.4 County where facility is located: Granville 1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy of a county road map with the location of the farm identified): Mountain Creek Rd. between Sam Blackwell Rd. and Dick Blackwell Rd. 1.6 Print Farm Manager's name (if different from Land Owner): 1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): 1.8 Date Facility Originally Began Operation: 01/01/86 1.9 Date(s) of Facility Expansion(s) (if applicable): 2. OPERATION INFORMATION: 2.1 Facility No.: 39 (county number); 2 (facility number). 2.2 Operation Description: Swine operation Feeder to Finish 1256- Certified Design Capacity Is the above information correct? yes; 0 no. If no, correct below using the design capacity of the facility The "No. of Animals" should be the maximum number for which the waste management structures were designed. Type of Swine No. of Animals T e of Poulga No. of Animals Type of Cattle No. of Animals • Wean to Feeder • Layer • Dairy • Feeder to Finish 12 S 6 _ • Non -Layer • Beef • Farrow to Wean (# sow) • Turkey • Farrow to Feeder {# sow) • Farrow to Finish (# sow) Other Type of Livestock on the farm: No. of Animals: FORM: AWO-G-E 5/28/98 Page 1 of 4 39 - 2 2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application r" system): 120.04 : Required Acreage (as listed in the AWMP): 109.00 2.4 Number o aaoon storage ponds (circle which is applicable): 2 2.5 Are subsurface drains present within 100' of any of the application fields? YES or NO (please circle 'one) 2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or NO please circle one) 2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only) YES or NO (please circle one) What was the date that this facility's swine houses and lagoon were sited? NIA What was the date that this facility's land application areas were sited? +-t ^ 3. REQUIRED ITEMS CHECKLIST Please indicate that you have included the following required items by signing your initials in the space provided next to each item. 3.1 One completed and signed original and one copy of the application for General Permit - Animal Waste Operations; 3.2 Two copies of a general location map indicating the location of the animal waste facilities and field locations where animal waste is land applied; 3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility does not have a CAWMP, it must be completed prior to submittal of a general permit application for animal waste operations. The CAWZY1P must include the following components. Some of these components may not have been required at the time the facility was certified but should be added to the CAWhIP for permitting purposes: 3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (PAN) produced and utilized by the -facility. 3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.) 3.3.3 A map of every field used for land application. 3.3.4 The soil series present on every land application field. 3.3.5 The crops grown on every land application field. 3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP. 3.3.7 The PAN applied to every land application field. 3.3.8 The waste application windows for every crop utilized in the WUP. 3.3.9 The required MRCS Standard specifications. 3.3.10 A site schematic. 3.3.11 Emergency Action Plan. 3.3.12 Insect Control Checklist with chosen best management practices noted. 3.3. l3 Odor Control Checklist with chosen best management practices noted. 3.3.14 Mortality Control Checklist with the selected method noted. 3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be sure to include any site evaluations, wetland determinations, or hazard classifications that may be applicable to your facility. 3.3.16 Operation and Maintenance Plan. If your CAWMP includes any components not shown on this list, please include the additional components with your submittal. Applicants Initials 7 -7Q FORM: AWO-G-E 5/28/98 Page 2 of 4 39 - 2 4 RECEIVED �cility Number: 39 - 2 WATER QOAUTY SEC10N ,.Facility Name: Double B Dairy � C J �OQ� FEB 4. APPLICANT'S CERTIFICATION: I, o rest B106 c wa (Land Owner's name listed iW@jirPjq1g7, %9099at this application for _ 00261tt a - Dai r� (Facility name listed in question 1.1) has been reviewed by me and is accurate and comp ete 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 to me as incomplete. Signature 7`a <��.r. _ Date 5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner) I, (Manager's name listed in question 1.6), attest that this application for (Facility name listed in question 1.1) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be 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 NON -DISCHARGE PERMITTING UNIT 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 TELEPHONE NUMBER: (919) 733-5083 FAX NUMBER: (919) 733-0719 FORM: AWO-G-E 5128/98 Page 3 of 4 39 - Z SION OF WATER QUALITY REGIONAL OFFICES (M) Asbcv9k Regional WQ Supervise 59 Woodfin Plax Asheville, NC 2890I (szgj251-6208 Fax { a:8; 251-452 Avery Ma= Buncombe Madison Burke McDowell Caldwell Mit_bell C%Jcee Pc+1k Clay Ruthe:^ford Graham Swain Haywood Tmasylvanin Henderson Yancey Jackson FayemviUa Regional WQ Supervisor W achovia Build—&. Suite 714 Fayette,*We, NC 28301 (910) 48& 1541 Fax (910) 486-4707 Washington Regional WQ Sapervisar 943 Washiagtcn Squat Mall Washmgtan, NC 27889 (25Zj 946-6481 Fax { fit; 975-3716 Beaufort Jones Scrtie Lenoir Cbowan Pamlico C mv= Pasauotack Cmamdc Prrquimaas Dare Pia Gates Ty cell Graeae Washing= Hedo d Wayne Hyde MoortrAlie Regional WQ Supervisor 919 tiorth Main Sweet Mooresville, NC 29115 (704)663-1699 Fax (704) 663-6040 Raleigb Regional WQ Supervi.sas 38W Barran Dr. Raleigh, NC 27611 (919) 571-4700 Fax (919) 733-7072 Cbathsm Nash Durham Natt=pton Edgecambe Orange Frw*Jim Ptrran Granville Vance Halifax wake Johnston Waaza Lee Wilson Wilmington Region. WQ Supervisor 127 Cardinal Drive Extension Wilmington, NC ZMS-3845 (910)395-3900 Fax (910) 350-2004 Anson Moore Alex -ad er Lincoln Brunmck New Hanover Wad= Richmond C:aba ms Mecklmburg Cx =vt Omslow Cumbaiam3 Robeson Catawba Rowan Columbus Pend= HXUM Sampson Ckvelaad Staaly Duplin Hoke S: atland C'raston Union Montgo==Y lredell 1kUU%0D-Salem Regional WQ Sup=Visar 585 yr a*1tow+n Sun'. W'mvton-Sa1em, SC 27107 (33b� 771-4600 Fax GIL) 771-4631 Aht ce Rockiag Allegheny Randolph Ache Stokes Camdi Story Davidson Watauga Davie Wilkes Forsyth Yadkin CruiUcrd FORM: AWO-G-E SIUNS Page 4 of 4 W, CK ------------- 'OAK ILL S ATON RD.- ............. .... .. ................ ... ...... ............... .. ... S. . ........... ................ ........ 0Y L STOVALL IV - .............. .... ... ............... .... ...... ...... ..... 0 V lwtlll Ole W rmt -11D 44 96 Vf . ................. ....... .......... ........... ... ...... ............................... . ............ . ................. ..................... ..... ci OfLA AD, cc ocer? so kt I .0 ...... ..... ................. ...... ....... ....... . ...... . ........ ........... tol We IAM ................ ... . .... . ....... scr no F. c -V fl'WAIx*IS 1, C V v- Pnufrr OR TR&k ........ . . ................ . .. .... . . ...... ... ............. . . ...... -- ----- -------- - ---- - VEYDAYpq VXo 1:01ZQ 0 IN SERE a fo V� CLUwGin VA. .... ...... nLmCLL .......... .. ....... .......... . .. ..... ........... . T ......... .... .... Co4q, owl Im L.Ewwas .• 5 - - - - - - - - - - - - - - - - - - - - - - - - - - - - i ilk No er - - - - - - - - - - - - - - - - - - - - - - - cLfLWK4r So ()F 9 a no, Iwo,, 1 -3 (A VALLEY ... ... ............. ........... ......... . ..... .......... . ..... . URS Y RD. -v- I.. it E CA=' CA Co. EM °NAVEE RD.. 14 ............ lip I IESTER To mjvlavom �4 I .. .rye nRWiNr HOLT . .. . ...................... .. ..... ... .... ... ........ .ANIMAL WASTE UTILIZATION.PLAN —RECEIVED WATER QUALITY SEC716N Producer: Forest Blackwell Location: 8114 Dick Blackwell Rd. Oxford NC 27565 Telephone: (919)693-4484 Type Operation: Existing Feeder to Finish Swine Number of Animals: 1256.00 hogs (Design Capacity) STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon APPLICATION METHOD: Irrigation FEB 2 5 2000 Non -Discharge Permitting The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface water and/or groundwater. The plant nutrients in the animal waste should be used to reduce the amount of commercial fertilizer required for the crops in the fields where the waste is to be applied. This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed before each application cycle. Annual soil tests are strongly encouraged so that all plant nutrients can be balanced for realistic yields of the crop to be grown. Several factors are important in implementing your waste utilization plan in order to maximize the fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner: 1. 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. 2. Soil types are important as they have different infiltration rates, leaching potentials, cation exchange capacities, and available water holding capacities. 3. Normally waste shall be applied to land eroding at less than 5 tons per acre per year. Waste may be applied to land eroding at 5 or more tons per acre annually, but less than 10 tons per acre per year providing that adequate filter strips are established. 4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen. Either of these conditions may result in runoff to surface waters which is not allowed under DWQ regulations.. Page: 1 ANIMAL WASTE UTILIZATION PLAN 5. wind conditions should also be considered to avoid drift and downwind odor problems. 6. To maximize the value of the nutrients for crop production and to reduce the potential for pollution, the waste should be applied to a growing crop or applied not more than 30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or disking will conserve nutrients and reduce odor problems. This plan is based on the waste application method'shown above. If you choose to change methods in the future, you need to revise this plan. Nutrient levels for different application methods are not the same. The estimated acres needed to apply the animal waste is based on typical nutrient content for this type of facility. Acreage requirements should be based on the waste analysis report from your waste management facility. In some cases you may want to have plant analysis made, which could allow additional waste to be applied. Provisions shall be made for the area receiving waste to be flexible so as to accommodate changing waste analysis content and crop type. Lime must be applied to maintain pH in the optimum range for specific crop production. This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC 2H, .0217 adopted by the Environmental Management Commission. AMOUNT OF WASTE PRODUCED PER YEAR (gal]bns, f t3, tons, etc.) 1256 hogs x 1.9 tons waste/hogs/year = 2386.4 tons AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR 1256 hogs x 2.3 lbs'PAN/hogs/year = 2888.8 lbs. PAN/year r Applying the above amount of waste is a big job. You should plan time and have appropriate equipment to apply the waste in a timely manner. The following acreage will be needed for waste application based on the crop to be grown, soil type and surface application. Page: 2 ANIMAL WASTE UTILIZATION PLAN TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------- APPLY RESID. APPLIC METH N TIME 494 1 GeB CS 15 180 6.46 1162.8 I MAR-JUL 494 i'1 - IWA 11 1100 I 16.46 1646SEPMAR 494 2 GeB FESG 2.84 I 15.4 1202.5.1 1575.1 FE- AP,SE-OCT 494 3 GeB CS 15 180 4.34 I I 1781.2 I MAR-JUL 494 1 1-3 1 IWA I 1100 1 14-34 1434 SEPT-MAR 494 5 GeB CS 15 180 3.69 I 1664.2 MAR-JUL 494 1 IWA I 1100 1 13.69 1369 SEPT-MAR 494 7 GeB FESH I 15.4 1270 1 112.5813396.6 FE- AP,SE-OCT 1455 7a GeB CS 15 180 I 17.72 11389.6 MAR-JUL 1455 "7a IWA I IL 1100 1 17.72 17772 SEPT-MAR END I TOTAL110190.5 - Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals.. Page: 3 ANIMAL WASTE UTILIZATION PLAN NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future, regulations may - require farmers in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. Page: 4 ANIMAL WASTE UTILIZATION PLAN TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE (Agreement with adjacent landowners must be attached.) (Required only if operator does not own adequate land. See required specification 2.) TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ---- or ------- APPLY RESID. APPLIC METH N TIME END TOTAL 1 0 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. ** Acreage figures may exceed total acreage in fields due to overseeding. * lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial nitrogen (COMM N) supplied. The following legend explains the'crop codes used in tables 1 and 2 above: CROP CODE CROP UNITS PER UNIT CS CORN SILAGE 12 FESG FESCUE - GRAZED TONS 37.5 FESH FESCUE - HAY TONS 50 WA WINTER ANNUALS AC 100 TOTALS FROM TABLES 1 AND 2 ACRES LBS AW N USED Page: 5 ANIMAL WASTE UTILIZATION PLAN TABLE 1 TABLE 2 TOTAL 37.63 0 37.63 10190.5 on 10190.5 *** BALANCE 1-7301.7 1 ------------------- **� This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. Page: 6 ANIMAL WASTE UTILIZATION PLAN *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. . Acres shown in each of the preceding tables are considered to be the usable acres excluding required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas not receiving full application rates due to equipment limitations. Actual total acres in the fields listed may, and most likely will be, more than the acres shown in the tables. See attached map showing the fields to be used for the utilization of animal waste. SLUDGE APPLICATION: The waste utilization plan must contain provisions for periodic land application of sludge at agronomic rates. The sludge will be nutrient rich and will require precautionary measures to prevent over application of nutrients or other elements. Your production facility will produce approximately 464.72 pounds of plant available nitrogen per year in the sludge. If you remove the sludge every 5 years, you will have approximately 2323.6 pounds of PAN to utilize. Assuming you apply this PAN to hybrid bermudagrass hayland at the rate -of 300 pounds of nitrogen per acre, you will need 7.74533333333 acres of land. If you apply the sludge to corn at the rate of 125 pounds of nitrogen per acre, you will need 18.5888 acres of land. Please be aware that these are only estimates of the PAN and land needed. Actual requirements could vary by 25% depending on your sludge waste analysis, soil types, realistic yields, and application methods. APPLICATION OF WASTE BY IRRIGATION The irrigation application rate should not exceed the intake -rate of the soil at the time of irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil structure, soil texture, water droplet size, and organic solids. The application amount should not exceed the available water holding capacity of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the crop. If surface irrigation is the method of land application for this plan, it is the responsibility of the producer and irrigation designer to ensure that,an irrigation system is installed to properly irrigate the acres shown in Tables 1 and 2. Failure to apply,the recommended rates and Page: 7 ANIMAL WASTE UTILIZATION PLAN amounts of nitrogen shown in -the tables may make this plan invalid. The following table is provided as a guide for establishing application rates and amounts. Tract Field Soil Type Crop Application Rate (in/hr) Applic. Amount (inches) 1455 7a GeB CS .4 *.75 1455 WA .4 *.75 494 1 GeB CS .4 *.75 494 2 GeB FESG .4 *.75 494 3 GeB CS .4 *.75 494 5 GeB CS .4 *.75 494 7 GeB FESH .4 *.75 494 X1 WA .4 *.75 494 y3 WA .4 *.75 494 WA .4 *.75 * This is the maximum application amount allowed for the soil assuming the amount of nitrogen allowed for the crop is not over applied. In many situations, the application amount shown cannot be applied because of the nitrogen limitation. The maximum application amount shown can be applied under optimum soil conditions. Your facility is designed for 180.00 days of temporary storage and the temporary storage must be removed on the average of once every 6.00 months. In no instance should the volume of the waste be stored in your structure be within the 25 year 24 hour storm storage or one foot of freeboard except in the event of the 25 year 24 hour storm. It is the responsibility of the producer and waste, applicator to ensure that the spreader equipment is operated properly to apply the correct rates to the acres shown in Tables 1 and 2. Failure to apply the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid. Page: 8 ANIMAL WASTE UTILIZATION PLAN Call your technical specialist after you receive the waste analysis report for assistance in determining the amount of waste per acre and the proper application rate prior to applying the waste. NARRATIVE OF OPERATION "he waste storage Lagoons have been in operation since 1996. The design and :onstruction were certified by Frank Evans,.CET-NRCS. The Waste Irrigation System was designed by Llew Gilliam and reviewed/approved by H.R. Pate, Jr. CET- TRCS. This waste utilization plan is based on actual Wettable Acres which were :omputed by Frank Evans. Revision of WVP was required as a result of this (11/99-D.Lewis, DC). Page: 9 WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade conveyances, direct application, or direct discharge during operation or land application. Any discharge of waste which reaches surface water is prohibited. 2. There must be documentation in the design folder that the producer either owns or has an agreement for use of adequate land on which to properly apply the waste. If the producer does not own adequate land to properly dispose of waste, he/she shall provide a copy of an -agreement with a landowner who is within a reasonable proximity, allowing him/her the use of the land for waste application. It is the responsibility of the owner of the facility to secure an update of the Waste Utilization Plan when there is a change in the operation, increase in the number of animals, method of utilization, or available land. 3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop yields based on soil type, available moisture, historical data, climatic conditions, and level of management, unless there are regulations that restrict the rate of application for other nutrients. 4. Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste may be applied to land that is eroding at 5 or more tons, but less than 10 tons per acre per year providing grass filter strips are installed where runoff leaves the field. (See FOTG Standard 393 -Filter Strip) 5. Odors can be reduced by injecting the waste or disking after waste application. Waste should not be applied when there is danger of drift from the irrigation field. 6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated on conventionally tilled cropland. When applied to conservation tilled crops or grassland, the waste may be broadcast provided the application does not occur during a season prone to flooding. (See "Weather and Climate in North'Caroiina" for guidance.) 7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff does not occur offsite or to surface waters and in a method which does not cause drift from the site during application. No ponding should occur in order to control odor or flies. 8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the surface is frozen. 9. Animal waste shall be applied on actively growing crops,in such a manner that the crop is not covered with waste to a depth that would inhibit growth. The potential'for salt damage from animal waste should also be considered. Page; 10 WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a high potential for leaching. Waste nutrient loading rates on these soils should be held to a minimum and a suitable winter cover crop planted to take up released nutrients. Waste shall not be applied more than 30 days prior to planting of the crop or forages breaking dormancy. 