420023_PERMIT FILE_20171231

State of North Carolina
Department of Environment .
and Natural Resources A&4 Iva
Raleigh Regional Office
Michael F. Easley,Governor NCDENft
NORTH C^RouP4^ DEF% TmEorr of
William G. (Bill) Ross, Secretary ENVIRONMENT AND NRUR.►L REsouraCF-S
Alan W. Klimek, P.E., Director Division of water Quality
January 10, 2003
CERTIFIED MAIL
RETURN RECEIPT REQUESTEn
NPD; Farm No.63
Matthew Mehlenbacher
385 Highway 158
Roanoke Rapids, North Carolina 27870
Subject: Notice of violation
Recormnendation for Enforcement
NPD Farm No. 63
Facility #42-23
Halifax County
Dear Mr. Mehlenbacher:
On December 16, 2002 the Raleigh Regional Office conducted aerial
surveilance for several counties served by this region. Aerial surveilance
indicated a potential for improper waste application occurring on Farm No. 63.
This facility was investigated and confirmed application of animal wastes into
heavily saturated soils and standing water under the center pivot irrigation
system. Mr. Kelvin Terry met with Mr. John Hunt of this office and discussed
that this was in violation of the animal waste permit for this facility.
The Certified Animal Waste Mangement Plan (CAWMP) specifies that waste
applications should not be conducted on saturated soils. 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. Any violation of the Certified
Animal Waste Mangement Plan shall be considered a violation of the general
permit and subject to enforcement actions.
The Raleigh Regional Office is considering recommending an enforcement
action for the application of animal waste onto saturated soils. The Raleigh
Regional office appreciates your cooperation with this matter. If you have
any questions please call at [phone].
1628 Mail Service Center, Raleigh, NC 27699-1628 Telephone [phone] FAX [phone]o
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper

Page 2; NPD Farm No. 63
NOV, Recommendation for Enforcement
January 10, 2003
Sincerely,
A , P.E.
Regional Water Quality Supervisor
cc: Dawn Williamson; Murphy -Brown
Halifax County Health Department
Mr. Wayne Short, Fishing Creek Soil & Water Conservation District
Ms. Margaret O'Keefe, DSWC--RRO
DWQ Compliance Group
RRO File

ME
40
THE HOUSE OF GENETICS®
Office: 385 Highway 158
Roanoke Rapids, NC 27870
December 20, 2002
Mr. John Hunt
1628 Mail Service Center
Raleigh, N.C. 27699-1628
Dear Mr. Hunt
} DEC 2 3 2002
Tel: [phone]
Fax: [phone]
This letter is intended to explain the events leading up to our violation at our Farm 63 in Halifax County
this past Monday, 12/16/02, and the actions we are taking to reduce the risk of recurring in the future.
This past year, NPD has invested in additional irrigating equipment in order to increase and then maintain
our freeboard levels at all of our farms. We had the lagoon at Farm 63 up to 90" of freeboard'in early
August. As you are aware we had an extremely dry summer and we were able to take advantage in order
to achieve these levels. However, the,rains this past fall rapidly diminished this freeboard across many of
our lagoons. Farm 63 was most dramatically affected due to the design of the primary and secondary
lagoon. Our primary has twice the surface area of the secondary. Therefore for every inch of rain we
received, the secondary went up three inches.
We made every attempt to irrigate every day possible but the rains not only filled the lagoons, it also kept
the ground wet. The week of November 18'' we were stuck between having to irrigate on wet land or to
have our freeboard go below 19". We contacted Buster Trowel and received verbal permission to irrigate.
This past week our Land Management division felt that our freeboard was again at risk of going below
19" and decided to irrigate once again. This was done with the intent of being proactive but proved to be
an error in judgment.
We have had numerous discussions within our group addressing this matter. We have scheduled
additional training from the Murphy -Brown land management -division and Dawn Wells will be leading
that meeting scheduled for 1/3/03 at 10:00 a.m. in our Roanoke Rapids office.
We are looking into options for minimizing the affect rain has on the secondary lagoon at Farm 63. We
are establishing weekly irrigating targets to comply with our WUP and maintain maximum freeboard
levels in all of our lagoons at the end of the summer crop season next year. We have certified ten
additional NPD employees,this past fall so that more of our team will be aware of environmental issues.
Please be assured that an incident like the one this past Monday will not happen again. NPD had never
had a violation in its 12 years of operation. We sincerely expect that this will be the only violation ever.
n�
Sincerely,
Matthew Mehlenbacher
Operations Manager, NPD(USA)

DEC-18-02 11:08 AM
P . al
00-qsA
f-3 �,F yiz-Z3 za"�--3

DEC-18-02 11:09 AM
F. 02
FORA IM•7 Lagoon Uquld lrrtgation Fields Record
One Fans for Each Field per Crop GyCle
Hydrant 4 F1014 0 4 Faplity Number 43 '
F1ild Size (acme) a I+e) 4.41
Pei m Owner NPp U Form 8
Owners Addw 385 H" 158
:RoarokeRe ids NC 27010
Owner's Pr onrr r 2d - 37-971
Fmm waipe U0Ik=%*A PLm
Crop Type Fesew I4000mmended PAN
.. , I.oaelnq Itd'ecre)' (B1
+ 2 x R 5) (01 011L1I
Des
(mm*Odryr}
Irrig
loon
wow Ana11We
PAN'
(wom OW)
PAN AppliBa
(to7ACfe)
is (os
IDOD
NllrngRrj
6111nnoc"
{Ibleue)
(gl (101
81ar1
TMna
Rnd
TIP"
Total
Mnytae
(3) - M
Y of
ePIvk"
Open"
FIM
Rita
(aW7min)
Total volume
{pallor}f)
(a) K (5) r (A)
volume
par Acre
(g0acre)
(7) I (A)
187,16
1IIV
7:3
5'.00
570
10
7695
1744B.98
1,2
20.04
160.22
02
10M
8;
1 L5
4
14093.88
1
14.59
11127
;00
0
!
130
7 900
16533-61
1.2
19,84
122.75
121t
10!4
3:30
286
1
260
71250
10158.48
1,2
19.39
103.18
roul n 16761 Cf" Cyce Tqfifil 265900( PAN AppIWO 177.79591U4
Owrnrs Slp pure 0"Tmore S+Qwwre --
Cortilled Operatar (Pnni) Operalore CaMrombon NO,
NCnA Waste Aniyla* or Etrw A*d ar NRC6 Edlmo a, Taannloet GJ6e eacom SM,
Gf%W tni rah* naehrtd by M7bC7dt+1p aalurnn (1 C) ham (9). Cw tMtw k t wkig oplume (10) mom wdumn 01) fgtlprAnp aacn +rrgaaon Want.

DEC-16-02 11:09 AM
P_03
FORM lRR-2 lagoon Llquid lrrtpaW Fields Record
Or1e Form for Each Field per Crop Cycle
Hydrant 2 Fleld 0 4 FecAity Num wr 42 - 23
FwId SO (acres) ■ (A) I,f
Farm Owner NMIUW farts �9
Ownars Address 385 Hwy 15$
an N 770
Owner's Ptm�e # k Rae252- 7- 710
Rrpp1 wafts UtIllretlon Plan
Gro0 Type Recanmended PAN
Lofd4np (QYGM) m (BI
(3) (4) (al (5) I7) (8) (a) (101 (111-- -
Dale
(mrnroo+yr)
WOIJ& ArWy"
PAN'
(6l1000 gal)
PAN Applied
1Vb(anre)
(@)JA
ti000
Wropen
Baluow-
(ibeuni
(a), o1 l
start
TW*
End
Thme
Tom(
(A*Ut"
(f) - (21
001
Sprinwers
Op rwq
Flaw
PA"
(pstwmin)
Tolil Volume
lgalionel
(p) x (5) a (4)
plume
;er Aaxe
(qai/Bup)
(7) 1 (A)
a 181.1t3
1111 2
;30
5.301
3%
136
81000.
41B, 0
1,2
1110
19.86
1111
ID:30
SW
420
1
131
56700
059LU
1
7.91
161,95
11120102
11
300
1
155
40600
470D 30
1,2
5155
15 .29
12112/02
GOD
1
135
64800
7534.68
1,2
9. a
147,25
royal 101"Ut" 1 11 Crop Eyck ToUlai 2443000 Tatol PAN App"00 33 90e97571
Owrlors Bipnature Operator's $(gnsture
Celli lwd Qp"br (PMMI) - r . .. Operaws Cart katton No
' NCOA wade Angytsb or EgJY94M or MRCS Estimate, Tpmrko Gtrlds lis wn 033.
Emar 4ts voles ru ovW W ahtr a.* Column (10) from fl). C-9m++N w,Elrsatlr+a a m"(7m (10) "M O*Mn (11) k&A*V "ch w0ati a twsnt.

DEC-18-02 11:10 AM
P.04
FORM IRA-= Lagoon Uquld trNstign Flslds Record
One Form for Farb Fleid per Cmp Cycle
I "rant Hold a 4 F*UQW Number 23
FiAb Sine (acres) j1A} 2.34
Form Owmef PD U Firm 83
OwMIWO Addrom 385 Hwy 158
.Ropnohe Ra ido NC 2787
0v+ 6 Pt�a+e 0 2b2-8 7.4710
From Woo UtIlir ftm Pion
Crop Type FaaC4 R"Omrnf ww PAN ?Ob
Lo"Inp Ub+acro) = Il11
—Al i9l ctcL L
r
■■r�rr�
��
wow
��
wMr�r
��
�
�r�
�■
r■�r
�r
.. ni
��l=ram
Ownaro $fgnowre
covw 00snlor (Pmfltl
Op"wo t3pnatufe
Owltwq Certitkwt+on No. _.
' wC4� Wants Miy1W a fiqulvaier+l or NRG6 Elprrytq, Teel Q�,�idrf Berrien ti�.1.
` Enter v,. vakra recahre4 by Kt�trprtt,q oofumn I 1 op hom (Y). CnnWw+a �btrradh+C miumn t 14j Avm aoh+n+n {t 1) tbUaMfip oBe, rrtp.lbn avant,

DEC-18-02 11:10 AM
P.05
FORM )RR-3 Lagoon Uqu+d INOOon F)etda Record
One Form for Each field par Crop Cycie
Trtic1 / a3 F»= / 4 Floury Number 73
Fuld SO (araea) ■ (A) 2754
Farm Oymer p-6 Farm 87
Owners A04M" 3sd 1iwY 1 be
Roanojg Rapids NC 77 7
OwnarePt+onea 262 7.g7�0
p2n Waste UdMEWn Plan
cropTypo eeaaa ROOM M nded PAN
Loading (IWacre) ■ (g)�
(1) (2) (3) (4) fM 181 (n ref M (10) (11)
mammon
Owners Signature OparatDr'5 knore
Cervnod Overator (pnnq Ka(vl^Tamr � . Operows Ceditot)on No. 1 r 4 _r
NCOA Waste Maylala or EVuiv&A or NRCS EOMMO, TwO rkO Oitlde Seaton M
EMW 010 V" rWWO@d by r1r(rW" 05iwmn (10) hom (0), CerWha(a WOO= Nq oO(urrero (10) ham O* mn (11) IOWwkV Dad+ Mputlun avant.
Owners Signature OparatDr'5 knore
Cervnod Overator (pnnq Ka(vl^Tamr � . Operows Ceditot)on No. 1 r 4 _r
NCOA Waste Maylala or EVuiv&A or NRCS EOMMO, TwO rkO Oitlde Seaton M
EMW 010 V" rWWO@d by r1r(rW" 05iwmn (10) hom (0), CerWha(a WOO= Nq oO(urrero (10) ham O* mn (11) IOWwkV Dad+ Mputlun avant.

DEC-16-02 11:11 AM
P. 06
FORM IRR-2
lagoon Oqukl Irrigation Fields Rmord
One FOtm W Each Field per Crop Cycle
Hydr@At 1 Field • 2 Fa:114 Number
FIItd bite (acres) v (A) 4.41
Perm Owner NPO• lJ Faun 53
Owners Addrols W Hwy 158
ftoropke R01DWs INC 27e7
C++wWI Phone f 252- 7- 1010
FMM wwta uulwftn p(an
Crop Type W11eat R*Wnor*rxW PAN so
Loading (Iblacre) -
111 f91 f31 ILI Iir1 rwI 071 flit flit Ifni 1111
ry i errnKyw rU vrop9yma Tpaul radaU}TGUI rM W1119a l LU,daa� rw�
Ownere %nature � �- OperlLr>F's "uture
c4f"ed Ope S Or (PMO
Operators CwoflwdOn No
MCDA WpOe ArwNsr or EgWyekwd a NRea Eatlmele, T@Chn at aud. SecOW an
f�Msr HIe re11w reGIM90 by sublrtMhp cqumn (10} tram {�), Centlrm SLA& ON wkmm (10) Rvm f ksm (11) 1010v pelt kr 04M &VWK.

P . 07
DEC-18-02 11:11 AM
FORM lRR•2 lagoon L4uld lrngatlon Fields Re6ard
One Form for Each Field per Crop Cycle
Hygror+t 2 Flfrp 1 3 Facility Numbs 42 23
F414 arts (acne) - (A).18
Pam+ Owner NP I A Form 93
0wner1A.dOvu 305 Hwy 158
Rgsnokq Roap NC 2787
Ownarp Phone S 252• 7 0114
rmm waste Vol wrom Pion
Crop Typo YVh1"t ROOOmrnwxW PAN
.oading (rq mm) a (a)
+ 2 3 )AN a e 1 o 1a ++
raTal MinuE� - m ew cft 11 4 Fipi -d
Ownew Nmeturt Ope wwev signature
Cart w Op law (Pent) OPO swo CatfAl ew No
KuA Wawa Meylelp Or Equlrolprlt or MRCS 1 ummo, Tovy a 611ya 89mm Lu.
" "or Ih vakm romod by v Mnfel" Wkm+R (10) from t9). Canr xm a ftrwY18 "mn (14)rmm w&mn (11) f km1 rQ 000 irTw4n weM.

DEC-18-02 11:11 AM
P.08
FORM IRA-2 Lagoon Ligtjo Irrigation Fields Record
Ona Form for Each Field per Crop Cycle
Tract 0 03-7 Fi sd e i Fsdl4 Number
FII(d Six* (ease) a (A) 3,92
form Owner NP U5A Farm 63
Owners Address 3$5 H" 158
oanoke RmgNt NC U870
Owneee Pnons d 25 •537.8710
F= wseeo �lelllufion Plan
Crop type rmuda Rw mmendod PAN a%
L04041 tltwmicjs) ■ (s)
{�) (2) (3) (4) (e) (a) 17) (e) 1) (10) (11)
DoW
(mnvd&INf)
a
Wam Analysis
PAN`
(1CJ1000 pew)
PAN Applied
(Ibrave)
(S) M I@l
1000
NI i nen
Ealsfnce-
(ICraure)
lea - WA
Stan
Tbma
Erd
T"
Total
AAko"
(d) - (2)
tot
s;,v*jara
OWmIng
Flaw
Rah
(O"Im)
TORN volume
(p811011y
(8) x (8) % (a)
volurss
per Acfa
(gellatrO)
(1) r (A)
35a
BW02
9:
:00
540
10
13,2
71280
18183.67
20.D0
330.00
54JO2
8:
8,00
10
1
91080
23234,89
1.1
25.b8
304.44
2
ll
1U3
108353,7
7641.25
1
30.41
274.0
�B(42
B
13
10
13.23
1312
1062V3 7
83160
2,7641.25
VP 29
1.1
11
30.41
23,34
243,83
220.20
61=2
7:00
510
30
2 2
6:30
5:00
830
13
13.23
108353,7
27041,W5
1.1
3Q.41
189.89
7/1102
13
13,23
82355.2
1 0.00
1,1
23.17
188,72
7aM2
7.SO
B00
10
13,2
79220
20204.08
1.1
22.22
144.50
7!
3
13
1 ,23
39500
108353.7
1 102.04
27641. 5
1,1
1.1
11.11
30.41
133...39
102,9
VIM
fir rrlrnusss [ 5^7.660 Crop Cycle Toi 580,290jTOW PAN App4ls4 L 247,02�
Orwr+ar'4 Signeve Operalnr'e Slgnalurs
CerhW 09"lor {P(int} !Stvip Terry OWSlors CerdRo rbn No. 16314 R
NCt)A waft Anposls or EQWV&WM or NRCa eal m l . Te"toel Gwlde t OMM sa3,
Erwe► the v■lue realvad av sub rsding eoYUmn (10) frVm 18). C Onwe wbtr v ky cotumr! (10) from column (it) fo(lowtng mch 090pn evem.

DEC-18--02 11 : 12 AM
P.09
FORM II1R•2 Lagoon Uquld lni 00v fields Reaord
One Form for Each Field per Crop Cycle
Try p 01 fialQ A Z Fatally Numt�er � - 23
Hold t3lre (acres) a (A) 4,41
Farm Owner N A- Farm 8
Owners Address 38S Hwy 158
BoyUghg Ra s NC 27870
Ownpr's t}Nprw N 26 � 37-971
From W+eq ut11Rec on Plan
�
p TYAa uda ReoWnmended PAN 7S0
Loading (Ibldve) ■ (a) _
rel rot 001 (t11-
Doe
(nlrNdgl)f)
e
M914Ana"@
PANS
Ob(iom pf0)
PAN Applied
(Ib(aore)
u Lklp�
1000
N11rooll
po IA-'
tUpc*
(el - (1U)
8W
T1me
Em
71ms
Total
Ap mit
f3) (9)
tog
Spnnkkart
Operaung
now
Rale
[Winlnl
Tolel Volume
(pallon6)
(6) x (6) a (4)
Volume
per acre
(gallurC
(7) ((A)
350
4181
0:
5:30
450
1
154
80 00
t 87 .47
1.4
24.61
325,39
4
:30
480
111
134
JL320
14685.
29,25
2 3.1
7:
:00
900
1
1
00400
1891129
1.
3282
200.32
OZ
8;
0
1
134
72 380
18408,16
1,1
18.05
248 27
614102
8:30
1
1
92,480
20999
1.1
23.09
225.21
5:00,
134
84.420
19142,86
1.1
21.06
204.15
2
100
5101
1
Ib
14 47 0
19142,88
1.1
2100118�.D9
fo411 Mlnum Crop 5�3818601T*Ml PAN AppW I 155,61
Owner's Signature ODereiofs Signature
CeVed Operator (Prmnv Operatofa CortWO W4 No tg614
' KpC k Wallt Aneytals or F,QLOVWM Of MRCS 6samale, Tec nkO GYft geoUon e33,
Erns Ih* valve rva6v 4 by k0trad1 V oolpmn (10) from (a). CWORM a ma" odumn (fo) from Wa+mn (11) faeoWrp soon frriQaocn avant,

DEC-16-02 11:12 AM
P. 10
FORM JR14•2 Lagoon l.)gtW IrVotlon Flel le Record
One Farm Tor Each Field per Crop CyOe
Mydrent 2 P" N 3 Facility Humber
Field Sloe (&me) + (A; 0.16
Fam+ Owner NP U Farm 63
Owners Address 385 Hwy 155
Roanoke Ra Ids NC 2757
Owner's Phone N 252.53?-9710
FrOM Wfeft Milw m Plan
Crop Type rm(+de ReoomrMe(XW PAN W
Loodirog (tWKm) ■ (B)
(1) W (3) (4) f6f r61 {7S tat tat (10) (11)
Do
(mlvfty)
e n
WaH1 AnO Wa
PAN'
gat)
PAN Appllod
()prncru)
ILLO]
lom
NAtoqun
9a'mtiu,"
00p z ra)
(0)-(1U).
t3tart
Tints
End
Time
Taw
hOr""
M-0)
Not
"kAM
Opel+g
Flow
Rats
(gaUmw
Ta;alVOWIre
(ganonc)
(6)x(5)■(A)
VOlum9
per Acre
re) (WOVAr
(1)I(A)
8■ 350
W2&02
7:00
5:30
630
1
247
165610
25281.19
Ill
27 79
322.21
6:001ail
155,010
26251,36
1 1
27,79
294,4
711102
480
1
247
11B 660
1924 .7
1.1
21.17
273-26
7002
7:00
5:00
m1
47
148,200
24056,44
1,1
25.46
240.79
7M P
1
1
247
74100
12029.22
1.1
13.23
233.68
7f113102
0:30
5:00
S
1
47
155814
26261.36
11
27.79
205.77
Topr rttnut" 1 _.__3270 Crop Craw Taatef Sp .890 Oat Puri App1ted l 144.2 J
Owners Signature Operators Signature _
GrtMlyd Operator (Pr1nl) Ki lvin TM OwaWe Cert(beapon No. 18514
NCDA wash Af1hAeK w EWJvWaN or NRC5 EKk+ralo, Tedmloal GlM Sop" W
~ FAW er vO- MOWVW by liutbeotkV OcA—n (10) from (0), CwOmm v*redtna oaturrin (10) ftm COvm (11) fokm" GOO Vriestw avw11.