11. Any new swine facility sited on or after October 1, 1995 shall comply with the following: The outer perimeter of the land area onto which waste is applied from a lagoon that is a component of a swine farm shall be at least 50 feet from any residential property boundary and from any perennial stream or river (other than an irrigation ditch or canal. Animal waste other than ,swine waste from facilities sited on or after October 1, 1995), shall not be applied closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips). 12. Animal waste shall not be applied closer than 100 feet to wells. 13. Animal waste shall not be applied -closer than 200 feet of dwellings other than those owned by the landowner. 14. Waste shall be applied in a manner not to reach other property and public right-of-ways., 15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by a discharge or by over -spraying. Animal waste may be applied to prior converted cropland provided they have been approved as a land application site by a "technical specialist". Animal waste shall not be applied on grassed waterways that discharges directly into water courses, and on other grassed waterways, waste shall be applied at agronomic rates in a manner that causes no runoff or drift from the site. 16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall not be discharged into the animal waste management system. 17. A'protective•cover of appropriate vegetation will be established on all disturbed areas (lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as necessary, to protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc., are limited to areas where considered appropriate. Lagoon areas should be kept mowed and accessible. Berms and structures should be inspected regularly for evidence of erosion, leakage or discharge. Page: 11 WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 18. If animal production at the facility is to be suspended or terminated, the owner is responsible for obtaining and implementing a "closure plan" which will eliminate the possibility of an illegal discharge, pollution and erosion. 19. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should be kept on site. 20. Animal waste can be used in a rotation that includes vegetables and other crops for direct human consumption. However, if animal waste is used on crops for direct human consumption it should only be applied preplant with no further applications of animal waste during the crop season. 21. Highly visible markers shall be installed to mark the top and bottom elevations of the temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be managed to maintain the liquid level between the markers. A marker will be required to mark the maximum storage volume for waste storage ponds. 22. Waste shall be tested within 60 days of utilization and soil shall be tested at least annually at crop sites where waste products are applied. Nitrogen shall be the rate - determining element. Zinc and copper levels in the soils shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted for optimum crop production and maintained. Soil and waste analysis records shall be kept for five years. Poultry dry waste application records shall be maintained for three (3) years. Waste application records for all other waste shall be maintained for five (5) years. 23. Dead animals will be disposed of in a manner that meets North Carolina regulations. Page: 12 ANIMAL WASTE UTILIZATION PLAN WASTE UTILIZATION PLAN AGREEMENT Name of Farm:Double B Dairy Owner/Manager Agreement I (we) understand and will follow and implement the specifications and the operation and maintenance procedures established in the approved animal waste utilization plan for the farm named above. I (we) know that any expansion to the existing design capacity of the waste treatment and storage system or construction of new facilities will require a new certification to be submitted to the North Carolina Division of Water Quality (NCDWQ) before the new animals are stocked. I (we) also understand that there must be no discharge of animal waste from this system to surface waters of the state from a storm event less severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the farm office and at the office of the local Soil and Water Conservation District and will be available for review by NCDWQ upon request. Name of Facility Owner: Forest Blackwell (Please print) Signature: Date: - /,s I Name of Manager (If different from owner) : Signature: Date: Name of Person Preparing Plan: (Please print)DIANA LEWIS Affiliation:NRCS Phone No. 919-693-4603' Address (Agency): . P. O. BOX 10 OXFORD NC 27565 Signature: "' C' Date: Page: 13 ANIMAL WASTE IITILIZATION PLAN ANIMALWASTE UTILIZATION AGREEMENT (Needed only if additional land has to be leased, etc.) I, A. J. Blackwell , hereby give Forest Blackwell permission to apply animal waste from his Waste Utilization System on _ a acres of my land for the duration of time shown below. The field(s) on which waste can be applied are shown on the attached map. ( 7'! q SS Fi'�Jd 7R) I understand that this waste contains nitrogen, phosphorous, potassium, and other trace elements and when properly applied should not harm my land or crops. I also understand that the use of waste will reduce my need for commercial fertilizer. Adjacent Landowner: Date: Waste Producer: Date: 4/,*9 Technical Representative: Date : //• of SWCD Representative: Date: 1 /— Term of Agreement: , 19-If to f/-/ Ste- (Min1muut of Ten Years on Cost Shared I terns ) (See Required Specification No. 2.) Page: 14 ANIMAL WASTE UTILIZATION PLAN STATE OF NORTH CAROLINA COUNTY OF Granville I , Mary Y. Epps , a Notary Public of said County, do hereby certify that A. J. Blackwell Forest Blackwell , personally appeared before me this day and acknowledged the due execution of the foregoing instrument. WITNESS my hand and official seal this 15th day of November , 1999 My commission expires (SEAL) 7/28/2002 odar'r Public. Page: 15 . TABLE-5.--LAND CAPABILITY, FERTILITY CAPABILITY, AND YIELDS PER ACRE Or CROPS AND PASTURE (Yields are those that can be expected under a high level of management. Absence of a yield indicates that the soil is not suited to the crop or the crop generally is not grown on the soil) a1 M Soil name and I Land Irartility I I I I I I rescue I Grass - map symbol Icapabilitylcapabilityl Tobacco I Corn (Corn silagel Wheat I Soybeans I pasture {legume hay I I I I I 1 I z I I ! I I Lbs I Bu I Tons I Bu I Bu I AUX* I Tons 3 } AaA-------------I IIv ! I I L h I I 3,000 I 125 I I I 18 I 65 I 1 50 I I 11.5 I 1 7.0 n Altavista f ! I ! I 1 ( F• '• 1 S ApB-------------I iie I LC a I 2,400 I 95 I 15 150 ( 40 I 8.0 ( 4.8 W Appling I I I I I 1 I I I ApC------------- I• IIIe I LC a I 2,200 I 80 I 14 ! 45 { 35 I 8.0 I 4.8 Appling I I ! I I I I I I I I I I I I I I I Auc : I I I I I I I I I Appling-------- I ! 1 I I I 1 --- I Urban land-----! VIIIs--- I I VCaB-------------I iie I LC a { 2,200 } 95 I 15 I 50 1 40 I 8.0 I 4.8 Cecil I 1 { ! I ! I I I CeB2------------I IIia I LC a I 2,000 I 80 I 14 { 45 I 35 I 8.0 I 4.8 Cecil I I I I I { I 1 I 1 ! I I CeC2------------I Iva ! I ( LC a 1 I 11800 I 70 I I I 12 1 40 I 25 I 5.0 1 3.0 Cecil ChA: Chevacla------- I IVw I L h I --- I 125 I 18 I 30 I 40 I I 9.0 I I 5.5 I I Wehadkee-------{ VIv I I ! L gh I-- I I --- I ! I --' I --- I --- I 7.0 I i 4.2 i f CoA-------------I IIIw I I I L h I I --- I 140 I I I 20 I --- I I 50 I 11.0 I 7.0 Congaree 1 1 I I ( I I I I I 1 {�CrB--------------I IIe I I I LC h ( I 2,200 ! 75 1 I I 12 I 40 I I 35 I 1 6.0 1 3.6 Creedmoor I I I I CrC-------------I IIIe l i { LC h I I 2,000 I 60 I I I 10 I 35 I 30 I 5.8 I 3.5 Creadmoor I I I 1 I 1 I I I �✓ EnB-------------I IIe I I I LC h I I 11900 I 85 I I 1 12 I 40 I I 30 1 1 8.5 1 I 5.1 Enon I 1 I I ( I I ! ( I r ! 1 ! EnC-------------1 IIIe I ! I LC h 1 ! 1,700 I 75 I I 12 I 40 I 25 I 6.0 I 4.8 Eason I I I f I I I 1 I Y/ GaB------------- I ile I LC h 1 2,200 I 95 I 15 I 50 I 40' I 9.0 Georgevilla 1 I I 1 1 I I I I 1 � .i 312 - 1 ' NATURAL RESOURCES CONSERVATION SERVICE CONSERVATION PRACTICE STANDARD WASTE MANAGEMENT SYSTEM (No,) CODE 312 DEFINITION A planned system in which all necessary components are installed for managing Iiquid and solid waste, including runoff from concentrated waste areas, in a manner that does not degrade air, soil, or water resources. SCOPE This standard establishes the minimum acceptable requirements for planning and operating waste management systems. It does not apply to the design and installation of the system components. PURPOSE To manage waste in rural areas in a manner that prevents or minimizes degradation of air; soil, and water resources and protects public health and safety. Such systems are planned to preclude discharge of pollutants to surface or ground water and to recycle waste through soil and plants to the fullest extent practicable. CONDITIONS WHERE PRACTICE APPLIES This practice applies where: (1) waste is generated by agricultural production or processing; (2) waste from municipal and industrial treatment plants is used in agricultural production; (3) all practice components necessary to make a complete system are specified; and (4) 'soil, water, and plant resources are adequate to properly manage the waste. CRITERIA General Planning. Waste, as used in this standard, includes both liquid and solid waste, waste water used in processing, and polluted runoff such as that from a feedlot. A waste management system for a given enterprise shall include the components necessary to property manage waste and prevent degradation of air, water, soil and plant resources. A system may consist of a single component, such as a diversion, or may consist of several components. Components shall not be installed until an overall waste management system has been planned. Conservation practice standards are reviewed pericdicatly, and updated if needed. To obtain the current version of this standard, contact the Natural Resources Conservation Service. NRCS, NC April, 1999 1 PIN Components. Components of complete waste management systems may include, but are not limited to, the following: Composters Debris basins Pond sealing or linings Dikes Subsurface drains Diversions Surface drains Fencing Waste storage ponds Grassed waterways.or outlets Waste storage facilities Irrigation systems Waste treatment lagoons Irrigation water conveyance Waste utilization Component Design Design criteria for individual components shall be according to standards in the National Handbook of Conservation Practices. The criteria for the design of components not included in this handbook shall be consistent with sound engineering principles. Sequence of installation. System components shall be planned and installed in a sequence that insures that each will function as intended without being hazardous to others or to the overall system. Safety. Safety features and devices shall be included in waste management systems, as appropriate, to protect animals and humans from drowning, dangerous gases, and other hazards. Fencing shall be provided, as necessary, to prevent livestock and others from using facilities for other purposes. NC, NRCS April,1999 CONSIDERATIONS 1. Waste should be used to the fullest extent possible by recycling it through soil and plants. If very little.land is available, such practices as lagoons and oxidation ditches may be needed. 2. Clean water should be excluded from concentrated waste areas to the fullest extent practical. 3. Manure shall be collected and safely spread on land, treated, or stored until it can be safely spread: Adequate storage must be provided to allow spreading during favorable weather and at times compatible with crop management and available labor. 4. Polluted runoff and seepage from concentrated waste areas shall be intercepted and directed to storage or treatment facilities for future disposal or be directly applied to land in an acceptable manner. 5. Waste water from processing shall be collected and directly applied, stored, or treated before using it. 6. Adequate drainage, erosion, control, and other soil and water management practices shall be incorporated to prevent system -related problems. 7. The overall system shall include sufficient land for proper use or disposal of waste at locations, times, rates and volumes that maintain desirable water, soil, plant, and other environmental conditions. Appropriate waste -handling equipment shall be -available for effective operation of the system. 8. The system should be outside major viewsheds to conserve visual resources. Vegetative screens and other methods should be provided, as appropriate, to improve visual conditions, 9. Mortality management should be considered as a part of the plan. �r F 312 - 3 1. Effects on the water budget, especially effects on volumes and rates of runoff, infiltration, evaporation, transpiration, deep percolation, on -farm uses and ground water recharge. 2. Effects of seasonal and weather variations. 3. Effects of vegetation on soil moisture. 4. Effects of snow catch and melt on water budget components. 5. Effects of increasing organic matter on water holding capacity of the soil. 6. Potential for a change in plant growth and transpiration because of changes in the volume of soil water. PLANS AND SPECIFICATIONS Plans and specifications for waste management systems shall be in keeping with this standard and standards for individual system components. OPERATION AND MAINTENANCE The owner or operator shall be responsible for operating and maintaining the system. An operation plan shall be prepared for this use. It should provide specific details concerning the operation of each component and should include: 1. Effects of both growing and decaying vegetation on nutrient balance in the root zone. 2. 2. Effects on erosion and the movement of sediment, pathogens, organic material, and soluble and sediment - attached substances carried by runoff. 3. Effects of use and management of nutrients and pesticides on surface and ground water quality. 4. Effects on the visual quality onsite and of downstream water. 4 5. Sediment -attached and construction - related effects on the quality of onsite downstream water courses and impoundments. 6. Effects on the movement of dissolved substances below the root zone and toward ground water, especially for on -farm water supply for human and livestock. 7. Effects on wetlands and water -related wildlife habitats. Timing, rates, volumes, and locations for application of waste and, if appropriate, approximate number of trips for hauling equipment an and estimate of the time required. Minimum and maximum operation levels for storage and treatment practices and other operations specific to 'the practice; such as estimated frequency of solids removal. Safety warnings, particularly where there is danger of drowning or exposure to poisonous or explosive gases. Maintenance requirements for each of the practices. NC, NRCS April, 1999 North,.'Carolina Agricultural.EYtens-ion Service lof 3 A 1 -Waste Ma-m-ageme nt Biological and AgricuIturaI Engineering North Carolina State University LIVESTOCK (TASTE SAMPLING, ANALYSIS AND CALCULATION OF LAND APPLICATION RATES James C. Barker* I. SAMPLE COLLECTION A. Semi -Solid Lot Manure i. Scraped directly' from lot into spreader a. From loaded spreader, collect about 2 lbs of manure from 'different locations using nonmetallic collectors. ii. From storage 0 a. Collect about 2 lbs of manure from under the surface crust avoiding bedding materials and using nonmetallic collectors. B. Liquid Manure Slurry i. Under -slotted -floor pit a. Extend a 1/2" nonmetallic conduit open on both ends into manure to pit floor. b. Seal upper end of conduit (e.g., by placing -a thumb over end of conduit) trapping manure that has entered lower end, remove and empty slurry into plastic bucket or nonmetallic container. C. Take subsamples from 5 or more locations or at least 1 quart. d. Mix and add about 3/4 pint to nonmetallic sample container. ii. Exterior storage basin or tank a. Hake sure manure has been well mixed With a liquid manure chopper -agitator pump or propeller agitator. b. Take subsamples from about 5 pit locations, from agitator pump or from manure spreader and place in a plastic bucket. * Professor and Extension Specialist, Biological and Agricultural Engineering Department, North Carolina State University,' Raleigh, NC. -. .. �.w c..Mix aud'add 3/4 pint to a nonmetallic sample container. Lagoon Liquid is Collect about 3/4 pint of recycled lagoon liquid from inflow pipe to flush tanks in a nonmetallic sample container. ii. 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 withinrV of liquid surface. e. Empty into a plastic bucket, repeat about�5 times around lagoon, mix, -and add 3/4 pint to nonmetallic sample container. A. Broiler or Turkey Litter L. 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. b. Take about 5 litter subsamples at locations proportionate to item a.- E.g., if 20% of litter of similar visual quality 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 6" area down to earth floor and place in a plastic bucket. d. After 5 subsamples have been added to the bucket, mix, and add about. 2-3 lbs litter to a nonmetallic sample container such as a 1-gallon freezer bag and seal. ii. 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. r 3 r SAMPLE PREPARATION AND TRANSFER A. Place sample into an expandable container that can be sealed. Rinse residues froth container with clean water but do'not use disinfectants. soaps, or treat in any other way. B. Pack sample in ice, refrigerate, freeze, or transfer to lab quickly. C. Hand -delivery is most reliable way of sample transfer. D. If mailed, protect sample container with packing material such as newspaper, box or package with wrapping paper, and tape. E. Commercial sample containers and mailers are also available. Contacts: i. A&L Eastern Agricultural -Lab, Inc. iii. Polyfoam -Packers Corp. 7621 Whitepine Road 2320 S. Foster Avenue Richmdnd, VA 23237 Wheeling, IL 60090 Ph: (804)743-9401 Ph: (312)398-0110 ii. Fisher Scientific Co. iv. NASCO 3315 Winton Road 901 Janesville Avenue Raleigh, NC 27604 Fort Atkinson. Wi 53538 Ph: (919)876-2351 Ph: (414)563-2446 F. Private analytical labs are available, but sample analyses are costly. G. The NCDA provides this service for North Carolina residents. i. Address: North Carolina Department of Agriculture Agronomic Division Plant/Waste/Solution Advisory Section Blue Ridge Road Center P.O. Box 27647 Raleigh, NC 27611 Ph: (919)733-2655 Attn: Dr. Ray Campbell ii. Forward $4 along with the sample. iii. Include the following identification information with sample: a. Livestock species (dairy, swine, turkey, etc.) b. Livestock usage (swine -nursery, finishing; turkey -breeders, brooderhouse. grower, number flocks grown on litter; etc.) c. Waste type (dairy -lot scraped manure, liquid slurry; swine -pit slurry, lagoon liquid, sludge; broiler -house litter, stockpile iv. Routine analyses performed on all samples: -N, P, K, Ca, Mg. Na, S, Fe, Mn, Zn, Cu, B v. Additional analyses performed upon request: DX, Ho, Cd, Ni. Pb Now L-a-S00,0.1 UNWED STATES DEPARTMENT OF AGRICULTURE NATURAL RESOURCES CONSERVATION SERVICE OPERATION AND MADUENANCE PLAN PROJECr/FARM: �_o r e s Q 4 c kwc j_ FL; f: r# 3 q z DATE: • A 4" X 4" treated post, painted white or a 4" diameter schedule 40 PVC pipe with cap shall be placed at the maximum liquid level at elevation 914•7-. At no time should the effluent level rise above the maximum liquid level, which is 2.6 feet level below the settled top of dam. • A visual inspection of the waste storage pond will be performed at least twice a year. The inspector should check the -condition of the dam and the emergency spillway. The inspector will need to look for signs of slope failure and seepage on the back slope and at the toe of the dam. Also, a very close look will need to be made to check for signs of damage due to varmint (ground hogs, muskrats, etc.) burrows. A visual inspection should also be made after heavy rainfall events to ensure that the structure is not experiencing erosion rills or gullies. Any problems found should be brought to the attention of the technical specialist for repair recommendations. • The waste storage pond will need to be mowed twice a year. All eroded areas shall be repaired and stabilized. Areas that do not have an adequate ground cover shall be reseeded to provide a vegetative cover sufficient restrain erosion. The dam and all constructed. slopes will need to be fertilized annually with 500 pounds of 10-10-10 per acre or its equivalent. • Maintain all waste handling equipment --pumping, loading, hauling, spreading, etc. — in accordance with the manufacturers specifications. • All waste application shall be completed in accordance with the waste utilization plan. The waste storage pond will be emptied at the end of each design storage period (_JO days or _--L months) or as needed due to excess rainfall. See file attached NC Agricultural°E=tensiaa°Semce'Agn Waste Management ,Publication_ by Dr. James C -Barker for information,on sampling and testing of the ,. nle1.J ir0.'