`1 State of North Carolina
Department of Environment,
Health and Natural Resources 74iFA
Raleigh Regional Office
James B. Hunt, Jr., Governor p E H N F�
Jonathan B, Howes, Secretary
Boyce A. Hudson, Regional Manager
Division of Environmental Management
August 23, 1995
Mr. Rudy Grammer
Smithfield-Carrolls
P.O. Box 1240
Waverly, Virginia 23690
Subject: Management Deficiency Notification;
Smithfield-Carrolls Farm # 63
Halifax County SR 1240
Dear Mr. Grammer:
On July 25, 1995, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is a part of the Division's effort to
determine potential problems associated with animal waste disposal
systems.
Mr. Towell'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
deficiencies were observed:
Animal waste was observed in a ditch that was downhill from
a nearby solid set sprinkler head. This riser was
approximately 16 feet from the center line of the drainage
ditch. This ditch would be a conveyance to surface waters
during either, over spraying or substantial rainfall events.
In addition to continued facility waste 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 issues
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.
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10% post -consumer paper

Carrolls # 63 Hog Farm
Page 2
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 to surface waters of the State are
subject to civil penalties of up to $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 the 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 Office appreciates your cooperation in
this matter. If you have any questions regarding your inspection
please call Buster Towell at [phone].
Sincerely,
Kenneth Schuster, P.E.
Regional Supervisor
cc: Halifax County Health Department
Fishing Creek Conservation District (Halifax County)
Steve Bennett -Regional Coordinator, DSWC

.� 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 23, 1995
Mr. Rudy Grammer
Smithfield-Carrolls
P.O. Box 1240
Waverly, Virginia 23890
Subject: Management Deficiency Notification
Smithfield-Carrolls Farm # 63
4' Halifax County SR 1240
Dear Mr. Grammer:
On July 25, 1995, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is a part of the Division's effort to
determine potential problems associated with animal waste disposal
systems.
Mr. Towell'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
deficiencies were observed:
Animal waste was observed in a ditch that was downhill from
a nearby solid set sprinkler head. This riser was
approximately 16 feet from the center line of the drainage
ditch. This ditch would be a conveyance to surface waters
during either, over spraying or substantial rainfall events.
In addition to continued facility waste 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 issues
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.
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

Carrolls # 63 Hog Farm
Page 2
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 to surface waters of the State are
subject to civil penalties of up to $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 the opportunity to remind
you that you are required to have an approved animal waste
management__p_lan 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 Office appreciates your cooperation in
this matter. If you have any questions regarding your inspection
please call Buster Towell at [phone].
Sincerely,
Kenneth Schuster, P.E.
Regional Supervisor
cc: Halifax County Health Department
Fishing Creek Conservation District (Halifax County)
Steve Bennett -Regional Coordinator, DSWC

F,
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
I a
XF.WMA
0F1
NR
Division of Environmental Management
August 23, 1995
Mr. Rudy Grammer
Smithfield-Carrolls
P.Q. Box 1240
Waverly, Virginia 23890
Subject: Management Deficiency Notification
Smithfield-Carrolls Farm # 63
Halifax County SR 1240
Dear Mr. Grammer:
On July 25, 1995, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is a part of the Division's effort to
determine potential problems associated with animal waste disposal
systems.
Mr. Towell'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
deficiencies were observed:
Animal waste was observed in a ditch that was downhill from
a nearby solid set sprinkler head. This riser was
approximately 16 feet from the center line of the drainage
ditch. This ditch would be a conveyance to surface waters
during either, over spraying or substantial rainfall events.
In addition to continued facility waste 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 issues
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.
3800 Barrett Drive. Suite 101; Raleigh, North Ca►ollna 27609
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
50%recycled/ 10%post-consumer paper

Carrolls' # 63 Hog Farm
Page 2
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 to surface waters of the State are
subject to civil penalties of up to $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 the opportunity to remind
you that you are required to have an approved animal waste
management plan by December1997. 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 Office appreciates your cooperation in
this matter. If you have any questions regarding your inspection
please call Buster Towell at [phone]:
Sincerely,
Kenneth Schuster, P.E.
Regional Supervisor
cc: Halifax County Health Department
Fishing Creek Conservation District (Halifax County)
Steve Bennett -Regional Coordinator, DSWC

SMITH FIELD-CARROLL'S FARMS
P.O. Box 1240
WAVERLY, VIRGINNIA 23890 Q�
September 22, 1995
Mr. Kenneth Schuster
DEHNR, Raleigh Regional Office
3800 Barrett Dr- Suite 101
Raleigh, NC 27609
RE: Management Deficiency Notification; Smithfield- Carroll's Farm # 63, Halifax Co.
SR 1240
Dear Mr. Schuster:
I am in receipt of your letter of August 23, 1995 regarding a management deficiency at Smithfield-
Carroll's Farm #63. The description of the observations by Mr, Buster Towell, are misleading. The
described sprinkler head is not a fixed sprinkler, but an irrigation hydrant where portable irrigators, such
as hard hose travelers or towable center pivots may be positioned for land application purposes. This
hydrant is located more than 23 feet from the center line of the adiacent drainage area; not 16 feet as
indicated in the deficiency notification.
As with any portable irrigation, small amounts of liquid will be spilled from connecting hoses, and
irrigators when irrigation is ceased and/or the irrigator is being prepared for transport. Apparently,
extreme caution was not taken by our employees, to prevent this liquid from reaching the described
drainage area after an application event.
Our farm personnel have been informed of this situation and they understand the potential impact of
such actions. Periodic reminders will be included in future staff meetings to assure environmental quality.
Should you require additional information, 1 may be reached at [phone].
Sincerely,
1
Rudy Grammer
Manager of Farming
Environmental Affairs
cc: Adolph Miller, Carroll's Foods of Va.
Halifax Co. Health Dept.
Fishing Creek Conservation District

Y2-23
1SAL
November 15, 1995
Mr. Jeff Dillard, R.S.
Environmental Health Super isor
Halifax County Health Dept.
P.O. Box 10
Halifax. North Carolina 27939
RE: Noncompliant Condition Letter Dated 1 1-2 95
Smithfield-CarrolI's Farm #63
SR 11 1 3. Halifax Count\,. NC
Dear Mr. Dillard:
CARROLL'S FOODS
OF VIRGINIA, INC.
P. O. Box I240
WAVERLY, VIRGINIA 23890
�j,T
This letter is in response to your letter dated November 2. 1995. concerning a noncompliant condition
at Smithfield-CarrolI's Farm 963.
Following our telephone conversation on November 2. 1995, we immediately began an investigation
into this matter, As we discussed on the phone. there was speculation that possible a pipe was cracked or
broken underground allowing seepage of recycled lagoon liquid. This was found not to be the case.
Ironically, it was a partially dogged safety overflow drain that was the problem. The drain, designed
to prevent spillage, by directing effluent back to the lagoon, was partially clogged on one of the farms
flush tanks. Subsequently, small, varying amounts of effluent were bypassing the safety drain. This
by had to be irregular in both timeliness and amounts, as several tanks are refilled by the same pump
at different intervals. This action would alter the flow rate to the problem tank and make it difficult to
detect a leak.
In response to this event. the following actions have been perfonmed.
- Removed every overflow drain to inspect and repair any blockage that exist.
- Inspected all flush tanks and timers to insure proper operating condition.
- Increased frequency of flushing operations to prevent possibility of overfilling of
tanks.
- Performed a complete farm inspection for leaks or other potential problem areas.
In addition. weekly inspections of tanks and timers will be performed to assure proper operating
conditions and prevent future occurrences.

We welcome you to revisit the farm for a follow-up to this action. Please feel free to schedule a visit
with me at [phone] or possibly more conveniently; Mr. Matt Miles at our North Carolina office,
[phone].
If I may be of any assistance. please feel free to call.
Sincerely.
Ru.
Rude Graimner
Manager of Farming &
Environmental Affairs
cc: Mr. Adolph Miller
Mr. Matt Miles
Ms. Merle Grcen
Mr. Buster Towell V111

�lz - 2-3
Animal Control
Immunization
Cancer Detection
t
Maternal & Child Health
Environmental I1'ealthL
Family Planning
j tl�
.7i� 1 'Ii-1 �`
�
Orthopedic
Glaucoma -Diabetes
School Health
Health Education
Post Office Box 10
Tuberculosis
Health Screening
STD/HIV
Home Health Hospice
Halifax, N.C. 27839
Vital Statistics
Hypertension
Merle C. Green, MPH, R.H.Ed.
Home Health Hospice
Health Department
Health Director
[phone]
Information:
[phone]
Fax Number
Fax Number:
[phone]
[phone]
November 2, 1995
Mr. Rudy Grammar
Manager of Farming & Environmental
Affairs
Smithfield-Carroll's Farms
P.O. Box 1240
Waverly, VA 23890
Dear Mr. Grammar:
Our office received a complaint on October 31, 1995 that wastewater, from Farm #63 located at
the end of SRI 123 near Tillery, NC, was possibly entering a tributary of Looking Glass Run.
Mr. Moulton Bailey, R.S. and 1 proceded to investigate this complaint on October 31, 1995. We
followed the tributary until we reached the farm on SR 1123. We decided to contact anyone
present in the farm office, but on the way to the office we had to cross a grassed waterway. This
waterway had lush fescue growth. As we followed the waterway up the hill to the farm, we
noticed pools of pinkish purple liquid (water the same color as lagoon water). This liquid was
entering the swale through a pipe that ran under the road circling the farm. No one was present
at the office, so we left without contact.
We revisited the site on November 1, 1995 with Mr. Buster Towell from the Division of
Environmental Management. After speaking with employees in the office, we proceded to walk
around the farm. Pinkish purple liquid was still in the diversion ditch. The source of this liquid
appeared to originate somewhere between the first and second buildings. There was a steady
stream of wastewater flowing in the surface water diversion during the entire time of our visit.
The farm manager looked for the source of the waste but could not find any. We did not go
inside the clean area to look for the leak.
Another item of concern was the condition of the irrigation area south and west of the farm.
Standing water was commonplace and appeared to have waste in it. This could not be
confirmed. Also, the diversion around the back side of the lagoon showed signs that irrigation
effluent had been allowed to runoff the irrigation site to the extent of leaving waste deposits in
the diversion ditch. Be reminded that runoff is not allowed. This problem area has very
impermeable and high water table soils; consequently, irrigation application should be minimal.
Also, the crop in this area appeared to be mainly weeds or native grasses. If this area is to be
used in the future, reseeding needs to be done.
"We are building a county of people to be as healthy as they can be. "

rj
r
This letter is to officially notify you that the above noncompliant condition must be repaired
within fifteen (15) days. Contact this office as soon as repair has been made so we can schedule
a followup inspection. Failure to promptly repair the situation will result in further action by this
office. Please call me if you have any questions at [phone]. Thank you for your
cooperation.
Sincerely,
eff i ard, R.S.
Environmental Health Supervisor
cc: Ms. Merle Green, Halifax County Health Director
Mr. Adolph Miller, Carroll's Foods of Virginia
Mr. Neal Phillips, Halifax County Manager
Mr. Buster Towell, DEM ✓

PLAN OF ACTION (POA) FOR LAGOON SLUDGE REDUCTION
Facility Number: r-42=023— 7= _ County: rHaIifdx—__._!--
Facllity Name: 73631
Certified Operator Name: Murphy -Brown, LLC Operator #k
*Attach a copy of Lagoon Sludge Survey Form and volume worksheets
Note: A certified Sludge Management Plan may be submitted in lieu of this POA.
Lagoon 1
Lagoon 2
Lagoon 3
Lagoon 4
Lagoon 5
La oon 6
a. Lagoon Name/ Identifier
73631
b. Total Sludge Depth (ft)
5.93
c, Sludge Depth to be
Removed for Compliance
1.03
ft
d. Sludge Volume to be
Removed (gallons)
2,000,000
e. Sludge PAN
(lbs/1000 gal)
10
'
f. Liquid PAN
(Ibs/1000 gal)
2
g. PAN of Sludge (lbs)
(d x e)/1000
20,000
Compliance Timeframes:
If the sludge level is equal to or higher than the stop pump level of the lagoon or if the sludge [eve]
results in an elevated waste analysis, a sludge management plan that meets the requirements of SB
Interagency Group Guidance Document 1.26 must be prepared by a technical specialist and submitted to
DWR within 90 days. Work to reduce the sludge level must begin within another 180 days. Compliance
with NRCS Standard 359 must be achieved within two years of the original sludge survey.
If the sludge level is non -compliant but below the stop pump level of the lagoon, a POA must be filed
within 90 days and compliance with NRCS Standard 359 must be achieved within two years of the
original sludge survey indicating non-compliance. If future sludge surveys do not show improvement in
sludge levels, DWR may require the owner to develop a sludge management plan that meets the
requirements of SIB Interagency Group Guidance Document 1.27.
SPOA 9-15-2016 Page 1 of 3

NARRATIVE: Use this section to describe the method(s) that will be used to lower the sludge
depth. If microbe use Is planned, specify the product to be used.
1) Sludge Management Plan (In accordance with NRCS Standard 359, Sludge Management Guidance):
Continue current lagoon management and monitoring of sludge as long as:
A) the sludge level is less than the stop pump level of the lagoon,
B) nutrient values of the lagoon effluent are within the normal operating range,
C) there is no noticeable increase in lagoon odor,
D) a minimum 2.5 ft deep zone, free of sludge, at the pump intake is maintained, and
E) nutrients applied from lagoon are properly accounted for in the application plan (NUP).
2) Sludge Removal - Within 90 days of not maintaining the items listed in the above sludge management plan,
one of the following options will commence:
A) Mechanical Removal by Pump and Haul - a sludge utilizationlapplication plan will be developed that
identifies land in the vicinity of the lagoon that will allow for the application of the agitated/mixed sludge
layer of the lagoon. I mplementation of the plan will commence within another 180 days. Records will be
kept of these applications as required by the permit.
B) Mechanical Removal by Dewatering - sludge will be removed by dredge or lagoon agitator pump then
mixed with polymer and pumped into geolextile tubes (bags) for dewatering, ai outlined in the Management
Plan of the Distribution of Animal Residual Solids Permit, #W00037487. After curing for approximately 6
months solids will be distributed within 2 years either
i) as a Class A material in accordance with permit #WQ0037487, or
ii) if the soilds do not meet Class A standards, in accordance with a sludge utilization/application plan
for land application.
I hereby certify that I have reviewed the information listed above and Included within the attached
Plan of Action, and to the best of my knowledge and ability, the information is accurate and .
correct. I further certify and acknowledge that compliance with regard to sludge accumulation
must be achieved within two years of the original sludge survey Indlcating non-compliance.
Sludge Survey Date: 10/23/18
Murphy -Brown, LLC
Facility OwnerlManager (print)
Z'Lta=L�= -'�- i4c
Facility Owner/Manager (signature)
NPDES Permitted Facilities
Return this form to:
Animal Feeding Operations Program
NC Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
SPOA 9-15-2016 Page 2 of 3
Compliance Due Date: 10/23/20
Phone: [phone]
Date: 16 J31 lJelr
State Permitted Facilities
Return this form to:
NC Division of Water Resources
at the appropriate Regional Office
(see following page)

DIVISION OF WATER RESOURCES REGIONAL OFFICES (09/2016)
Counties served by each Regional Office
Asheville Regional Supervisor
2090 U.S. Highway 70
Swannanoa, NC 28778
[phone]
Fax [phone]
Avery
Macon
Buncombe
Madison
Burke
McDowell
Caldwell
Mitchell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Henderson
Yancey
Jackson
Fayetteville Regional Supervisor
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
[phone]
Fax [phone]
Anson
Moore
Bladen
Richmond
Cumberland
Robeson
Harnett
Sampson
Hoke
Scotland
Montgomery
Winston-Salem Regional Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
[phone]
Fax [phone]
Alamance
Rockingham
Alleghany
Randolph
Ashe
Stokes
Caswell
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
SPOA 9-15-2016
Washington Regional Supervisor
943 Washington Square Mall
Washington, NC 27889
[phone]
Fax [phone]
Raleigh Regional Supervisor
1628 Mail Service Center
Raleigh, NC 27699-1628
[phone]
Fax [phone]
Beaufort
Jones
Chatham
Bertie
Lenoir
Durham
Camden
Martin
Fdgecombe
Chowan
Pamlico
Franklin
Craven
Pasquotank
Granville
Currituck
Perquimans
Halifax
Dare
Pitt
Johnston
Gates
Tyrell
Lee
Greene
Washington
Hertford
Wayne
Hyde
Mooresville Regional Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
[phone]
Fax [phone]
Alexander
Lincoln
Cabarrus
Mecklenburg
Catawba
Rowan
Cleveland
Stanly
Gaston
Union
f redell
Page 3 of 3
Nash
Northampton
Orange
Person
Vance
Wake
Warren
Wilson
Wilmington Region Supervisor
127 Cardinal Drive Extension
Wilmington, NC 29405-3845
[phone]
Fax [phone]
Brunswick New Hanover
Carteret Onslow
Columbus Pender
Duplin

1
-rtifica..'te of Coverage AWS420023
-Farm 63
V Page 2
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) 5714700. If you need additional information concerning this COC or the
General Permit, please contact Sue Homewood at [phone] ext. 502.
,,,yA. Preston Howard, Jr., P
cc: (Certificate of Coverage only for all cc's)
Halifax County Health Department
cRal eiglf Regional;Office,-Water_Quality-S ection-�,
Halifax County Soil and Water Conservation District
Permit File

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
August 24, 1998
Smithfield Carroll's Farms
Farm 63
PO Box 1240
Waverly VA 23890
Attn: Adolph Miller
i � •
NCDENR
NoRTI.1 C.AROLINA DEPARTMENT of
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWS420023
Farm 63
Swine Waste Collection, Treatment,
Storage and Application System
Halifax County
Dear Adolph Miller:
In accordance with your application received on April 27, 1998, we are forwarding this Certificate of
Coverage (COC) issued to Smithfield Carroll's Farms, 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 Farm 63, located in Halifax County, with an animal capacity
of no greater than 500 Farrow 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.
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.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer- 50% recycled/ 10% post -consumer paper

Stbte of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
July 10, 1998
CERTIFIED MAIL
_RETURN RECUFT REQUESTED
A_Tolpli V+ er
Farm 63
PO Box 1240
Waverly VA 23890
4 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Application No. 42-0023
Additional Information Request
Farm 63
Animal Waste Operation
Halifax County
Dear Adolph Miller:
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. A request for additional information was sent May 7,
1998, and to date this information has not been received. Please address the following by August 10, 1998:
1) The Nitrogen application amount per acre for Bermudagrass Hay is greater than NRCS Standards
recommendations for a Waste Utilization Plan signed in September 1997.
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 August 10, 1998 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 [phone], extension 502.
S' erely,
Sue Homewood
Environmental Engineer
Non -Discharge Permitting Unit
cc: Raleigh Regional Office
Permit File
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Empioyer 50% recycled/ 10% post -consumer paper

. .N
"f
;# State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Existing Liquid Animal Waste Operations
The following questions have been completed utilizing information on file with the Division. Please
review the information for completeness and make any corrections which are appropriate. If a
question has not been completed by the Division, please complete as best as possible. Do not leave
any question unanswered.
1. GENERAL INFORMATION:
1.1 Facility Name: Farm 63
1.2 Print Land Owner's name: Smithfield Carroll's Farms
1.3 Mailing address: PO Box 1240
City, State: Waverly Va Zip: 23890
Telephone Number (include area code): 834-2109
1.4 County where facility is located: Halifax
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): SR 1123, end of road, left(S.E.) side.
1.6 Print Farm Manager's name (if different from Land Owner): -Robert -i�� Pdo lflh Millar
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): Smithfield Carroll's
1.8 Date Facility Originally Began Operation: 01/01/92
1.9 Date(s) of Facility Expansion(s) (if applicable): NZA
2. OPERATION INFORMATION:
2.1 Facility No.: 42 (county number); 23 (facility number).
2.2 Operation Descriiption: Swine operation
Farrow to Finish
500- Certified Design Capacity
Is the above information correct? = yes; no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum num er or which the waste management structures were designed.
Type of Swine No. of Animals
Wean to Feeder
Feeder to Finish
Farrow to Wean (# sow)
Farrow to Feeder (# sow)
Farrow to Finish (# sow)
Other Type of Livestock on the farm:
Type of Poultry No. of Animals
Layer
Non -Layer
Turkey
Type of Cattle No. of Animals
Dairy.
Beef
No. of Animals:
FORM: AWO-G-E 1/28/98 Page 1 of 4 42 - 23

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 65.5 ; Required Acreage (as listed in the AWMP): 65.5
2.4 Are subsurface drains present within 100' of any of the application fields? YES or NO (please circle one)
2.5 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or O (please circle one)
2.6 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS tandards, etc.) (Swine Only)
ffEor NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? _J OA I
f +f ..
What was the date that this facility's land application areas were sited?
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.
Applicants Initia_!s
3.I One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;''
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit
application for animal waste operations.
The CAWMP must include the following components:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications.
3.3.10 A site schematic.
3.3.11 Emergency Action Plan.
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.)
If your CAWMP includes components not shown on this list, such as an irrigation design,
or site evaluation, please include the additional components with your submittal.
FORM: AWO-G-E 1/28/98 Page 2 of 4 42 - 23

Facility Number: 42 - 23
Facility Name: Farm 63
4. APPLICANT'S CERTIFICATION:
ADc tat{ L LFo_FPP— SM +1Z4F+mac D - GA944,LL' S (Land Owners name listed in question 1.2), attest that
this application for _ SM c rp F #l:ZC�6 -- �cu- 1� FAQM 5 "- !q3 (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 to as tncomplet . �j J
Signature J, f%`i ;u ,1" �it Date
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
AbOLi')N _ MILLS, C-,FN I�G12. (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
THE
Date ' 2-
ITNG INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 1/28/98 Page 3 of 4 42 - 23

DINISION OF WATER QUALITY REGIONAL OFFICES (1/98)
Asheville Regional WQ Supervisor
59 NVOo dfin Place
Asheville, NC 28801
(704) 25 1-6208
Fax (704) 25I-6452
Avery
Macon
Buncombe
Madison
Burke
McDowell
Caldwell
Mitchell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Ha,,u-ood
Transylvania
Henderson
Yancey
Jackson
-
Fayeneville Regional',+'Q Supervisor
Wachovia Building, Suite 714
Favettevilie. NC 25301
[phone]
Fax[phone]
Washington Regional WQ Supervisor
943 Washington Square Mall
Washington, NC 27889
[phone]
Fax [phone]
Beaufort Jones
Bertie
Lenoir
Camden
Martin
Chowan
Pamlico
Craven
Pasquotank
Currituck
Perquimans
Dare
Pitt
Gates
Tyre]]
Greene
Washington
:I rtford
Wa},,r
Hyde
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Raleigh Regional WQ Supervisor
3800 Barrett Dr,
Raleigh, NC 27611
[phone]
Fax [phone]
Chatham
Nash
Durham
Northampton
Edgecombe
Orange
Franklin
Person
Granville
Vance
Halifax
Wake
Johnston
Warren
Lee
Wilson
Wilmington Region. 'kA'Q Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Anson
Moore
Alexander
Lincoln
Brunswick New Hanover
Biaden
Richmond
Cabarrus
Mecklenburg
Carteret Onslow
Curnbe-land
Robeson
Catawba
Rowan
Columbus Pender
Han, en
Sampson
Cleveland
Sternly
Duplin
Hoke
Scotland
Gaston
Union
NlontQomer,
1.redell
Winston-Salem Regional WQ Supervisor
585 Wauehtown Street
Winston-Salem. NC 27107
(910) 7 71-4600
Fax [phone]
Alamance
Rockingham
Alleghany
Randolph
Ash
Stokes
Caswell
Sum•
Davidson
R'atauea
Davie
Wilkes
Fors%Th
Yadkin
Guilford
FOR -NI: ANVO-G-E 1/28/98 Page 4 of 4

1%

WASTE UTILIZATION PLAN
Producer: Carroll's Foods of Virginia, inc.
Location: Southwest of Tillery off of Rte. 1123
Telephone: [phone]
Type Operation: Farrow to Finish
Number of Animals: 500 sows (Design Capacity)
The waste from your animal facility must be land applied at a specified rate to prevent pollution
of surface and/or groundwater. The plant nutrients in the animal waste should be used to reduce
the amount of commercial fertilizer required for the crops in the fields where the waste is to be
applied. This,waste utilization plan uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle. Annual soil tests are strongly encouraged so that all
plant nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe
manner. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize. Soil types are
important as they have different infiltration rates, leaching potential, cation exchange
capabilities, and available water holding capabilities. Normally waste shall not be applied to land
eroding at greater than 5 tons per acre per year. With special precautions, waste may be applied
to land eroding at up to 10 tons per acre per year. Do not apply waste on saturated soils, when it
is raining, or when the surface is frozen. Either of these conditions may result in runoff to
surface waters which is not allowed under DEM regulations. Wind conditions should also be
considered to avoid drift and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste should be applied to a
growing crop or applied to bare ground not more than 30 days prior to planting. Injecting the
waste or disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content for
this type of facility. Acreage requirements should be based on the waste analysis report from
your waste management facility. Attached, you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for analysis.
This waste utilization plan, if carried out; meets the requirements for compliance with 15A NCAC
21-1.0217 adopted by the Environmental Management Commission.

WASTE UTILIZATION PLAN
Amount of Waste Produced Per Year(gallons, ft3, tons, etc.)
500 animals x 10,585 gal (amt.) waste/animallyear = 5,292,500 gal (amt.) waste/year.
Amount of Plant Available Nitrogen (PAN) Produced Per Year
500 animals x 26 lbs. PAN/animal/year = 13,000 lbs. PAN/year.
(PAN from N. C. Tech Guide Std. 633)
Amount of Plant Available Nitrogen (PAN) From Secondary Lagoon
13,000lbs. PAN/year x 80% = 10,400 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 and
surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract #
Field
Soil Type
Crop
Lbs. N per
Ac. "
Acres
Lbs. N
Utilized
Month of
Application
2864
1
Marlboro
Bermudagrass Hay
350
6.4
2,240
Apr -Oct
Small Grain
50
6.4
320
Feb -Apr &Nov
2
Gritney
Bermudagrass Hay
350
7.0
2,450
Apr -Oct
Small Grain
50
7.0
350
Feb -Apr &Nov
3
Emporia
Bermudagrass Hay
350
14.6
5,110
Apr -Oct
Small Grain
50
14.6
730
Feb -Apr &Nov
4
Goldsboro
Fescue
200
36.6
7,320
Mar -Jun &
Sep -Nov
Total 1 64.61 _1 8,5201
* This N is from animal waste only. If nutrients from other sources such as commercial fertilizers
are applied, they must be accounted for. N must be based on realistic yield expectation.
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirements. Beginning in 1996 the Coastal Zone 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.

WASTE UTILIZATION PLAN
Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own adequate land [See Required Specification 21)
Tract Field Soil Crop Lbs. N Acres Lbs, N Month of
* See footnote for Table 1.
Table 1
Table 2
Total
•- Per Ac. Itilized Application
Totals from above Tables
Acres
Lbs. N Utilized
64.6
18,520
0
0
64.6
18,520
Amount of N Produced
Surplus or Deficit
10,400
8,120
NOTE: 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.
3

WASTE UTILIZATION PLAN
See attached map showing the fields to be used for the utilization of waste water.
Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate (In/Hr)
Application
Amount (in.)
1
Marlboro
Bermuda/Small Grain
0.35
5.9
2
Gritney
Bermuda/Small Grain
0.35
5.9
3
Emporia
Bermuda/Small Grain
0.35
5.9
4
Goldsboro
Fescue
0.35
2.9
THIS TABLE IS NOT NEEDED IF WASTE IS NOT BEING APPLIED BY IRRIGATION,
HOWEVER A SIMILAR TABLE WILL BE NEEDED FOR DRY LITTER OR SLURRY.
Your facility is designed for 180 days of temporary storage and the temporary storage must be
removed on the average of once every 6 MONTHS. In no instance should the volume of
waste being stored in your structure exceed Elevation 124.9 ft. .
Call the local Natural Resources Conservation Service (formerly Soil Conservation Service) or
Soil and Water Conservation District office after you receive the waste analysis report for
assistance in determining the amount per acre to apply and the proper application rate prior to
applying the waste.
Narrative of Operation: This operation is located off of Rte. 1123 southwest of Tillery in Halifax
County. The operation is located on CFSA tract 2864. The swine operation is farrow to finish with
a design capacity _of, 500 active sows. It is estimated that 5,292,500 -gallons of animal waste will be
produced annually for land application. There are 64.6 acres of cropland available for land
application. The _waste from the swine houses is stored in a primary and secondary anaerobic
treatment lagoon system. The secondary lagoon is used to further reduce the nitrogen content of
the waste before it is land -app lied. Fre uent sampling of our secondary lagoons of similar
capacity and geographic location, indicates that nitrogen levels are reduced_ an additional 40%
see attached analyses). A reduction of 20% was used to determine nitrogen production for this
plan. The waste is land applied to bermud_agras_s and fescue havland using_ irrigation. _A_small
grain cover crop may be planted in the bermudagrass fields in the fall for fail and early spring
applications if needed The small grain cover crop will be removed as hay. Before sludge is
applied, samples will be taken to determine its nutrient content. Application rates for the sludge
will be based on the nutrient content of the sludge so that it is applied at agronomic rates.

a
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. 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 NRCS
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.
Animal waste shall be applied to meet, but not to exceed, the Nitrogen needs for realistic
crop yields based on soil type, available moisture, historical data, climate conditions, and
level of management, unless there are regulations that restrict the rate of application for
other nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RMS) or an
Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no greater
than 10 tons per acre per year and appropriate filter strips will be used where runoff leaves
the field, These filter strips will be in addition to "Buffers" required by the DEM. [See FOTG
Standard 393 - Filter Strips and Standard 390 (Interim) - Riparian Forest Buffers.]
5. Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when the wind is blowing.
6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated
on conventionally tilled cropland. When applied to conservation tilled crops or grassland, the
waste may be broadcast provided the application does not occur during a season prone to
flooding. (See "Weather and Climate in North Carolina' in the Technical Reference -
Environment file for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur 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 in such a manner that no more than
20 to 25 percent of the leaf area is covered.
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.

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
11. Animal waste shall not be applied closer than 50 feet to surface water. This distance 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 overspraying. 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. Animal waste may be applied at agronomic rates to grassed waterways that do not
discharge directly into water courses provided the application causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall not
be discharged into the animal waste management system.
17. 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.
18. 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.
21. Wastewater should be analyzed at least twice annually to determine nutrient content.
22. Fields receiving wastewater should be soil sampled each year to monitor micronutrients,
phosphorous, potash, and lime levels.
23. The crops, on which wastewater is applied, should be removed from the farm.

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
24. Crop yields should be recorded and meet yield targets shown in the waste utilization plan,
25. Records should be kept to document when, where, and how much waste water is applied.
26. Waste analyses and soil sample reports should be kept for at least three years.
27. Daily rainfall amounts should be recorded.

WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Smithfield-Carroll's Farm 63
Owner/Manager Agreement
I (we) understand and will follow and implement the specification and the operation and
maintenance procedures established in the approved animal waste utilization plan for the farm
named above. 1 (we) know that any expansion to the existing design capacity of the waste
treatment and storage system or construction of new facilities will require a new certification to
be submitted to the Division of Environment Management (DEM) 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 DEM upon request.
Name of Facility Owner. Smithfield-carrnll's Farms- by Adolph Miller
(Please print)
Signature: AVC/4 Date: d - /3 . S-G
Name of Manager (If different from owner):
Signature: Date:
Name of Technical Specialist: (Please print) 0.
Affiliation: 1J S
Address
Signatur

TTwr
IT TPT7 II
wr 0
Twrr mm TrIT UT
yridr
7,nT
amw wnib
rwr
wn
up
rrrr
W7. _M7.
1w
71r,
'Em
TTmn
rr
11 rtf-i d,
. . I
";I
wTr
W
mom TIM
jivis
. 01-1
V*l 19
qW

IN
[il
a

ROANOKE
JJ
1 �
i J
-
PS
.
J� 9 r
U rZI l '�
oil
l _
f
V

9
❑1

o�0F W A ��R4G Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Q Coleen H. Sullins, Director
Division of Water Quality
July 1, 2007
Murphy -Brown, LLC
Farm 63
PO Box 856
Warsaw, NC 28398
Subject: Certificate of Coverage No. AWS420023
Farm 63
Animal Waste Management System
Halifax County
Dear Murphy -Brown, LLC:
In accordance with your application received on II-Jun-07, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Murphy -Brown, LLC, authorizing the operation of the subject
animal waste management system in accordance with General Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Farm 63, located in Halifax County, with an animal capacity of no greater than
the following swine annual averages:
Wean to Finish: 0 Feeder to Finish: 0 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 500 Farrow to Feeder: 0
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 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition III.19 does not apply.
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. Enclosed for your convenience is
a package containing the new and revised forms used for record keeping and reporting. Please Pay
careful attention to the record keeping and monitoring -conditions in this permit.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterquality.org Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer- 50°% Recyded110°% Post Consumer Paper
NamNa` Carolina
turally
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

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 02T .01 I l(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.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
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 Aquifer
Protection staff may be reached at 919-791-4200. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Halifax County Health Department
Halifax County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS420023

Murphy -Brown, LLC 4/9/2009 P.O. Box 856
Warsaw, NC 28398
NUTRIENT UTILIZATION PLAN
Grower(s):
Farm Name:
Murphy -Brown, LLC
SPG Farm 63
County: Halifax
Farm Capacity:
Farrow to Wean
Farrow to Feeder
Farrow to Finish 500
Wean to Feeder
Feeder to Finish
Storage Structure: Anaerobic
Storage Period:
Application Method:
>180 days
Irrigation
h r-�.OL , _ - --v:1 i LJVVQ
Ai*uifQr Prrrt--.bnn Sertion
APR o 9 2009.
.agoon '/,� 3
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.
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.
1 of 8
JAL

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. 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, ft', tons, etc.):
Capacity Type Waste Produced per Animal Total
Farrow to Wean
3212 gallyr
gallyr
Farrow to Feeder
4015 gallyr
gallyr
500
Farrow to Finish
10585 gallyr
5,292,500 gallyr
Wean to Feeder
223 gallyr
gallyr
Feeder to Finish
986 gallyr
gallyr
Total 5,292,500 gallyr
AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (lbs): 'Based on site specific data
Capacity Type Nitrogen Produced per Animal Total
Farrow to Wean
5.4 Ibslyr
Ibslyr
Farrow to Feeder
6.5 Ibslyr
Ibslyr
500
Farrow to Finish
12.98 lbslyr
6,490 Ibslyr
Wean to Feeder
0.48 Ibslyr
Ibslyr
Feeder to Finish
2.3 Ibslyr
Ibslyr
Total 6,490 Ibslyr
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.
LAND UTILIZATION SUMMARY
The following table describes the nutrient balance and land utilization rate for this facility
Note that the Nitrogen Balance for Crops indicates the ratio of the amount of nitrogen produced
on this facility to the amount of nitrogen that the crops under irrigation may uptake and utilize
in the normal growing season.
Total Irrigated Acreage: 64.56
Total N Required 1st Year: 16866.25
Total N Required 2nd Year: 0
Average Annual Nitrogen Requirement of Crops: 16,866.25
Total Nitrogen Produced by Farm: 6,490.00
Nitrogen Balance for Crops: (10,376.25)
The following table describes the specifications of the hydrants and fields that contain the crops
designated for utilization of the nitrogen produced on this facility. This chart describes the size,
soil characteristics, and uptake rate for each crop in the specified crop rotation schedule for this
facility.
2of8

Reception Area Specifications
Tract Field Irrigated Soil 1st Crop Timeto, IstCrop 1stCrop LbsN/Ac Lbs N Total lbs N 2nd Crop Time to 2nd Crop 2nd Crop Lbs N/Ac Lbs N Total lbs N JI&JEEM OrPlIF-M
Acreage Type Code Apply Yield lbs N/Unit Residual /Ac Utilized Code Apply Yield lbs N/Unit Residual /Ac Utilized
3(b) of 8

This plan does not include commercial fertilizer. The farm should produce adequate plant
available nitrogen to satisfy the requirements of the crops listed above.
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.
In interplanted fields ( i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will definately interfere
with stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just before heading as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late September or early October. Drilling is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
about two inches before drilling for best results.
CROP CODE LEGEND
Crop Code Crop
A Barley
B Hybrid Bermudagrass - Grazed
C Hybrid Bermudagrass - Hay
D Corn - Grain
E Corn - Silage
F Cotton
G Fescue - Grazed
H Fescue- Hay
I Oats
J Rye
K Small Grain - Grazed
L Small Grain - Hay
M Grain Sorghum
N Wheat
O Soybean
P Pine Trees
Lbs N utilized I unit yield
1.6 lbs N / bushel
50 lbs N 1 ton
•50 lbs N 1 ton
1.25 lbs N 1 bushel
12 lbs N 1 ton
0.12 lbs N 1 lbs lint
50 lbs N 1 ton
50 lbs N I ton
1.3 lbs N 1 bushel
2.4 lbs N 1 bushel
50 lbs N 1 acre
50 lbs N 1 acre
2.5 lbs N l cwt
2.4 lbs N 1 bushel
4.0 lbs N 1 bushel
40 lbs N 1 acre 1 yr
Acres shown in the preceding table 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.
4of8

SLUDGE APPLICATION:
The following table describes the annual nitrogen accumulation rate per animal
in the lagoon sludge
Farm Specifications PANT r/animal Farm Totall r
Farrow to Wean 0.84
Farrow to Feeder 1
500 Farrow to Finish 4.1 2050
Wean to Feeder 0.072
Feeder to Finish 0.36
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 2050 pounds of plant available nitrogen per year will accumulate in the lagoon
sludge based on the rates of accumulation listed above.
If you remove the sludge every 5 years, you will have approximately 10250 pounds of plant.
available nitrogen to utilize. Assuming you apply this PAN to hybrid bermuda grass hayland at the
rate of 300 pounds of nitrogen per acre, you will need 34 acreas of land. If you apply the sludge
to corn at a rate of 125 pounds per acre, you will need 82 acres of land. Please note that these
are only estimates of the PAN produced and the land required to utilize that PAN. Actual values
may only be determined by sampling the sludge for plant available nitrogen content prior to application
Actual utilization rates will vary with soil type, crop, and realistic yield expectations for the specific
application fields designated for sludge application at time of removal.
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 the preceding table. Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invalid.
*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 days of temporary storage and the temporary storage must
be removed on the average of once every 6 months. In no instance should the volume of the
waste 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 the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid,
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 prior to applying the waste.
5of8

Application Rate Guide
The following is provided as a guide for establishing application rates and amounts.
Soil
Application Rate
Application Amount
Tract Hydrant
Type
Crop
inlhr
* inches
SS1.
Marlboro
C
0.65
1
SS2
Marlboro
C
0.65
1
A
Gritney
C
0.5
1
B
Emporia
C
0.4
1
C
Emporia
C
0.4
1
D
Goldsboro
H
0.4
1
E
Goldsboro
H
0A
1
#REF! F
Goldsboro
H
0.4
1
G
Goldsboro
H
0.4
1
H
Goldsboro
H
0.4
1
Sub2
Gritney
C
0.5
1
Sub3
Emporia
C
0.4
1
Sub4
Goldsboro
H
0.4
1
6of8

Additional Comments:
The acreage listed in this plan as subfields is the balance of the total
field acres minus the wet acres at this site. This acreage will be claimed
when making application with an aerway machine.
7of8

NUTRIENT UTILIZATION PLAN CERTIFICATION
Name of Farm: SPG Farm 63
Owner: Murphy -Brown, LLC
Manager:
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 nutrient management
plan for the farm named above. I/we know that any expansion to the existing design capacity
of the waste treatment and/or storage system, or construction of new facilities, will require a
new nutrient management plan and a new certification to be submitted to DWQ before the new
animals are stocked.
I/we understand that I must own or have access to equipment, primarily irrigation equipment,
to land apply the animal waste described in this nutrient management plan. This equipment
must be available at the appropriate pumping time such that no discharge occurs from the lagoon
in the event of a 25 year 24 hour storm. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates which produce no runoff.
This 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: Murphy -Brown, LLC
Signature: -- -- A771� - -- -
Name of Manager (if different from owner):
Signature:
Name of Technical Specialist: Dawn Williamson
Affiliation: Murphy -Brown, LLC
Address: 2822 Hwy 24 West, PO Drawer 856
Warsaw. NC 28398
Signature:
Telephone: [phone]
Date
Date
Date
8of8

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
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 the waste, he/she shall provide
evidence of an agreement with a landowner, who is within a reasonable proximity,
allowing him/her the use of the land for waste application. It is the responsibility of the
owner of the waste production facility to secure an update of the Nutrient Utilization Plan
when there is a change in the operation, increase in the number of animals, method of
application, recievinq crop type, or available land.
Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop
yields based upon soil type, available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict the rate of applications for
other nutrients.
4 Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste
may be applied to land eroding at more than 5 tons per acre per year but less than 10 tons
per acre per year provided grass filter strips are installed where runoff leaves the field (See
USDA, NRCS Field Office Technical Guide Standard 393 - Filter Strips).
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 land application field.
When animal waste is to be applied on acres subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to flooding (See "Weather and Climate in North Carolina" for
guidance).
7 Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control odor and flies.
8 Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
1 of 3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
9 Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 Nutrients from waste shall not be applied in fall or winter for spring planted crops on soils
with a high potential for leaching. Waste/nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of the crop or forages
breaking dormancy.
11 Any new swine facility sited on or after October 1, 1995 shall comply with the following:
The outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary
and canal. Animal waste, other than swine waste from facilities sited on or after October 1,
1995, shall not be applied closer than 25 feet to perennial waters.
12 Animal waste shall not be applied closer than 100 feet to wells.
13 Animal waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14 Waste shall be applied in a manner not to reach other property and public right-of-ways.
15 Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted cropland
provided the fields have been approved as a land application site by a "technical
specialist'. Animal waste shall not be applied on grassed waterways that discharge
directly into water courses, and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from the site.
16 Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall
not be discharged into the animal waste management system.
2 of 3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc.,
are limited to areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Berms and structures should be inspected regularly for evidence of
erosion, leakage, or discharge.
18 If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills. A regular maintenance checklist should be
kept on site.
20 Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied pre -plant with no further applications of animal
waste during the crop season.
21 Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment 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
nutrient, unless other restrictions require waste to be applied based on other nutrients,
resulting in a lower application rate than a nitrogen based rate. Zinc and copper levels in
the soil shall be monitored and alternative crop sites shall be used when these metals
approach excessive levels. pH shall be adjusted and maintained for optimum crop
production. Soil and waste analysis records shall be kept for a minimum of five years.
Poultry dry waste application records shall be maintained for a minimum of three years.
Waste application records for all other waste shall be maintained for a minimum of five
years.
23 Dead animals will be disposed of in a manner that meets North Carolina regulations.
3 of 3

Murphy -Brown, LLC 4/3/2009 P.O. sox 856
Warsaw, NC 28398
Grower(s):
Farm Name:
NUTRIENT UTILIZATION PLAN 4/a ��--3
Murphy -Brown, LLC
SPG Farm 63
County: Halifax
Farm Capacity:
Farrow to Wean
Farrow to Feeder
Farrow to Finish 500
Wean to Feeder
Feeder to Finish
Storage Structure:
Storage Period:
Application Method:
Anaerobic Lagoon
>180 days
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. =�
CV)
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.
RECEIVED I DENR I DWO
1 of 8
aQUIrFR'PPnTFrTIr1N SECTION
APR 0 7 ?nng

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. 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, W, tons, etc.):
Capacity Type Waste Produced er Animal Total
Farrow to Wean
3212 gallyr
gal/yr
Farrow to Feeder
4015 gallyr
gallyr
500
Farrow to Finish
10585 gallyr
5,292,500 gallyr
Wean to Feeder
223 gallyr
gallyr
Feeder to Finish
986 gallyr
gallyr
Total 5,292,500 gallyr
AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (lbs). 'Based on site specific data
Capacity Type Nitrogen Produced per Animal Total
Farrow to Wean
5.4 Ibslyr
Ibslyr
Farrow to Feeder
6.5 Ibslyr
Ibslyr
500
Farrow to Finish
12.98 Ibslyr
6,490 Ibslyr
Wean to Feeder
0.48 Ibslyr
Ibslyr
Feeder to Finish
2.3 Ibslyr
Ibslyr
Total 6,490 Ibslyr
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.
MIND UTILIZATION SUMMARY
The following table describes the nutrient balance and land utilization rate for this facility
Note that the Nitrogen Balance for Crops indicates the ratio of the amount of nitrogen produced
on this facility to the amount of nitrogen that the crops under irrigation may uptake and utilize
in the normal growing season.
Total Irrigated Acreage: 64.56
Total N Required 1st Year: 16866.25
Total N Required 2nd Year: 0
Average Annual Nitrogen Requirement of Crops: 16,866.25
Total Nitrogen Produced by Farm: 6,490.00
Nitrogen Balance for Crops: (10,376,25)
The following table describes the specifications of the hydrants and fields that contain the crops
designated for utilization of the nitrogen produced on this facility. This chart describes the size,
soil characteristics, and uptake rate for each crop in the specified crop rotation schedule for this
facility.
2of8

'Reception Area Specifications
Tract Field Irrigated Soil 1st Crop Time to 1stCrop 1stCrop LbsN/Ac Lbs N Total lbs
Acrea2e Type Code Apply Yield lbs N/Unit Residual jAc Utilized
:.•
®®���s�o�
11
�o�'*J00�0�■mom
-------------------
-
-------------------
-
3(a) of 8

Reception Area Specifications
Tract Field Irrigated Soil I st Crop Time to Ist Crop Ist Crop Lbs N/Ac Lbs N Total lbs N I
Acreage Type Code Apply Yield lbs N/Urtit Residual /Ac Utilized wrn r1111111111l I -PROILI M11111 U-T-Y. PM
3(h) of 8

This plan does not include commercial fertilizer. The farm should produce adequate plant
available nitrogen to satisfy the requirements of the crops listed above.
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.
In interplanted fields ( i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will definately interfere
with stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just before heading as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late September or early October. frilling is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
about two inches before drilling for best results.
CROP CODE LEGEND
Crop Code
Crop
Lbs N utilized / unit yield
A
Barley
1.6 Ibs N 1 bushel
B
Hybrid Bermudagrass - Grazed
50 Ibs N 1 ton
C
Hybrid Bermudagrass - Hay
50 Ibs N 1 ton
D
Corn - Grain
1.25 Ibs N / bushel
E
Corn - Silage
12 Ibs N 1 ton
F
Cotton
0.12 Ibs N / Ibs lint
G
Fescue - Grazed
50 Ibs N / ton
H
Fescue - Hay
50 Ibs N / ton
I
Oats
1.3 Ibs N / bushel
J
Rye
2.4 Ibs N / bushel
K
Small Grain - Grazed
50 Ibs N / acre
L
Small Grain - Hay
50 Ibs N / acre
M
Grain Sorghum
2.5 Ibs N / cwt
N
Wheat
2.4 Ibs N / bushel
O
Soybean
4.0 Ibs N / bushel
P
Pine Trees
40 Ibs N I acre / yr
Acres shown in the preceding table 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.
4 of 8

SLUDGE APPLICATION:
The following table describes the annual nitrogen accumulation rate per animal
in the lagoon sludge
Farm Specifications PANT rlanimal Farm Totall r
Farrow to Wean 0.84
Farrow to Feeder 1
500 Farrow to Finish 4.1 2050
Wean to Feeder 0.072
Feeder to Finish 0.36
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 2050 pounds of plant available nitrogen per year will accumulate in the lagoon
sludge based on the rates of accumulation listed above.
If you remove the sludge every 5 years, you will have approximately 10250 pounds of plant
available nitrogen to utilize. Assuming you apply this PAN to hybrid Bermuda grass hayland at the
rate of 300 pounds of nitrogen per acre, you will need 34 acreas of land. If you apply the sludge
to corn at a rate of 125 pounds per acre, you will need 82 acres of land. Please note that these
are only estimates of the PAN produced and the land required to utilize that PAN. Actual values
may only be determined by sampling the sludge for plant available nitrogen content prior to application
Actual utilization rates will vary with soil type, crop, and realistic yield expectations for the specific
application fields designated for sludge application at time of removal.
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 the preceding table. Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invalid.
*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 days of temporary storage and the temporary storage must
be removed on the average of once every 6 months. In no instance should the volume of the
waste 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 the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid.
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 prior to applying the waste.
5of8

Application Rate Guide
The following is provided as a guide for establishing application rates and amounts.
Soil
Application Rate
Application Amount
Tract Hydrant
_Type
Crop
inlhr
* inches
SS1
Marlboro
C
0.65
1
SS2
Marlboro
C
0.65
1
A
Gritney
C
0.5
1
B
Emporia
C
0.4
1
C
Emporia
C
0.4
1
D
Goldsboro
H
0.4
1
E
Goldsboro
H
0.4
1
#REF! F
Goldsboro
H
0.4
1
G
Goldsboro
H
0.4
1
H
Goldsboro
H
0.4
1
Sub2
Gritney
C
0.5
1
Sub3
Emporia
C
0.4
1
Sub4
Goldsboro
H
0.4
1
6of8

Additional Comments:
The acreage listed in this plan as subfields is the balance of the total
field acres minus the wet acres at this site. This acreage will be claimed
when making application with an aerway machine.
7 of 8

NUTRIENT UTILIZATION PLAN CERTIFICATION
Name of Farm: SPG Farm 63
Owner: Murphy -Brown, LLC
Manager:
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 nutrient management
plan for the farm named above. I/we know that any expansion to the existing design capacity
of the waste treatment and/or storage system, or construction of new facilities, will require a
new nutrient management plan and a new certification to be submitted to DWQ before the new
animals are stocked.
I/we understand that i must own or have access to equipment, primarily irrigation equipment,
to land apply the animal waste described in this nutrient management plan. This equipment
must be available at the appropriate pumping time such that no discharge occurs from the lagoon
in the event of a 25 year 24 hour storm. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates which produce no runoff.
This 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: Murphy -Brown, LLC
Signature:
Name of Manager (if different from owner):
Signature:
Date
Date
Name of Technical Specialist:
Dawn Williamson
Affiliation:
Murphy -Brown, LLC
Address:
2822 Hwy 24 West, PO Drawer 856
Warsaw, NC 28398
Telephone:
[phone]
Signature:
Date
8of8