}O N " ' •• r / UNITED STATES DEPARTMENT OF AGRICULTURE J NATURAL RESOURCES CONSERVATION SERVICE OPERATION AND MAINTENANCE PLAN PROJECTIFARM: �_o r e s - a j r, c f (we (/ - Fad I r i-1 # 3 R- z, DATE: • A 4" X 4" treated post, painted white or a 4" diameter schedule 40 PVC pipe with cap shall be placed at the maximum liquid level at elevation 914-7.. At no time should the effluent level rise above the maximum liquid level; which is 2.6 feet level below the settled top of dam. • A visual inspection of the waste storage pond will be performed at least twice a year. The inspector should check the condition of the dam and the emergency spillway. The inspector will need to look for signs of slope failure and seepage on the back slope and at the toe of the dam. Also, a very close look will need to be made to check for signs of damage due to varmint (ground hogs, muskrats, etc.) burrows. A visual inspection should also be made after heavy rainfall events to ensure that the structure is not experiencing erosion rills or gullies. Any problems found should be brought to the attention of the technical specialist for repair recommendations. • The waste storage pond will need to be mowed twice a year. All eroded areas shall be repaired and stabilized. Areas that do not have an adequate ground cover shall be reseeded to provide a vegetative cover sufficient restrain erosion. The dam and all constructed slopes will need to be fertilized annually with 500 pounds of 10-10-10 per acre or its equivalent. • Maintain all waste handling equipment —pumping, loading, hauling, spreading, etc. — in accordance with the manufacturers specifications. • All waste application shall be completed in accordance with the waste utilization plan. The waste storage pond will be emptied at the end of each design storage period (70 days or _'J- months) or as needed due to excess rainfall. See the attached NC Agricul#iiral Eztenson Service AgriWaste Management Publication by Dr. James C.-Barker for information on sampling and testing of the effluent. UNI iED STATES DEPARTMENT OF AGRICULTURE NATURAL RESOURCES CONSERVATION SERVICE OPERATION AND MAINTENANCE PLAN PROJEC. r/FARM: Fo eeS t 3I cac. K,,jt I l F4,_i I, r'y # 3 9 - Z DATE: • A 4" X 4" treated post, painted white or a 4" diameter schedule 40 PVC pipe with cap shall be placed at the maximum liquid level at elevation 100• . At no time should the effluent level rise above the maximum liquid level, which is 2. C. feet level below the settled top of dam. - • A visual inspection of the waste storage pond will be performed at least twice a year. The inspector should check the' condition of the dam and the emergency spillway. The inspector will need to look for signs of slope failure and seepage on the back slope and at the toe of the dam. Also, a very close look will need to be made to check for signs of damage due to varmint (ground hogs, muslaats, etc.) burrows. A visual inspection should also be made after heavy rainfall events to ensure that the structure is not experiencing erosion rills or gullies. ,Any problems found should be brought to the attention of the technical specialist for repair recommendations. • The waste storage pond will need to be mowed twice a year. All eroded areas shall be repaired and stabilized. Areas that do not have an adequate ground cover shall be reseeded to provide a vegetative cover sufficient restrain erosion. The dam and all constructed slopes will need to be fertilized annually with 500 pounds of 10-10-10 per acre or its equivalent • Maintain all waste handling equipment —pumping, loading, hauling, spreading, etc. -- in accordance with the manufacturers specifications. • All waste application shall be completed in accordance with the waste utilization plan. The waste storage pond will be emptied at the end of each design storage period ( qn days or 3 months) or as needed due to excess rainfall. See.tiie-'attached NC Agricnitu�al Ftensioa Service Agn Waste Management a Publication by Dr. James C: Barker -for information'ou'sampling'and felting of the effluent se ge'-ffo-A'ffeA �Iq j o aij — l q7 9 UN= STATES DEPAIMM�rr OF AGRICULTURE NATURAL RESOURCES CONSERVATION SERVICE I OPERATION AND MAEMNANCE PLAN i PROJEC, r/FARM: F'o re 5 t 81 c%r- K.ujt I l F� u' 1'� r y *t 19 - Z. DATE: • A 4" X 4" treated post, painted white or a 4" diameter schedule 40 PVC pipe with cap shall be placed at the maximum liquid level at elevation 100.7 . At no time should the effluent level rise above the maximum liquid level, which is 2. C. feet level below the settled top of dam. • A visual inspection of the waste storage pond will be performed at least twice a year. The inspector should check the condition of the dam and the emergency spillway. The inspector will need to look for signs of slope failure and seepage on the back slope and at the toe of the dam. Also, a very close look will need to be made to check for signs of damage due to varmint (ground hogs, muskrats, etc.) burrows. A visual inspection should also be made after heavy rainfall events to ensure that the structure is not experiencing erosion rills or gullies. Any problems found should be brought to the attention of the technical specialist for repair recommendations. + The waste storage pond will need to be mowed twice a year. All eroded areas shall be repaired and stabilized. Areas that do not have an adequate ground cover shall be reseeded to provide a vegetative cover sufficient restrain erosion. The dam and all constructed slopes will need to be fertilized annually with 500 pounds of 10-10-10 per acre or its equivalent. • Maintain all waste handling equipment --pumping, loading, hauling, spreading, etc. — in accordance with the manufacturers specifications. • All waste application shall be completed in accordance with the waste utilisation plan. The waste storage pond will be emptied at the end of each design storage period ( '70 days or 3 months) or as needed due to excess rainfall. Seethe°attaclied NC Ag�icnlfu'L'Etensio'n'Sevice Agri W,aste-Management Publication by Dr. James C.-Barker for information on sampling and testing of the .: efflQeIIt. J 5� 1WURAL RESOURCES CONSERVATION SERVICE �yv NV*` .� 4 CONSERVATION PRACTICE STANDARD 04 � Q WASTE TREATMi ENT LAGOON O\� (ir umber) oSIC Code 359 DEFINITION An impoundment made by excavation or earthffll for biological treatment of animal or other agricultural waste. PURPOSE To biologically treat organic waste, reduce pollution, and protect the environment. CONDITIONS WHERE PRACTICE APPLIES This practice applies where: (1) an overall waste management system has been planned; (2) waste generated by agricultural production or processing needs treatment; (3) soils are suitable for retaining the waste or can be sealed; and (4) where livestock are concentrated. This standard establishes the minimum acceptable requirements for design, construction, and operation of waste treatment lagoons. Embankments are limited to hazard 359-1 class (a). This standard does not apply to waste storage ponds or to waste storage structures. CRITERIA Location. The lagoon should be located near the source of waste and as far from neighboring dwellings as practical. If possible, locate the lagoon where prevailing winds will carry odors away from residences and public areas. Runoff from outside drainage areas should not enter the lagoon. The lagoon shall not be located in a flood plain unless it is protected from inundation or damage by a flood event that occurs once every 25 years. LAGOONS FOR SWINE SHILL .NOT BE LOCATED IN THE 100- YEAR FLOODPLAIN Minimum distance from wells and other water sources must be in compliance with state and local ordinances. It is the responsibility of the designer to ensure that current state and local distance requirements are met. The following table shows minimum distances. Conservation practice standards are reviewed periodically. and updated if needed. To obtain the current version of this standard, contact the Natural Resources Conservation Service Computer File: 359.docldir:rrtydocumenisrcoopertech NRCS, NC JANUARY, 1998 Rev.4 �i 359-2 Minimum Distance Table for all Animals Except Swine Facilities Sited Under General. Statute 106-801 thru 805 Public or Private use Facilities Minimum Distance From Facilities Operation existing prior to 04115/87 (No enlargement) New operation or existing operation No increase in SSL that is enlarginR SSLW' Any public use area, church, picnic area, playground, etc. 300 Ft. 750 Ft. Residence or place of habitation other than owner or his tenant 300 Ft. 750 Ft. 100 Ft. minimum - General Statutes Wells For Human Consumption) 87-87 and 87-88. 152A2C.0107 a 1 c Area specified by state or local ordinance Greater of state/local or NRCS distance shown above. Perenniai Waters 100 ft. New or Eganding Operations) ' SSLW - Steady State Live'Weight = Ave. wt. per unit x no. of units @ capacity Any exception to the above distances must be approved by the ASTC(FO) with concurrence from the State Conservation Engineer. The 750 ft. minimum distance must exist the day of the site investigation. Site evaluations are valid for 12 months. 'ARCS, NC JANUARY, 1998 Rev. 4 ij ri The Minimum Distance far Swine Operations is Dictated by General Statute 106 - 801 thru 805 as amended by HB-515 to swine operations srtea on or after al-17/y/). Swine House or Lagoon 359-3 > 1,500 feet from any occupied residence 2,500 feet from any school, hospital, church , outdoor recreational facility, national park, historic property, or child care center. 500 feet from any property boundary. 500 feet from any well supplying water to a public water system. . 500 feet from any well that supplies water for human consumption on property not owned or controlled by the swine producer. Land Application Site 75 feet from any residential property boundary (Any property with a residence on it) 75 feet from any perennial stream or river other than irrigation ditch or canal. ote: Waste Treatment Lagoons and Odor Control As a minimum the following will be used to reduce odor on all lagoons: 41 • New or emptied lagoons shall be precharged with a volume of water equal to one-half of the treatment volume before wastes are introduced, so that solids discharged into the lagoon are submerged. Pipes discharging wastes into the lagoon shall be extended beneath the surface of the lagoon to avoid releasing gases from agitated wastes. Intake pipes for effluent removal shall be placed in the aerobic layer of liquid approximately 18 inches below the surface. A floating intake may be used. are the same in respect to S& 080.) When practicable a dense stand of trees and shrubs strategically placed around lagoons, production facilities, and fields can reduce or redirect winds helping to contain or disperse odors. Emergency Action Plan An Emergency Action Plan shall be prepared for each lagoon. The plan will outline steps to be followed in case of an emergency with the lagoon such as overflow, breaching, leakage, need for emergency land application, etc. As a minimum it will contain the following items for the owner/operator to carry out in the event of an emergency: Call the Division of Water Quality (DWQ) to report the problem. Include name and phone number of the appropriate regional office. If outside normal business hours, call the N. C. Emergency Management MRCS, NC JANUARY, 1998 Rev 4 the swine farm; Noe county or counties in which the farm is located; and the local health department or departments having jurisdiction over the farm site of that person's intent to construct the swine farm. This notice shall be by certified mail sent to the address on record at the property tax office in the county in which. the land is located Notice to a local health department shall be sent to the local health director. The written notice shall include all of the following: 1. The name and address of the person intending to construct a swine farm. 2. The type of swine farm and the design capacity of the animal waste management system. 3. The name and address of the technical specialist preparing the waste management plan. 4. The address of the local Soil and Water Conservation District Office. S. Information informing the adjoining property owners and the property owners who own property located across a public road, street, or highway from the swine farm that they may submit written comments to the Division of Water Quality, Department of Environment and Natural Resources. Hazard Classification The area'downstream of the embankment must be evaluated carefully to determine the impact from a sudden breach of the proposed embankment on both structural and environmental features. This evaluation must consider all existing improvements and those improvements that may reasonably be expected to be made during the useful life of the structure The results of this examination provide for the proper hazard class of the embankment. Only 359-5 hazard class (a) embankments are to be designed under this standard. See Engineering Notekeeping, Field Office Technical Guide Practice Standard 378 or National Engineering Manual 520.21 for guidance concerning documentation of hazard class determination. Soil and foundation Locate the lagoon on soils of slow to moderate permeability or on soils that can seal through sedimentation and biological action. Avoid gravelly soils and shallow soils over fractured or cavernous rock. A detailed soils investigation with special attention to the water table and seepage potential must be a part of each plan and design. The soils investigation must extend at least two feet below the planned bottom. In the vicinity of the embankment, but not under it, the soils investigation will extend to a depth equal to the height of the embankment or until rock is encountered. When poor foundation conditions are anticipated, the investigation shall extend to the depth determined by the designer. When an embankment is involved samples of the proposed fill material should be obtained and tested, Tests required are at the discretion of the designer. The test results shall be used to determine the design requirements for the embankment. A minimum of five test pits or 1 per 10,000 f12 of lagoon bottom is recommended. Liners If rapid self sealing is not probable, special considerations such as mechanical treatment, lining, or other techniques must be considered. A liner, or equivalent sealant, is required in SP, SW, GP, and GW, or other problem soils as J� NRCS,NC JANUARY, 1996 Ro . 4 359-4 Office in Raleigh and ask them to contact DWQ. Give the name of the facility,• location and DWQ.registration/certification number. • Cal 1 9l 1 or the Sheriff"s Department if there is danger to downstream property (residences, road, etc.). Include phone number. Contact the contractor of owner's choice to begin repair of problem to minimize off -site damage. Include names and phone numbers). Contact the technical specialist who certified the lagoon (MRCS, Consulting -Engineer, etc.). Include phone number. If this - specialist is no longer working, contact one who has design approval. A copy -of this -plan with telephone numbers filled in must be available at each site. It should be posted in a readily accessible location. Site Investigation A detailed site investigation shall be made for each lagoon prior to design. - This investigation should include, but not be limited to evaluation of, distance from residences, proximity to the 100-year floodplain, blue line streams, zoning jurisdiction of municipalities, utilities in the construction area, wetlands, available land for disposal, soils, and other environmental factors. Form NC-CPA-17 may be used. When requested by the technical specialist, the owner shall furnish the distance from nearest residences or other private or public use facilities. At the discretion of the technical specialist, a survey by a registered land surveyor may be required to establish the distances. During the site investigation, it must be verified that no subsurface tile lines are present. On sites that are located on cropland or land that has been cropped in the past and is land with soil types that respond to subsurface drainage, an observation trench along the entire length of the embankment shall be constructed to a minimum of five feet in depth. The observation trench may be excavated during the soils investigation phase or during construction. The trench shall have a bottom width adequate to accommodate the equipment used for excavation, backfill, and compaction operations and the side slopes shall be 1:1 or flatter. If any the lines are present in the area of the embankment, they must be removed for a minimum distance of h1.? 15 feet beyond the downstream embankment toe. If a tile line exists above the embankment it shall be rerouted around the lagoon. If wetlands may be involved, contact the Corps. of Engineers and/or MRCS for a wetland determination/delineation. If wetlands are involved, a 401 water quality certification and a 404 permit may be needed. Written notice of swine farms Any person who intends to construct a swine farm whose animal waste management system is subject to a permit shall, after completing a site evaluation and before the farm site is modified, notify all adjoining property owners; all property owners who own property located across a public road, street, or highway from NRCS, NC JANUARY, 1998 Rev. 4 359-6 classified according to the Unified Soil Classification System. A finer is also required for most SM soils. A determination as to whether a liner is needed for other soils will be made during the on -site soils investigation prior to the design. If a liner is required and a clay liner is the sealant of choice it will be designed and installed in accordance with NRCS South National Technical Center (SNTC) Technical Note 716 (Revised September 1993). A qualified construction inspector designated by the designer must be on site during construction as necessary to verify proper liner construction in accordance with Technical Note 716. In the absence of supervision of construction by a qualified inspector, the liner must be tested to verify a maximum hydraulic conductivity of 1.25 x 10-6 cm/sec. (.003 ft/day) Since soils are not always consistent, during construction small areas not evident during the investigation may be found. These areas should be over excavated and lined with clay or other suitable sealant material as specified by the designer. Other sealant or lining techniques should be planned according to industry accepted design, installation, operating procedures appropriate for the selected technique. Waste production Waste treatment lagoons are designed on the basis of 5-day biochemical oxygen demand (BOD5) or volatile solids (VS) loading. Design loading shall be based on the maximum steady state live weight of animals using the lagoon and on the waste produced. Information on waste production is provided in Chapter 4 of the Agricultural Waste Management Field Handbook (AWMFH). The values for waste production and the characteristics of fresh livestock manure given in Table 1 are from the North Carolina Cooperative Extension Service and should be used except for specific situations which deviate from normal. It should be noted that the amount of nutrients available for crops is different from the amount produced. See Waste Utilization (633) and Nutrient Management (590) for plant available nutrients and nutrient uptake values by various crops. Site specific data, when available may be used in lieu of the information given in the table. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall not be discharged into the animal waste management system. MRCS. NC JANUARY. 1998 Rev. -r C 359-7 Table 1. LIVESTOCK FRESH MANURE CHARACTERISTICS Average Animal Weight Manure Production (Feces 8 Urine) Nitrogen Phosphorus P205 Potassium K20 Total N IAmmonia NH3N Ib(gal/day) tonl r) on ==___--______--=> Dai 1400 14.6 21.9 10.5 1.8 5.0 8.2 Beef 800 5.53 7.9 11.9 3.0 7.3 8.8 Veal 200 1.49 2.0 8.6 4.0 4.9 11.0 Swine 135 1.37 1.9 12.4 6.8 9.6 8.3 Sheep 60 0.28 0.4 20.8 6.2 9.9 19.4 Goat 140 0.69 1.1 21.8 6.5 12.1 17.7 Horse 1000 5.95 9.2 12.0 2.4 6.5 12.0 Rabbit 10 0.08 0.06 23.0 6.9 20.6 10.8 Layer 4 0.03 0.05 26.2 6.6 21.1 11.4 Broiler 2 0.25 0.03 26.0 6.5 16.3 11.2 TurkeL 15 0.08 0.12 26.7 3.4 22.5 12.3 Duck 3 0.04 0.05 27.8 5.3 22.5 1 15.6 Fresh Water The following amount of excess water is to be added to the temporary storage; TyRe of Operation Live Weight Excess Water Nurse 30lbs 0.2 als/hd/da Finishing 135lbs 0.9 alsilid/da Farrow-Weaniing 433lbs 2.9 als/sow/da Farrow -Feeder 522lbs 3.5 als/sow/da Farrow -Finish 1,417lbs 9.5gals/sow/day Boar -Stud 400lbs 2.7gals/animal/day Gilt 150lbs 1.0 als/animal/da Daily 1,400 lb 6.0 als/animal/da Layers 41bs 0.013 als/bird/da Anaerobic waste treatment lagoons are designed on the basis of daily Volatile Solids (VS) loading per 1,000 ft3 of lagoon volume. Maximum loading for anaerobic lagoons shall be as indicated in Figure B (See Fig. 10-22, page 10-29 of AW1r1FH) or Table 2. Animal weights are expressed as average values for the purpose of lagoon design. NRCS, NC JANUARY, 1998 Rev. 4 359-8 n` TABLE 2. LIVESTOCK ANAEROBIC LAGOON CRITERIA Lagoon Liquid Capacity Feces, Average Urine and Temp Total Volume Animal Type unity Live Excess Design Treatment Volume Sludge Storage Volume" Storage Animal wash Weight I water° I rlbsi 1 aaWdav I 1131ib I 03lunit I O/lb I 113/unit u Datry per head 1400 22.0 1.0 0 1400 1300 Beef per head 800 6.6 .75 600 530 Veal per head 200 1.9 .75 150 145 Swine WeanfFeed per head 30 0.5 1.0 30 .25 7.5 FeedFin per head 135 2.3 1.0 135 .25 34 FarMean per sow 433 . 7.2 .67 290 .17 74 FarlFeed per sow 522 8.0 .67 350 .17 89 FadFn persow 1417 23.0 1.0 1417 IS 354 Gilt Dev. per head 150 2.5 t 1.0 150 .25 37.5 ' Soar/Slud per head 400 6.7 0.5 200, .125 50.0 ' Poultry Layer per bird 4.0 .045 2.5 10 1.1 Pullet per bird 1.5 .017 2.5 3.8 3.2 -One-time animal or bird capacity Does not include fresh flush water or drainage area runoff AD manure solids removal prior to lagoon input ,,Sludge accumulation for approximately 5 years. Accumulation rates are without solids removal. Temporary storage consists of 1) manure, 2) excess wash water, 3) rainfall in excess of evaporation, 4) 25- year, 24-hour storm, 5) 'Heavy Rain' Factor, 6) outside runoff, if any . Total volume consists of design treatment volume, sludge storage, temporary storage and 25 year, 24 hours storm. Does not include Freeboard and depth of flow in spillway (if applicable) # Minimum Volume for Dairy and Beef may be decreased when the solids are removed. Naturally aerobic lagoons are designed on the basis of daily BOD5 loading per acre of lagoon surface. The maximum aerobic lagoon loading rate for North Carolina is 50 lb. of BOD5 per acre per day shall be as indicated in Figure C (See Figure 10-25, page 10 of the NRCS Agriculture Waste Management Field Handbook. One 1400 lb. dairy cow requires 2000 ft' of surface area while one finishing hog requires 365 ft'. NRCS,NC IANUARY, 1998 Rev. 4 FI Mechanically aerated lagoons using floating surface aerator technology for odor control are designed to satisfy 50% of the waste COD based 1. Manure and waste waterl 2 3 on an oxygen transfer rate of 3 lbs per horsepower -hour and require 1000 ft'. of 4. surface area maximum per horsepower of aeration. Refer to the design procedures provided in the Agricultural Waste Management Field Handbook or to Cooperative Extension Service Research Data. Alternate aeration waste treatment technologies should be planned, installed, and operated -according to proper design and operating procedures. Sludge Any anaerobic lagoon will accumulate significant amounts of sludge regardless of the bacterial digestion efficiency. This accumulation of sludge in time will diminish the treatment capacity of the lagoon unless the lagoon is designed with enough storage capacity to avoid having to remove the bottom sludge throughout the life of the lagoon. Table 2 shows the required volume for sludge accumulation in anaerobic lagoons. The volume of sludge storage required in Table 2 is equal to approximately-5 years accumulation. Sludge storage is required in the lagoon design. The amount of sludge accumulation shall be calculated and included in the producer's Waste Utilization Plan. The plan will include a statement that sludge should be tested before land application. The Waste Utilization Plan will include the number of acres required for land application of sludge in the future based on current agronomic rates. Waste Storage Volume. The maximum operating level shall be set to provide the designed loading (treatment volume)plus a volume sufficient to store the following: 359-9 Excess wash water Normal precipitation less evaporation on lagoon surfacel Solids accumulation2 I Accumulated between periods of drawdown 2For the period between solids or sludge removal Mechanically aerated lagoons are designed on the basis of BOD5 or ultimate BOD loading and on the basis of the equipment manufacturer's performance data for oxygen transfer and mixing. if used for odor control, aeration equipment shall provide a minimum of 0.5 kg (I lb) of oxygen for each half kilogram (pound) of BOD5 contributed daily. For complete treatment, refer to the design procedures provided in the Agricultural Waste Management Field Handbook. The maximum operating level shall be sufficient distance below any automatic outflow device, pipe or emergency spillway to provide storage for the 25-year, 24-hour precipitation on the lagoon surface plus a heavy rainfall equal to or greater than an additional 25-year, 24-hour storm. The maximum operating level shall be marked with a highly visible marker set in the lagoon. The minimum operating level after drawdown should normallybe that level needed for the design loading (treatment volume plus sludge) except when the lagoon is in drawdown to permit sludge removal or addition of dilution water. This level shall be marked with a highly visible marker. Temporary Storage Volume In addition to the required treatment volume, waste treatment lagoons shall be provided with temporary storage. The volume of temporary MRCS, NC JANUARY, 1998 Rtv. 4 359-10 storage provided shall be consistent with the recommended except when special management planned pumping interval incorporated into the practices or techniques permit otherwise. waste utilization plan. In soils with high water tables all temporary storage shall be above the seasonal high water table. A,minimum of.at least six months temporary storage is The minimum volume of temporary storage is the total of the following: With Outside Drainage Area Without Outside Drainage Area I . Manure and excess waterl 2. Normal precipitation that falls on lagoon 1, Manure and excess waterl. surface less evaporation on lagoon surface 2 Normal precipitation that falls on lagoon for time of year which results in greatest storage requirementl. surface less evaporation on lagoon surface for time of year which results in greatest 3. Undiverted runoff from drainage area for storage requirementl . normal rainfall during storage period. 4, 25-year, 24-hour precipitation on lagoon 3. 25-year, 24-hour precipitation on lagoon surface +additional "Heavy Rain" 2 factor surface. which exceeds the Iong-term rainfall 5. Undiverted runoff from 25-year, 24-hour average. storm from drainage area. I Accumulated during. -the period between times of excess effluent removal. 2The "Heavy Rain " Factor shall be equal to or greater than the 25 year, 24-hour storm. Note: Additional temporary storage may be provided to meet management goals or regulations. Depth The minimum depth of liquid shall be 6 feet for mechanically aerated and anaerobic lagoons, and 2 feet for aerobic lagoons. The maximum depth for mechanically -aerated and anaerobic lagoons is dictated by the site and the equipment. The maximum operating depth for aerobic lagoons shall be 5 ft. Foundation Cutoff (Keyway, • Cutoff, or Core Trench) A cutoff of relatively impervious material shall be provided under the embankment if necessary for seepage control. The cutoff shall be located at or upstream from the centerline of the dam. It shall extend up the abutments 'as required and be deep enough to extend into a relatively impervious layer or provide for a stable embankment when combined with seepage control. The cutoff trench shall have a bottom width adequate to accommodate the equipment used for excavation, backfill, and compaction NRCS.NC JANVARY, 1998 Rey. 4 11 operations, and the side slopes shall be 1:1 or flatter. All foundation cutoffs shall be dewatered before backfilling. Bottom and edges The bottom of all lagoons shall be approximately level. The side slopes of all lagoons shall be uniform from top to bottom and shall be stable for existing soil conditions. Scarify the bottom and cut slopes of the lagoon a minimum depth of six inches and compact to decrease the permeability of the soil. Compaction shall be with a sheepsfoot roller or tamping roller. In certain'soils a liner will be required. Special consideration must be spelled out in the design. (See page 359-4, Liners) Earth embankment For this standard, the maximum effective height of the dam is 35 feet. The allowance for settlement shall be no less than 5 percent. The side slopes of the settled embankment shall not be less than 3 horizontal to 1 vertical. All slopes must be designed to be stable. The minimum elevation of the top of the settled embankment shall be one foot above the maximum design water surface in the lagoon. The minimum top width for embankments are shown in the following. table. If the embankment top is to be used as a public road, the minimum width shall be 16 feet for one-way traffic and 26 feet for two-way traffic. Guardrails or other safety measures shall be used where necessary and shall meet the requirements of the responsible road authority. When the embankment top is used as a road, 359-11 provision shall be made for protecting the emergency spillway, if any, from damage. Total height of Embankment (ft) Minimum Top Width (ft) up to 20 10 20 to 24 12 24 to 34 14 35 15 The design height of the embankment shall be increased by the amount needed to insure that the design top elevation will be maintained after all settlement has taken place. Compaction of the fill material shall be in accordance with the specified design requirements for compaction and moisture content. As a minimum compaction shall be equivalent to, or better than, the following: 1). layers of fill material shall not exceed 9 inches in thickness before, compaction, 2). the routing of the hauling and spreading equipment over the fill must be 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. 3). Clayey soils shall be compacted with a "sheepsfoot" or tamping roller.(See SNTC Technical Note 716 for guidance on compaction.) A qualified inspector as designated by the designer must be on site during construction as necessary to verify proper construction. Testing will be required as deemed necessary by the inspector and/or designer. When testing is required the owner will be responsible for furnishing test results and certification that the fill meets the design NRCS,NC iANUARY, 1995 Rey. 4 359-12 requirements: Any tests and certification should be perforated by a certified laboratory. If needed to protect the face of the embanlanent, special measures, such as berms, rock riprap, sand -gravel, soil cement, or special vegetation shall be provided (TR-56 and TR-M. (nQ Inlet If freezing is not a problem, an open inlet, such as a concrete channel, may be used. If freezing is a problem, the inlet shall consist of a pipe having a minimum diameter of 6 inches and a minimum slope of 1 percent, except that a minimum diameter tr of 4 inches may be used for milking center waste. The inlet pipe shall terminate a sufficient distance from the shoreline to insure good distribution. It should be far enough below the surface to avoid freezing or be provided with other protective measures. Access should be provided to the pipe for rodding in case of blockage.. Inlet Pipes Pipes that convey, waste from the houses to the lagoon shall be designed and installed in a manner that will prevent erosion of the lagoon side slope. This will be accomplished by extending the pipe beyond the slope of the lagoon, and discharging the waste below the surface. Other Pipes ' Pipes such as those that are used for recycling effluent to use as flush water and irrigation intakes shall be placed as far from the inlet pipes as possible in order to provide a cleaner effluent for flushing and to reduce odors when irrigating on land. When,these pipes are to be placed through the embankment the location and method of installation shall be approved by the designer of the embankment or a technical specialist designated by the soil and water conservation commission to design and approve waste treatment lagoons. Installation shall be certified by the technical specialist. Emergency Spillways Lagoons with an outside drainage area having a maximum design liquid level of 3 feet or more above natural ground shall be provided with an emergency spillway. The crest of the emergency spillway shall be located at the same elevation as the top of the 25-year, 24-how storm storage. The emergency spillway shall be placed in undisturbed soil when possible. When it must be placed in fill material, precautions shall be taken to insure the integrity of the structure. The emergency spillway shall pass a 25-year, 24-hour storm without over topping the embankment. There shall be a minimum of 1 foot of freeboard above the designed depth of flow in the emergency spillway. Where lagoons empty into waste storage ponds or secondary lagoons and the Iiquid level is positively controlled by an adequately sized overflow'pipe, no emergency spillway is required for the ---primary lagoon. All lagoons with l million cubic feet of Waste Storage Volume (volume below maximum elevation for pump ON) shall have an emergency spillway. Lagoons without an outside drainage area and less than 1 million cubic fl, of Waste Storage Volume are not required to have an.emergency spillway; however, the landowner shall -be given the option to install an emergency spillway to prevent catastrophic occurrences. NRCS, NC JAN[:ARY, 1998 Rev. 4 a Other Outlets Where excess effluent is not to be removed from the lagoon by pumping, an overflow pipe shall be installed to discharge into another lagoon or a waste storage pond. The overflow pipe shall have a minimum diameter of 6 inches and shall have sufficient capacity to prevent over topping of the lagoon during peak inflow periods. The overflow pipe shall be installed so that effluent is discharged from a minimum of 6 inches below the surface. An "elbow" or "tee" pipe fitting or similar device on the inlet end of the overflow pipe may. be used for this purpose. When pumps and sumps are needed to lift waste from a lower elevation to a higher elevation, provisions must be made to prevent overflow of the sump in case of power or pump failure. The sump shall be covered or fenced for safety. Protection If the lagoon will create a safety hazard, it shall be fenced and warning signs posted to prevent children and others from using it for purposes other than intended. The lagoon shall be fenced, if necessary, to protect the vegetation and the embankment. Erosion and Sediment Control 'Measures Plans for waste treatment lagoons.shall include temporary measures for the control of erosion and sedimentation during the construction period. Such measures shall be maintained for efficient operation. Permanent vegetation shall be established on all disturbed areas in compliance with Critical Area Treatment standards (342-II) of the Technical Guide. CONSIDERATIONS 359-13 If the embankment is over 15 feet high and impounds over 14-acre feet of effluent, a permit must be obtained as required by the North Carolina Dam Safety Law. Types Waste treatment lagoons are of three general types --anaerobic, naturally aerobic, and . mechanically aerated. Anaerobic lagoons. require less surface area than naturally aerobic lagoons but may give off odors. Naturally' aerobic lagoons are relatively odor free. Mechanically aerated lagoons are comparable in size to anaerobic lagoons and -are generally odor free, but they require energy for aeration. Anaerobic lagoons are most commonly used for livestock waste treatment, Since the anaerobic process is not dependent on maintaining free oxygen, lagoons can be deeper and require less surface area. Anaerobic decomposition of livestock waste can result in the production and emission of odorous gases; however, an anaerobic lagoon that is properly sized can be managed to keep odors to a minimum. Figure A is an example of a typical anaerobic lagoon. Naturally aerobic lagoons tend to be relatively odor free because bacterial digestion tends to be more complete. Aerobic lagoons are designed on the basis of surface area instead of volume. Aerobic lagoons may require up to 25 times as much land area as anaerobic lagoons and are usually not recommended for livestock and poultry waste treatment in North Carolina because of space requirements. Mechanically aerated lagoons combine'the best features of aerobic and anaerobic; that is, good odor control with small surface area NRCS, NC JANUARY, 199S Rev. 4 359-14 requirements. They may also be used for nitrogen removal where land area for disposal is limited. The major disadvantage of mechanically aerated lagoons is the high cost of electric energy for continuous operation of the aerators. Due consideration should be given to facility access, ease of loading and unloading wastes, the overall waste management plan, and health and safety factors. Non -polluted runoff shall be excluded from the lagoon if not included in the design capacity. The Waste Treatment Lagoon should be located so that prevailing winds, vegetative screening, and building arrangement minimize odor and visual resource problems. Solids removal To reduce sludge buildup, remove solids from waste of animals, such as dairy cattle, fed high roughage rations. A solids trap or a separator may be provided between the waste sources and the lagoon. This may be a concrete or earth structure that can be emptied periodically, The sizing of these structures will be such that a waste utilization plan can be developed. If earth structures are used, a minimum of two should be planned so that one can be dried and cleaned while the other is functioning. Organic nitrogen compounds and phosphorous compounds tend to accumulate in sludge. In addition to nitrogen levels up to 13 times higher than lagoon liquid and phosphorous Ievels up to 45 times higher than lagoon liquid concentrations, sludge may also contain significant levels of heavy metals, salts, and other trace elements. PLANS AND SPECIFICATIONS Plans and specifications for installing waste treatment lagoons shall be in keeping with this standard and shall describe the requirements for applying the practice to achieve its intended purpose. Plans and specifications for a waste treatment lagoon will only be prepared when it is a part of a complete waste management system including a waste utilization plan. OPERATION AND NIAINTENANCE A written Operation and Maintenance (0 & M) Plan shall be prepared for each lagoon. The O & M Plan shall be incorporated into the design prepared for the Waste Management System. A copy will be given to the landowner and discussed with him. As a minimum, the 0 & M Plan shall contain the following: A waste utilization plan that is in accordance with FOTG Practice Standards for Waste Utilization (633) and Nutrient Management (590). (Note: A more detailed plan may be required if controlling nutrient is other than N.) 2. Precharge with a volume of water equal to one-half of the treatment volume before wastes are introduced. Highly visible markers shall be installed to mark the upper and lower elevations of the Temporary Storage (pumping Volume). Pumping shall be done as necessary to maintain the liquid level between these markers. MRCS, NC JANUARY, 1998 Rev. 4 ��1 a 4. Recommendations for inspection and maintenance of embankment and other structures. 