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
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 the waste, he/she shall provide
evidence of an agreement with a landowner, who is within a reasonable proximity,
allowing him/her the use of the land for waste application. It is the responsibility of the
owner of the waste production facility to secure an update of the Nutrient Utilization Plan
when there is a change in the operation, increase in the number of animals, method of
application, recieving crop type, or available land.
3 Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop
yields based upon soil type, available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict the rate of applications for
other nutrients.
4 Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste
may be applied to land eroding at more than 5 tons per acre per year but less than 10 tons
per acre per year provided grass filter strips are installed where runoff leaves the field (See
USDA, NRCS Field Office Technical Guide Standard 393 - Filter Strips).
5 Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the land application field.
6 When animal waste is to be applied on acres subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to Flooding (See "Weather and Climate in North Carolina" for
guidance).
Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control odor and flies.
t3 Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen,
1 of 3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
9 Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 Nutrients from waste shall not be applied in fall or winter for spring planted crops on soils
with a high potential for leaching. Waste/nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of the crop or forages
breaking dormancy.
11 Any new swine facility sited on or after October 1, 1995 shall comply with the following:
The outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary
and canal. Animal waste, other than swine waste from facilities sited on or after October 1,
1995, shall not be applied closer than 25 feet to perennial waters.
12 Animal waste shall not be applied closer than 100 feet to wells.
13 Animal waste shall not be applied closer than 200 feet of dwellings other than those
. owned by the landowner.
14 Waste shall be applied in a manner not to reach other property and public right-of-ways.
15 Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted cropland
provided the fields have been approved as a land application site by a "technical
specialist". Animal waste shall not be applied on grassed waterways that discharge
directly into water courses, and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from the site.
16 Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall
not be discharged into the animal waste management system.
2 of 3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc.,
are limited to areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Berms and structures should be inspected regularly for evidence of
erosion, leakage, or discharge.
18 If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills.• A regular maintenance checklist should be
kept on site.
20 Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied pre -plant with no further applications of animal
waste during the crop season.
21 Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment 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
nutrient, unless other restrictions require waste to be applied based on other nutrients,
resulting in a lower application rate than a nitrogen based rate. Zinc and copper levels in
the soil shall be monitored and alternative crop sites shall be used when these metals
approach excessive levels. pH shall be adjusted and maintained for optimum crop
production. Soil and waste analysis records shall be kept for a minimum of five years.
Poultry dry waste application records shall be maintained for a minimum of three years.
Waste application records for all other waste shall be maintained for a minimum of five
years.
23 Dead animals will be disposed of in a manner that meets North Carolina regulations.
3of3

it
Murphy -Brown, LLC
4/22/2005
, �e- C�' 4�
P.O. Box 856
Warsaw, NC 28398
NUTRIENT UTILIZATION PLAN
Grower(s): Murphy -Brown, LLC
Farm Name: SPG Farm 63 ,
County: Halifax
Farm Capacity:
Farrow to Wean
Farrow to Feeder
Farrow to Finish 500
Wean to Feeder
Feeder to Finish
Storage Structure:
Storage Period:
Application Method:
Anaerobic Lagoon
>180 days
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.
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.
1 of 8

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. 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, fk tons, etc.):
Capacity Type Waste Produced per Animal Total
Farrow to Wean
3212 gallyr
gallyr
Farrow to Feeder
4015 gallyr
gallyr
500
Farrow to Finish
10585 gallyr
5,292,500 gallyr
Wean to Feeder
223 gallyr
gallyr
Feeder to Finish
986 gallyr
allyr
Total 5,292,500 gallyr
AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (lbs): "Based on site specific data
Capacity Type Nitrogen Produced per Animal Total
Farrow to Wean
5.4 Ibslyr
Ibs/yr
Farrow to Feeder
6.5 Ibslyr
Ibslyr
500
Farrow to Finish
12.98 Ibslyr
6,490 Ibslyr
Wean to Feeder
0.48 Ibslyr
Ibslyr
Feeder to Finish
2.3 Ibsl r
Ibslyr
Total 6,490 Ibslyr
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.
LAND UTILIZATION SUMMARY
The following table describes the nutrient balance and land utilization rate for this facility
Note that the Nitrogen Balance for Crops indicates the ratio of the amount of nitrogen produced
on this facility to the amount of nitrogen that the crops under irrigation may uptake and utilize
in the normal growing season.
Total Irrigated Acreage: 65.13
Total N Required 1st Year: 16980.25
Total N Required 2nd Year: 0
Average Annual Nitrogen Requirement of Crops: 16,980.25
Total Nitrogen Produced by Farm: 6,490.00
Nitrogen Balance for Crops: (10,490.25)
The following table describes the specifications of the hydrants and fields that contain the crops
designated for utilization of the nitrogen produced on this facility. This chart describes the size,
soil characteristics, and uptake rate for each crop in the specified crop rotation schedule for this
facility.
2of8

Reception Area Specifications
Tract Field Irrigated Soil 1st Crop Timeto 1stCrop IstCrop LbsN/Ac Lbs N Total lbs N
Acreage Type Code Apply Yield lbs WILInit. Residual )Ac Utilized
NEW
'-0�L'ikLLJJIL-i©SI'iGJrClySls��-
11
'�'.'•
�
-
OQ-Q��®'
--------------------
-------------------
-
-------------------
-
.1 1
3(a) of 8

This plan does not include commercial fertilizer. The farm should produce adequate plant
available nitrogen to satisfy the requirements of the crops listed above.
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.
In interplanted fields ( i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will definately interfere
with stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just before heading as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late September or early October. Drilling is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
about two inches before drilling for best results.
CROP CODE LEGEND
Crop Code Crop
A Barley
B Hybrid Bermudagrass - Grazed
C Hybrid Bermudagrass - Hay
D Corn - Grain
E Corn - Silage
F Cotton
G Fescue - Grazed
H Fescue - Hay
I Oats
J Rye
K Small Grain - Grazed
L Small Grain - Hay
M Grain Sorghum
N Wheat
O Soybean
P Pine Trees
Lbs N utilized / unit yield
1.6 lbs N 1 bushel
50 Ibs N 1 ton
50 Ibs N / ton
1.25 Ibs N 1 bushel
12 Ibs N / ton
0.12 Ibs N / Ibs lint
50 Ibs N I ton
501bs N / ton
1.3 Ibs N / bushel
2.4 Ibs N 1 bushel
50 Ibs N / acre
50 Ibs N / acre
2.5 Ibs N / cwt
2.4 Ibs N / bushel
4.0 Ibs N 1 bushel
40 Ibs N / acre / yr
Acres shown in the preceding table 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.
4 of 8

SLUDGE APPLICATION:
The following table describes the annual nitrogen accumulation rate per animal
in the lagoon sludge
Farm Specifications PANT r/animal Farm Total/ r
Farrow to Wean 0.84
Farrow to Feeder 1
500 Farrow to Finish 4.1 2050
Wean to Feeder 0.072
Feeder to Finish 0.36
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 2050 pounds of plant available nitrogen per year will accumulate in the lagoon
sludge based on the rates of accumulation listed above.
If you remove the sludge every 5 years, you will have approximately 10250 pounds of plant
available nitrogen to utilize. Assuming you apply this PAN to hybrid Bermuda grass hayland at the
rate of 300 pounds of nitrogen per acre, you will need 34 acreas of land. If you apply the sludge
to corn at a rate of 125 pounds per acre, you will need 82 acres of land. Please note that these
are only estimates of the PAN produced and the land required to utilize that PAN. Actual values
may only be determined by sampling the sludge for plant available nitrogen content prior to application
Actual utilization rates will vary with soil type, crop, and realistic yield expectations for the specific
application fields designated for sludge application at time of removal.
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 the preceding table. Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invalid.
'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 days of temporary storage and the temporary storage must
be removed on the average of once every 6 months. In no instance should the volume of the
waste 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 the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid.
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 prior to applying the waste.
5of8

Application Rate Guide
The following is provided as a guide for establishing application rates and amounts.
Soil
Application Rate
Application Amount
Tract Hydrant
Type
Crop
Whir
* inches
SS1
Marlboro
C
0.65
1
SS2
Marlboro
C
0.65
1
A
Gritney
C
0.5
1
B
Emporia
C
0.4
1
C
Emporia
C
0.4
1
©
Goldsboro
H
0A
1
E
Goldsboro
H
0.4
1
#REF! F
Goldsboro
H
0.4
1
G
Goldsboro
H
0.4
1
H
Goldsboro
H
0.4
1
Sub2
Gritney
C
0.5
1
Sub3
Emporia
C
0.4
1
Sub4
Goldsboro
H
0.4
1
6 of 8

Additional Comments:
The acreage listed in this plan as subfields is the balance of the total
field acres minus the wet acres at this site. Thisbe will be claimed
when making application with an aerway machine.
7of8

04-27-2005 10:51 SPG 2524452695
NUTRIENT UTILIZATION PLAN CERTIFICATION
Name of Farm: SFG Farm 63
Owner: Murp"rown, LLC
Manager:
Owned Manager Agreement:
Itwe understand and will follow and Implement the specifications and the operation and
maintenance procedures established In the approved animal waste nutrient management
plan for the farm named above. I/we know that any expansion to the existing design capacity
of the waste treatment and/or storage system, or construction of new facilities, will require a
new nutrient management plan and a new certification to be submitted to DWQ before the new
animals are stocked.
th" understand that I must own or have access to equipment, primarily irrigation equipmeni.
to land apply the animal waste described in this nutrient management plan_ This equipment
must be available at the appropriate pumping time such that no discharge occurs from the lagoon
in the event of a 25 year 24 hour storm. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates which produce no runoff.
This 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. Murphy -Brown, LLC ^
Signature: . , -- �/c `77 � s
Name of Manager (if different from owner):
Signature:
Name of Technical Specie fte
Dawn Williamson
Affiliation:
Mu rows LLC
Address:
2822 Hw4Wes#, PO Orawar 856
_
Warsaw, NC 28398
Telephone:
910293-3434
Signature:
u;
a of$
Zz

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
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 the waste, he/she shall provide
evidence of an agreement with a landowner, who is within a reasonable proximity,
allowing him/her the use of the land for waste application. It is the responsibility of the
owner of the waste production facility to secure an update of the Nutrient Utilization Plan
when there is a change in the operation, increase in the number of animals, method of
application, recievinq crop type, or available land.
Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop
yields based upon soil type, available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict the rate of applications for
other nutrients.
4 Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste
may be applied to land eroding at more than 5 tons per acre per year but less than 10 tons
per acre per year provided grass filter strips are installed where runoff leaves the field (See
USDA, NRCS Field Office Technical Guide Standard 393 - Filter Strips).
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 land application field.
6 When animal waste is to be applied on acres subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to flooding (See "Weather and Climate in North Carolina" for
guidance).
Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control odor and flies.
Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
1 of 3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
9 Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 Nutrients from waste shall not be applied in fall or winter for spring planted crops on soils
with a high potential for leaching. Waste/nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of the crop or forages
breaking dormancy.
11 Any new swine facility sited on or after October 1, 1995 shall comply with the following:
The outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary
and canal. Animal waste, other than swine waste from facilities sited on or after October 1,
1995, shall not be applied closer than 25 feet to perennial waters.
12 Animal waste shall not be applied closer than 100 feet to wells.
13 Animal waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14 Waste shall be applied in a manner not to reach other property and public right-of-ways.
15 Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted cropland
provided the fields have been approved as a land application site by a "technical
specialist". Animal waste shall not be applied on grassed waterways that discharge
directly into water courses, and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from the site.
16 Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall
not be discharged into the animal waste management system.
2of3

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc.,
are limited to areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Berms and structures should be inspected regularly for evidence of
erosion, leakage, or discharge.
18 If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills. A regular maintenance checklist should be
kept on site.
20 Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied pre -plant with no further applications of animal
waste during the crop season.
21 Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment 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
nutrient, unless other restrictions require waste to be applied based on other nutrients,
resulting in a lower application rate than a nitrogen based rate. Zinc and copper levels in
the soil shall be monitored and alternative crop sites shall be used when these metals
approach excessive levels. pH shall be adjusted and maintained for optimum crop
production. Soil and waste analysis records shall be kept for a minimum of five years.
Poultry dry waste application records shall be maintained for a minimum of three years.
Waste application records for all other waste shall be maintained for a minimum of five
years.
23 Dead animals will be disposed of in a manner that meets North Carolina regulations.
3of3

A'A

0
Smithfield Carroll's Farms
Farm 63
385 Highway 158
Roanoke Rapids NC 27870
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
May 1, 2003
Subject: Certificate of Coverage No. AWS420023
Farm 63
Swine Waste Collection, Treatment,
Storage and Application System
Halifax County
Dear Smithfield Carroll's Farms:
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
- -Division of Water Quality .(Division) to extend the expiration date of the Swine Waste Operation General -
Permit AWG I00000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on February 13, 2003 and in accordance with the directive
• of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to
Smithfield Carroll's Farms, 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 supercedes and terminates your previous COC Number AWS420023 which expired on April
30, 2003.
-This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Farm 63, located in Halifax County, with arf animal capacity of no greater than
an annual average of 500 Farrow 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 October 1, 2004: 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.
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 �ate
v ronerty Lights in either real or versonal groverty.
EhtA
Non -Discharge Permitting Unit Internet httpl/h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

LM
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 NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity pemvtted 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) 5714700. If you need additional information concerning this COC
or the General Permit, please contact Michelle Barnett at [phone] ext. 544. -
Sincerely,
•
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Water Quality Section
Halifax County Health Department
Halifax County Soil and Water Conservation District
Permit File AWS420023
NDPU Files
CJ

WASTE UTILIZATION PLAN
. Producer: NPD(USA)
385 HWY 158
Roanoke Rapids, NC 27870
Location: Southwest of Tillery off of Rte. 1123
Telephone: [phone] Administrative Office
[phone] Farm
Type Operation: Farrow to Finish
Number of Animals: 500 sows (Design Capacity)
NCDENR Facility ID: 42-23
The waste from your animal facility must be land applied at a specified rate to prevent pollution of
surface and/or groundwater. The plant nutrients in the animal waste should be used to reduce the
amount of commercial fertilizer required for the crops in the fields where the waste is to be
applied. This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle. Annual soil tests are strongly encouraged so that all plant
nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize the
fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner.
Always apply waste based on the needs of the crop to be grown and the nutrient content of the
waste. Do not apply more nitrogen than the crop can utilize. Soil types are important as they
• have different infiltration rates, leaching potential, cation exchange capabilities, and available
water holding capabilities. Normally waste shall not be applied to land eroding at greater than 5
tons per acre per year. With special precautions, waste may be applied to land eroding at up to
10 tons per acre per year. Do not apply waste on saturated soils, when it is raining, or when the
surface is frozen. Either of these conditions may result in runoff to surface waters which is not
allowed under DEM regulations. Wind conditions should also be considered to avoid drift and
downwind odor problems. To maximize the value of nutrients for crop production and to reduce
the potential for pollution, the waste should be applied to a growing crop or applied to bare ground
not more than 30 days prior to planting. Injecting the waste or disking will conserve nutrients and
reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content for this
type of facility. Acreage requirements should be based on the waste analysis report from your
waste management facility. Attached, you will find information on proper sampling techniques,
preparation, and transfer of waste samples to the lab for analysis.
This waste utilization plan, if carried out; meets the requirements for compliance with 15A NCAC
2H.0217 adopted by the Environmental Management Commission.
0

WASTE UTILIZATION PLAN
• Amount of Waste Produced Per,Year(gallons, TYPICAL)
500 animals x 10,585 gal (amt.) waste/animal/year = 5,292,500 gal (amt.) waste/year.
Amount of Plant Available Nitrogen (PAN) Produced Per Year(TYPICAL)
500 animals x 26 lbs. PAN/animal/year = 13,000 lbs. PAN/year.
(PAN from N. C. Tech Guide Std. 633)
SITE SPECIFIC HISTORICAL DATA 1998-2000 (Documentation Enclosed)
Amount of Waste Applied & Plant Available Nitrogen (PAN) from Secondary Lagoon
Average Volume of Wastewater Applied Annually 1998-2000: 5,.743,190 aal/year.
Average Plant Available Nitrogen Concentration 1998-2000: 6,490 # PAN (1.13 # PAN11000 gal.)
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 1: ACRES OWNED BY PRODUCER
Tract #
Field
Predominate
Soil Type
Crop
Lbs. N per
Ac. *
Wet
Acres
Lbs. N
Utilized.
Month of
Application
2864
1
Marlboro
Bermuda Hay
Small Grain
350
50
3.92
1,372
196
Mar -Sept
Sept -April
2
Gritney
Bermuda Hay
Small Grain
350
50
4.41
1,544
220
Mar -Sept
Sept -April
3
Emporia
Bermuda Hay
Small Grain
350
50
10.42
3,647
521
Mar -Sept
Sept -April
4
JGoldsboro lFescue
Flay
200
27-841
5,668
fatal 1 46.591 13,168
* During Severe winters when small grain has little or no growth during December and
January, no nitrogen should be applied.
*For small grain -Recommend split application with no application in December and January in
severe winters.
• *Small grain should be removed by April 15 and no later than May 1.
`Application to Fescue, recommend no more than 25 lbs. PAN per acre be applied during
June and July if moisture not limiting growth. In severe winters apply zero nitrogen during
December and January.
This N is from animal waste only. If nutrients from other sources such as commercial fertilizers
are applied, they must be accounted for. N must be based on realistic yield expectation.
• NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirements. This plan only addresses Nitrogen.

WASTE UTILIZATION PLAN
• Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own adequate land (See Required Specification 21)
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# Type Per Ac. Utilized Application
Total
* See footnote for Table 1.
Table 1
Table 2
Total
Totals from above Tables
Acres
Lbs. N Utilized
46.59
13,168
0
0
46.59
13,168
Amount of N Produced
Surplus or Deficit
6,490
6,678
NOTE; 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.
40

WASTE UTILIZATION PLAN
0 See attached map showing the fields to be used for the utilization of waste water.
Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate (In/Hr)
Application
Amount (In.)
1
Marlboro
Bermuda/Small Grain
0.35
1.0
2
Gritney
Bermuda/Small Grain
0.35
1.0
3
Emporia
Bermuda/Small Grain
0.35
1.0
4
Goldsboro
Fescue
0.35
1.0
THIS TABLE IS NOT NEEDED IF WASTE IS NOT BEING APPLIED BY IRRIGATION,
HOWEVER A SIMILAR TABLE WILL BE NEEDED FOR DRY LITTER OR SLURRY.
Your facility is designed for 180 days of temporary storage and the temporary storage must be
removed on the average of once every 6 MONTHS. In no instance should the volume of
waste being stored in your structure exceed Elevation 124.9 ft.
Call the local Natural Resources Conservation Service (formerly Soil Conservation Service) or
Soil and Water Conservation District office after you receive the waste analysis report for
assistance in determining the amount per acre to apply and the proper application rate prior to
applying the waste.
Narrative of Operation: This operation is located on CSFA tract 2864, off of Rte. 1123 southwest
of Tillery in Halifax County. The swine operation is farrow to finish with a design capacityof 500
active sows. It is estimated that 5,743,190 gallons of animal waste will be produced annually for
land application. This is_an_annual average derived from actual -land_ application records for this
site 1.998-2000. There are 45.33 acres of cropland available for land application under the current
irrigation configuration._ The waste is currently land applied to Bermuda and Fescue Hay using
towable center pivot and solid set„ sprinkler combination. A small, grain cover crop is not
required to meet nutrient production under this plan. The owner may choose not to plant
small grain cover on any or all acreage. It is recommended that small grain be seeded to
some acreage each year, so_that fields mays _ be rotated into ..
mall grain every 2-3 years.
This would allow for off season maintenance of crops and/or fields as needed. It is to be
understood that should afield not be seeded in small grain, there should be no application
of waste to that particular field during the anaaLatlon window for the cover crop. And the
nutrient utilization for small grain cannot be included in the total yearly allowance for that
- field. The waste from the swine houses is stored in a pnmarylsecondary , anaerobic treatment.
lagoon system. This plan is prepared for land application taking place from the secondary lagoon
only. The secondary lagoon further reduces nitrogen concentration of the waste on averse 51
before it is land applied. The historical average of waste concentration in the secondary lagoon for
years 1998-2000 was used in the calculation of annual PAN. Reference NC Cooperative
Extension publication AG-439-42, Use of On Farm_ Records for Modify/ng A Certified Anima/
Waste Management Plan, D. A. Krouse, et al. Site specific records and data used in the
preparation of this plan are included to support this document.

WASTE UTILIZATION PLAN
General Considerations: *Any crop which is to receive animal waste must be included in the
Waste Utilization Plan or _by conditional amendment. Any deviation from this plan must be
approved by a Technical Specialist with proper designation. if cropping change occurs without a
revised Waste Utilization Plan (WUP) or conditional amendment it may be considered
noncompliant with the facility's Certified Animal Waste Management Plan (CAWMP) and subiect
to enforcement action by NCDENR.
*Waste application windows must be strictly adhered to unless_ a variance is included in the
narrative or by conditional amendment to the Waste Utilization Plan, and approved by a Technical
Specialist. Otherwise application outside specified window may be considered noncompliant with
the facility's Certified Animal Waste Management Plan (CAWMP) and subject to enforcement
action by NCDENR.
*Any crop which receives animal waste roust be removed either by having, or grazing
as_specified_in the Waste Utilization Plan. Burning_of_baled hay or straw is not considered an
acceptable removal method and is in violation of North Carolina Air Quality Regulations.
* If waste is applied to a cover crap it should be removed for hay or residual credit applied toward -
next crop.
*All nitrogen applications (animal waste, commercial fertilizer, compost, sludges, etc.) must be
documented and its related PAN amount deducted from overall PAN balance for the receiving
. crop. -
*Planting dates must be recorded on land application records (IRR-2, etc.) to justify initial
application, where applicable.
* In the event of crop failure, the producer should contact a Technical Specialist to determine if
the operation can meet it's overall PAN balance based on remaining crop(s) and/or waste stora e
capacity. Or the producer may seek to secure a conditional amendment approving other receivinq
crops which may not be included in the WUP to meet overall PAN balance.
*Before sludge is applied, samples will betaken to determine its nutrient content. , pplication
rates for the sludge will be based on the nutrient content of the sludge so that it is applied at
agronomic rates.
U

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 o, land application. MY discharge of waste W ich
reaches surface water is prohibited.
2. '"here must be documentation in the design folder that the
producer either owns or has a notarized agreement for use of adequate_
land on which to properly amply the waste_ if the producer does not
own adequate land to properly dispose of waste, he/she shall provide a
copy of a notarized agreement with a landowner who is within a
reasonable proximity, allowing him/her the use, of the .land...±or .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.
�. animal waste shall be applied to meet but not exceed, the Nitrogen
needs for realistic crop yields based on soil type, available moisture,
historical data, climate conditions, and level of management, unless
there are regulations that restrict the rate of application for other
nutrients. Actual yields may be used in, lieu of realistic yield tables
at the discretion of the planner.
4. Animal waste shall be applied on land eroding less than 5 ton per
acre per year. Waste may be applied to land that is eroding at more
than 5 tons but less than 10 tons per acre per year providing grass
filter strips are installed where runoff leaves the field.
S . Odors ':can be reduced by injecting
application. Waste should not be
from the irrigation field.
the' waste on disking after waste
applied when there is danger of drift
G. When animi'l waste is to be applied on acres subject to flooding, it
will be soil incorporated on conventionally ti Lled 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.
71 Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site or to.
-surface waters and in a method which does not cause drift .from the site
during application. No ponding should occur in order to control
odor and flips.
b. Animal waste shall not .be applied to saturated soils, during rainfal?
events, or when the surface is frozen.

• W",.S:7`E-
9.
10. Waste nutrients shall not be applied in Tall 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 cove" crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to punting of a
crop or forages braking dormancy.
11. A-ny new swine facility sited on or after October 1, 1995 shall comply
with the following: The outer perimiter 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
any perennial_ strum or river other, than. an- irr.i gat ion -ditch -or -canal.— -- -
-- Animal Waste Otr3er than swine waste from facilities sited on or after
October 1, 1995, shall not be applied closer than 25 feet to surface
water. This distance may be reduced for waters that ar! not perannial
provided adequate vegetative filter strips are present.
•2. Animal waste shall not be applied closer than 100 feet from
wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings
other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and
public right-of-ways.
15. Animal waste shall not be discharged into surface waters, drainageways
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland provided it has been approved
as a land applications site by a "technical specialist". Animal waste
applied on grassed waterways shall be at agronomic rates and 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. Lagoon berms and structures should be inspected
regularly for evidence of erosion, leakage, or discharge.

3 . , ni mal �­roduct'_on at the facility =s to be or t _rCil? nata
r
the owner i g _ eSpQl? s? ble f oZ Qbtain, ncr and implementing a �� Clcsur�
elan" whic!i will el im?nate the nosslbil7 ty of an illegal di sch.arge,
ao'_lution and erosion_.
19. Waste dandling structures, U?n?ng, pumps, -eels, EtC., should be
i nspeCted on a regular basis to pre -.,rant breakdowns, leaks, and sn' lls ,
4_ raaular mai ntanazce checklist should be kept on site.
20. Animal waste can be used in a rotation that includas veg sables and
other crOAs for direct human_ consumption. However, if animal waste is
used on craps for direct human consumption it should only be applied
prenlant with no further applications of animal waste during c.he crop
sEascn.
21. Highly visible permanent markers shall he installed to mark the top and
bottom elevations of the temporary storage _{pumping_-y_alumQ}_
waste t=ea�fient 3agoons. Pumping shall be managed to maintain the
liquid level between the markers. A marker will be recxuired to mark
the maximum storage volume for waste storage ponds.
.22. Soil tests shall be made every two years and a liquid waste analysis
be taken at least twice each year consistent with waste utilization
plan. Poultry litter shall be tested prior to applicat.ion. Soil
ad waste analysis records shall be kept for five years..
23. Dead animals will be disposed of in a manner that meets N.C.
regulations.
0

WASTE UTILIZATION PLAN
•
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Smithfield-Carroll's Farm 63
Owner/Manager Agreement
(we) understand and will follow and implement the specification and the operation and
maintenance procedures established in the approved animal waste utilization plan for the farm
named above. I (we) know that any expansion to the existing design capacity of the waste
treatment and storage system or construction of new facilities will require a new certification to be
submitted to the Division of Environment Management (DEM) 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 DEM upon request.
Name of Facility Owner: Smithfield-Carroll's Farms A Virginia General Partnershi
(Please print)
Signature: 8 E/4Date: Mar. 10, 2001
Name of Manager (If different from owner):
Mg-r - �n
Signatu
Date: Mar. 10, 2001
Name of Technical Specialist: (Please print) Rudy Grammer WUP-WA
Manager of Farming and Environmental Affairs
Affiliation: Carroll's Foods of Virginia, Inc.
Address (Agency): P.C. Box 1240
Waverly, Virginia 23890
Sign
a�: .
Date: Mar 10, 2001
21�

V
•
0
Smithfield-Carroll's Farms (dba NPD-USA)
Lagoon Analyses for Farm 63 Secondary Lagoon
Actual lagoon analyses, 1998-2000. Data from NCDA, Agronomic Division Lab
Month/Year
Lagoon 63S
PAN11000 gal
Feb-98
1.70
Apr-981
Jun-98
2D,
{ rMKTR
1 ; 1 6El
61
Aug-98
0.43
Oct-98
Feb-99
0 7 sir
s 1K20F j
Apr-99
Jun-99
� x 1 eO VE. a
k� 1 20
tFf
.4
Aug-991
Oct-99
Dec-99
DI66
�0;93't�`
Feb -DO
1.80
Apr-00
_ Jun-00
Aug-00
a,-I�a
0:99f,�''
Oct-00
0.53
Lagoon Average
1.12
Farm Average
1.12
Std. Deviation = .48 x avg. PAN
Std. Deviation = .48 x 1.12 #11000 gal
Std. Deviation = .54 #11000 gal
Range = 1.12 ± .54 #1100D gal
Range = .58 to 1.66 #11000 gal (Shaded)
Revised avg.= 1.13 # PAN11000 gal
Total PAN = Vol, Dastewater X lb - -PAN
Year Year 1000 gal
IC MIMA1i: • 1 • . ' = l
Year Year 00E gal
-- Total PAN = 6,490 Ibs. ------ _. _.
Year
*PAN/1000 gal.
#PAN11DOD gal.
Annual Wastewater Application Summary
Total Wastewater Aoglied Per Year
Year
Total Gallons
1996
7,512,300
1997
5,144, 250
1998
7,219,095
1999
5.730,000
2000
4,280,475
Avg.1996-2000
5,977,224
Avg.1998-2000
5,743,190
NCCES Publication AG-439-42 Requires 3 years data to modify CAWMP site specific

•
0
Smithfield-Carroll's Farms
Lagoon Analyses for Halifax County Farms
Farm 63 Data hom North Carolina DeDartment of Aorimlbie Aw aric Derision
Date
Lagoon
Laboratory Results
TKN P K
m m m
N
Ibs.11000
Nutrients Available for First Crop
P2O5 K2O
al. Ibs.11000 al. Ibs.11000 al.
Nitrogen
Reduction
%
Apr-93
63P
500
100
200
2.00
1.43
1.50
63S
300
0
100
1.20
0,00
0.75
40.00
Apr-94
63P
800
100
600
3.20
1 A3
4.50
63S
500
100
400
2.00
1 A3
3.00
37.50
Apr-95
63P
900
100
700
3.60
1.43
5.25
63S
500
100
600
2.00
1.43
4.50
44.44
Sep-95
63P
560
104
666
2.10
1.40
5.30
63S
336
105
706
1.30
1.40
5.70
38.10
Apr-96
63P
644
116
543
2.40
1.60
4.40
63S
434
73.2
450
1.60
0.98
3.60
33.33
Sep-96
63P
581
130
608
2.20
1.70
4.90
63S
308
111
564
1.20
1.50
4.50
45.45
Apr-97
63P
903
107
687
3.40
1,40
5.50
63S
560
75.4
531
2.10
1.00
4.30
36.24
Jun-97
63P
763
102
714
2.90
1.40
5.70
- - -
63S-
378,.
78.6
589 -
1.40 --
-_- 1.10
4:70-• -.
51:72
Sep-97
63P
581
133
776
2.20
1.80
6.20
63S
161
96.7
656
0.60
1.30
5.30
72.73
Feb-98
63P
742
139
754
2.80
1.90
6.00
63S
462
94
667
1.70
1.30
5.30
39.29
Apr-98
63P
707
120
744
3.00
1,60
6.00
63S
280
91.6
676
1.20
1.20
5.40
60.00
Jun-98
63P
756
103.0
763
3.20
1.40
6.10
63S
371
80.0
680
1.60
1.10
5.40
50.00
Aug-98
63P
514
125.0
747
2.10
1.70
6.00
63S
104
108.0
799
0.43
1.40
6.40
79.52
Oct-98
63P
598
118.0
777
2.50
1.60
6.20
63S
180
98.7
713
0.75
1.30
5,70
70.00
Feb-99
63P
703
109.0
745
2.90
1.50
6.00
63S
278
78.3
614
1.20
1.10
4.90
58.62
Apr-99
63P
712
98.6
717
3.00
1.30
5.70
63S
246
70.5
611
1.00
0.94
4.90
66.67
Jun-99
63P
738
106.0
1037
3.10
1.40
8.30
63S
278
87.2
837
1.20
1.20
6.70
61.29
Aug-99
63P
469
135
870
2.00
1.80
7.00
63S
157
90
849
0.66
1.20
6.80
67.00
Oct-99
63P
380
96.5
642
1.60
1.30
5.10
63S
224
76.3
544
0.93
1.00
4.40
41.88
Dec-99
63P
428
98.5
709
1,80
1.30
5.70
63S
250
76.3
610
1.00
1.00
4.90
44.44
Feb-00
63P
597
106
752
2.50
1.40
6.00
63S
333
87.7
668
1.40
1.20
5.40
44.00
Apr-00
63P
708
122
814
3.00
1.60
6.50
63S
424
97.7
721
1.80
1,30
5.80
40.00
Jun-00
63P
815
2.78
47A
3.40
0.04
0.38
63S
390
96.4
733
1.60
1.30
5.90
52.94
Aug-00
63P
656
106
896
2.70
1.40
7.20
63S
237
84.1
824
0.99
1,10
6.60
63.33
Oct-00
63P
224
122
955
0.93
1.60
7.70
63S
127
90.2
770
0.53
1,20
6.20
43.01
Avg. 51.34

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
.fames B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 17, 1998
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Smithfield arro s Farms
Farm 63
PO Box 1240
Waverly Va 23890
Farm Number: 42 - 23
Dear Smithfield Carroll's Farms:
hit"T. 0 FAA
You are hereby notified that Farm 63, 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
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Mike Lewandowski at [phone]
extension 362 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely,
r 'A. Preston Howard, Jr., P.E.
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr„ Governor
Jonathan B; Howes, Secretary
Smithfield Carroll's Farms
Farm 63
PO Box 1240
Waverly Va 23890
�EHNR
November 12, 1996
SUBJECT: Operator In Charge Designation
Facility: Farm 63
Facility ID#: 42-23
Halifax County
Dear Farm Owner:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 91gn33-0026.
Sincerely,
A. Preston Howard, Jr., P. ., ector
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.C. Box 27687, FAX [phone]
Raleigh, North Carolina 2761 1-7687 �� An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% recycled/10% post -consumer paper

Revised April 20, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number 1(7,_- 7-3 Operation is flagged for a wettable
Farm Name: C!#re-v its r..ot-►'- acre determination due to failure of
On -Site Representative: jr+1c/j -L- Part 11 eligibility item(s) F1 F2 F3 F4
Inspector/Reviewer's Name: oLj X, I
Date of site visit:Zy
Date of most recent WUP: R `15-9
Annual farm PAN deficit: __U 7•a pounds
Operation not required to secure WA
determination at this time based on
exemption El E2 E3 E4
Operation pended for wettable acre
determination based on P1 P2 P3
Irrigation System(s) - circle #: 1. hard -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART i. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
El Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an i or PE.
E2 Adequate D, and D203 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be
applied to farms that.fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part 111).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over.appiication of wastewater (PAN) on spray
field(s) according to farm's last two years of -irrigation Tecords.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure fo.deduct required
bufferlsetback acreage; or 25% of total acreage -identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers- or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part III.
/I

Revised April 20, 1999
aciiity Number - !;� L-- 6 3
Part III. Field by Field Determination
of
75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER'.2
TYPE OF
IRRIGATION
SYSTEM
TOTAL
ACRES
CAWMP
ACRES
FIELD
%
COMMENTS
36
o�
Vf
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption; otherwise operation will be subject to WA determination.
FIELD NUMBER' - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system. �f S, f—
Part IV. Pending WA Determinations show roc.--�.r r�l���r-.�41
h�c�s r►,A-p. ll� Lra S
P1 Plan lacks following information:
P2 Plan revision may satisfy 75% rule based on adequate overall PAN deficit and by
adjusting all field acreage to below 75% use rate
P3 Other (ielin process of installing new irrigation system):
i/'

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
Smithfield Carroll's Farms
Farm 63
PO Box 1240
Waverly VA 23890
Dear Smithfield Carroll's Farms:
;'r
r=4
•
M 6 0
NCDENR
NORTH CAROL-INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
1AW 10
2ff'rr RALEIG
� ....._
_
+� --- --.��. _SUN OFF!
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number�_42=23.>
,Ha lifax°County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRR1, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of.Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review aIl recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
cc: Raleigh Regional Office
Halifax County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
An Equal Opportunity Affirmative Action Employer
SincereI ,
Kerr T. Stevens, Director
Division of Water Quality
Telephone [phone] Fax [phone]
50% recycled/10% post -consumer paper

Tr
a� c�•MT l ri,iF r � � , t` • ,��
1 ♦' r
T `�- c '•��a�;� �� tier., 77�
`• r �rJ�j per '• prof ; 1
ti3r �+kY.a' �,;:�' �,Cdldr+.fa.�,y�•.. �i;,','"
fly, v ,rJ .h �K; ,{ } f iF•1Ii . ` ��c ,r'
.-.•, - i� a J'T� `�y�� lA H • ``/i �'. ' �tilT�y �` �1 . ; ! r T � -
��4 I l•
'Y .r �� ply !, f.} t •��" l - � .
ilSrtti'r1r- O�'i s• c v''s r'_L yJ.' - �--'mot—��
r � �.��\ � ;ire-r ��4•;'t�.+•��`a,..�y_ (_�• � i _ .. ,
Y '. i.-i�� fir¢.' .�C � • 1+ _ '
a
r_
1

,' �.� `� �.r IrMK'� R,� '� �L .rf•, Y.y3n +'�•. t'i1-.
r - •� ,. :7 r '.- - .r(- :r%y;�f�' {'mot, b
i ,�•:� 'r. y��'�� r - +'f sr. .i2.. '•r�x ��'9E" � � 'rf � R_ •sr-• .`•, 'i+r (•� r 'S:
�vt ... .��� - t�i� ����" a �',- '". ;. � Ft �. ,� li..•. -mot' r� - ' - •+�''' - -t•
�� �• �f a �� -�1. �°. i' *:.'�•r rr -� '-'may^ + •��'' � a, y
•t` •'" �7"- � ;mot, a:ut.�.. y `.-.,r . •`
.r^ -T J � _ ,' � ' `� rr ::•� .��j �.-� - _ - ryyj 4��+i r i�,. J S , ,:
� f.

I
��, pHAtLS TU VAM
woODS
I,�• �a ; ,,•.
ACSES aw j
'JS J ' I s • � +}' 1
`at
S.V.0 rJyj ,
ACRES c> a trAiE to.
735 J9, i,�y '«: OPEN
fys )
e c;. T't iyr1L. ZFb LAt-OS fJri ' +, . •'+ °F
I ++y• r ) It1G
r
a
'j•,r 1 � � •j�.s — r a
1,• ? r7• j0.• , f
Irr° fi i�i Ilt.A 1•Z e. 'lot )`r •
li[QOD4 '4
1/ 1 'G
a AJ
Iei , 1r� _ ! � s I_s• �+`}A+ �t F)t 1 !)r) r
VIR
r rIa) OPE K
It,
1
<a +' WOODS - 'rti+� ,_•~ oPr,{i\ �,',
r.st I, A. � r.. ... • _+ram .r '�J }a
L y rrt , r
r

SITE EVALUATION REPORT
Producer: County: lld%iTuV Da te: /01/5I71
Type and Size Operati on:
50D 40u)S -arrow -,k") Av)ish
SCS Jab Class:
Distance
to
the Nearest Residence Other Than Owner or
Public Facility:
5 �+e
Fac,n near E ► .'el -A) — ya rl",ke
14carr, s Far-W, ena o�
(aPprcx.)
Distance to wells and other eua ter sources:
5-.+e 1 - approx, ya •Y te-
514-e a — -7 1a,oc 4-�
!award Cl assi fi cati op:
3o.I-h ,`// b e ci
breuC% 3ho,-& aC[ u` 1 ,�2 u=raS14e v: /l ?0-/- O f/Prfop any •`mP/"a��cyrPi
The t.4.a5 ' worn or1 --'r /e 'l l -o i ll `//ow i it o 6 ewe ? .SL,;,x, rn o.
flouji no Faci l i ty:
6JuhrCr -4/-CS h
recycle wash war• �ra,n .3Pror�e /a1` MTh
9rRV A
'O,.0 i t7-/":' /layPOti
Lagoon S CCi i C5:
4 V 4 7
(y{cepe�) D0
i
Mn .0-) ; n7 u /rl � rI .S�Q�e s "CZ& .S ICp2 17" Qr I�ori2o rrf� f
7/0 / ✓cry cQ / sha K/d b� cf f� oiler4t// 67)&nkene-r71- .S,�)6
t ir�5rcx'e ��LfS,{ 5.�4 .S'/D C'or�'lfiirJ o74' chart �p / YPr�.
.'um i n cycle: /�r0 C/GYs

SITE EVALUATION REPORT
page Z
Land A l i cats on of Waste (acres available. —crops):
SD = (aO acres tcVa;/4/aie
C<PPJ�c4�or, an .6Pr�*+Sa p�ifnar,`/}/ l 33 ctc. rr:�rl rrecl f
fz ee,, ?; n4V,'0rn a�' ielyruda Oor� rya}/ 6 P c[s�
Waste Irrigation Equipment:
Permi is Re ui red:
4 kc yO rrse 4, vio Lno..4� j perm,'-1-5 be re91ti rerf; : �a' lag pops
Sunrm"y of Soils Investizati on:
rPVPgI�
Sor/l pif P Y cJ / 1L
Tar ,�PPPa oa
!� /�00✓1 Q077v wr . SIC(
one ,oaf
e.tCavayeal bolkm or ir15ia4¢ S/a,e, r4-%hou/d 6`-e u Orgcc� �;nrkzs
ando7P 6 L •mover"ter%, 7"fx1 ,-rrJOara ry
sri�ra92' rnc�s� be 4lv►C' Y/a .seas / A''; A fcx?. d/e. �1�_ 3a,�-From Sur P�
-S� a Very -o u� ,gab /2 so l ► i 9tc/>� % `�or Pm�rr�,�rr 1�. /i!a rTcu7-cr�'ct�
�r4
eneoarl#reri �f�i'� S 4 i: -al Al �►'�p or4 r lricL i
Misc. Ito be l42P� abbVe --se A; IA�07f - -{d6/c (/71�—d
Sui tabi l i_t_y of si te(s> for stai ne operati on:
-F)ep,e,+ by :

1 + SCS•538 U. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
10.56
cnrl InIVF-qTlr.ATl0N To DETERMINE SUITA9ILITY OF PROPOSED POND SITE
WATERSHED AREA MEASUREMENTS
CROPLAND -ACRES PASTURE -ACRE-., r -
WOODLAND—ACRESTOTAL—. .•
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADEI
Locate refentnce point an center line of dam and Identify on -skstc& -/-a- s
MEMO
MOSSIMEMEEMME,
it I
■■■■■■■■■■■■r■■■■■■ee■eM
VIA
M
■■■■tee■■■■■■■■■■r■■■r■■e■■
■■e■■■■■�■r■■■e■ee■e�r■■e■■
■■■■■■■e�■■■■i■�■■■r��■ere■■
■■■■■■rr�r■■■■■■r■�r■r■err■
■■MeerSOMEONE
■
■eerier■■■■■■■■■■■
■■■■r■■■■■■■■■■ems■e■■■i■es■■
eel■ii■■■■■■■i■fie■e■/�L�■■■■
■eei■i'�■Mil■■■■�■■e■e�I�■err
■■■ers`wr�:.-arr�r��rrrt�■■
1r71©I©1il
:,.: r. r
. ..
(condnued on back whom naccuarld SAow water table clevallons an dam-slis"WX
UIMIN=
0113=
21®
11 1=110131010010
eiMEMO1!
MIKE
■(
Nil
(I 1-11=1ffli
ElelleltMERZ!.II=IN
�y■��Ie�■������f
•
l�i■i!�l�s�i�1■i■I■I■�!�R�i':■IF�1■
Ifl�A■1�11�(■lrl■(�1�■�■��..�'
(�'���(■Iri■lei■1■1■1■(■
®e�jrf■
■f■�r�■
■!■f■fea■f■f■f■fef■■!11!■frf■
�■?■!■�lr�ie�■1■(r,■!■tzer�ra■i■�r�1■tl■ir�■��■r1■�rr
■■■�!■�■!■�■(■!■lam;■►el■1■1■E■!■!el■(■■!■.
■1■1■
■■rle�el■►■r■�.�r■,■�■I■1■■1■1r1ei■;■1■.�il■li�
BORINGS MADE BY—C&C—P SIGNATURE & TITLE
�b�� s ,4j& 64nu e. )

SCF No.: 63 Date
erator:Carroll's Foods VA County: Halifax 01/10/92
Distance to nearest residence (other than owner): 2000.0 feet
I. STEADY STATE LIVE WEIGHT
500
sows
(farrow to
finish)
x 1417
lbs.
= 708500
lbs
0
sows
(farrow to
feeder)
x 522
lbs.
0
lbs
0
head
(finishing
only)
x 135
lbs.
= 0
lbs
0
sows
(farrow to
wean)
x 433
lbs.
= 0
lbs
0
head
(wean to feeder)
x 30
lbs.
0
lbs
TOTAL STEADY STATE LIVE WEIGHT (SSLW) = 708500 lbs
2. MINIMUM REQUIRED TREATMENT VOLUME OF LAGOON
Volume = 708500 lbs. SSLW x Treatment Volume(CF)/lb. SSLW
Treatment Voiume(CF)/lb. SSLW= 1 CF/lb. SSLW
Volume = 708500 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION
Volume = 0.0 cubic feet: Owner requests no sludge storage.
Sludge will be removed as needed.
TOTAL DESIGN VOLUME for PRIMARY LAGOON
Inside top length 500.0 feet ; Inside top width 210.0 feet
Top of dike at elevation 126.5 feet
Freeboard 1.0 feet ; Side slopes 2.0 : 1 (Inside lagoon)
Total design lagoon liquid level at elevation 125.5 feet
Bottom of lagoon elevation 116.5 feet
Seasonal high water table elevation 116.0 feet
Total design volume using prismoidal formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 LENGTH WIDTH DEPTH
2.0 2.0 2.0 2.5 496.0 205.5 9.0
AREA OF TOP
LENGTH * WIDTH
496.0 205.5
AREA OF BOTTOM
LENGTH * WIDTH
460.0 165.0
101928.0 (AREA OF TOP)
75900.0 (AREA OF BOTTOM)
AREA OF MIDSECTION
LENGTH * WIDTH * 4
478.0 185.3 354198.0 (AREA OF MIDSECTION * 4)
CU. FT. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM]
101928.0 354198.0 75900.0
DEPTH/6
1.5
DESIGN VOLUME FOR PRIMARY LAGOON = 798039 CU. FT.

4. TOTAL DESIGN VOLUME for SECONDARY LAGOON
Inside top length 280.0 feet ; Inside top width 210.0 feet
Top of dike at elevation 126.5 feet
Freeboard 1.0 feet ; Side slopes 2.0 : 1 (Inside lagoon)
Total design lagoon liquid level at elevation 125.5 feet
Bottom of lagoon elevation 116.5 feet
Seasonal high water table elevation 116.0 feet
Total design volume using prismoidal formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 LENGTH WIDTH DEPTH
2.0 2.0 2.0 2.5 276.0 205.5 9.0
AREA OF TOP
LENGTH * WIDTH -=
276.0 205.5
AREA OF BOTTOM
LENGTH * WIDTH =
240.0 165.0
56718.0 (AREA OF TOP)
39600.0 (AREA OF BOTTOM)
AREA OF MIDSECTION
LENGTH * WIDTH * 4
258.0 185.3 191178.0 (AREA OF MIDSECTION * 4)
CU. FT. (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM]
56718.0 191178.0 39600.0
DESIGN VOLUME for SECONDARY LAGOON = 431244 CU. FT.
DEPTH/6
1.5

5. TEMPORARY STORAGE REQUIRED
PRIMARY LAGOON
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width = square feet
500.0 210.0 105000.0
SECONDARY LAGOON
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width = square feet
280.0 210.0 58800.0
Drainage
for dike
between Primary &
Secondary
Lagoons
Length
* Width
= square feet
Length *
Width = square feet
210.0
5.0
1050.0
210.0
5.0 1050.0
TOTAL DA 106050.0
TOTAL DA 59850.0
Design temporary storage period to be 180 days.
5A. Volume of waste produced
Approximate daily production of manure in CF/LB SSLW 0.00136
Volume = 708500 Lbs. SSLW * CF of Waste/Lb./Day * 180 days
Volume = 173020 cubic feet
50. Volume of wash water
This is the.amount of fresh water used for washing floors or volume
of fresh water used for a flush system. Flush systems that recirculate
the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day *
Volume = 0.0 cubic feet
180 days storage/7.48 gallons
per CF
5C. Volume of rainfall in excess of evaporation
Location of weather station used : Enfield
Rainfall exceeds evaporation 6 months used: Oct -Mar
180 days excess rainfall = 12.0 inches
Volume = 12.0 in * DA / 12 inches per foot
Primary Lagoon Secondary Lagoon
Volume = 106050.0 cubic feet 59850.0 cubic feet

5D. Volume of 25 year -- 24 hour storm
Volume = 6.7 inches / 12 inches per foot * DA
PRIMARY LAGOON SECONDARY LAGOON
Volume = 59211.3 cubic feet 33416.3 cubic feet
TOTAL REQUIRED
TEMPORARY STORAGE
Primary Secondary
5A
waste produced.
173020 cubic
feet
5B
wash water.
0 cubic
feet
5C
rainfall.
106050 59850 cubic
feet
5D
25yr-24hr.
59211 33416 cubic
feet
TOTAL 431547 cubic feet
6. SUMMARY
Total required volume 1140047 cubic feet
Total design volume avail. 1229283 cubic feet
Min. req. treatment volume plus sludge accumulation 708500 cubic ft
Total design volume less 25yr-24hr storm is 1136656 cubic feet
At elev. 125.0 feet primary and 116.0 feet secondary
Lagoon volume is 727873 cubic feet (end pumping).
At elev. 125.0 feet ; Volume is 1150598 cubic feet (start pumping)
Seasonal high water table elevation 116.0 feet
7. DESIGNED BY:
DATE:
APPROVED BY:
DATE:
NOTE: WASTE UTILIZATION PLAN ATTACHED.

OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon'is designed for waste treatment with minimum odor
control. The time required for the planned fluid level to be
reached may vary due to soil conditions,flushing operations, and
the amount of fresh water added to the system.
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent runoff from the field or damage
to crops.
The following items are to be carried out:
1.. The primary lagoon will be pre -charged to 1/2 its capacity to
prevent excessive odors during start-up. Pre -charging reduces the
concentration of the initial waste entering the lagoon thereby
reducing odors. Solids should be covered with effluent at -all times.
2. The attached waste utilization plan shall be followed. This
plan recommends sampling and testing of waste (.see Attachment H)
before land application.
3. Begin pump -out of the lagoon when fluid level reaches eleva-
tion 125.0 in the secondary lagoon as marked by permanent
markers. Stop pump -out when the fluid level reaches elevation
116.0 in the secondary lagoon and 125.0 in the primary lagoon.
4. The recommended maximum amount to apply per irrigation is
one (1) inch and the recommended maximum application rate is 0.3
inch per hour.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
6. Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be diverted from the lagoon to stable
outlets.
8. The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of Environ-
mental Management, has the responsibility for enforcing this law.

Smithfield-Carroll's Farms
Lagoon Analyses for Halifax County Farms
Farm 63 Data from North Carolina Oepartment of Agriculture Agronomic Division
Date
Lagoon
Laboratory Results
r
TKN P K
m ( m) m
N
ibsJ1000
Nutrients Available for First Crop
P205 K20
al.) IbsJ1000 al.j ibsJ1000 al.
Nitrogen
Reduction
%
Apr-93
63P
500
100
200
2.00
1.43
1.50
63S
300
0
100
1.20
0.00
0.75
40.00
Apr-94
63P
800
100
600
3.20
1.43
4.50
63S
500
100
400
2.00
1.43
3.00
37.50
Apr-95
63P
900
100
700
3.60
1.43
5.25
63S
500
100
600
2.00
1.43
4.50
44.44
Sep-95
63P
560
104
666
2.10
1.40
5.30
63S
336
105
706
1.30
1.40
5.70
38.10
Apr-96
63P
644
116
543
2.40
1.60
4.40
63S
434
73.2
450
1.60
0.98
3.60
33.33
Sep-96
63P
581
130
608
2.20
1.70
4.90
63S
308
111
564
1.20
1.50
4.50
45.45
Apr-97
63P
903
107
687
3.40
1.40
5.50
63S
560
75.4
531
2.10
1.00
4.30
38.24
Jun-97
63P
763
102
714
2.90
1.40
5.70
63S
378
78.6
589
1.40
1.10
4.70
51.72
Sep-97
63P
581
133
778
2.20
1.80
6.20
63S
t 61
96.7
656
0.60
1.30
5.30
72.73
Feb-98
63P
742
139
754
2.80
1.90
6.00
63S
462
94
667
1.70
1.30
5.30
39.29
Avg. 44.05

ATTACHMENT B
I o f 3al'a•al Ex _ ..fait
Agri -Waste Management
Biological and Agricultural Engineering North Carolina State t.lnive:Si;",r
r
LL4ESTOCK WASTE SAMPLING, AW?:SIS AND CALCULATION
OF LAND APPLICATZOH RATES
Janes C. Barker
I. SA.`W CaLT..rCTION
A. Se=i-Sol& Loc Manure
L. Scraped directly from loc into spreader
a. From loaded spreader,. collect about 2 lbs a! manure from
d0ferenc locations using nor_ecallic collectors.
A. From storage
a. Collect about 2 Ibs of manure from under the surface crust
avoiding bedding materials and using nor= ecallic collecrors.
B. Liquid Manure Slurry
i. Under -dotted -Boor pia
a. Extend a 1/2" nonnecal'_ic ccnduia open on bock ends into
manu,e,za pit floor.
b. Seal upper end of canduic (e.g., by placing a czu=b over end
of conduit) trapping manure chac has entered lover end, remove
and ezpcy slurry into plastic buckee or nonw callic container.
c. Take subsarales ..00 5 or note locations or ac least l qua__.
d. H:x and add about 3/4 pinc co noncecaLVc sz.ale dor..a?ner.
xi. Exterior storage basin or cask
a. Make sure manure has been well mixed with a liquid r•ar.u_e
ct' pper•agitator pu., or rr_petler a3_tscb=.
b. i.lite suisa-. -es from about i p_: locations, E__m agitator rung
or From manure spreader and dace in a plas__c bucket.
* Professor and _x:ans-on Specialist, Wo'_ogi:al and Agr-c_1___al En;inee__ng
DeYar:_e. No:_.. C4 o._na Scaw Cniyer;i:y. Raleigh. W.

2of3
c..liix and add 3/4 pint Co a non=ecallic sample container.
C. Lagoon Liquid
L. Collect about 3/4 pint of recycled Lagoon ltquid from Lnfla_ pLpe
to flush tanks in a nonmetallic sample container.
ii. From lagoon
a. Place a s=all bocce (1/2 pine or less) on and of 10-15, pole.
b. Excsnd bocc?e LO-15' away fro= bark edge.
C. Brush a -ay floacing sc.-M or debr!s,
d. 5ubmerye bact'_e v:ch_n L of 1i�u'd su_face.
e. Enpcy .-:co a pas::.-- buCka_. re;eat abcuc 5 tries 'arYur.d
lagcon, ni:t, and add 3/4- p;.nc ca r,ar:^c". .__ sar-ple cor.ca.ner
0. 3roUer or Turkey W:tz=
L. Foust Better
a. Visual!! insD±C_ L--_e. _7r areas of varying gual_tf.
areas sra_nd f_ederz and lacare7a , and esti;acz percent of
floor surface Ln each area.
b. Take.abouc 5 ::_ter subsar_ales ac loeacions praport'-onaee to
Lttim a. E 3 .= 20% a. !-tter of similar visual qual. is
around (elders and .t2r_r5, cake 1 SUL�Sar-ple cher2 and the
Ocher fr= re=aindar of floor surface.
c. eft each -_ -art, c=1Lec, L.C_zr from a 6 by 6- area dou-1 cc
earth floor and puce in a pLascic bucket.
d. AF-ar 5 iubsa-:plss have been added to the bucket, mix, and add
about -2-3 lbs 1°.far to a nor=ecallic sar_rle container such as
a 1-gallon !rsefar bag and seal.
U. From scockpild
it. Take svb on;!-cs frrm about 5 locations a; lease 13- Into
b. Mix, ac- : : ibs ca nar_-eca?'__c sar..pla __..earner and sea_.

ATTACHMENT B
3 of 3
II. SAMPLE P.IR—E?ARATION A -NU TRANSFER
A. Place sample into an expandable container that can be sealed. Rinse
residues from cor.caine_ with dean water but do not use disinfectants,
soaps, or Creac in an" other way.
B. Pack saz?Le in ice. _e=_igerace, freeze, or transfer to lab quickly,
C. Hand-del'-ve_f is =ost reliable way of sample transfer.
D. If mailed, pracect sar..c'_z container with packing material such as
newspaper, box or pac'3e with wrapping paper, and Cape.
E. Ca=erc'_al sample and mailers are also available. Contacts:
i. AFL East__.. Ag=_._w; ,al Lab, Znc
7621 Vhi_aaine Rcad
Rich --and, VA 2�1__7
Ph: (904)743-94C'_
ii. Fisher Scienci=-c Co.
3315 Vinton Road
Raleigh, NC 27604
Ph: (9L9)376-2?tli
Polyfoam Packers Corp.
2320 S. Foster Avenue
WheeLing, IL 60090
Ph: [phone]
iv. NASCO
901 Janesville Avenue
Fort Atkinson, VI 53538
Ph: [phone]
F. Privaca analytical labs are available, but sample analyses are costly.
G. the NCQA provides t:,is service for North Carolina residents.
i. Address: North Carolina Depa= rent of Ag_icultsre
Agronomic Division
Plant/;7aste/Solution Advisory Section
Blue Ridge Road Censer
P.Q. Box 27647
Raleigh, NC 27611
[phone]
.lt_,: Dr. Ray Campbell
i_. tarlari �4 a_anc :i_L the, sample
ii_. Include the following idenc__icat_on information with sample.
a. .•ivectack s;•ecias (da;=�, swine, Curkev, etc.)
b. L-'ve=tcck ..sa_e (s-1ine-nursery, finishing; curkey-breeders,
`�roode_k-cus=. g:c%-e_, number flocks grovrt on litter, etc.)
c. '"asta type (da_ Lot scraped manure, liquid slurry; 51ine-p.t
sL•_rry laonc- _iq :w, s__cge, broila:-house L?rre stockpile
i•:. Routine anaLysas performed on all s=ples: N, P, K, Ca, Fg, Na,
s, Fe, !n, Zn, Cu, 5
v. Additional analyses per=armed upon request. OM, Mo. Ca, Ni. Pb

Operations and Maintenance Plan
INSPECTION/ DOCUMENTATION SPECIFICATIONS
Each CAWMP has included an Emergency Action Plan. In the event that effluent
is discharged from the waste management system, farm personnel should refer to the
Emergency Action Plan for remediation procedures.
All components of the waste management system are to be inspected weekly by
the certified operator in charge. Each week the certified operator will visually inspect
each component of the waste management system and document his/her findings on a
weekly inspection checklist. This checklist will be kept on file by the operator in charge
for presentation to Division of Water Quality personnel upon request. Inspections should
include the following:
La oon: Pool Area- inspect the lagoon pool area for undesirable vegetative growth
and excessive foreign material or debris. Foreign material should be removed on an as
needed basis and vegetation on the inside of lagoon banks controlled by mowing,
chopping, or chemicals.
Embankment: The operator will walk each lagoon and inspect lagoon embankment
for integrity. Vegetation on the lagoon embankment must be properly maintained in
order to accurately access its integrity. Routine mowing of embankments is suggested as
a means to best manage these areas. Specific items to note include, but are not limited to,
extreme settlement or low points along the lagoon berm, side slope stability, seepage, or
wet areas on back slope, erosion; and rodent damage. Inspection findings will be
documented on the weekly inspection report. Should repairs be required to the lagoon,
the operator in charge should contact a qualified technical specialist before commencing
any activities that affect the lagoon structures.
Pipes: All pipes should be inspected weekly for cracks, separation, or any potential
restrictions of flow. Where pipes enter the lagoon, they should be extended such that
erosion of the liner cannot occur. These pipe extensions should have proper supports to
prevent sagging. Pipes leading to irrigators, including connections, should be inspected to
assure proper waste transport, and to prevent leakage that may result in uneven
application of effluent.
Pumps: All pumps will be inspected weekly. The certified operator shall indicate if
each pump was operating in a normal or abnormal condition. The inspection should also
indicate if any leaks from loose fittings or seals were detected and indicate repair action.
Irrigators: Each irrigation unit will be visually inspected for loose fittings, poor seals,
or other methods of waste leakage to ensure proper application of swine effluent.

Operations and Maintenance Plan
INSPECTION/DOCUMENTATION SPECIFICATIONS
(continued)
All repairs and maintenance to the waste collection, treatment, storage, and
transmission structures shall be documented in a maintenance and repair manual. The
operator shall keep an informal record, in chronological order, of all repairs made to the
waste management system or equipment. The certified operator should consult a
technical specialist in the event changes are made to equipment that will alter the
operating capacity of the waste management system. This maintenance manual shall be
made available to the Division of Water Quality at its request.

EMERGENCY ACTION PLAN
PHONE NUMBERS
DWQ [phone]
EMERGENCY MANAGEMENT SYSTEM 919 536-6545
SWCD (91.91-583-3481
NRCS [phone]
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
this facility. The following are some action items you should take.
I. Stop the release of wastes. Depending on the situation, this may or may not be possible.
Suggested responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B. Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create 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 rules for the fields where runoff occurred.
C. Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
D. Leakage from flush systems, houses, solid separators -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators.
e. Repair all leaks prior to restarting pumps.
E. Leakage from base or sidewall of lagoon. Often this is seepage as opposed to
flowing leaks -possible action.
a. Dig a small sump or ditch away from the embankment to catch all seepage,
put in a submersible pump, and pump back to lagoon.
b. If holes are caused by burrowing animals, trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as soon as possible.

2. Assess the extent of the spill and note any obvious damages.
a.
Did the waste reach any surface waters?
b.
Approximately how much was released and for what duration?
c.
Any damage noted, such as employee injury, fish kills, or property
damage?
d.
Did the spill leave the property?
e.
Does the spill have the potential to reach surface waters?
f.
Could a future rain event cause the spill to reach surface waters?
g.
Are potable water wells in danger (either on or off the property)?
h.
How much reached surface waters?
3. Contact appropriate agencies.
a.
Contact company person:
Senior Production Mgr. - M. Miles H - (R4) 658-3205, W - [phone]
Complex Mgr. - Kelvin Terry H - [phone], W - [phone]
Farming Mgr. - Alvin Lane H - [phone], W - [phone].
b.
During normal business hours, call your DWQ (Division of Water Quality)
regional office. Phone [phone]. After hours, emergency number:
919-733-3942. Your phone call should include: your name, facility,
telephone number, the details of the incident from item 2 above, the exact
location of the facility, the location or direction of movement of the spill,
weather and wind conditions. The corrective measures that have been under
taken, and the seriousness of the situation.
c.
If spill leaves property or enters surface waters, call local EMS Phone
Number 919-536-6545.
d.
Instruct EMS to contact local Health Department.
e.
Contact local SWCD office phone number 919-583-3481, and local NRCS
office for advicettechnical assistance phone number 919-583-3481.
4. If none of the above works call 911 or the Sheriffs Department and explain your
problem to them and ask that person to contact the proper agencies for you.
5. Contact the contractor of your choice to begin repair of problem to minimize off -
site damage.
a. Contractor's Name: Johnny Sykes
b. Contractor's Address: Conway. NC
c. Contractor's Phone: [phone]
6. Contact the technical specialist who certified the lagoon and/or Waste Utilization
Plan. (NRCS, Consulting Engineer, etc.)
a. Name: Rudy Grammer
b. Phone: [phone]
7. Implement procedures as advised by DWQ and technical assistance agencies to
rectify the damage, repair the system, and reassess the waste management plan
to keep problems with release of wastes from happening again.

Swine )harm Waste Management Odor Control Checklist
Source Came RAM's to Minimize Odors Site Specific Practices
1; rillsicad • Sv('iuc prtkluctiou I t Vegetative air ►vo(xlcd buffers;
II Recullimended liest managemelll pracliceS,
I 1 (iot)(l judgment .1u(1 conunon SCIISe
Aninl.d NON' surlilccS
• Dim- manure -covered unintals
1l3'f)rx11(mrs
How sullaces
• Wel manor(' -covered animals
. lolled 111k1rs,
I;,tnvaterers located over slotted ilo(1rs-,
FI Feeders at high end of solid Iloors;
0 Soup(: rnanitre buildup from floors;
- -
C"Tuderll(klr venliiation lily drying
Manuic collcclion pils
thine,-
Lkfretluem manure removal by flush, pil recharge,
• httrll.lt microbial Coil) ll(1siIioll
or �, 'rape"
711derlhwr ventilation
`� illllalwn cxhau t Iall1
• Vtliallle gasc%-,
11
fill) I nallllellalILC,
!)list
•,r�
ti-1"I:Illclenl air 111ovell1CIll
111dool surfaces • Dust - avashdU1.%1l 11elween groUI)S 01'at11I11aIs;
H Feed additives;
I 1 Feeder covers;
mild delivety dmilsplmt emeuders to feeder
F lush tails
a A914llioil of uccycled lagnoil
I I Flush 1,111k covers;
liquid while tanks are filling
f1 I'MCM fill IineS near htlltonl of lalgks with
cull-511111OIl YC111S
I III-lt:plicl,
a Agilaliun timing % astewuter _
I' ud.rll(wr !!lull ►c111, rinde f ow venlilatiuu
C0n1►'c1'aL1CC
Pit rcchalgc points
• Agilatioo of recycled lago(nl
I 1 I?xlend recharge IineS to near Ixptlonl of Ails ►cith anli-Siphon veulS
liquid %villle pits are fillip'
Lift il:llftilii
• AgitUti(ltl LIMilIg S(I111I) lank
il;, tlinp tank covers
tilling; and dra►vdo►m
OutsiJc (Train collection • Agitation during ►vasie►valer 11 Box covers
Ol lllllclion IX)\CS clnveyal1Ce
r
i

Suurce
Cause
RAIPs to NIinindic Odors Site Specific- Praclice%
I :rld of d1:6l1p1lk:s m
0 Agitation during trastcx%aler
I i Fxleud discll.uge point of pifx:s undclncrlih
la goon
conveyance
la lMn lip uid Itvcl
l.agooll surt'aces
• Volatile gas emissions;
LyProp er ]again liquid capmcily,
• Hiological mixing;
I I Collect Iat!W11 slarlup prlwcdurcs.
• Agitation
UINfiuiIII till] agitation tyhell pulnpilig;
[ 1 Minimum sarface area-lo-yohllne ratio;
I'1 Mechanical acraiiolr,
-
I I Proven biulgical additives — — — — — — — — —
Inigaliun sprinkler
• l ligh pressure agiallioa;
-IYrrrigale oil dry ways ttith little or no ttind;
no/Acs
• Wind drifi
f I Mininuun recommended operating pressure:
L�,Vnrap ilu:ake near lag,wn liquid St1rl;ICC:
i1 4/ 141111) frUlll SC(:olld-slat!c limooll
slorage tank or hasill • 1'a11ia1 trliclobial deconlix►silion; I I Ilollonl or midlevel loading.
surface 0 Mixing while filling; I I 'fall covers;
• Agitation tshcu ClnPltiillg I I Ifasin s11rlilce mats ol•Solids:
I I Proven hioln jical additives or oxidants
setlIing ba"In sm taco • Parllal microbial decomIx)silion, I I EAtend drainpipe oullels underlleatlt hllnid
• Mixing chile filling; level;
• At!ilation t%lttlt clnnly ice I 1 Itenulyc settled solids regularly
hl.nulIC, shnn or sludge • Agitation tyhcn Spreudiug; I I Soil injection of Slum)/SludgcS;
spreader outicls • Volatile gas emissions I i W,ISh reSidtlol IMUltirC faun Spreader alto use;
I-i Proven biological additives or oxidants
l lucnver.:d m:Ilalle. . Volatile gas CnliS%iuns chile I : Soil iujeclioo of shil Iy/sludges
--hurN or sludge on field .trying i I Soil iucortwrdion tsitllin •18 llrs;
surllaces I I Spread ill thin Imili)lul hlyers lire r;lpid dnillg:
H Proven biological additives or oxidants
Dead 'minrds • Carcass decomposition 'roper disposition of eaMiSseS
Dead animals • Carlass decomlx)sllion Ia Complete cowling of carcasses in burial pill:
L"!` 0 Proper locatioldconsiruclinn of dislumud pil;
IIlk: IIlei alors 0 ]nconq)letc touthuSlion I I Secondary slack barbers

Insect Control Checklist for Animal Operations
Saurcc
Cruse
HNIPs to Nfluimize Odors
Site Specific Practices
Liquid Syst mms
I lush t411te1;
• Accunwhilion ol'solids
ush systems is designed and operaled
Rouline ux ol-iusecticido
srl(iicienll)' to rentore accumulated solids liolli
Hiring spring/summer
glitters as designed.
nluntlls.
""''
nVrcc illnvc bridging of acctiliullatCd solids at
Iluntulg use of rodC1111611C
discharge
your IOHIO.
1 . ip S aml Pili
m1
• CULISled SUhds
��
111.lOLnnlain lagoons, settling busins and pits "litre
Ixst breeding is apluircul to. minimize the
crusting of .Aids to a depth of uo more than 6-
8 inches over nmro than 30% of surlalce.
FxcCss111l Vepclal I%c
• I )CCaling vegetation
U-fAaintain vegetalive col►irol along hanks or
l;m%%tit
higimus and other impmIldilleals to prevcIll
uccunud.11 f}l dCCa)911h' vegelalive maller
along waler's edge oll iIII lxfiuldnicnl's Ix rilncler.
Dry S 'lems
I cC�icl; Fccd Spillage IiVPlLsign, operate and maintain t'Ced sySlcans (t:.g.,
NIIIkCrs and troughs) to Illitliulize the
itCL'iltlllllalla111 of decaying waslage.
olefean up Spillage on :I romine basis (e g., 7-III
day interval during Sulnnic:r, 15-30 duly interval
cturilig M iI11LA 1.
l ccd tituragc • nccimmiatiums of leed residues ! I Mutate uuli,turC accuunllati011 Within and ^
arottlld immediate perimeter of teed storage
areas by insuring drainage away tram site
mud/or providing; adcquane comaimtcul fe.g.,
covered No lilt brewer's grain and similar high
Inoisitre grain products).
fl Inspect tier :Ind remove or break up accumulated
solids iu litter strips around feed storage as
needed.
bi

Source ('ausr BMPs to )Minimize Odom Site Specific Pruclicel,
AnimA I lt)Ming Aicai • AccumulatrinS oI ailillial "'USI4:S i I Eliminate low aicas lhal Irap umisime along
and Iced wastage fences and olller lou:aiions where wasic
accanudales and distill hance by animals is
f ami ilnal.
+taiivain )aloe rows and filter strips around
unimul holding areas to minimize
accumulations of wastes (i.e., insivel for and
remove: or break up accumulated solids as
needed).
I )i � NLmurc I hild[inp • AccumUlaiions of animal wasics I I Remove spillage on a routine ikisis (e.g., 7-III
day iuterrd duriIIg suninter; 15-31) dap interval
during wimer) where Manure is loaded for larld
application or disrwsal.
I I Provide liir udeuµgile drainage around manure
sil>Lkpiles.
n Inspect liar and remove or break ill) accuimdated
wastes ill liner strips around sloxkpiles and
manure handlink areas as needed.

Source Cause BMPs to Minimize Odor Site Specific Practices
Standing water around • Improper drainage; Pr Grade and landscape such that water drains
facilities • Microbial decomposition of away from facilities
organic matter
Manure tracked onto • Poorly maintained access roads Farm access road maintenance
public roads from farm
access
Additional Information: Available From
Swine Manure Management; 0200 Rule/BMP Packet NCSU, County Extension Center
Swine Production Farm Potential Odor Sources and Remedies; EBAE Fact Sheet NCSU - BAE
Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment; EBAE 128-88 NCSU - BAE
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment ; EBAE 129-88 NCSU - BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83 NCSU - BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU - BAE
Controlling Odors from Swine Buil'dings ; PIH-33 NCSU - Swine Extension
Environmental Assurance Program ; NPPC Manual NC Pork Producers Assoc
Options for Managing Odor; a report from the Swine Odor Task Force NCSU Agri Communications
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings Florida Cooperative Extension'
AMOC - November 11, 1996, Page 5

Mortality ,Management Methods
(check which method(s) arc being implemented)
u Burial three feet beneath the surface of the ground within 24 hours after knowledge of the death. The
burial must be at least 300 feet from any flowing stream of public body of water.
Q Rendering at a rendering plant licensed under G.S. 106-168.7.
C/�omplete incineration.
❑ In the case of dead poultry only, placing in a disposal pit of a size and design approved by the
Department of Agriculture.
1: Any method which is 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).

System Calibration
Information presented in manufacturer's charts are based on average
operating conditions with relatively new equipment. Discharge
rates and application rates change over time as equipment gets older
and components wear. In particular, pump wear tends to reduce
operating pressure and flow. With continued use, nozzle wear results
in an increase in the nozzle opening which will increase the
discharge rate while decreasing -the wetted diameter.
You should be aware that operating the system differently than
assumed in the design will alter the application rate, diameter of
_ coverage, and subsequently the application uniformity. For example,
operating the system with excessive pressure results in smaller
droplets, greater potential for drift, and accelerates wear of the
sprinkler nozzle. Clogging of nozzles can result in pressure increase.
Plugged intakes or crystallization of mainlines will reduce operating
pressure. Operating below design pressure greatly reduces the
coverage diameter and application uniformity.
For the above reasons, you should calibrate your equipment on a
regular basis to ensure proper application rates and uniformity.
Calibration at least once every thr 's recommended.
Calibration involves o ecting and measuring flow at several
locations in the application area. Any number of containers can be
used to collect flow and determine the application rate. Rain
gauges work best because they already have a graduated scale from
which to read the application amount without having to perform
additional calculations. However, pans, plastic buckets, jars, or
anything with a uniform opening and cross-section can be used
provided the liquid collected can be easily transferred to a scaled
container for measuring.
For stationary sprinklers, collection containers should be located
randomly throughout the application area at several distances from
sprinklers. For traveling guns, sprinklers should be located along a
transect'perpendicular to the direction of pull. Set out collection
container 25 feet a art long the transect on both sides of the gun
cart. You s ould compute the average application rate for all
collection containers. You should also look for evidence of
nonuniformity of the application. On a windless day, variation
between containers of more than 30 percent is cause for concern.
You should contagt your irrigation dealer or- technical specialist
for assistance.