5. Recommendations for inspection and maintenance of vegetation. 6. Information on sampling and testing of effluent. 7. After five years the waste treatment lagoon shall be checked for sludge accumulation annually. If sludge has encroached into the treatment volume, the sludge will be removed and applied at agronomic rates based on analysis of the sludge. Treatment volume must have a minimum of 4 feet of depth free of sludge at all times. 8. Others, as appropriate. 359-15 MRCS, NC JANUARY, 1998 Rey. 4 359-16 1 O T A L I Y I ` � I AM C ors I C3 Z ! M S r pr e� a r r Y� r L u V 7 j • y I �a — Y � r Al M i r r L O ' N r i n 3 Y • N u - � g R M I r I S r M 3 V a Y I � � •a •' r L 4v .. Y� dr V 0r M r= Y Y M C Sr [ • �O Qp •.� CN Z N 01. CCQ u sou o N s• g g Cl `1. _ d 5 t• CL ] O u a C S ZL < E L) V i L t i I I y r � � 1 it NRcs, xc Jan., 1998 4' k i Rev . 4 '= 1 U.S. DEPARTMENT OF AGRICULTURE PIMA 0-M $ AWARROOM LAGOOH LOAMM RATE " Veit000 "*ADAY) 90) 4,6 T 'yr7 T. j j t T �j i. •�: r� 1 !.I 1 ti1.�fEllJ�'I Its T' C;-T �,. r I. '�'''7 12 V 5 CO"Vi Alpa P4ACnCE Sr M. 1— CO"P%M USWG Y TOp TM TUN CO"%toll Ez RaIq GRfOGIM►-w QW(N. rOt1'eo1 ". TEw Iwo, Figure B SOIL CONSERVATION SERVICE 5.5 e 4.5 -' 7' •IOrES '• ` ., ae.se/ mne.•.•erla,, SOR ��f } O4a• M •••e.e�M[el oM (b) i• •w,n 1 ��� � 4•aw r..., B.S 1• Ir MI e,N �aa, Cola ? ' s � '' ] ,I .el....•.. IM .ems +ew w.• n�e.sU. Api`{�1 am M 12 REVREO —Ac„ IM1 ,00,00e 359-18 010 M3 cm A --n 9 'ice- QD Lo mr _ , - �,. ,� y� _ti. oar � (210-A PH, 4/92) N-359-1 WASTE TREATMENT LAGOON ENGINEERING NOTEKEEPII�G Design Survey, Desiq, and Plans A. Engineering plans shall be prepared for each component of an animal waste management system. The design survey must be in sufficient detail to allow an accurate determination of waste inlet and outlet locations, and volume requirements. This may be accomplished by obtaining a centerline profile of the embankment location, along with some key elevations in and around the lagoon area when the embankment type lagoon is used, or sufficient cross -sections of the area involved to prepare a topographic map. Grid surveys of the area may be needed at times. Designs will include documentation showing how required volume is determined. B. Record distance to nearest area for public use or residence of anyone other than the owner or his tenant. C. Record both structural classification and site evaluation for all embankment lagoons. The structural classification should be recorded on Form NC-ENG-34 and the site evaluation should be recorded on Form NC-CPA-17, Site Evaluation. D. A detailed soils investigation shall be made on all sites with special attention to the water table, seepage potential, and the need for a liner. E. A detailed operation and maintenance plan shall be a part of every plan and design. F. Source of water for initial filling of lagoon should be indicated. G. Check height of embankment and volume of effluent to determine if a dam safety permit from the Department of Environment, Health and Natural Resources is required. H. Show minimum thickness of liner and moisture requirements if applicable. Protection for liner during initial till. 1. Emergency Action Plan Construction Layout Set enough well marked stakes to guide the contractor in constructing the lagoon according to plans. Construction Check As a minimum, the following data will be recorded: A. Embankment Type 1. Record profile and cross-section of foundation cutoff trench. 2. Record a profile along centerline of embankment to determine if top elevation is adequate. 3. Record at least one cross-section of the embankment to determine construction top width and side slopes. 4. Record the elevation and bottom width of the emergency spillway, if applicable. 5. Statement as to the adequacy of construction of the embankment. B. Excavated and embankment types 1. Take enough measurements to determine that depth, slope, and storage requirements have been met. 2. Record elevations of highly visible markers that delineate the top and bottom of the pumping volume. This is the temporary storage minus the 25-year, 24- hour storm and "Heavy Rain" factor. 3. Statement as to the adequacy of construction of the liner, if applicable. Show areas lined on "As Builts" and thickness of liner installed. MRCS. `C January, 1998 N-359-2 C. For ramps and/or waste inlet pipes, and overflow pipes, record the following: I. Location. 2. Dimensions and kind of material used in structures. 3.. Elevation of invert of discharge to the lagoon. 4. Elevation of overflow pipe. D. Statement of the adequacy of control of outside runoff into the lagoon. E. Statement of the adequacy of vegetative erosion control measures. F. Statement to the effect that practice meets plans and specifications. G. Date and signature of person making construction check. Recording Data Field notes will be recorded in a standard engineering field book or a standard design form. 9 MRCS, NC January, 1998 EMERGENCY ACTION PLAN PHONE NUivIBERS D�VQ 133 - _SC 93 Ey1ERGEVCY YIANAGENIENT SYSTEM 1 t SWCD �r41 ii 643 : t r) 3 Q%-F- 3 ivRCS _ 5Lm,-. _._..— This plan will be implemented in the event that wastes' from,your operation are leaking, overflowing, or running off site. You should not wait until wastes reach surface waters or leave your property to consider that you have a problem. You should make every effort to ensure that this does not happen. This plan should be posted in an accessible location for all employees at the facility. The following are some action items you should take. 1. Stop the release of wastes. Depending on the situation. this may or may not be possible. Suggested responses to some possible problems are listed below. A. Lagoon overflow -possible solutions are: a. Add soil to berm to increase elevation of dam. b. Pump wastes to fields at an acceptable rate. c. Stop all flows to the lagoon immediately. d. Call a pumping contractor. e. ivlake sure no surface water is entering lagoon. B: Runoff from waste application field -actions include: a. Immediately stop waste application. b. Create a temporary diversion to contain waste. c. Incorporate waste to reduce runoff. d. Evaluate and eliminate the reason(s) that caused the runoff. e. Evaluate the application rates for the fields where runoff occurred. C: Leaka-e from the waste pipes and sprinklers -action include: a. Stop recycle pump. b. Stop irrigation pump. c. Close valves to eliminate further discharge. d. Repair all leaks prior to restarting pumps. D: Leakage from flush systems. houses, solid separators -action include: a. Stop recycle pump. b. Stop irrigation pump. c. ylake sure no siphon occurs. d. Stop all flows in the house. t-lush systems. or solid separators. Dc :...:nher IS. i 9c6 e. Repair all leaks prior to restarting_ pumps. E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to flowing leaks- possible action: a. Dig a small sump or ditch-awayfrom the embankment to catch all seepage. put in a submersible pump. and pump back to lagoon. b. If holes are caused by burrowing animals. trao or remove animals and fill holes and compact with a clay type soil. c. Have a professional evaluate the condition of the side walls and lagoon bottom as soon as possible. Assess the extent of the spill and note any obvious damages. a. Did the waste reach any surface waters?._ _ ..._..._... __......_ _- b. Approximately how much was released and for what duration? c. Anv damage noted, such as employee injury, fish kills, or property damage? d. Did the spill leave the property? e. Does the spill have the potential to reach surface waters? f. Could a future rain event cause the spill to reach surface waters? s. Are potable water wells in danger (either on or offof the property)? h. How much reached surface waters? 3: Contact appropriate agencies. a. During' normal. business hours, call your DWQ (Division of Water Quality) regional office; Phone - - . After hours, emergency number: 919-t3-33942. Your phone call should include: your name, facility, telephone number, the details of the incident from item ? above, the exact location of the facility, the location or direction of movement of the spill, weather and wind conditions. The corrective measures that have been under taken, and the seriousness of the situation. b. If spill leaves property or enters surface waters, call local EMS Phone number - c. Instruct EMS to contact local Health Department. d. Contact CES, phone number - - , local SWCD office phone number and local MRCS office for advice/technical assistance phone number - - 4: If none of the above works call 911 or the Sheriff's Department and explain your problem to them and ask that person to contact the proper agencies for you. 5: Contact the contractor of your choice to begin repair of problem to minimize off -site damage. a. 'Contractors Name: b. Contractors Address: c. Contractors Phone: Dzc.moer IS. f 990 6: Contact the technical specialist who certified the lagoon (MRCS. Consultin_x End*inter. etc.) a. dame: Ff&O K �:: vans _ JET b. Phone:^ 9 « a�- 7: Implement procedures as advised by DWQ and technical assi�tance agencies to rectify the damage. repair the system. and reassess the waste management plan to keep problems with release of wastes from happening again. l'S. 1996 Swine Farm Waste Management Odor Control Checklist sutirce Cause I1691's to Minimize Odor site specific Practices Farmstead a Swine produclioll ❑ Vegetative or wooded buffers; ❑ Recommended best management practices; ❑ Good judgment and coninio•i sense Animal body surfaces Dirty manuic-covered animals Cl Dry floors ^Floor surfaces Wet maritlie-covered lloors ❑ Slotted floors; ❑ Waterers located over" sloticd lloors ❑ feeders at high Cold of solid floors; ❑ Scrape nianure buildup Crum floors; ❑ Underfloor ventilation for drying Mariiire collection pits Urine; ❑ Frequent manure removal by flush, pit recharge, • I'arlial niicrubial deauiiposilioil or scrape; Cl Underfloor vcnlilalion Ventiialion exhaust fans Volatile gases; ❑ Fan maintenance; Dust ❑ Efficient air movement lndoui• srrfaccs + Dust ❑ Washdowii bcl%vicei1 groups of aiiiillal5; ❑ Feed additives; ❑ Feeder covers; Cl Peed delivery downspout extenders to feeder covers Flush larks 0 Agitation ol'recycled Ingoon Cl Plush lank covers; liquid while tanks are filling ❑ Extend Pill lines to near boftum of tanks with anti -siphon vents Flustl alleys 9 Agitation during wastcwaler ❑ Underfloor flush with underfloor ventilation conveyance Ili( recharge points • Agitation of recycled lagoon ❑ Extend recharge lines to near bollum ofpits liquid while pits are filling with allti-sillllull vents Lift stations • Agitation during stimp lank Cl Sump lank covers filling and dramlown Uulside drain collection Agitation during wastewater ❑ Box covers or junclion boxes conveyance AMU(-- November H. 1996, Page 3 -",%. --.j'- Sornrcc Cause 1N191s toMimillize Wor Site Specilic t'rnetices End of drainpipes at 0 Agitation during wastctvater O I"sxlcnd discllargc• point of pipes underrcath lagoon conveyance lagoons liquid level Lagoon surfaces • Volatile gas emissions; ❑ Proper lagoost liquid capacity; • Biological mixing; ❑ Correct lagoon startup procedures; • Agitation ❑ Mir.frnnn surface arcrl-to-volume ratio; ❑ Miniiuum agitation when pumping; ❑ Mechanical aerations; 0 Provcn biological additives Irrigati�m sprinkler I nigh III mill c agitation; ❑ Irrigate on dry days with little or no wind; nozzles Wissd drill Cl Minimum rccummended operating pressure; Cl Pump intake near lagoon liquid surface; Cl Pump from second -stage lagoon Storage lank or basin 0 Partial microbial decomposition; ❑ Bottom or midlevel loading; sur[ilcea Mixing while filling; ❑ 'I arsk•covcrs; • Agilalioii when enlptyilig ❑ Basin surface runts of Solids; ❑ Proven biological additives or oxidants Settling basin sill face Partial microbial decomposition; ❑ Bxtend drainpipe outlets underr.enth liquid • Mixing while filling; level; • Agitation when emptying CI Remove settled solids regularly INfalnrl-e, slurry or sludge Agitation when spreading; ❑ Soil injection of slurry/sludges; spreader outlets Volatile gas cmissions ❑ Wash residual manure from sprcader alter use; ❑ Proven biological additives or oxidauls Uncovered manure, Volatile gas clnissio..s while ❑ Soil injccOon ofslurrylsludges slurry or sludge on field drying ❑ Soil incorporation within 48 hrs.; surfaces ❑ Spread in thin uniform layers for rapid drying; ❑ Proven biological additives or oxidants Dead animals Carcass decomposition ❑ Proper disposilion of carcasses Dead animal disposal Carcass decompositiurt ❑ Complete covering of carcasses in burial pits; pits ❑ Proper loci tion/coastruclion of disposal pits IIICIneral0l$ • Incomplete consbustiors ❑ Secondary'stack burners Ah,IOC - Nuvcmber 11, 1996, Page 4 C� Source Cause 11511's to Minimize Odor Site Sllccilic Practices . Slanding water around IIIII)I uper (Irainage; ❑ Grade and landscape such that water drains facilities Microbial decomposiliull of away front lacililics Organic nrltler Manure tracked onto Pum ly maintained access roads Cl Faim access road mainlenance — public rows from farm :ICCCSS Additional iidormalimi : Available From Swinc Mauulc M.-magcmew : 0200 Rule/13MI' Packet i NCSU, County Exlension Cei ler S+vine Production Farm Polcnlial Udor Sources and Remedies ; EBAG Facl Sheet NCSU - 13AL' Swinc Production Facility Mannlc Management: I'il Rccharge - I_aguun'I'realment ; EI3AE 128-88 NCSU - BAE Swine Production Facility Malmic Management: Underfloor Hush - Lagooa'I)-calmenl ; EBA[s 129-88 NCSU - BAL• LaCI)nll Design and Management for Livestock Mannrc 'I'reatmcnl and Sloragc ; Il. BAE 103-83 NCSU - 13AI'1- Calibration of Manure and Wasimaler Application &luipment ; EDAI; Fact Sheet NCSU - l3AE Controlling O(Iois t'ruul Swiuc [Buildings ; 11111-33 NCSU - Swine Extension Envimuncntal Assurance Program ; NI'PC Manual NC Pork Producers Assoc Options for Managing Udor ; a reporl from the Swine Udor -Task Force NCSU Agri Communicati(ms Nuisance Concems in Animal Manure Management: Odors and Flics ; PR0107, 1995 Conference Proceedings Florida Cuuperalive Extension ANIOC'- "fovemller- 11, 1996, Page 5 Insect Control Checklist for Animal Operations Suurce Cause 13I111's [o CnI --i insects $iic Slmccitic Practices (erns Flush (minters Accumulation of solids ❑ Flush system is designed and operated --- - - - sufficiently to remove nccutitulmed solids from gullers as designed. C1 Remove bridging anucumuIaled solids at _ discharge Linguons and fits • Ousted Sulids O Maintain lagouns, settling bnsuts rend Hits Where pest breeding is nppmmit to minimize the crusting of solids to 1 depth of no more than G - S incites over more than 30% of surface. Excessive Vegelative Decaying vegetation O Mniumitr vegetative control nloug backs of Gmowth lagoons and other impoundments to prevent accumulation ordecayitig vegetative matter atong water's edge on impoundment's perimeter. -llry Systems Feeders Feed Spillage ❑ Design, operate and maintain reed systems te.g., bunkers and trougiis) to minimize the accumulation of decaying wastage. O Clean up spiIhige ou n routine basis (e.g., 7 - 10 day interval during skimmer; 15-30 Jay interval during winter). Feed Storage Accutntilatiuns of feed residues Cl Reduce nmoisture accumulations within and around imnmedinte perimeter or freed storage mean by insuring drainage away from site andlor Providing adequate contaimtment (e.g., covered yin for brewer's grain and similar high moisture grain products). ❑ Inspect for and remove or break tip accumulated solids in filter strips around feed storage as necded. • , 111-• 1-5,,.,. o,I,r-r t I. 1996, 1'nt;c I Nlortalitv'Management Methods (check which method(s) are being_ implemented) Burial three feet beneath the surface of the -,round within 24 hours after knowledge of the death. The burial must be at least 300 feet from Inv flowing stream or public body of water. :3 Rendering at a rendering plant licensed under G.S. 106-168.7 u Complete incineration Zi 1n the case of dead poultry only. placing in a disposal pit of a size and design approved by the Department of Agriculture TV Any method which in the professional opinion of the State Veterinarian would make possible the salvage of part of a dead animal's value without.endangering human or animal health'. (Written approval of the State Veterinarian must be attached) December- 18. 1996 Swine Farm Waste Management Odor Control Checklist Suurce Cause U5111's to Minimize Odor Si(e Specific Practices Farmstead • SAY iitC'prod uctioll Er Vegetative or wooded buffers; ICJ Recommended best managcment practices; Cf Good judgment and common sense Aidinal body surfaces Dirty matit ire -covered animals pf Dry floors Fluor sill lyices Wei manure -covered floors ❑ Sloued flours; ❑ - Walcrcrs located over slotted floors; Feeders at high cud of solid floors; Scrape mamirc buildup fium floors; ❑ Underfloor venlilalion for drying Manure collection hits • Urine; 16 Frequent manure removal by flush, pit recharge, • 11a1lial microbial deculilpusiliull or scrape; ❑ . Underfloor venlilalion Ventilalioll exhaust Calls • Volatile gases; ; Fan maintellance; Dust f( Efficient air movement Indour surfaces Dust Fijr Waslldown behvecn groups of animals; ❑ reed nddilivcs; ❑ Feeder covers; ❑ Feed delivery downspout exlcnders to feeder covers Flush tanks 0 Agitation of* recycled lagoon ❑J Flush lank covers; liquid while tanks are filling 0 Ex(end rill lilies to near bo(lom of links with anti -siphon vents FIUsh alleys • Agitation during wastewalcr ❑ Underfloor flush with Underfloor ventilalion conveyance 1'it recharge points • Agilaliou of recycled lagoon ❑ Extend recharge lines to near bollom of bits liquid while pils are filling %vilh anti-siphoil veins Lill slaliuns Agitation during sump lank ❑ Sump tank covers filling and drawdomi Uulside drain collection Agitation during wastewater O Box covers . or junction boxes conveyance AMor'-Nuvcuil>cr 11, 1996, Pap 3 J r` Source Cruise 13M1's to Minimize Odor Site Specific Prnclices _ F End of drainpipes at 0 Agilatiori during waslc%yutcr Ef liMend discharge point of pipes underneath lagoon conveyance lagoon liquid level Lagoon surfaces • V61,11ile gas emissions; . Proper lagoon liquid capacity; • Biological mixing, �Correcl lagoon startup procedures; • Agitation WMinimum surface nrea-to-volume ratio; Mininitun agitation When pumping; Cl Mechanical acraliolu; Proven biological additives irrigation sprinkler I ligh Incssulc agitation; ET Irrignic on dry days with little or no wind; riw les Wind drill . 