1
1
_ r:
rtto. �� lxr, fx'° >.n 814i : 2 14A1LS 20 OAK
txzs�`�r� ^eta IxzL1",V, 129.82 I
+;, ►;fie r2 9 12�e
r;a;! 7, r
p lx2C ! !;7 7 r 6 121 12le b' "rye I
WOODS rzn 'x>! lz7A i'.ym • !2e.s ! I
rpt It Try 'aE3 r2
2e.o 12, 7 a r 7¢ t i2r T / tie's ($ 1
r?!.! rze,y 77; +27.7 % -, s; t2g•s 1
rxe z �'ry�Ie•jl
I
+xa.a
2 I xa.s
! � z•+ r 2 z � � sae/ 'ta r
rx !tr C 2 I
S• !
x e, e.
11 r r I
i !rl� jJ 12� '1pb
r2r•s
!'"•� Sates PIT .� e 2,�,
la r
12.S '2a
IS
�x2iad qj
lz
p
i� IY;. a 4'Sp•2 I pip,
Ize 130.
J w ry r q 2 + r!t•0 9
f� f o ,p n ..._ !'II
I x 3 o
fk T
Is'! Ie ! � -- 22 ! 2 3 + 1
r1
1w2 1284l2 ! p9.i
F:V 71
OPEN ° +2a i Iz oe 'gar f}
,
1 l e{ R e --� '? 19
flea"��le �srjw !$ i +2D``� i f !2r' 2l.0
lit
"Ca V lR2' !z 28t 1.
1
7
128
r2z,
;a•O '20
4uY A +2e•7
G U Y a h
rIE p 4 p* e,�h it a Ise o Uzi 4 $���4 tso,x K.
, l lE g �r 31 rT ! 3 �� �`� ti
11g,OPEN +:o.x trz e k .►''3 a �(xa
iME S p Ili,y ill p +22.a 12
ALE Jr y' '�2• a r'
� i
f M •. 2 N AILS P ,le.. +xx•t
rt>.3 �x Tit +2l•• a• 1
ELEV, -- !le'z ���_M�--.r._...-.. ._ �tMa3�t'".l. N A,''
t!9 �" 9 " •i
• 120.R N �!
Iz r,7 • .
+guy d� j
V. !
h '2I.! rep
too
N�
I:4.
4
g4 fN.s 4yEtAL Hfl8 NCIIS � I
� 1 f
Y/ r
d
a 3
• % Cs
O
'? to
. r
v
w
N

i. -
(Type of Visit: ®Complice inspection U Operation Review U Structure Evaluation Q Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergencv 0 Other 0 Denied Access 11
Date of Visit: i�!.df Arrival Time: 11'L_-- Departure Time: County: Region:
Farm Name: fS 2 P-> it Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Dgn Current.
Design
Current
Design Current
Swine
Capacity
Pop.
Wet Poultry
Capacity
Pop
Cattle
Capacity Pop.
titan
a
i iiti%lwwl[C tl6�li? i
ii ffA
�llI1W tl# �€Il�dAi �9i7„t
eE?�pu dut iri li
J{,
td iGi�i f f t t
h i;r m N lie
Wean to Finish
airy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
@urgent,
Dry Cow
F ow to Feeder
D , Poult
Ca�aci
Po
Non -Dairy
Farrow to Finish
3v
Layers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other ` "
�"
Pouets
Other
x
—.Turkey
Other
Discharizes and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes Ce�00 NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
[:]Yes
VNo ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
NA
rNo[o:]
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
NA
❑ NE
of the State other than from a discharge?
Page 1 of 3
21412015 Continued

j
Facili Number: 2 - Date of Inspection: —G
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ZD NA
a. If yes, is waste level into the structural freeboard? ❑ Yesg�No ❑ NA
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes JZNoo NA
❑ Yes No ❑ NA
❑ NE
❑ NE
0 NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta rest, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes LAJ VNo,
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require D Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes VN ❑ 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): De- / nl ,,cJA
13. Soil Type(s): /
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes❑
711-NX NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
th t b
e appropria a ox.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfe s ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspection ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: 2 S I Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 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: zz
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes KOO
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
[] No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
[] NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
[] No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
�%✓� l t �j r&- -- OK 3' 1 5- 11 S� s � p t ✓ v i-s 2zeA
IV % S h �► (2Q NtoVa � 0 ccxr i v
Reviewer/Inspector Name: p
Reviewer/Inspector Signature: j?L. $ Qr to ht�L-1
Page 3 of 3
n t sa Y r=wa u r e
Phone: 7 2 OG
Date: �1 ` q — I'$
21412015

7 7 -
2-
Type of Visit: ® Com nee Inspection U Operation Review U Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emerizency O Other O Denied Access
Date of Visit: Arrival Time:-lam--� Departure Time: County:
Farm Name: F:0+izh, 613 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: l��GYr y
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Wet Poultry
ILayer
Design
Capacity
Current
Pop.
Design Current
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -La er
I I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
D , P,outt ,
C•.a aci
P,o
Non -Dairy
Farrow to Finish
ILayers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
VNo ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
o ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
VN
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[] Yes
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

facility Number: -5-- - ;_ 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
No ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
2T No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Noo NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes /No[:] NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > l0% or 101bs. ❑ 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): i'C h s' da, 4 "'n-j
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?
❑ YesVNo
❑ NA
❑ NE
16, Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes6N�o
[] NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
eN
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes❑
NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design [] Maps ❑ Lease Agreements
[]Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
Z No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transf
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspectio
❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
7�No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:]Yes
❑ No
❑ NA
❑ NE
Page 2 of 3 21412014 Continued

lFaollity Number: Z - Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ NA
[] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
KNo❑ 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?
❑ Ye ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
No 0 NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
[] Yes
[] No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments.(refer to question #) Explain anytYES answers and/or any additional recommendations;or_ any other" Mrnents 3
Use drawings of..`faciiitytoi -be'tte`r.'ezplain situation`s' (use additional pag'es as necessary]
Reviewer/Inspector Name:
Phone: Cl M 7 � ( � zoo
Reviewer/Inspector Signature: 4e S Date
Page 3 of 3
21412015

�. • Divi"sion of Water Resources
Faci�ity Number � - � � Division of Soil and Water Conservation
Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit. 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
J Farm Name: - 6Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
ORSite Representative: TGyV
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current +Design Current
Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
�m 0.r IN
C*at#le Capacity Pap.
Wean to Finish La er
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
airy He
Feeder to Finish
Farrow to Wean
Dcsign Current
D Cow
Farrow to Feeder
llr, iP,oultr
Ca aci. Po
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ YesgNo
❑ NA
❑ NE
c. What is the estimated volume that reached waters ol'the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
A
❑ NE
2. Isthere evidence of a past discharge from any part of the operation?
❑ YesA
VE:]
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ YesA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: V Z___ Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 2rNo NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes o ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): .- rr O
5. Are there any immediate threats to the integrity of any of the structures observed? 0 Yes 12<0 ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Zf No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): & r wt iL e
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes VN
�] NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes�] NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes KNo NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No -NA ❑ NE
Reaulred Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ONo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall InspectieNo
ludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes NA ❑ NE
Page 2 of 3 21412015 Continued

Facilit Number: t4- 7r__j Date of Inspection:
r
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ YesVNo
NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes VN�o�JNA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any°YES ansrwers`and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).' h
A, �Se Su. eve y /a -IS- IS
3 r O-I�-I sn Q n T ✓fY +r n� 4
t;c s c A "g . Zo cl PP t2 P­- . t) a
Cn fe—i—W4•ems wn A PC 5111 [�w+t re<51
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature: 13 ti S J6t 7*c.f e ( I _
Page 3 of 3
Date: c 1 Z- f a
21412015

Type of Visit: $Catoutine
ance Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance
sit:
Reason for Vi0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: I� Xi.✓� Integrator:
Certified Operator:
Phone:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Design C►urrent Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish La er
Design Current
Cattle Capacity Pop.
Dai Cow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
Dairy Heifer
Wean
Deign Current
D Cow
Non -Dairy
o Feeder
Di, P.Ouiti, Ca aci P,o
o Finish
La ers
Beef Stocker
Non -La ers
Beef Feeder
!Farrowo
Pullets
s
Turke Pouets
Other
Beef BrodTurke
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 0 01 ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWR)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
N ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
[] Yes
❑ NA
vol
r] NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Facility Number: - Z Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
a NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
E21INo ❑ 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
o NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t eat, notify DWR
7, Do any of the structures need maintenance or improvement? ❑ Yes VNo
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [�]'No D NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes N NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑Yes o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑Yes No ❑ NA ❑ NE
Required Records & Documents
t9. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design [:]Maps ❑ 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 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facility Number: -Z- Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 2 <No[:] NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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 ❑ No ❑ NA ❑ NE
Y
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [:]No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAW -MP? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No ❑ NA" ❑ NE
i
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments (refer to question:#) Explain anyYES answersandlpr any�additipnal recommendations orany othercomments:_
Use drawings of facility to better explain situations (use additional pages as necessary).,.
su ry y 16
1A vi 1 6 4() U`Le r'�'05 t n 4'C3
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
h & J. 4� "e 0" oLc sa e s /441e,
134-(dte D II
Phone: ?7ql — I/ Z-ob
Date: ! — q -/
21412014

Ali
(Type of Visit: "=Q3 =utine
ia pection U Operation Review Q Structure Evaluation O Technical Assistance j
Reason for Visit: Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access I
Date of Visit: Arrival Time: Z - Q Departure Time: County:
Farm Name: sew t2,�., �� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Region:
Design
Current
Design C«urgent Design Current
Swine
Capacity
Pop.
Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish
Layer airyCow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current Pry Cow
Farrow to Feeder
Dr, P,o_ultr, Ca aci P,a . Non-Dalry
Farrow to Finish
Layers Beef Stocker
Gilts
ers
Beef Feeder
Boars
Beef Brood CowOther
PoultsOther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ZNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [:]Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) [—]Yes ' - ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) [:]Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? []Yes ❑ No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili 'Number: - 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 frceboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): y
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 9410
❑ 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 N ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ElYes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes 2rNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [vo ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or'10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): C� �''� d� �A , �Sh 4 �►4+ �s J'
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑'No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�;No,,❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YesjNo❑
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
Sludge Survey
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and i" Rainfall InspectiVNo
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes❑
NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes❑
NA
❑ NE
Page 2 of 3
21412011 Continued

6�Facilit 'Number: - Z Date of Ins ection: :r-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
DNA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments:
Use drawings of facility to better explain situations (use additional pages as necessary).
t,A �� Y
Reviewer/Inspector Name:
Phone: ?I(- (" V 2-00
Reviewer/Inspector Signature:
Page 3 of 3
Date: / ?_ "/ G z
21412011

-z-7_ (2 '
Type of Visit. Q Coroutine
nee Inspection Q Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: LQ Departure Time: County:
Farm Name: S �2 P-,+, Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone:
Onsite Representative: 1l� �r?i�Y�- j Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current Design Current
Design Current
Swine Ca aci Po Wet Pouf; Ca aci Po
P tY P• lY P tY P•
Cattle Cii aci Po
P tY P-
Wean to Finish La er
Wean to Feeder Non -La er
Dairy Cow
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design C•urcent
Dry Cow
Farrow to Feeder
D , P.oult ,
Ca aci P.o P.
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
F
113eef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
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 No ❑ NA ❑ NE
❑ Yes ;rNo'
❑ NA ❑ NE
❑ Yes ❑ NA [] NE
❑ Yes o ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3 21412011 Continued

lFacHity Nuigber: Z Z - Date of Inspection: 121
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes eNo NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑Yes a ❑ 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 EJONo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
[:]Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer, to.question #): _Explain anyYES answers and/or any additional: rec6inmendations ors any other comments" a � P, ;0"a
Use' drawings of facility to better explain situations -(use additional pages as necessary).,; j
CAL'i b re"-
54w,��t Wt6 -.[
Reviewer/Inspector Name:
Phone: ? / I ` y Z6 fj
Reviewer/inspector Signature:
Page 3 of 3
s P_/e —ze�z' e
Date: f D J 2/ / (3
21412011

Facility Number: - Date of Inspection: O
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
❑ Yes
No NA ❑ NE
No ❑ NA ❑ NE
Structure 5 Structure 6
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ID Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes - /No' ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes N ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 1 2,e r tel 6...
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes2"No,
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes 0 No
❑ A
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis . ❑ Soil Analysis
❑ Waste Transfers
Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspection
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes o
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ❑ No
❑ NA
❑ NE
Page 2 of 3 21412011 Continued

/I- a(— I L
(Type of Visit: AD Com a Inspection U Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit: Routine Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: rrival Time: Departure Time: County:
Farm Name: {�i ��/t/ �i Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact;
Onsite Representative:
Title:
Phone:
Integrator:
Phone:
Certified Operator: �� /�,y-t, Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacity Pop.
La er
Cattle
iry Cow
Design
Capacity
C«urrent
Pop.
Wean to Feeder
on -Layer
iry Calf
iry Heifer
Feeder to Finish
Farrow to Wean
Fa to Feeder
Design Current
Ih, P,oultr Ca acit P.o
D Cow
Non -Dairy
arrow to Finish '
Layers
Beef Stocker
Gilts
Non -La ers
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?
❑ Yes
Ef No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
No21"-0NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[:]YesNo
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
[] Yes
No . NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

P7Lr: C/Z - �_ 3 Date of Inspection:
\ ,te Collection & Treatment
4tls storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ YesI�NANo ❑ ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): g7
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t a , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes o NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [:]Yes [—]No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):y Cy ,
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 N NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA [] NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ YesgNo
No NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes Q 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 gNo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes dNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" RainfaIl Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

r
t 61?
Facility Number: Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE 31 <o�
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Vo
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey []Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes VNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes gyNo ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [] No
❑ Yes ❑ No
❑ Yes [] No
❑NA ONE
❑NA ❑NE
❑NA ❑NE
lComments (refer to question ##): Explain any YES answers and/or any additional recommendations or any other comments.
Useidrawing's of facility to better explain situations use additional pales as necessary) .. :, a, .. ; . } ik ,
Vul
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Phone: —V — yZd 6
Date: </ / / ;
21412011
Page 3 of 3

93
► I I :-,) r i
Type of Visit: Q Compliance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
`-`
Arrival Time:
Departure Time: 1 County:
Farm Name:
Litt
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Phone:
Integrator:
Phone:
Certified Operator: Imil Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Design Current
Current
Design Current
Swine Capacity Pop.
WetOWDesigin
cty
Pop.
Cattle Capacity Pap.
Wean to Finish
La er
Dai Cow
Wean to Feeder
on -Layer
Dai Calf
Feeder to Finish
Dai Heifer
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
Dr P.oultr
Ca aci
P,o
Non-Dai
arrow to Finish
ILayers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
113eef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ETNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
o ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[:]Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
N ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
�N ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facilit Number: - Z Date of Inspection: L�f
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
Ej 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 environments hreat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes j No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesF2/No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement? -
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes fo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 0 No ❑ NA 0 NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14, Do the receiving crops differ from those designated in the CAWMP? ❑Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes F2 No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes rNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application`?
❑ Yes
❑ NA
❑ NE
18, Is there a lack of properly operating waste application equipment?
❑ Yes
VNo❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YestNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: 2. - Z Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes o _ NA [] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes E3<o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑'No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? []Yes E O NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern'?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface 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/]nspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency'?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ONE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer toquestion##) Explain any YES answers±andlor any additional recommendations 6ir'any other 6mmen
Use c raWings of.facility"tn better explain 'situ ations `(uw additional pages as necessary)=
Reviewer/Inspector Name:
Reviewer/Inspector Signature: <,lowT V �[
Page 3 of 3
Phone: 7g I- c( Zd 0
Date: / D f Z 1 j♦
21412011

Type of Visit QfCo ante Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Vis Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: _ �P�� FkP-A-, &-.5, Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: r� Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: 0 0 = 6 = Longitude: = ° 0 ` 0
Design Current
Design Current
Design Current
Swine
Capacity Population
Wet Poultry Capacity Population
❑ Layer
C*attle Capacity Population
❑Dai Cow
❑ Wean to Finish
❑ Wean to Feeder
❑ Non -Layer
❑Dai Calf
❑ Feeder to Finish
❑ DairyHeifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Turkey Poults
❑ Other
❑OtherI
umber of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
�No❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
ElNA
ElNE
2. Is there evidence of a past discharge from dny part of the operation?
❑ YesVNo
f
[INA
El NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104 Continued

Facility Number: Or —
Date of Inspection
46-.?
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 l Structure 2 Structure 3 Structure 4
❑ Yes VNo[E:ll
NA El NE
El YesNA ❑ NE
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): cc
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(iel large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat notify DWQ
7. Do any of the structures need maintenance or improvement? ElYes to❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El Yes:�No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) _ �� 11ct h c_ A. 5"
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
21N ❑NA ❑NE
❑ NA ❑ NE
7 ❑NA ONE
/0 ❑ NA ❑ NE
❑No ❑NA El NE
Reviewer/Inspector Name 7Phone: `fy �(Z L'-a
Reviewer/Inspector Signature: S '�2 � Date: . if [ (S / I o
Page 2 of 3 1Z/Zdf/U4 Continued

! + 63
l
Facility Number: - Lrj Date of Inspection �s
ReQuired
Records & Documents
19,
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
R<01NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
o El NA
[3 NE
the appropirate box. ❑ WUp ❑ Checklists ❑ Design [I Maps ❑Other
21.
Does record keeping need improvement? If yes, the appropriate box below.
Yes
No NA
❑NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain
Inspections ❑ Weather Code
22,
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
o ❑ NA
❑ NE
24,
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
Ko ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
NA
❑ NE
26,
Did the facility fail to have an actively certified operator in charge?
El Yes
NA
FNo[D:l
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El YesNA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31, Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
4"
nalCaigmetsan810 lAdditi' i d ) _:
1z
Page 3 of 3 12128104

117( F-r
Q 7_ H 2-
Type of Visit 0 Co lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: b Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:.
Phone:
Title: Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = o = 6 = Longitude: Q ° = ` =
Design Current
Design Current Design
trylOpacity
C►urrent
Swine
C++opacity Population
Wet Population @attic Capacity
Population
❑ Wean to Finish
❑ La er
❑Non -La er
❑ Dairy Cow
❑ Wean to Feeder
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry ❑ Dry Cow
❑ Non -Dairy
❑ Farrow to Feeder
❑ Farrow to Finish
❑ La ers
❑ Beef Stocker
❑ Non -Layers ❑ Beef Feeder
ElGilts
[I Boars
❑ Pullets
❑ Turkeys El Beef Brood Cow
Other
❑ Turkey Poults
❑ Other
❑Other Number of Structures:
MIN
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El Yes
VNoNA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
'NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
El Yes
NA
rNo
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
NA
❑ NE
other than from a discharge?
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 l Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z t
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA ❑ NE
El Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes ONo -NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental tbre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes I . N NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes �No
- NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �NoNA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[--]PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift El Application Outside of Area
c�
12. Crop type(s) C A- r.% S h- k-jsI
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
V
NA
NA
❑ No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Reviewer/Inspector Name I-- T--- �- - I Phone:
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

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

Facility Number Z Z�
0 Division of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency t:-
(Type of Visit PrCom ' nce inspection Q Operation Review O Structure Evaluation 0 Technical Assistance I
Reason for Visit PARoutine O Complaint 0 Follow up 0 Referral O Emergency O Other ❑ Denied Access
Date of Visit: L 1p Arrival Time: Departure Time: County:
Farm Name: a 3 Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: /
Certified Operator:
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
Other
❑ Other
Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: [=] c =' = Longitude: = 0 =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
❑ Non -Layer
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
ElTurkey Pouits
❑ 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." Populations.
❑
Dairy Cow
❑
Daia Calf
❑
Dairy HeifeE
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocket
❑
Beef Feeder
❑
Beef Brood Cow,
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
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 o NA ❑ NE
❑ Yes No ❑ NA ❑ NE
_�;
❑ Yes No A 'NE
❑ Yes No A ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

F
l
Facility Number:
Date of Inspection Z 0
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
❑ Yes o NA ❑ NE
❑ Yes No ❑ NA ❑ NE
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 EfNo NA ❑ NE
(iel large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Y e Jallo 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 ❑ Yes N 10 NA ❑ NE
maintenance/improvement? /
It. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) Qr M
r
13. SoiI 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
�'N
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
❑ NA
El NE
17. Does the facility lack adequate acreage for land application?
ElYes
N NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary)':
Reviewer/Inspector Name �^ Phone:
Reviewer/Inspector Signature: Date:
I2128104 Continued

Facility Number: t12 — Date of Inspection I
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ONo NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 2< ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ t20 Minute Inspections ❑ Monthly and 1" Rain InspectionjN0
❑ eather Code
22, Did the facility fail to install and maintain a rain gauge? ❑ YesNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
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?
Additional Comments and/or Drawings:
❑ Yes No ❑ NA ElNE
❑ Yes No ❑ NA ElNE
ElYes No -NA ElNE
❑ Yes o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
12128104

Type of Visit OCZ`uti�ne
plia-Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Z a Arrival Time: �p�cca Departure Time: � County:
Farm Name: P C �T Z!^_ ?' �� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: 0 c= 6= Longitude: = 0 0=
Design Current
Design Current
Design Current
Swine Capacity Population
Wet Poultry Capacity Population
Cattle Capacity Population
❑ Wean to Finish
10 Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -La er
I
❑ Daia Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ F tow to Feeder
❑ Layers
❑ Non -Dairy
Farrow to Finish
❑Non -La ers
❑ Beef Stocker
El Gilts
❑Beef Feeder
El Boars
El Pullets
❑ Beef Brood Cowl
❑ Turke s
Other
❑Turke Points
❑ Other
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes ❑"No ❑ NA ❑ NE
❑ Yes o NA ❑ NE
El Yes o P NA ❑ NE
❑ NE
❑ NE
❑ NE
12128104 Continued

Facility Number: L --
Date of Inspection G o
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): 40
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No A ❑ NE
ElYes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes 2rNo ❑,NA ❑ NE
❑ Yes to ❑ 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 I o NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes �❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes E?�No[__]
NA❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable/ Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) -Jet-1'. S m �} / +pl r n s . e s Gt -e-
13. Soil type(s)
14, Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
allo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
!�'lvo ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
I No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�ZNo ❑ NA
❑ NE
.Comments.(refer to question #): Explain any YES answers and/or any recommendations or any other comments 6
Use.drawings of facility to better explain situations. (use additional pages,as ,
AL
Reviewer/Inspector Name — — -- -- - ..-- -- -- — — _ — — -- —
- Phone:
Reviewer/Inspector Signature: '7g
Date: O
Page 2 of 3 f 12128104 Continued

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

Type of Visit CJCompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit outine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit:
O C
Arrival Time:
Departure Time: County: Region:
Farm Name:
0�`�7
?7
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: X'1'i!
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: =]' =' ❑ Longitude: = c ❑ ❑
Design Current
Design Current
Swine Capacity Population
Wet Poultry Cjpacity Population
❑ Wean to Finish
❑ La er
❑ Wean to Feeder
❑ Non -Layer
❑ Feeder to Finish
❑ Farrow to Wean
Dry Poultry
❑ Fa w to Feeder
❑ Layers
Gilts
Boars
Other
❑ Other
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pou Its
❑ Other
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stockei
RBeef Feeder
Beef Brood Cow
Number of Structures: =
Discharp,es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ONo EE,] NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes N ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWQ) ❑ YesKNEI
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes ❑ NE
other than from a discharge?
12128104 Continued

Facility Number: — 'Z Date of inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes NA ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): -5
5. Are there any immediate threats to the integrity of any of the structures observed? =� ❑ Yes Rio ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta7No
t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes EINA ❑ 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 J2 <oEl NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
IL Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ONo ❑ 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 Area
12. Crop type(s) Sg,•� �� �. r n 3'
13. Soil type(s) CA)
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 1;No
' o ❑� .NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,[] Yes o NA ❑ NE
17. Does the facility lack adequate acreage for land application? El Yesw❑.NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ®'No ❑ NA ❑ NE
Reviewer/Inspector Name �, r' r, w ' V k . Phone:
Reviewer/Inspector Signature: Date: p (!
1212810 Continued