0Minimum reconuncnded operating pressure; /Pump intake ricar lagoon liquid surface; 11111111) rrom second -singe lagoon Storage lank or basin 11a1iial rincrobinl decomposition; ❑ Bottom or midlevel londing; surfiice Mixing while filling; O '1'ank,covcrs; • Agitation when eniplybig ❑ 13asiri surr.icc vials of solicis; O Proven biological additives or oxidants Settling basin sinfncc NOW microbial decomposition; Cl 1. tend drainpipe outlets uuderncntlr liquid • Mixing while filling; level; • Agitation when euiptyiug ❑ Remove settled solids regularly Manure, slurry or sludge Agitation when spreading; ❑ Soil injection of slurry/sludges; spreader outlets Volatile gas emissions ❑ Wnsh residunl manure from spreader aner use; Cl Proven biological additives or oxidants Uncovered manure, • Volatile gas emissions while d Soil injection orsiurry/sludges slurry or sludge on field drying ❑ Soil incorporation wilhin 48 hrs.; sm-races ❑ Spread in thin unirorm layers for rapid drying; ❑ Proven biological additives or oxidants head animals • Carcass decomposition Proper disposition of carcasses Dead painial disposal • Carcass decomposilimi Ef Complete covcrilig of carcasses ill burial pits; pits Zr Proper location/construction of disposal pils lucinerators 6 Incomplete combustion ❑ Secondary stack burners AMOC - November 11, 1996, Page 4 Source Cause 1161Ps to Minintize Odor SiiC Specific Vt•actices Slanding water around • In1piaper drainage; ) Grade and landscape such that ►valer drains facilities . Micruhial decomposition of away from flucililies organic tnallcr , Manure backed onlo • Poorly maintained access roads ' Darn: access road maintenance public reads from larm access Addiliaual hillurmation : Available From : Swim Minute M:nmgemcot : 0200 I031013MP Packet NCSU, County Exlension Center S►vine Production farm Potenlial Odor Sources and Remedies; EBAE Fncl Shcel NCSU - 13A1"s S►vim Production I-acilily Manure Martagemcat: Ili( Rcchargc - Lagoon Trealntctti ; E'BAE 128-88 NCSU - BAE Swine Production Facilily Minturc ManagemenC Underfloor Flush - Lagoun'f)-calment ; [:13A1s 129-88 NCSU - l3AL• Lagoon Uesign and Management for Livestock Manure Treatment and Storage ; EBAE 103-83 NCSU - 13AE Calibration of Mannrc and Waste►valer Application Equipment ; EBAE Fact Slice NCSU - BAE Controlling Odors trout S►vinc 13uildings ; PII I-33 NCSU - Swine Extension Environnicnlal Assurance Program ; NPfC Manual NC fork Producers Assoc Oplions fur Managing Odor; a reporl f-om Ilie S+vine Odor *]'ask Force NCSU Agri Coen umications. Nuis,mce Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Coufcretice Proceedings Florida. Cooperalive 13-mcnsion AMOC 'lovembcr 11, 1996, Pagc5 Insect Control Checklist for Animal Operations SU1II-CC Cnase UMf's to Control Insects Site Specific I'l'aclIces Liquid Systeols Flush Guticrs • Accumulation of solids ef blush system is designed and oper-.itcd sufficiently to remove ncculnuinted solids from ,/'gutters ns designed. eT itemove bridging of uccumuImed solids at Lagoons and Pits 0 C:lusled Solids Maintain lagoolls, Scilling basills nlld Ails where pest breeding is apparent to luininlize the crusting of solids to a depth of no more than G - 8 inches over more lllml 30% of stlrrace. t;xccssivc Vcgetntive 0 Decaying vegetation Mairllnin vegetative control along banks of Glvwtll lagoons and other impoundments to prevent nccumutntion of decaying vegetative matter along watces edge on impoundnlctit's periotcter. I)ry Systems Feeders feed Spillage Cl Design, operate and Illailltrlin iced systems (e.g., butlkers and trouglts) to minimize the accumulation of decaying wastage. Cl Clean up spillage ott n routine basis (e.g., 7 - lU clay interval during summer; 15-30 day interval during winter). Feed Storage Accumulations of feed residtles 0 Iteduce moisture accumulation within and around itlltticdiate perimeter of reed storage . nrcns by insuring drainige away from site andlor providing adequate containment (e.g., covered bits for brewer's grails and similar high moisture grain products). O Inspect for nod reinove or break up accumulated solids in tiller strips around feed stornge ns nccdcd. z=- United States Soil y Department of Conservation Agriculture Service Roger Norman Rt. 4, Box 142-C Oxford, N. C. 27565 Dear Roger: P. 0. Box 10 Oxford, N. C. 27565 24 June 1981 �� Attychedpzs. "the. d'eSPeserseee` new lagoon to ° b'e constructed g . _ . on our property. th"at°-'the design is followed. A final certification cannot be issued if the design is not followed. This also means that all of the disturbed areas must be seeded before a final certification can be issued. If you have a y further questions, please call me. Bo ce L. Harvey 7ll� District Conservationist Attachments cc: Farmer's Home Administration Bill Thayer, SCS � r FICA C�,�-� 43� :f/ 1 J LAGOON Distance from nearest residence / D D D Soils1 „t.+ , ,�, Number of Aedmal Units or Total lbs. Type Lago n Kind of animals Sw rnu E Volume^ /Dyrpoc> Units % /,0--.ft. .3 a _ 3 PSG cu. yds. 27 - -- HOLDING VOLUME (waste + rain + 25-year storm) Period 55 rr o5. Watershed D. % acres Waste 7qo cu. yds., normal rain less evaporation 5 cu. yds. 25-yr. storm -j,33 - Total cu. yds. FERTILIZATION & SEEDING acres. Lime A 7D N5 Fertilizer /Ooo L.$5. Seed 5a [g, 5cur Mulch 80 6Aiss -_,a�I'd. Srrlr�it GR.m !,L) SuPFRPNDSA4tj tF _MAINTENANCE The vegetative cover on the fill shall be maintained by fertilizing when needed. Woody growth should be prevented from developing by proper mowing. Repair any minor erosion that occurs. z-AID' za Length_ 2z 8 ' Width / Q8 Top Width /2 Top of fill - - - - - - elev. 6,g Top of holding volume- - - - - - e1ev. Q 5.3 Top of lagoon volume - - - - - - elev. 93.E Bottom of lagoon - - - - - - - - elev. 5.3 Emergency spillway - - - - - - - elev. q5. 3 C/D�WrD7'hf� I Interior side slopes - - - - - - Exterior side slopes i 5.5yS' -% - cam, ti-�:� _• �;/�� 6 in `cr•� r� i -r, / c_�,-� q S � _ _c. ro•rr -- _ TBM 410d N.414IN Do0tf, &IF 1 kp6C w mN TRA NS mtR 2 . �V Fib NDRl FNO D,,t' AEO F04D1A16, D 9-516 )/ 1,S S o4 m E /4 5 EXISTIA16 414600 / Eu61r1FFR)N6 FIELO Wbk PAGE J U. S. DEPARTMENT OF AGRICULTURE SOEL CONSERVATION SEWICE k-� rift .-----_---._------ -- 5 SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS OR HOLDING PONDS Clearing:. All trees and brush shall be removed from the construction area before any excavating -or fill is started.-' Stumps will-be'removed within the area'of the foundation of the embankment'and'all excavated - area's'.'' All stumps and 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. The foundation area shall le loosened 'thoroughly end roughly leveled, with suitable equipment, before;, placement. of any., embankment.,:..'...,.. material., Cutoff Trench: A cutoff trench shall -'be excavated as•'showd'on the" -plans: The cutoff trench shall be backfilled�in�'thin layers-, 'not''to exceed eight (8) inches in depth. All standing water shall:be removed from the.trench before backfilling is'started. Construction: 'Construction'will be'composed-of excavation and 'fill placement to obtain the planned internal .volume.?. " Cgastrudtion ,shall'be' accomplished to the grades and slopes as planned..,;, The fill material placed-i In tire: embankment, shall be.' free of sod, roots, stones over six (6) inches in diameter,"-anl"other obie'ctionable materials. The fill material shall be'placed'and-.spread over the entire fill in.layers not to exceed eight (8) inches. -.,#..thickness.. Construction of the fill shall be undertaken only at such times that"Ehe•m61sture content'of the fill material will permit a reasonable degree of•compaction. The primary borrow area will be within the basin itself. Any other areas '. will be designated on the plans. , Vegetation: All exposed.embankmen.t;.spillway,",and borrow areas shall be seeded to the planned type of vegetatioii•as'soon as 'possible after construction. . -SPECIAL SPECIFICATIONS. Cut Core Where Fill"Eiiceeds' 3"' TYPICAL CROSS SECTION OPERATION PLAN This plan includes sufficient,land for proper use..or disposaZ..,of waste at locations, times, rates, and volumes that maintain•desiraiile.water ,._ soil plant conditions. _. ,.. , . . There will be apgroximately.��lbs.''of nitrogen produced•each year:".: This is the dominate nutrient a].gng.w;.th phosphorus and potassium`that:'• you will be involved with. ; • The• nitrogen in.= the ' fresh waste . will be'J reduced by approximately 70% with the use of irrigation or liquid';'.„ spreading. This would yield ajLk7 _lbs..cf nitrogen to. ,be used. -Tests of . nitrogen content in lagoons should,be-ohi ked:� t, r,to land applicati:o • Waste will be spread by use ofAl The holdingqvolume oy this basin"ie for" 3 ' months. Crops on the farm available .for'nitrogen'.use: ac. x 60::: rlba.r.. ate;per_ac. X4` 70 ac. x ` . lbs..:,rat�e per ac:- ac. x ` - lba.n:raCe"� per ac: :;;� r t'. .:J ac. x lbs.; :,rats, per. ac. J .;' Total. — Other Other farms (Name ) :... .: S• •5 :.5 :.. rye' ..i ._1 ac. x � lbs. , rate -per aq..., :.r;:r<<" D. ac.•X lb `• ate+per'ac. ac. x • (',::f lbs., ac.. ac. x lbs. rate per ac. The basin is composed of two voy�mes,::_',;The`lawer.%Tfeet of ,depth in the basin is the lagoon volume. 'The remaining depth of the basin to the emergency spillway level is holding volume., The lagoon volume is.a permanent volume whereas the holding volume is fluctuating. When construction -is completed, the Lagoon level and the top of the pumping volume is marked with permanent markers, -.--.,- Effluent should be pumped when (1) it will.be most beneficial to the crops and (2) when the soil can readily absorb the'.effluent and have no runoff. This may be several times within -the 3 month holding time. AU S. S. DEPARTMENT OF AGRICULTURE NC-ES-1 (JS) oil Conservation Service File Code ES-11 May 1979 TREATMENT -ON CRITICAL EROSION AREAS WITH PERMANENT GROUND COVER A critical erosion area is any -erodible, sediment -producing area such as excessively eroding cropland, cuts, fills, streambanks, landfills, roadbanks, dams, spillways, borrow areas, and denuded or Bullied areas where vegetative stabilization is difficult by ordinary methods. Stabilizing these areas will reduce damage from sediment and runoff to downstream areas, and improve wildlife habitat and visual resources. - ..�•+ _��YW+--�.S+`'r��".'.: 'mow aw 72 a 4' Annuat 50it wzion in excebb o6 18 to 20 ton.$ pen acne on cAop&nd .i.5 cAi i- cat eAo.6ion bon most North Canoti.na SOILS Cu,tb and 6. U-6 are ub u.atty d 6 jicu.ft aneah to .btabii.ze and qu ickty devetop eAoa.i.on pnob -ema when 2ejt untAea,ted. Usually the soil material on which seeding or planting is to be done is infertile, poor in structure and aggregation, low in organic matter and may be highly•acid. This material is highly susceptible to erosion due to slow water intake and rapid runoff. To aid in overcoming these conditions, organic matter can be applied in the form of manure, lime applied where.needed, and appropriate commercial, fertilizers added. On most sites, four inches of loamy topsoil. applied to the site before seeding enhances establishment of ground cover and minimizes maintenance. SITE PREPARATION Where equipment-will.travel over the.site during planting and/or for maintenance after establishment, slopes should be no.steeper than 3:1. Where practical, fill and shape gullied areas. Install necessary water control measures such as diversions, waterways or outlets, subsurface (tile) drainage,.and terraces. Remove all debris, such as stones, tree stumps, etc. that may interfere with seeding and maintenance operations. SEEDBED PREPARATION Scarify surface to a depth of at least four inches with a•disk or other suitable method. In some situations, such as drainage ditch banks, spoil banks, etc., scarification can be excluded if lime, fertilizer, and seed are applied to the roughened surface within one or two days after earth moving. Apply lime and fertilizer according to soil test or based upon known needs of the soil. Mix them into the surface soil. If lime and fertilizer are to be applied by hydro - seeder, soil mixing is not required. In theabsence of soil test results or knowledge of the needs, suggested application rates are two tons of limestone per acre and 500 to 800 pounds of 20% superphosphate (or equivalent) per acre, and at least 80 pounds each of nitrogen, phosphorus,.and potassium (800 lbs. of 10-10-10 or equivalent) per acre. Nitrogen can be reduced by one-half if legumes are seeded alone -or with grasses. Manure helps to improve soil.tilth. Whenever available, -it should be applied to any critical area before seeding. A rate -of 15 to 20 tons per acre.is suggested. Work the manure into the soil as practicable, especially on waterways and spillways. PLANT SELECTION AND SPECIFICATIONS Select plants which are best suited. In making the selection', keep in mind the plants' characteristics, climatic adaptation, the intended use, and level of maintenance required. Suggested time of seeding, rates of seed and mixtures for specific uses should be obtained from the soil conservationist. Whenever available, certified seed tested within six months before seeding.should be used. Legumes should be scarified if neces- sary and ihoculated'with the'-proper'st7ain of nitrogen -fixing -bacteria before seeding. When grass is established,by'using stolens (sprigs or runners), use,precaution to make certain only fresh,,moist'planting material is used. SEEDING OR PLANTING Uniformly apply seed with a drill, culti- packer seeder or hydroseeder. Seed may also be broadcast by .using a whirlwind or cyclone seeder or by hand. Cover the seed 1/4 to i inch deep, depending on the size of the seed, and firm the soil except where a cultipacker or hydroseeder is used. MULCHING . , Mul chi ng is a very important step in estab- lishing vegetation•on critical areas. Mulch will help hold moisture, protect '�5 r .,�� �• :. soil from erosion, hold seed 'in place; and keep toil temperatures more constant.It should be applied uniformly by mechanical; '.Hay means -'or by.hand: Some bare soil should still be -visible through the mulch: or straw.or.other fibrous mulches are best for mulching newly seeded areas.' Most mulch materials are subject to blowing and'must be' tied down by anchoring or pressing into soil, netting, or asphalt spray. MAINTENANCE the Lime, -and fertilizer should' be `a'ppl ied nnder"'a ;regular ' program .based on soil fertility .test'and the use and genera1-appear . ance of .the vegetative cover.. In'the absence of a soil test, the•following are'suggested lime a.nd fertilizer rates:. One to two tons of limestone per acre every three"to-five.years; and at least•40 pounds each of nitrogen, phosphorus, and potassium.(400 lbs. of 10-10-10 or equivalent) per acre annually: Nitrogen may be reduced one-half or more if legumes are established alone or with grasses. Care should betaken not to damage the vegetation mechanically through use of improper mowing equipment or by too frequent and/or'close mowing. SCS-ENG-539 U. S. DEPARTMENT OF AGRICULTURE Rev. 5-70 SOIL CONSERVATION SERVICE SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE WATERSHED AREA MEASUREMENTS i CROPLAND -ACRES PASTURE- ACRES' Ames- rlm! •.. • . •• . .•1� SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. scale V =_feet� Locate reference point in center line of dam and Identify on sketch. ■■■■■■IMMI■■■■ ■■■■■■■■■■■■■ ■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■ 1 ■■■■ ■ ■ ■MIME■■ ■ ■■■■■■■ ■■■■■■■■■■ ■■■■ 'WEN, ■■■■■■■111MEN ■■■NIM■■■ ■■■■■■■�■■■■ ■��■■■■■■■■■■■Eta ■■■■�■■■■ RI■■■ MIME ■■■ ■■■■■■�■■■■ ■■\M■ =■ _■M1 ■0-M!■■■■■■ ■■■■■■■■■ ■Err■■■■■■■■■ ■■■■■■ME■■■■■■■■■■■■■■■■■ ■■■■■■■ ■■ ■■■■■■■■ ■■■a■ ■■ son ■■■ ■■■■■■■■■■�■■ :.. PROFILE ' Make and list darn-jitt and spillway borongs first - then panded area and borrow pit borings - jep4r4jq Willi verilCal red ling. lContinued on back where neceisary) Show water lable situations a" dam-sile borings. �mIDI■I■1■!■1■!■ ■1■I■1 I■I■I■i■I■I■1■I■I■I■I■� nlll�NlMlMIlNElNl�l�l�E■ill■I�I�I�I�I�I� �■1■I■�■I■i■�■I■�■i■I■1■I■I■I■t■�■I■�■I■I■I■I■ �■lel■I■I■I■I■I■I■I■I■I�I■I■I■I■■I■I■I�I■I■i■ �■�■I■I■I■I■I■I■'■I■I■I I■I■i■I■!■I■I■I I■I■i■� �■! I■■I■� I■I■I■I■I■I■f■i■I■I■i■I■I■I■I■I■i■ ■I�I■I■I■i■I■I■I■I■I®I■I■I■I■I■i■I■I■I■I■I■!■ ■I■I■I■I■I■1■I■I I■I■I■I■I■I■I■I■�■l■I■I■I■l■ :•• - - /" NC-ENG-12 (JS) 8 /72 File Code ENG-13 U.S. Department of Agriculture Soil Conservation Service �j VOLUME ESTIMATE FOR EARTH EMBANKMENT Name �1 DGE/Q %`►� R ; K Address © FOQ N+�► Embankment: Top Width Side Slopes STATION FILL HEIGHT ( Feet) END AREA (Sq. Ft.) SUM OF END AREAS (Sq. Ft.) DISTANCE ( Feet) DOUBLE VOLUME (Cu. Ft. ) 0+00 O d 5i1 3 1 371/ o-f3!j S ir�.5 9 A 3.5�V 0 rt-Y o Q.;z 30 37 aao 53 3a 31 4tO Ac dL b 9 335 _ 5660 a +un �15410 400 , 40 8 Ll D 3+av 13 O 8 5� v 77 /7,240 1. Double Volume of Fill = 2= Cu. Ft. 2. Volume of embankment fill (line 1 27)= 3. Allowance for settlement (5 or 1096 of line 2) = T 4. Total cubic yards (line 2 + line 31= Cu. Yds. Cu. Yds. Cu. Yds. Computed by Date /NC-E NG- 12 (JS) 8/72 File Code ENG-13 Name !x{] Address Embankment: U.S. Department of Agriculture Soil Conservation Service VOLUME ESTIMATE FOR EARTH EMBANKMENT hRrn-A r1 PG - *;- -` _ Top Width Side Slopes SUM OF DOUBLE STATION FILL HEIGHT (Feet) END AREA (Sq. Ft.) END AREAS (Sc}. Ft.) DISTANCE ( Feet) VOLUME (Cu. Ft. ) q+4Q o la �o 5+.)-o 6.4 r 313 35 to 95 54"455 5.3 134 134 13 y Y? �87 5 l 1. Double Volume of Fill s 2= N 3, %8(M _Cu. Ft. 2. Volume of embankment fill (line 1 27)- 5.3 5 Cu. Yds. 3. Allowance for settlement {5 r 10% of line 2)= a 7o Cu. Yds. 4. Total cubic yards { line' 2 + line 3)= Cu. Yds. Computed by 1F✓ F.S. or ! Ele.. of I :i .: ,:::. `>'• ' I Soo. B.S- H.E. i _ j E _ — -- . Grade Rod - - - - - .. , �6 r '•: f#.t 7 ► ; T 4 Y DeoFtmenEi of Agddununl — - I Sod Conservation Servico SO Work Unit ©.4_6 ems! ' r I Ii- - l 41-5 yyy. }}ma�yy Des grt Suf ✓ - - i . 3- Co�st Check i Uther - — fi- WsL A8 hL : I i I ' r , • I !`i , _I : I 1 , ;-IN cz— NCLENG-160S) U. S. Department of Agriculture ' Revised 9/77 Soil Conservation Service POND DESIGN - WORK SHEET (Not Flood Routed) County ^_ Location Code Pond Owner %C / t ,x Address C r i GENERAL INFORMATION gITMMARY Drainage Area a 12 8 Ac. Average Watershed Slope = % Slope Interpolating Factor = -- * Normal Pool Surface Area a %, 5 Ac. 'Engineering Job Class I Hazard Class Est. Storage to Top Ac.Ft. Est. Structure Life Yrs. i Normal Water Level Elev. Required Storage (Ft.) + Crest Emergency Spillway Elev. Emergency Spillway Stage (Ft.) Design Highwater Elev. Freeboard (Ft.) + Top of Dam Elev. DETERMINATION OF RUNOFF CURVE. ER FOR SOIL MO STURE CONDITION II Land Use or Cover Treatment or Practice Hydrologic Condition Hydrologic Soil Group Acres Curve No. Curve No. x Acres el 7A �.. 7 to117-3 I I I Sum of Acres 1978 Sum of Product eZO6t? Weighted Curve No. Sum of Curve No. x Acres Sum of Total No. Acres a 8 s 7 3,S Use CN = REQUIRED DETENTION STORAGE �L Yr- � Day - �, 9 inches 0&*9 inches Runoff Required ( 0�7 In.) {9Ac. D.A. ) r �(a Ac. Ft. Storage - = /„56 Ac.-Ft._ t. Use )ID Ft. 12 In. Ft. �,5 Ac. (Pool) EMERGENCY SPILLWAY DESIGN t� _ A5 Yr- / Day- 6.1 In. _ ( t�?O CFS) ( *) - CFS. Use CFS with Ft. Bottom Width and CFS it:age = Ft. Use Ft. Outlet lope Range Min. Max. _ Use o?y' 1,A11 Computed By Date Checked By Date *EFM Page 2-8.1 Ak Distance fram nearest •r.esidence j'G?;'+ Soi=1s l J _��alumher. oG 1imA1 Units -'or Total lbs TYpe, i,ako Kind of an imal1s t _ "61ume 67C7e nit's�.X - ��- f�.3 3 - cu ;yds. :� r �:r 27. 'H0LI;ING._.uOLUDiC (waste. + rain +' 25-year -storm) °Period Watershed p,' acres t Waste C? _' _cu. yds. ; "rain cu. of 25:yr 9tdtm 533' i ' dotal 51 LAND .DISPOSAL z, total acres'. 1■1 _, f r VU`TILIZATION & SEEDING a ' - - -' acres 4`r`rc'r::Life_ 7DH5-tiriiE,^''�Fertilizer /auo l&e 1D-�aic �- �ct;Lt►� :rJU%, , ' Mulch iv _' z Length `22S' Width I00 -�'fop VidtlzCIAI5 J OF OP`r ti5Ll1"�X1#Cldtti') Is q F r Top of fill - - -- elev. �p3: 3 Top` of holding volume - - elev. Top of lagoon volume - - -:. + bottom of lapaon - - - - - - y�/y elev. Emergency,'spillwayalev. w.•r� nterior fide slopeA .ht ��t� c"7 Vw-��fF. / •C}'r- �....t.��'_.-4..+�?�-�__ fy'N.p.i�.. Jf i_!. r' �' ; r���- �: TR m Nod r%&10 dbh 7[]. S. DEPARTMENT OF. GtICU „�E SOIL' CONSERVATION SERVICE Dot r i L 7 e 1Ya l' 4,Lv Dos,inM14'1 y-'�'--i G' (r'•c 4: 1 ,— Traue .-. O'a/rnn� No _'t tJ /!y[ 7/ • Cngckftl ...-_... .... Ne,` �� s'ENG-sisa Rev s y5, r Animal Waste System " t Location Tiap Ila co SkeC�li " Sheet 2 of _ Cwr CORE w0ces FILL Exrioas 3 TYPICAL CRass sserl ON, s. ,. •� 1r i.� l 7F-•r.;ye. ..[:7 . t ���F i � Y5�"�r�r�-raj r� ���� �� a r:-�:'' t�e �Y�� ?.� ' rtw�..� . .A _ —�..rT..��- - ,� -,. r'. "I � - SCS-ENG-538 U. S. DEPARTMENT OF AGRICULTURE Rcv. 5-76 SOIL CONSERVATION SERVICE SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE • . • S i' WATERSHED AREA HEAWREMENTS CROPLAND ACRES PASTURE.— ACRES:' r jr WOODLAND —ACRES TOTAL , CLASS , • '• , SKETCH OF PROPOSED 1 SHOWING WHERE BORINGS • - 1,ocate reference paint in center line of dam and identify on sketch. ■■■■■■■■■■■■ EE®■�®Er1EEElEE ■■■■■■■ME■E®EEEE®�®■r■rrer ■ �ErEr ■ErEEr■®Ee■®®E■■■■ ■■O INS MINES EEO ®EEME■■■ Err rr EEEEE ■ E ■■■E1E■■■ ■EEE ■■EEEEr ■EE■E■��EE■■ ■E■IEE ■EEEr EE■E■■EIE■EI■■EE ■■��■■ ■EErrl■■EE■rE■��■EEE �1■■■■ ■EEEE■�■E■r■■EkEE■■ ■ ��r■EE ■EE E�EEE■NEEEEEE ■E����� rir� --LJE■EE■��/ ■Err ■■ma ENN IrEEEE■■■■ErrIE■N E■E ■■■■E■E■■■EEErE■EE■rE■EEE■ E■EEE■E■EEEEEE■EE■■EEEI�EE■ r■EE■■EEEEE■EEEr■E■E ■■■■■ ■■EE■EEEEEEE■■■E■E■■ ■■■Er BORING NUMBER AND PROFILE Make and list Oam-sile and spillway borings first. then ponded area and barrow pit borings -separate wifh Lwrtical red linc (Continued an back where necessary) Show water table elevations on damslig borings, _11 11E0�01010i0l' is ®i!�li�l■I®C®i■f I ;®I■!EI®�EI(�I®�®�1rl�l®I�1E1EIrl �3EIE���IEIEtEI■i E��®IEIiE1Ell®ICI®I��MI■l�IElE1■IE �l�Ell■I■itlr�l�'®Iri■I■�rINl®I®I®I■®Irlrl■I■I ®®�®f®�■1E�rf■1E�■I■I■Ei�lEIEIESiS®I■I®1E1■1E1■I■' �Ir+� �i■II■I■!■I®1E!®!®I■�■1■I�I®!®I®1ElElE�E1El�i ■r��r����r�r�■s��■�r�e�®�■I■:■Irlr��■a®I®I®�■�■I■Ir ��Ir�sE�r�r�r�r�i■�■}■i■�■Ir�r��r�■�■�■�■�r���rir �. iE,�■r�EiEIr�EEEiE ��■ e�r�E�■i®�EiEf®�■�E�E�Es■ ®Eo I�■1E��r1E���rle��i��■r�■�i■:■��nl�r�ra�rl■��rlr�irl■I■ ■EE��ilElr ■1E�■�EE�EI■1E!■ ■I■ E�■1■ EI■ ■��� BORINGS MADE BYJ�&_0-4._ 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 - GM - Silty gravels; gravel -sand -silt mix s -sand _ vfs - veryfine 'sand GC -Clayey gravels; gravel -sand -clay mix sl-sandy loam.. SW -Well graded sands; sand -gravel mix fsl-fine sandy.loam SP -Poorly graded sands 1- 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 ail -silt loam CL -Clays of low to medium plasticity - CH -Inorganic clays of high plasticity cl - clay loam 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 embankment is available Yes No andlcafa where located an thr sketch an mop" SkW REMARKS: 2. Explain hazards requiring special attention in design (Seepage, spring.. rock sfc.) GENERAL REMARKS: 24 12A. 11 26 127 28 29 30 31 32 11 M 1134 1 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 61 Name Address Embankment: VOLUME ESTIMATE FOR EARTH EMBANKMENT T Top Width t5iae dopes STATION FILLsum HEIGHT (Feet) END AREA (SQ-Ft-) OF END AREAS (Sq.?t.) DISTANCE (Feet) DOUBLE VOLUME (Cu.Ft. ) Z k�, 741 04 2, /3 -j- yl- 1> 5,- 1� GPI -2 1. Double Volume of Fill Z= Cu. Ft. 2. Volume of embankment fill Fllne 1'! 2 ..7) Cu. Yds. 3. Allowance for settlement (5 or 10% of line 2) = Cu. Yds. 4.* Total cubic yards (line 2 + line 31= Cu.'Yda. Computed by Date N� _ e U. S. Depar.tre:e -t: of Agriculture NC-ENG-12(JS) Soil Conservat,.on Service 8/72 VOLUME ESTIMATE FOR EARTH EMBANKMENT C14 Name Address Embankment: Top Width Side Slopes STATION FILL HEIGHT ( Feet) END AREA (Sq. Ft.) SUM OF END AREAS (Sq. Ft.) DISTANCE ( Feet) DOUBLE VOLUME (Cu. Ft. ) D vv © a D�-�0 �,3• I s � ,• lsao 44 G, I2 a �..„ � O • c% d J p GC • Sr � - 3 3 4 3 f 0 2. Z 6 Lf 2-!.� 4 1. Double Volume of Fill 2= Cu. Ft. 2. Volume of embankment fill (line 1 ; 27)= Cu. Yds. 3. Allowance for settlement (5 or 10% of line 2)W Cu. Yds. 4. Total cubic yards (line 2 + line 3)= Cu. Yds. Computed by Date r, VOLUME ESTIMATE FOR EARTH EMBANKMENT =t �- Name Addres's Embankment: Top Width Side Slopes STATION FILL HEIGHT ( Feet) END AREA (Sq. Ft.) SUM OF END AREAS (Sq. Ft'.) DISTANCE ( Feet) DOUBLE VOLUME (Cu. Ft. ) 7 2 O U r St 1 L f Lil r �• r•� 4 ly r I � , 3 ' r 1. Double Volume of Fill _ 2 = Cu. Ft. 2. Volume of embankment fill (line i , 27)= 3 6 y Cu. Yds. 3. Allowance for settlement (5 or IE* of line 2) = , ZCu. Yds. 4. Total cubic yards (line 2 + line 31= 3 g'4s Cu. Yds. Computed by �� ' Date :� __/ 11.0 / z //�� --------___���� ---_--___---__-___'----_-- --- ~ qo Js's� OL, 7,Vo uq&± 5 X, 000 ,2 '7 ----- (A.) PC) - � � � °lam � -- -—��s.�o.� _._ � � � r - ce.�.� moo � u�a� _ S�a.c, � � � � _� Yoo lls� N�Q / 7,._ _.,_.... _ . '_^` `~~& ` ATT LL kill H if J Ai KEH Ell L L t J- W 1 If ILI "Tj oil if , I I I I j 1 2 d! -1 Tr id ILI 7- li J. j _j J­ 40 It 7717 47 =-F I -7�7 7_11 7 T 7 AI 1 7_7 ...... Ei Fol- 7"1 ju — ------ ----- 7 --N 7 T-i-7 L 17 7_1 ----------- --- ----- 7 7 . 7­ -------- - Animal Waste 'Management Plan Certilication rPleuse tvoe or print all information dint does nix require a si2nnture Ezistind or.. Neti� ::. or. Esparide� (pfe' ase ctrcie.one) : General Information: Name of Farm: Double 13-_Dairy Facility No: 3,q-_--�_ Owner(s) Name: Forest Blackwell Phone No:l_"49,-4-7977 Ylailina :address: 8114 Dick Blackwell Road tlxford. N. C, 27565 Farm Location: Count,,- Farris is located in: cranviile Latitude and Lon2iiude. 3(, 0 / 7& y/_- /5' Integrator: Please attach a copy of a county road map with location identified and describe below (Be specifier: road names. directions. mileoost. etc.): 12 miles N of oxford on Mountain Creek Road between 96 and Cornwall Road. Operation Description: Type of Shine ' rvo. ofAnifnals :) 1k'ta,n to Feeder X Feeder to Finish ! Z-5 la :j Farrow to Wean J Farrow to Feeder Farrow to Finish n Gilts :2 Boars Tvpe of Pau in- 11 Qf Tv Pe of Carde .3 Lay, - ay :a Dairy � Pulls "' P r J lml' Ao. of.,61101S DECO. 3 n 19Y7 Other Type of Livestock: Ni{rrrber of Animals: WATER QUALITY SECTI.1N Nan D;� par w Compliance Er�f.�r •.— -r r.12", :TY J E pFn_rny Oper- teo>: QnJy = s 4 P.re:�orrsDes_zr.':Cdaacrt: Ada'rrraraI:Desr en. toacrn t.-.. v..`... Tor ILDe r.,rr Ca'vacrn::r Acreage Available for Application: LZOReauired Acreage: Number of Lagoons / Storage Ponds : Z Total Capacity:3Q-D,, 130 Cubic Feet Ic (",0) 5rV 3 -F4 # xZ. = 1Y3, xv f+; Are subsurface drains present on the farm: 1-ES . or No (please circle one If YES: are subsurface drains present in the area of the LAGOON o PRAY FIELD (please circle one) �F It S,ifKltft Tc fi ![i[]c Tt TI S[]L ];[il ?f if �.'k, �ii �F ai I4 T[ita[;tTCT,[flM]4}If[lV i�i;�fk it lk Y[}{f!]{I T[f,[Yt i[ %1![i'l}{XKM]p[Mf',V it fj%?'.kl;tJ,�YL lk li aji is T.�s[J�.�T[lF i,�?�aix Owner / NN[anager kgreerrlent I (we) verify drat all the above information is correct and will be updated upon chanein__. I (we) understand die ooemtion and maintenance procedures established in the'approved animal waste management plan for die farm narned above and %%iil implement these procedures. I (we) know that any expansion to the existing design capacity of die waste treatment and storage sVstem or construcdon of new facilities will require a new certiticadon to be submitted to the Division of Environmental N-lanasement before the new animals are stocked. I (we) understand dial there must be no discharce of animal waste from the storage or application system to surface waters of the state tither directly dirough a mail -made conve:•ance or from a storm event less severe than the 25-vear, 24-hour storm and there must not be run-off from die application of animal waste. I (we) understand that run-off of pollutants .from lounging and heavy use areas must be minimized using technical standards developed by the Natural Resources Conservation Service. -The approved plan will be tiled at the farm and at the office of the local Soil -and water Conservation District. I (we) know that any modification must be approved by a technicad specialist and submitted to the Soil and Water Conservation District prior to implementadon. A change in land ownership requires written nodfication.to DEld,or a ne:v.certification (if. the approved Ian is chanced) within 60 days of aat�title transier. 'Name of Land O►vn& : LL r`6r L?w �f Signature: ,. /1 _ cu .{ _ Date: .. �_ ; — `Name of.'lanager(if different from owner): Signature: Date: AWC 1, 199 Ec-L-)O-La,a— Uj. uo U043921934 12i IWI997 14: ?1 9; S"32137 M?L ATLAIATIC IRP, GRANVIU.E 5� PAGE E�3 PAGE ;.�3 VD),6ppliationen 'ai lfrij4�ieN 5?4a►V►'v Chad ah1 appropn&C IV; xUll WIMUCaling SMAlkw= (1v1,7P or t) Animal WUW smll atim equipment spootled to vhc ptaA has betn e0ct bell calibrated of e%*MuM4 in trcortfw= with tttheat; CWWp t:hwu and tables and is able to apply %Aw as mctssary to atcommoUW Ow waste Muml:atmt plan: (attlstina apptieati" equipirrnt Co corer vM aeta rrquittid by she plan at rates Dot to tscted Collet tba WOZOWd hydranlit Or nvtricnt 1004in3 rates. i srbedvle tot tiM tt j of app#icationt his beta ssrabllttted; regtitsd buffets can be awiatalaed and cajAMdoa nnd, a4vstment iiu -0 ire 4aatained as pert of tba P1aa1. ilw W t:c>�antittd nr a<l � (n,�i(y(Y wsthr+ut e��srir.c �$u senLtt�ttne enuil+rtien� fix g�rar irti*�rinn. (i) Aoiatal wasilt sppiitaioa tquipMent spcdtted la Lbe P;nn hU beee atsigntsi to ZVOY waste u nsMUary to wcommotlate tjlt wuw tasAita;emasu yiatt: (pror4S93 appticzt on equiptnent c*n 4bVer U%c area rewired by the plant at raw$ etas to exceed either the sptcitaed hydraulic or nutrient 104din$ raus; i schedule for timiat at appucatiutu hu boert esMbIlzbed. requirrd twTers c= be maickWneds wztibrntion wW adjusmont fuiduce are cunt ood as part of UW plan). st i�,ina � Iwvp gr t) Arlrpal wrote ttppuwdop equipment sg461C441 tD the plan ban been witeteti w apply wvjw as ptceavy to accomaodato we vote awslemem plait. (Proposed application equipcnert CU covet ft 4fe5 Mq1jirt0 by toe plan at Ater M to ezettp c1UW the specified bydraWlic Or aufr%nt kxdinp raMt. a schedule for Whin: of &ppWQ ice s Olt{ bane 401Wwd: rviwirtd buffors cart to malomined: calibM4vn and adjustment pukiuce an •,eonaimd as poet of the vim). Name. of TsettWcai SV*Wallat (please Print); Affilfadorl eu Date Work Completed: ��;,-? Address (Agency): Phone Sipft>si m.. - 4- - _ Date,, EjTyloijility. Mv ! AL ME, RC ar I) Tbc +Mete satasj�tsaeat plan. for this favility includes a wtsu iMsesa3emest 00ar Comml CbeckllsL La Ism aa Cooc C�itL a Mortality Mttn&Sv=tot Chnekl(et vW an I:ttaerpacy ACtiutt PUA Sources of both adM anti insects bate bam eraiMd WU respdvt to this site and Best MatyaV"04 Pmclicw to NIIAL tigg Mort and Best MaatigaMent Pacdcas to Cantmt iasects have betel elected astd istelumled in aw w"M Auusapettsetu plait. boo the MOrt IRY 06iew4cmr= Plan and the Emerjetu:y A`'tion flan are t'on►p[ete VW cap be imp*M..tted by Win fac(t![)•. Narna of'Technical Specialise (Ple;ue Print): At?t WElon Dt►te Woti ComgWwd: Add#ress (Agaicy): ri Df t " Phone Y0.• _ fSigtutuu e: Date: Fi W'dY w or Expladiagswine The fal{4wiva WV% art biaek is ogly to be sled for now o< -& pAftdIRS swine fame tlat begin tonMtruetion rafesr raw% =1,1#0L U Sho ftrtillty WU knot bsfars Jve+a :1, 19ft when was it Comtructed or 1"t expettrled I Ewa? i rtlfy that ! ('«e) b vt mtteatpte4 to contact by certified grail all adjoiniA; pecspsrty Owners and All proprefry owsm "� tir+st PMPOY kCMW 4MW a Public road. street. or t:ftbway from Ibis new of expanlias swine fasn. Toe n atict was iM'MMPiU=t'Mills rise tents Of NCGS 106.303. A copy of the nodes nerd 3 list Of the V Petty oa•rrers ttoti'fied Is Haase of Land Owner - signature: ....�..«.�.,�.�....—�..��..�. vale: Name of'►;tanagew (it different flats awnar?: 91 nuure: Date•. AWC — Auguo 1. tey� 3 D). application and Handling Eauinment Check the appropriate box b a c K, J Existing or expanding facility with existing waste application eouipment (WUP or 1) :animal waste application equipment specified in the plan has been tither tie!d calibrated or eValuated in accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the waste management plan: (existing application equipment can cover the area required by the plan at rates not to exceed either the specified hvdraulic or nutrient loading rates. a schedule for timing of aaciications has been established: required buffers can be maintained and calibration and adjustment guidance are c;.,ntained as part of the plan). . JNew. expanded. nr existing faciii1v without existing waste application equipment fru snriv irrigntion. (I) _ Animal waste application equipment specified in the plan has been designed to apply waste as necessary to accommodate the waste management plan: (proposed application equipment can cover the area required by the plan at rates not to exceed either the specified hydraulic or nutrient Ieading rates: a schedule for timing of applications has been established: required buffers can be maintained: ca ibration and adiustment guidance are contained as part of the plan). ;; `'ew. expanded, or existing facility :visit ut existing wnve applicnfinn eouinmem ror lands reading not using cs+r v irrig3flo (WUP or 1) Animal waste application equipment specified in die plan has been selected to apply waste as necessar: to accommodate the waste management Dian: (proposed application equipment can covet the area required by the plan at rates not to exceed either the specified hydraulic or nutrient leading rates: a schedule for timing of apDlicadons has been established; required buffers can be maintained: calibration and adjustment guidance are contained as part of the plan). Name,of Technical Specialist (Please Print): Affiliation Date Wor - Completed: Address (Agency): Prone No.: Signature: Date: E) Odor Control. insect Control. Mortality 1-tanaaernent and Emeraencv ,action Plan (SD SI. WUP. RC or D The waste management plan for this facility includes a Waste Management Odor Control Che&USL an Insect Control Checklist. a IMorrality Mana2emenc Checklist and an Emersency .action Plan. Sources of both odors and insects have been evaluated with respect to this site and Best Nfanag%!ment Practices to Minimize Odors and Best blanaQernent Practices to Control Insects have been selected and included in the waste management plan. Both the Mortality IN-Ianagement Plan and the Emergency action Plan are complete and can be implemented by this facility. Name of Technical Specialist (Please Print): Affiliation Date Worti Completed: Address (Agency): Phone No.: Sianaiure: Date: F) Written Notice of New or Expanding SMne Farm The follo«ing signature block is only to be used for new or expanding swine farms that begin construction after June 21. 1996. If the facility was built before June 21. 1996, when was it constructed or last expanded I (we) certify that I (we) have attempted to contact by certified mail ail adjoining property owners and all property owners who own property located across a public road. streeL or hishway from this new or expanding swine farm. The notice was in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified is attached. Name of Land Owner: Si -nature: Date: Name of lianager (if different from owneri: Signature: Date: A WC -- august 1. 1997 14ccl 1,JJ I h3: ea 604392193; M'H, ATL -11FIC Irk' , 14: 91 91.969.2137 PAGE C'� .�.^..��.,.. __.... GF?:,ryvILLE .9ia�� PAGE 0: C1 BuRoff r.QAI r t {RC) Fail ar - MIS vledlo" tv lnimatize me rvn oft of pti:utar,ct Tram I:?ten fiwg atxi Heavy vat It"h;t• c beer. insL=l1eJ as ��eciRed in the plan. Forfoa( Yts will;0rit evarrior Isis, no Crrtiflradort is necessary. Name dTechnical Specialist (Please Print):- Affilliatlo Dote Work Completed: Address (Agency): °rant NO,: Signature: Dale: Da i n i ll t4 (M? or I) Xrar,;* check rht appropriwe Moot hgi0laJ +vAite ayplicatiptl arc! l,pntAP9 egvipttitnt srrtcitiea is the rlan i► ::: si;e ttnd re;t;ly for use. wllt(suod aril ac]justtrenc maLeriats ttCvq brea.�fs��'i,rcd w t~wc au ntn anc4 ;tea cooiftte as Pas 0, tM plan. AsWmal waste applleulvn and lit Nl;nl! in t1k7 puts Itzi not �ee:t in.,,Mll%!d but the uuywr hu ptvpeesd basis= or Wrd party appli:a',wn any! bat provtdcti a ugnrd equipment specll'lyd in tlse Co!lWt Agreta Witb jhc trgvircinents or gm glwx required ou?rers CZA he rnaintalncd: r--44bT%dUe% 404 atljtauaetts,Stsitlxctcr have beeu provlc}ed to the owners t cui ate Cotuainea zs Part Of ate pl;sn. Conditional approval: Aoi" wish aypli:sii40K .rid handlin= t pment tpel iAltd It ilia Pisa MI been pumtsued and will be on site and installed j. � ' i:�t r.t�°eta. i; ear:: there is s ts�uate somid to bold thrrn ! wind unill U egvrPesu it i taued and ten ' Wrier can be land o7had in avmrdham with the csvppins sysicat cortralned in Oc p .%; 0 calibrsdw rats l&« beau ptovlde4 to the owners and a4 ea:tta M4 as Fan Of tins 74a. Nacre of TecchnieW Specialist (Please Print)! L L c W,o I r �►ft�ti4tiorl.11l/ l_�-. ,. r.� _1 �., Y., - .Nir work Completed: address ;Age:acy): - Phone No.: &0Y,.. � Si#natute, Date: — The rollowino si;naturt bock is only to be used when the box for conditional approval in III D abowe has been checked. i (we) cerlity that I (we) have eOmtrticted to purci<ase the it m%g wrote appliratvzn and Ni-Idling egU!P=l.t as specified in my (ot) waiU trangetnent plan utd will submit to OF—M a voriticat:on of dtl:very trod ittllWariott kom a Techalcal SpecWisc w:a is 15 calew' ' days following the LZIC specfrlea a U e Conditioral =tilt~.oadon. I (wej realize dwt Was to submit this verlilcatior. is a vlolstwn of tie waste no;.sfemen; plan and will subjet:i me (us) to an entoct:e ocu action t'tom 7DE.1. 1 Name of tared Owner. Signatu Data: Notate of Manager (if U.emnt frorn owner?: Signature; Date: E)Odgr Con=, Inw., Conrrol and Mortality NIarm—evemenr (51). 51. WUP. RC or 1) 14tttt' U to COtt MI atiM a.'t4 ir3cers • as sped dtd in the Pl= have been installtc and ale Gpemuena1. The xnottality martageavu system as spec!nec in the Pisa h aisO been installed =d is opention4l. Name of Techrticui Specialist (Ple:ur Print}; Afftliadon Date Wotk Completed:_ Addrew (Agency): Phone NO.: Signature: DatC: iWC Awguac 1. LOW Uil .... ........ ........ . ........... .... .. ... .... . ..... .......... . . ........ . ...... . . ........ q�.- 0AYC ILL L) O,yC HILL AD. AfOnT ON RD- ................. ............ .............. ...lI ......... . ..... CIWI .... ............ 0 ... .......... Dr �cu CIVA L L 'IML ,,O1Lcnno k no ------ ----- .. ....... ................ .... --- -- ----------- -- --- ---- ------ MIM' 40 ic ­oitl 96 U, Rov,� I i Iq I ...................... ....... . ......... ....... . ............................ ...... a J. ...................... ---- . .......... ............... ...... 6 GELA aoun, 0 it CL nr C, ......... .... o - ....------------- .. ..... ................. ...... ------- ... . '........ zf is n1• ... ... ................ . .......... -ji 1.11 — - - ---------- ------ - —12mi fly C 'r sI1nnrt,N, c sl QEAAr nrcoy S lfcrlto� CRCLiArk0- 040 00 F C 40 anal-'r p 0, no. .... ....... M. - --------------------- ----- --------- ............... .. ................. L 'T 2 pla, IVEYpAYpq OXFORD D. I D IN u w CL OV,5 SERE W"Av000 on. FIV; -------- . .......... ........... ISM If co C.. IF L,4i 14 14 y.LLIEDuANCric 1 WEST -CIK M u LEWMJ0t1.1j._ - - - - - - - - - - - - - - D - - - - - - - - - - - - - - - - • - - - - - - - - - - mr "APc M re 0 kk J_ no, 40 crsxf rNr r vs nr am ... ... ------ . ..... Z-L,r Z ......c N I sr. TIP ZE w CA.. id� cy A no I .......... YK--------------- ------------ cc ... .... ... NE CA= UrIsmy Fin ZY "Air 30 F4 ILI A 4 CHAPEL AD ............. -- w ............... . ......... ......... 21 ---- U L HESTER M • no. Nil I l no. U.I .............. ... Please return the completed form to the Division of Water Quality at the following address: Department of Environment, Health, and -Natural Resources Division Of Water Quality Water Quality Section. Compliance Group P.O. Box 29535 Raleigh, INC 27626-0535 Please also remember to submit a copy of this form along with the complete Animal Waste Management Plan to the Iocal Soil and Water Conservation District Office and to keep a copy in your files with your Animal Waste Management Plan. AWC -- -au-ust 1. 1997 6 REVL.ON- VP AND GM 919 603 2259 06/17/98 15 : 52 S :01 /08 NO:701 /sla[J WG rl Revlon Inc, 1501 Williarnsboro St, , Oxford, NC 27565 V.P. & General Manager FAX To: Charles Alvarez Horne Phone Phone: Fax hone; CC: Date: 6/17/98 Number of pages Including cover sheet: 8 From: Forest Blackwell Phone: 919-b9 -4484 Fax phone; 919-603-2259 REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please cumment REVLON VP AND GM 6 919 603 2259 06/17/98 15:52 :02/08 NO:701 ATT AC IL VT A S., rr"' ,. Amount of Wastes produced -P. or ft-T, toms, etc.). animals X �� . ) waste/animal./year 124,00 waste/year. AOunt go'L PI n� t _Available Nitrogen (PAXI Produced Per !dear 1200 ^_animals X L_L _ lbs. PAN/animal/year w 276n lbs. PAN/year. (PAN from W. C. Tads. Quids Std. 633 ) Applying the above amount of waste is a big job. You should plan time and have appropriate equipment to apply the waste in a timely manner. The following acreage will be needed for waste application based on the crop to be grown and surface application: Table I: ACRES OWNED BY PRDIPUCER Tract Field Soil Crop Lbs. N * Acres # No. Type Per Ac. Lbs. N Month of Utilized Application 4 13 Noy - or or il. MAX -July 494 3nta1 1{3 Nov- 494 orn 1 4. may-JUIX 494 x I A. 486 Nov --,Da 494 3 Ggg0 9.6 1728 may -ju7. Small grai 9.6 Nov-Aec 49 Fescu 450 4.1 184 Se t-A ri 494 Fescue 450 2.0 Se t- 494 Corn Silajae 180 9.0 1620 May-,j2. 494 g mall argi9.0 972 Nov -Dec Total .17929 * This W is from animal waste only. if nutrients from other sources such as commercial fertilizer are applied, tbey must be accounted for. t be ad 5za._reaj1jtic riald ex ctat' KCZX:. Tbs applicator is cautioned that P and K may -be over applied while meeting the N requirements. 8eginniag 3n I99S the Coastal Soma Management Act will require farmers In some eastern counties of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses Nitrogen. .1 n1w oil g 919 603 2259 06/11/98 15:52 S:03/08 Np:701 ATT .-%CHME T A L-A Sae attached map showing the !'ibids to bs used for the util isatiosa of waste water. Application of Waste by irrigation yield Soil Type Crop Application I Applications No. Rate(ln/Fir) Amount(ln.) I GeB �y�� Small GE$ Fescue i y I .44 - -- .-. i _ .40 i 2.95 2.15 1.60 'taus %AA&Z Sa RIOT riRMCO if Y.. ;z Is Nor Selma "Ot TIM Sir [s UCATZOIN, vemcV[R A ZZ %.1R leas" fir" I v=tn raw ORY xt%% A of SLURtT- Your facility is designed for ,!p. days of temporary storage and the temporary storage must be removed on the average or once every 6 XOKTKS. *n no instance should the volume of waste beinq store n your structure exceed Elevation Call the local Natural. Resources Conservation Service (formerly Sall Conseervatlon Service) or Soil and Water Conservation District office after you receive the waste analysis report for assistance In determining the amount per acre to apply and the proper application rate prior to applying the waste. 4 REVLON VP AND GM 6 919 603 2259 06/17/98 15:52 [5 :04/08 NO:701 .. A S T E .,, U T I. L I ZAT ION.. REQUIRED SPECIFICATIONS 1. Animal waste shall, not reach sur_acs waters of the state by runoff, drift, manmade conveyances, direct aDn1?caton, or direct discharge during operation or land 3poi_cat�on. Any discharge of waste which reaches surface water is prohibited. Illegal discharges are subject to the assessment of civil penalties of $10,000 per day by the Division of Environmental management for every day the discharge continues. 2. The Field Office must have documentation in the design folder that the producer either owns or has long term access to adequate land on which to properly apply the waste. If the producer does not own adequate land to properly dispose of waste, he shall provide MRCS with a copy of a written agreement (sample enclosed) with a landowner who is within a reasonable proximity, allowing him/her the use of the land for waste application for the life expectancy of the production facility. It is the responsibility of the owner of 'the facility to secure an update of the Waste Utilization Plan when there is a change in the operation, increase in the number of animals, method of utilization, or available land. 3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic crop yields based on soil type, available moisture, historical data, climate conditions, and level of management, unless there are regulations that restrict the rate of application for ocher nutrients. 4. Animal waste may be applied to land that has a Resource Management System (RMS) or an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no greater than 10 tans per acre per year and appropriate filter strips will be used where runoff leaves the field. These filter strips will be in addition to "Buffers" required by OEM. [See FOTG Standard 393 - Filter Scrips and Standard 390 (Interim) - Riparian Forest Buffers.] 5. Odors can be reduced by injecting the waste or disking after waste application. Waste should not be applied when the wind is blowing. 6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated on ccnventionallp tilled cropland. When applied to conservation tilled crops or grassland, the Waste may be broadcast provided the application does not occur during a season prone to flooding, (See ":richer and Cloaca in Noma Carolina" in the Technical Reference - Envy,:onment file for guidance.) REVLON VP AND GM ig 919 603 2259 06/17/98 15:52 [5 :05/08 NO:701 aCli`1£::T M AUTILIZATION PLA N.,--v REQUIRED SPECIFICATIONS (CftidnI 7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff does not occur offsite or to surface waters and in a method which does not cause drift from the site during application. No ponding should occur in order to control conditions conducive to odor or flies and provide uniformity of application.. 8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the surface is frozen. 9. Animal waste shall be applied on actively growing crops it such a manner that no more than 20 to 25 percent of the leaf area is coveredi,­-,t.+. 10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a high potential for leaching. Waste nutrient loading rates on these soils should be held to a minimum and a suitable winter -cover crop planted to take up released nutrients. Waste shall not be -applied more than 30 days prior to planting of the crop on bare soil. 11. Animal waste shall not be applied closer than 25 feet to surface water. This distances may be reduced for waters that are not perennial provided adequate vegetative filter strips are present. (See Standard 393 - Filter Strips) 12. Animal waste shall not be applied closer than 100 feet to wells. 13, Animal Waste shall not be applied closer than 200 feet of dwellings other than those owned by the landowner. 14. Waste shall be applied in a manner not to reach other property and public right-of-ways. 15. Animal waste shall not be discharged into surface waters, drainageways or wetlands by a discharge or by over - praying. Animal waste may be applied to prior converted wetlands provided they have been approved as a land application site by a "technical Specialist". Animal waste should not be applied on grassed waterways that discharge directly into water courses, and only then at agronomic rates provided the application causes no runoff or drift from the site. r REVLON VP AND GM 0 919 603 2259 06/17/98 15:52 N :06/08 NO:701 ._�--- - -. - .- ASTE .... UTILIZAT... ION REQUIRED SPECIFICATIONS fcondnu,ol 15. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall not be discharged into the animal waste management system. 17. Lagoons and other uncovered waste containment structures must maintain a maximum operating level to provide adequate storage for a 25-year, 24,hour storm event in addition to the one (1) foot mandatory freeboard. is. A protective cover of appropriate vegetation will be established on all disturbed areas (lagoon embankments, berms, pipe runs, etc.). If needed, special vegetation shall be provided for these areas and shall be fenced, as necessary, to protect the vegetation. vegetation such as trees, shrubs, and other woody species, etc. are limited to areas where considered appropriate. Lagoon areas should be kept mowed and accessible. Lagoon berms and structures should be inspected regularly for evidence of erosion, leakage, or discharge. 19. if animal production at the facility is to be suspended or terminated, the owner is responsible for obtaining and implementing a "closure plan" which will eliminate the - possibility of an illegal discharge, pollution and erosion. 20. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should be kept on site. 7 REVLON VP AND GM _ 419 603 2259 06/17/98 15:52 :07/08 NO:701 GRANVILIX COMM NORTH CAROLINA I r.,. t 1r ��;,K`ia'r •'�'�° � rt��a�i ..`_ L'� � �; l r � •,+ .��.;�fi 1y� ��I i Jf,',,� �' .vf��'r '� i 1•'+ ��1, 15 . r•Y ~ .: • 1 1, . �,T � +l Iir ! i a • � 't' •� r l Cp , � j/ Ag 1 ++y�,,��1� �r� • , �L f .f+ a• l�f �''r' �.S '' i T ti'.d*..� IIf ,�.`�1%,I' I ry ILI • ! �. ���. + ~,�� r�•�1�q,';+ � f"t' 'Y'*i,'��`��s�+�,�WJ�i�-1 •r rIL.:..'�?�.,:. `-1j'1.;�,`�• ��. i, �. ,.r • � ` + _s I fei.� .. r'r• i ,l �J•'.!' .T-1 �' ,r 1 �" J' r' 'eI; �4� ��y `r• .�� y�C,'!'•''�'.�7 a. Ofl^ f, �r •- I J .,r � l�'fll� 1�.� �.� ' . _• "� ,['„' lip ' - ''S'T.'I r r"1 •f V • �r .' I , t. 1. Y + �� 1 -A''• r'� �, /'�• � `,� . �, �'•' +t�1. i;�,ir'1. ' •y, l,i,'f •+ `1 ' 4r ''' ^ ' '� �'r�� .1[i •., r, • ' � � + - ".Y41t, ,.r .1;, yr ti1.1'+ '� IOkN d .,I�xl IDS- •( 'r 1 ' are,' r 1 fih` � ' I , �i+ � , ;. � T� • �-•�. � �� • � � r• � ,,'r1 �j• � �J `. � '. ell � � r.,� jv'l, f Ciro ( Qj .x•' 'I ��rI�L� _4 '`a- ,•{1 =;., r y,. "• 'j i' r .r.. ,+I!�f.'• fryer r. r�i+`l• 'Inl rJ�,A i � � f �� ;. � '�5T • � '' + ea� ,i4^TI Y, ,1�*l '�Y'.• rr -I•'f •'ry I� .(.yAW is, ` ! • .'. ` ,•y% j+ !',;S* "'[ .'�', ni,-11LL r. 1 - •+O '%f'R4 s F•rf' .'+_�a1r1•,J/]•�+ '� i4 1 :, .I•.j,r� ly h. . , jo � 3� r'�1��: ,i 1. 1�4�'='�_I���±"'! /���.j�•if.Syf+y}�'r� .�f ,t h-►1'�, S��ti ��'+��i,:'• .I �. (i RI,Nit 1i .. a �� �� a ` 1i/F� �' � �• L' �• t �t' -,f � 41 • !1� �' . � .++�Y '�. �.��� i�'•% ''�.' M Till.°'„�{`;?RL •+ ' 7S'1' 'r' 1°Ir �j'.xa"�a •r � � ' ' � ... r�'••L' �1� r+ f �. j�•'. i.� ,f �i rj ��Jri i''fi � 's•i �;�ti. .i .:,1 �. ;H. .. • .�' •'ti � 1 . IIY REVLON VP AND GM 919 603 2259 06/17/98 15:52 5 :08/08 NO:701 Your facility is designed for Q days of tempoxar storage and needs to have the temporary storage removed every 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 Co apply and the application rate prior to applying the waste. Narrative of OnRratinn_ WASTE MANAGEMENT„FLAN AGRE_EIIENT T 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: �1 � _ Date: //-/- ,�Y I understand that Mr./Mrs. does not have ample land to apply the animal waste produced from his/her animal operation. I have agreed to utilize the waste produced from the operation and agree to carry out this waste management plan on land that I own or operate. Recipient Landowner: System Designer:. ! �- SWCD Representative: Date: Date: f/— Date: Design Approval: Date: Nacre 3 12/22/1997 ©9:06 12/29/1997 804392193q 1q; 31 ,.. 9:9E932137 V D)• lR,3igj�d 11jadliI1S.Igu3Q2ent Ck=t the 4Ppr0prtaae bent 07L ATLANTIC IRP GRANVILLE S4C'D PACE 03 11 PAGE B3 61 �afrigt►Tt'eWear►l�er ) JaILDS w (IVLP or 1? Mimal arts" appilciki m equipment spe%iiltd i0 %he putt Ms been Ct1ur rwc l Wib=d or CvWU;ted in aceomiam with ftdsWn deelln charts and tabiez tad is able to apply wuA at nectataty to aceaanntodats d w waste taamf emM VIM (etistint tspplleatiov cquipswist to cover the Ytta M4tk4ed by the ptsa at MMS 04s to 191cata ghtnt tba spe6rted hydraulic of nutrient batting rotas. a settools fa titttlrts of gTti;j4ons bat beta w4blisbed; nabbed Wttcn con be tmauto lined aced calibtttdoa arsrl eajvsaacro sddrm'a arc as part of the piast). Aaiata3 waittt SjOicadua tquipt tau sPedfted is ill! Dian h84 besa U310atd to apple want at n4cssstc7 to yt-coauttum the rate maaa;emesu plan: (proposw applicativa equipment can cover aw area mired by tits Aloft to fates WC b e:tt:ecd either the spet.Ytied h;nitattlh; or autrfent hauling rotes; a schcdtsle roc timinj of appilsati m let bee:i es%bllst:sd: "int:d butlers CW be mWatainsd: ulibmCon W4 adjuurr m juiduce we cony, owj as pen of dte plat), l\`t�r..etrenedei tx �ristiaat CeciUX WILllCUI tittin yGue MR1109114 AMMiCa 11111 .WE lArli tnrrsctint not W99 (w ur 0< p teeth+ W w&tw OpUCad9tt egdipm.ent sptt~'lft4tl in the plan Ass beeo selectnl to W91-f waiitt as s:tces W.v to aceoQuhWarte W waste mntssearasnt p(am (proposal appticmion equipmem cart wvtr tbt Arid required by the Pisa at rates Apt W etcted cites tan syetlftto bYdtO he or nuaitet loading meth: a schedule for umias oC appilc0odt 60 bon, eamblished: scathed buMm- cast be maints> oed: Wibmtlun saxt &})assuJncSt 1W4We ant -ccm tr<ised m poet of On ptm) • Name.0 Technical 5pxlalitt (pubes Print): L = ► A ni on Date work Completed: Address (Agt:nphony No.: Z�zl w . E) TAt WASH X Majtattst yfaa (Cr this (Unity lrIcludaa a .W=e Wxmisement Odor Cv 3uvl Chet:Scliu, da hts n COMW Cbectuft a MOtsailty mm aja:mem Checklist teat an Eraeriemy Action Platt, Sources of boot atlors and ire CU b2V* bait etrslUMd with resP#Vt 0 this site tend Best ManaMCMCM P=90*1 W NJirrimize Odors toad Bess Maattsetaeftt Ptacdc" tin Control IOseC:tS hAVe been selected et:d iscludod in tact wmsao mauortgntru pled, S;o tAe 4'40rttIRY I`ttrrtsesteat Been WW the EtttetlenCy Ation PM ate complete matt Cap ere irmp*W:itad by this f dlhy Nance of TechWeW Spedalist (Ple ut prir.t): AfMi dun mate/Wor4► Cumpktec:: Add 33 (A#rnry): Pho-ie No.: pr i D r Slgitt[tut=: Date: Z� ' V w ar [t The (040 rift= of %=f4 W** Is 94y to in used for now vs" exptendlnr swine rarrm that bgjm eartstruettoh sfesr it" .l. 10ft U t1m fadgty Wa basalt Warm Lunt .1, 19ft when +rah it comtartIcted or last asp Aod - [ (ws) dtttifY that I Ewa have asnemtscea to contact by cmillea mail tii: adjoinips pmpeny owners bed ell propmy own*" '"ho a+nt proptrr[y tacased OMM a pubiiC rand, atrML or nisbwty Irons this tsow orecpaawus swine !bite. The aodtti wa3 its COtltptiaaee whit rho tegasimmnu at yCGS 104.805. A copy of fhe notice W4 a list 0( 4e pm?ertr otvftrs metalled is "%*W% , . Nana of Land Owner- ' ' Si�natun: Date: Name of Mans>M (it different from wvner): $Ignature: Dow.A1VC — Augwic 1, 1taY7 III. Certification o, f Installation A) Collection. Storage. Treatment Installation New. exnanded or retrotcted facility (SI) : Animal waste storage and treatment structures. such as but not limited to lagoons and ponds. have been installed in accordance with the approved plan to meet or exceed the minimum standards and specifications. For existing facilities Without retrofis, no cerrifl-carion is necessary. Name of Technical Specialist (Please Print): Af fil Address (Agency): Date Work Completed: Phone -io.: S i 2nature: Date: B) Land Application Site (`VL'P) Check the appropriate box .,d. The cropping system is in place on all land as specified in the animal waste management plan. J Conditional Approval: all required land as specified in the plan is cleared for piandrig: the Cropping system as specified in the waste utilization plan has not been established and the owner has committed to establish the vegetation as specified in the plan by (monthldayl}•ear); the proposed cover crop is appropriate for compliance with the wastzutilization plan. Also check this box if appropriate if the cropping system as specified in the plan can not be established on newly cleared land within 30 days of this certification, the ow'ne: has committed to establish an interim crop for erosion control: Name of Technical Specialist (Please Print): b (ArPA (+ . b5a t5- Afl:iliation U5 - RC. Daie Work Completed: 12-4-r511' Address.()kgency): • L9 • c x d Z7� Phone tio.:��t-46p3 Signature: A' Date:1Z_-Z:3r'f'4 , This following signature block is only to be used ) •hen the box for conditional approval in III. B above has been checked. Nwe) ccrtifv that I (we) have committed to estabiish the cropping system as specified in my (our) waste utilization plan. and if appropriate to establish the interim crop for erosion control. and will submit to DE`l a verification of completion from a Technical Specialist within 13 calendar clays following the slate specified in the conditional certification. I (we) realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement action from DEM. t Name of Land Owner: P Signature: Date: tiarne of Manage: (if different tram owne:): Signature: Date: *0VC .. Au_ust 1. 1997 1 12,'22i13�? 03:C-6 8043921934 &1:I ATLFrIi'IG Ir��! !,1'�! 14: 91 91969°;t137 A�e�� G2 - GR:,hNrLLE SI+iC,^ PAGE @` r , C) 1 r Lols UtC) Facility with *' Medlo" W mimmite tilt run otf of Pa: i:ut:tr ct trvrn luunling arw heavy vse :arias Ila, t bee: ineWl tJ to ope4ifieci in true Pisa. Xarja litirs wftlrorit er:erior fors, no csrti<jicadoit is necessary. Yame of Technical Specialist (Please Prim): Atftlistloq , _ _.. .Date Work completed: Address (Agency): 'phone tio.: Si�rtature: Dote: r t p?iWiLQW2 Ind HGOdUa �* ipL.3ent lWallatig (MI? or I) i«l xr� ��(w►1ie1�i4oM1i�T Cheek Me MPP►aPriars blatt J J Aaimal wasti aVPUCWion ud bwating equipaitnt speci{1ed is tht Piyn is $ite and reify for wis: tal be4UtM wW aefjwweut mnteriaiy i Ave beta provided to 4`se Owners anti :ire conuirltz %u qWt o' UM Pisa. Apiamt wum *"lka4,jn jnd lsa 6rq equipment Srccirwd is aw P,an his flat bees installed out the o rer his Ptufwrsd leaaint or third P&MY zVgii:adon ans bate ProWide%; s $,tnrd gontrtist: e4uipment "or4d in the cortt;ut agseta witb tlw Mquireatena of tie quaff; rruuim4 duffers can be maintailted: gwibri 10ft apd aeij"Vaeat SU144 4 have bean pr0ylded to the owners atui tttr eomained as Put of rise Plan. Candidona) approval. Ania& waste CP-. nsbetn pntCbmed jars will be on Lice anal insts tied �-2( rWdaylyvar:: these is SdSgWzS ter Met to hotd rise WU56 unul the rquipmom is itan a ,vase Can be land applied its a�rtorrtaAcs witb tite e:oppins tvsteat contained in talibration sews adjusmout S4idsrsu have beta p=OVW4 to the owners AM are eomturmd as part of the Tian. Name of Tecbnlcw Specialist (Please Print): I ! A+tfiitatdo L Dale Work Completed: Address (Agetit:y): Phane Na:_�x, = 5i�nautreI Data The following sifstaturs black is only to be rased when the box. for anditional approval In III D about has bgtn file ked. I (we) Cgrdfy chit l (we) have eomnued to pturrhase the are m*i wrote application and ltaadling u4u1-ptaent u specified to my (ou* wane nwaStment plum trd will submit to DPI a veriticstion of ul;ve:V and ins:allstiote troth a TeChaiCal Special* w,.Wa 13 caierr' • days following I (wc) realtze ttwt WItue to submtit Uds variiicuior is a Vtohaich of the waste r1=2temtn; plan :smd will svbjmn rot (us) to an eatoecemont actioa from OEM— I `time of Land Owner. Signature: Data; Name of Manaver (If dif:emnt from ownec): 51` aturr: Date: E} Qd2r QntrDl.Control art� SLA) bUUUM to Cvatrd COM =d irsecrs as s?alitd in teas Plus have bacon insesllac: arts us cpar•,:u=-I. 'fibs MtWa Y mattagemou system at sreclflet :a the Plea r,Vj&lso basis itnstslled =4 is operuionAl. Name of Technical Specialist (Pieur Prim): Affaiadon pate Wotk Completed: - Address. (Agency): .,. .,. _- - —Phone No.: Signature: Date: A%YC -- Auyuat I. M