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

Z3
F
f Visit Co=ple Inspection O Operation Review O Structure Evaluation O Technical Assistancen for Visit O Complaint O Follow up O Referral O Emergency Q Other ❑ Denied Access
Date of Visit: 1 31(V j 1 Arrival Time: Z / s Departure Time: County:
Farm Name: ;�P_ 6 �4lill, 63 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: lill &-h1lill
Back-up Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = e = 4 = « Longitude: ❑ ° ❑ f ❑ {/
Design
Swine Capacity
C•ur:rent Design Current
Population Wet PanitJ Cap. ci, pnlation
Cattle
Design Current
Capacity Population
❑ Wean to Finish
❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -La et
❑ Dairy Calf
❑ Feeder to Finish
❑ Farrow to Wean Dr Poultr
❑ Farrow to Feeder y-;may
arrow to Finish El Layers
❑ Gilts ❑ Non -Layers
❑ Boars ❑Pullets
❑ Turkeys
Otber ❑ Turkey Poultr
❑Dai Heifer
❑ Dry Cow
❑ Non -Dairy
❑Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
❑ Other
❑OtherI
I
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ;_2 KoE3NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes PNo
NA El 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 discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes Ro
N ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ElYeso NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes ❑ NA ❑ NE
other than from a discharge?
12128104 Continued

Facility Number: Z Date of Inspection Dt
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes to ❑ NA ❑ NE
a. I.f 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
(ic/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ZrNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes FTNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. [1-Y-e-s ❑ No ❑ NA ❑ NE
❑ Excessive Ponding 2 ydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) � 4- / M"J n-. 5 h.-A w4 r" n v . r-'e s Gt,{.
13. Soil type(s)
2" eA-0M.-' -4N
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
fffNo ❑ 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 i❑ Yes
No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
IJ No ❑ NA
El NE
18. Is there a lack of properly operating waste application equipment'?
❑ Yes
No ❑ NA
❑ NE
Phone:
Reviewer/Inspector Name
Reviewer/Inspector Signature: Dater 1 k /-�-
12/28/04 Continued

. .. ;
Facility Number: Z —Z S Date of Inspection k r7
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 approprrate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps El Other
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
ONo ❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
N ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
;No❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No RYNSFA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
,❑
E f o ❑ NA
❑ NE
27,
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
2 o
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ETNo
❑ 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
ENo
❑ 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?
❑ Yes
No
❑ NA
ElNE
33. Does facility require a follow-up visit by same agency?
ElYes
;"O/
❑ NA
❑ NE
Additional Comments and/or Drawings:
',P'pL3 r +� i� oCcU►-• � e
/o
L
r-�S'c� Sot la'yf�
'fir' �� •a.-
r• r=
41 ze -1
4,) 4o f-�
1v(aA S' FAC. (.-1�a s /�y+c-c
� �� �
!f I
C.c�L��ar� S ('k cJyz
S� .�ys.
12128104

Type of Visit QVCompjwT6e Inspection O Operation Review O Lagoon Evaluation
IReason for Visit'�"outine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Z Date of Visit: Time: /z3�
O Not Operational O Below Threshold
© Permitted [3 Certified © Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .........................
FarmName: .... ..{.....1 .... %r`� ...... A ...... -3 .............................................. County:.....................................................................................
OwnerName:.... .�J?7.:...�?.�f !. D.l.1........................................................................... Phone No:.......................................................................................
MailingAddress:.......................................................................................................................................................................................................... ..........................
FacilityContact: ..............................................................................Title:................................................... Phone No
Onsite Representative: ........ Integrator:...---•............................................
Certified Operator:-----.).r .... ?..R.............................................................. Operator Certification Number:---.......................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0• 4 66 Longitude • 1 «
Discharses $. Stream Facts
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: ........ s.................................................... ................................... ........... ......
Freeboard (inches):
12112103
❑ Yes
❑ Yes r/o
❑ Yes
❑ Yes ro
❑ Yes
❑ Yes No
❑Y ❑No
Structure 6
Continued

Facility Number: 61 Z — Date of Inspection // 3
5. Are there an immediate threats to the integrity of an of the structures observed? ie/ trees, severe erosion,
Y ItY Y ( ❑Yes o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes J 3 0 r
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes o y
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes o
elevation markings?
Waste Application /
I0. Are there any buffers that need maintenance/improvement? ❑ Yes M-W
l I . Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type 1, r rn L JA , SSA--+4v1 + •-t J /
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAVVW .
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?
J
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
:51-29/oLr r &-'q"j APB. sue; U` - 1 11 r.3/ //
CLeAz ov, ;54744&_!r ot--
Reviewer/Inspector Name
Reviewer/Inspector Signature:
❑ Field
Date:
❑ Yes
�lo
❑ Yes
Nov
❑ Yes
No
❑ Yes
y`""
❑ Yes
❑ Yes
o `
No
❑ Yes o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Final Notes
12112103
Continued

Facility Number: t. Z — Date of Inspection
r
Required Records & Documents
21. Fail to have Certificate of Coverage &. General Permit or other Permit readily available? ❑ Yes o
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes o
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes o
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with an applicable setback criteria in effect at the time of design? ❑ Yes No
P Y PP g
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes o
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application) ❑ Yes No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 0
28. Does facility require a follow-up visit by same agency? ❑ Yes o '
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes o
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
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
34. Did the facility fail to calibrate waste application equipment? ❑ Yes rN9,'_
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
12112103

Type of Visit O'Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 9<0utine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number Date of Visit: Time: i ='E s
rO �/ Not Operational Below Threshold
Permitted �ertifiedr rr Conditionally C 'fled [3 Registered Date Last Operated r A ove Threshold:
Farm Name: �� � �L l4 {-03 County:
Owner Name: Phone No:
Mailing Address: 3 � �fWl �5. �1y __ f �1f.�f , Ne 778 70
Facility Contact: Title:
Onsite Representative:: j}
Certified Operator: �IJ�r ' LO-a
Location of Farm:
Phone No:
Integrator:
Operator Certification Number:
Swine ❑ Poultry ❑ Cattle
❑ Horse Latitude 0 ��
�44 Longitude ' 6 1.
Design
Current Design
Current
Design Current
Swine Capacio
Population Poultry Capacity
Population Cattle
Capacitv Population
❑ Wean to Feeder
JE1 Layer I
❑ Dairy
❑ Feeder to Finish
10 Non -Layer I
❑ Non -Dairy
Farrow to Wean
El Farrow to Feeder
❑Other
2ffarrow to Finish �tJ
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
a Number of Lag oohs
❑ Subsurface Drains Present ❑ Lagoon Area
❑ Spray Field Area �R
MOM❑
Holdin Points LSolid,Tra s
g..-.P �0
� No Li Liquid Waste Management S stems
j
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?
Wastg Cgllection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: _�_ -re L
Freeboard (inches): 77_
05103101
❑ Yes f"' No
❑ Yes PNo
El Yes //lPNo
❑ Yes ?,!No
❑ Yes VNo
❑ Yes �z No
❑ Yes /EfNo
Structure 6
Condnued

Facility Number:Z — 2. Date of Inspection �—.... �
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 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 AIN o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes IVNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? - ❑ Yes No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN El Hydraulic Overload El Yes
//// <o
12. Crop type '_Lp rAm J.,k- , CM 6k
13. Do the receiving crops differkith ith 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? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes No
15. Does the receiving crop need improvement? El Yes ,
16, Is there a lack of adequate waste application equipment? ❑ Yes XJ'No
No
Renuired 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�W�ast IVlanagement Plan readily available?
(iel WUP, checklists, design, maps, etc.) 4cfe�?'/Vthc
`Z'1oNkV❑ Yes ZNo19. Does record keeping need improvement? (ie/ irrigation, freeboard,nqlaalysis & sgi psganple reports) ❑ Yes No20. Is facility not in compliance with any applicable setback criteria in time odes gn? ❑ Yes I�lo
21. Did the facility fail to have a actively certified operator in charge? '1� 03 El Yes
22. Fail to notify regional DWQ of emergency situations as required by G �fral Permit?
(ie/ discharge, freeboard problems, over application) RJ !O ❑ Yes
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes
24. Does facility require a follow-up visit by same agency? ElX Yes o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes .No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #): Explain any;YES.ansrvers and/or any recommendattonssorany othycomments ;,, s
r.use: dditional pages"
1Xield Copy ❑ Final Notes
1 G t ?,0Z - lutN I I N�3 �P - ?.� PON a ts,J 5 (AI(r24& A414 �
CAL) h-U TLC A � -'4t1'0'Z44 V 4
64w4
�U&k AA� CLU � W fit" ti� "tj 17"- yy� (letzo
Reviewer/Inspector Name 1k
Reviewerllnspecter Signature:
Date:
O5103101
Continued

. . 6
Facility Number: Z — zj pate of Inspection S a
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 d permanent/temporary cover?
❑ Yes XNo
❑ Yes,,A/'0
El Yes Ld
❑ Yes �No
❑ Yes VqO
❑ Yes VNo
❑ Yes 10 No
AddItionali,Goniinentslu�dlorkpcawings:
05103101
05103101

Facility Number: -L-- Z3 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑Yes ❑ No
11. is there evidence of over application? Excessive Pending ❑ PAN �2 Hydraulic Overload Yes ❑ No
12. Crop type 4=r S uM f -
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?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reouired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ❑ No
18, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
Yes
El No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
XNo
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
0
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Copy ❑ Final Notes
vie 1L {� � Q� S � �7 5 sw.f L� l rate- Q_k
£Xtr1 , e I W q r c r l� it
SNu�L o1' �4 "W04 vJc1'�U5
�a W eA P S) -
Reviewer/Inspector Name
Reviewer/Inspector Signature:
05103101
Date:
Continued

Type of Visit /0 Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit Routine O Complaint Q Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number Z date of Visit: D q 6L Time: ti `• a`
Not O erational 0 Below Threshold
Q-Permitted J Certified [3 Conditionally Certified 0 Registered Date Last Operat d r bove Threshold:
[[Farm Name: _. t03 County:
Owner Name: Phone No:
Mailing Address: J S /V(_
Facility Contact:
Onsite Representative:
Certified Operator:
Location of Farm:
Title:
Phone No:
Integrator: Operator Certification Number: ,1spq
wine 0 Poultry ❑ Cattle ❑ Horse Latitude 0a 0� �44 Longitude ' ' 0"
Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
L—Ifla-rrow to Finish
❑ Gilts
❑ Boars
No Liquid Waste
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
Identifier: -9G,
Freeboard (inches):
05103101
Structure 5
❑ Yes XrNo
❑ Yes Vo
❑ Yes ;- o
❑ Yes No
❑ Yes ,0 No
❑ Yes No
❑ Yes / 2<0
Structure 6
Continued

Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ETNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or .,/
closure plan? El Yes L/f No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes P<o
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes Lf<No
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes 2 No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
�TNo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
P l�O
16. Is there a lack of adequate waste application equipment?
❑ Yes
)�TNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
No
19. Does the facility fail to have all components of the Certified Animal ail; ement Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
8 Z�tl �x, _ jr
❑ Yes
,'No
✓ l�
0�0
19. Does record keeping need improvement? (ie/ irrigation, freeboard, w to analysis &soil sample reports)
❑ Yes
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
��o22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
fNo
(ie/ discharge, freeboard problems, over application)
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
Oo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
El yes
�o
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
} yy;f i°1°. r i - } i (.: �. �'... -.n; p ...13?.,ir ! !, - �,� ! r tlu 11 9
Comments:(refer to #) Explain any1!ES any recommendations or anvr comments° �'
question $oswet s`and/or, er
'_Yxi' -s s.• i.w. u al
E _,ti.i•. .......s„� .,,,.r,.<x. r
CJse cirawtngs of facility to better explain situations' (yuse addiyho>vi�yl pages'as neees`sary) 3 EE Field Conv ❑Final Notes
.�t�.' 1z.�".i�}.�'"d:4
Aft� ��4
w Z 7'-r
Reviewer(InspectorNameLL
3'(�
I Alp,
Reviewer/Inspector Signature/Date: fa
05103101 Continued

Facility Number: 14z, —Z Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes 4o
❑ Yes 9Yes�P<o
o
❑ Yes /
❑ Yes �o
ElYes�VN
ElYes
Additional Coinments and/6r Drawings:
AL
05103101

tr
i ' t
..
�€ iia;iiitil%NK SklS1§� tiafi�°' IIII ' °
Davison of#$Wuter"`�Qualityq
ei .u€aP4iliila(S � � i � [i
pl�fvislo�n�oi�5oi'eridiV�nter uonservaion
p
Qther3Agency
Type of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation
Reason for Visit p Routine p Complaint p Follow up p Emergency Notification p Other ❑ Denied Access
Facility Number Date of Visit: f ZI16/2402 Tirne: 15:30
o of perahona p Below I hresgold
Permitted 0 Certified 13 Conditionally Certified p Registered Date Last Operated or Above Threshold: .........................
Farm Name: Farm 63 County: Halifax ............................................... R). O............
Owner Name: Smithfield Carroll's Farms Phone No: 834-2109
Mailing Address: 385.Hig)away..1.5.8................................................................................. Roanoke.Rapids... N.C......................................... 178.7.Q ..............
FacilityContact: Kel.Tet:ry.........................................................Title:............................................................... Phone No: 252-:589:4298 .......................
Onsite Representative: Ke1..T.erry...................................................................................... Integrator: Carro11's.F.onds..of.VA,.Inc..............................
Certified Operator:Kelvain.R............................... .T.erry.................................................. Operator Certification Number: l8SI.4.............................
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑ Horse
I�
Latitude Longitude �� �
❑ Wean to Feeder
m ❑ Feeder to is
❑ Farrow to Wean
p Farrow to Fee er
® Farrow to Finish
❑ Gilts
Li Boars
❑ Layer
i;'a;
a.,.
❑ _ airy.
❑ Non -Layer
p Non -Dairy
€
tv`,,, 500
708,500
Discharges & Stream Impact
1. Is any discharge observed from any part of the operation? ® Yes p No
Discharge originated at: [3Lagoon ® Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ® No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) []Yes ® No
c. If discharge is observed, what is the estimated flow in gal/min'!
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ® No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes N No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway p Yes p No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..........Primaq ................ s=arxdau....... .................................
... .........................................................................................................
Freeboard(inches): ...............20...............................22...............................................................................................................................................................
05103101 Continued

05103101
Facility Number: 42_23
Date of Inspection
Continued
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? (If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste APPlication
10• Are there any buffers that need maintenancelimprovement?
11. Is there evidence of over application? ® Excessive Ponding ❑ PAN H Hydraulic Overload
12. Crop type Fescue (Hay)
[].Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
p Yes ❑ No
❑ Yes ❑ No
N Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? p Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16. Is there a lack of adequate waste application equipment?
Required .Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
I9. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24• Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes p No
❑ Yes ❑ No
❑ Yes
p No
❑ Yes
Cl No
❑ Yes
© No
❑ Yes
p No
® Yes []No
❑ Yes ® No
[]Yes ❑ No
❑ Yes ❑ No
p No vio a sons or deficiencies were noted urmg this visit. You will receive no further correspondence about is visit.
rn "..-t. yere.a�uwwq»w.t».�.:. s
m. .�.�.. .•... .ey. ..... .�. M. � .•....m.no-. .w,. . ..... ...w.rmur �..�•�:�n�.<... x: # '..raw.ae- "_� ^: tnh�. 3::'.l.:.H
Co�m�9metl1ttn(SStsc�(�refer$("to,quttestion#)cjjjNN{{l!�WNEugqz¢pw1#in'lany(pYEfHS1kansw9ers�afij o (any$y�r�ecomm9e-YngdF{aptidn orfaxi(ny�other,IcEomS meinSt}s tl [ F
i{kM Eizi{{'pfH6fYee ��a�9'9a9s�.�3L..)!1{YF°�3:5R!=S3'Ta3af3" 96�f8�E RFE{�a.Y€T=x�ilES€{{6!)ty;ESEIi{e°�19���i i"�iid4i5ts9pdE�3s!813�!3}figi �fl R 41414$�:i;3$'�E @I: {IiElb4B 6edB •{:.44FiR:! { {' " "i6 {: i6.� R .$41i ¢�fi "'3
seiYd$rawingsof�facr[ityEteEtE;ter,�explatit si99tnattonsj:j(ue.':,adttEEdfiti((ona3lpagl.asne9cessary):.;{$+,_
�Eg' Pe6'.¢§j s i ii i3393,9 8{�j9d}'- d 9j i i 3 3yL;f£¢?4tft]= �,[,�q?ijf!Y'{.Y3 3§43.3 E)93(�d} F�41d Copi ® I' Llal NOte.] 3 pTi{3i{,"y`{}
1 3 9 ! E j gjggE jp $ s 9'3's } i jj 1 j?r� j! F jF jg ¢p g7$� 3L{!. E � FE[E4`jt {jE( [¢ f68§E i£i4F,bb@j
lair EIaIga9.�i�'sdk�399&dl{i4dihik7�-¢�t lli�E�i3��h��66I61If�I Ij3�li ux!•8Fj�1��3aaE��l"iS�E-Iarz¢aE91e��1"�E9%%¢; c,n1t. �E , i't!LS3(iG f3t=f8 i7Ht A£ iS» VTR€f`! A4441._ .. •.ems" iti-S):35
Investigation in response to very wet conditions as observed from aerial surveilance.
Extremely wet conditions, particularly for field ##4• Pivot spraying into already ponded water directly into and in immediate areas of the
ivot. Water did not appear to have but only minimal movement and was not observed during this visit to be leaving the field.
Obviously with any drainage the waste would be mixed with any liquids that were drained.
Pump started about 10:30; shut off about 3:15. Pivot indicated to make a revolution approximately every 2 hours and a substantial
percentage of the spray area is under standing water. There is definite mixing of waste and surface water as observed on the field. End
gun programmed to shut off to avoid wooded area, but would have contributed substantially when restarted and spraying into the
saturated areas. NOV and recommendation for enforcement action is warranted.
Reviewer/Inspector Name .Iolin,°N' Hunt 77 rF' 1�r lf`j` € ` `jj i(({pp999F9t a,�` i {r�ri�:nn; ,sq3 IIy �', e. ;Cff(ji? :¢ r,3s`? EIjjSEyt,jn }�Ji7 1k .ifF4kt ;`7f
fafisFt:�. Nh.E
Reviewer/Inspector Signature: Date:

Type of Visit omp ' nce Inspection O Operation Review O Lagoon Evaluation
Reason for aIt outine O Complaint O Follow up O Emergency Notification O Other [3Denied Access
ZFacility Number Z 2 Date of Visit: Time:
Q Not Operational Q Below Threshold
Permitted 0 Certified [r Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ...............
FarmName: ..N a.+............t�i?+-............6:3.................. County:.....................................................................................
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
FacilityContact: .....................:........................................................ Title: .................................................. I ............. Phone No:...................................................
MailingAddress:............................................................................................0"'"""0"'".................................................... ..........................
OnsiteRepresentative:........................................................................................................... Integrator: ....ka. r..l.._0..............................4.........................
Certified Operator: ......... /4/1....... f Operator Certification Number: ... 4 ......................................
Location of Farm: f
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ' " Longitude • S is
Desige :
Current , Eurre'nf'
;� Design 'Current i''
Swiiae Ca aci
Po ulation, Poultry : , ;Ca aci
Po ulalion Cattle - ,
Ca aci :; Po elation
_'
❑ Wean to Feeder
❑ Layer
❑Dairy
[]Feeder to Finish
❑ Non -Layer
❑Non -Dairy
�] Farrow to Wean
❑Other
'
❑ F ow to Feeder
1
El Farrow to Finish
Total Design Capacity
•'
❑ Gilts
❑ Boars
:
`Totailss
•
Number of Lagoons
❑ Subsurface Drains Present ❑ Lagoon Area I[] Spray Field Area ti
Holrlrng Ponds'/ Sohd-Traps,`
❑ No Liquid Waste Management System
1
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed. did it reach Water of the State? (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 2y Structure 3 Structure 4 Structure 5
Identifier: .................. ..Q... �...................4.. �.............................................. .................................... ..... I.......................
Freeboard (inches):
5/Op
❑ Yes !>o
❑ Yes ;>No
�o
❑ Yes
❑ Yes
❑ Yes�No
❑ Yes
❑ Yes ❑ No
Structure 6
Continued on back

acilit3*umber: ( z — 2 Date of Inspection 7 C1 Printed on: 1/9/2001
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? Yes
❑
(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
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes o
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes L'� ry
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type ' � PSG(,a, &­ l Ar e, 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 available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
Oe/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility rcgmee a follow-up visit by same agency?
25. Were A r�additional problems noted which cause noncompliance of the Certified AWMP?
yiQllGitj>s:oi- defc�ei�cie reQte� �1><rriti9 thjs;vs�ti Yo!wXi� �e��iyeti fut��r _
.. • ctirresporicience: abau� this visit: • .. ' : - : • :::..... . :.........:..... . ....... .
piny
❑ Yes IKo
❑ Yes t O
❑ Yes L7 No
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes VZ-
El❑ Yes Yes N
❑ Yes No
❑ Yes N;;�
❑ Yes jNo
❑ Yes
❑ Yes No'
Reviewer/Inspector Name
w,a
rf ,,�,�1.,.""a�T.'"r" .wYy ,
�. 4
Reviewer/Inspector Signature: Date: '•t / / 7 r d / s/1�'

Facility Number: L/ Z — Zj Date of I nspection / 9 p Printed on: 1 0/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below es ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes
28. Is there an evidence of wind drift during land application? (ix, residue on neighboring vegetation, asphalt, ❑ Yes �No
Y g PP P
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? El Yes '�`"'"
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes o /
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ I�er
'Uomments and/or urawings:
� Bona -
5100

OlRoutine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review Q Other
Facility Number �� Date of Inspection
Time of Inspection �L=�L�t 24 hr. (hh:mm)
© Permitted 0 Certified [3
0 Conditionally Certified [3 Registered Q Not Opera tionall Date Last Operated:
Farm Name: Zfi1rrr.11 � - County:...,1. ..tL.r ..r ......................................................
Owner Name:... ......................
Facility Contact: ..(? L .... Z.e!,'..M... i...................Title•
Mailing Address:
PhoneNo........................................................................................
Phone No:... ...................................
Onsite Representative:/ d i/� ^..(.. Q.!v..a................................................ Integrator:......................................................................................
............. ................
Certified Operator:............ ....... .........vtr......................................................6............. Operator Certification Number:..........................................
Location of Farm:
.................................................. .... ... ....... ..................... ...... w
Latitude �• �' 0�z Longitude �• �' 0's
Dt �gn yE Current Destgri Current f
nne Ca ace o `illation Poultry Ca aci ;,Po ulataon,
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ F aCv to Feeder
EjTarr6y to Finish
B-0
❑ Gilts
❑ Boars
Numberof AL' agoon-s
❑ Layer j,.J ❑ Dai
�.: ❑ Non -Layer" ❑ Noy
sa'� ❑`Other
,Total Design Cap.
r•
a kTotal SS
'❑ Subsurface Drains Present 11C1 Lagoon Area I❑ Spray
10 No Liquid Waste
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/thin?
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:
Freeboard (inches): ............... ............................. ..r.......................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes .
❑ Yes ;��
No
El Yes
❑ Yes o
❑ Yes l
❑ Yes L�' 0
❑ Yes ZNo
Structure 6
❑ Yes >nback
Continued

Facility Number: C Z — 7_ 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
crr��i
13. Do the receiving crops differ with those 4esignated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
IT. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20: Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility r uke a follow-up visit by same agency?
25. Wer y additional problems noted which cause noncompliance of the Certified AWMP?
��io •yiQla�tQn�s;o� d�f�eieni:ies •vt�re pQte�• ¢iH;tng #h�s'vpsit; • ;Y;o� vvi�� •><ee�iye �o fu�-t�t�r : _
corresporiciei�ce: a foul~ this visit........ ... ..... . .
❑ Yes ago
�'
❑ Yes o
❑ Yes f
❑ Yes aVo
❑ Yes No
❑ Yes QdVo
❑ Yes ;��O_
1i❑ Yes
❑ Yes IrJ'No
❑ YesZN'
❑ Yes
❑ Yes
❑ Yes ONo
❑ Yes ❑'No
❑ Yes Id�O
❑ Yes 6No
❑ Yes mNo
❑ Yes
❑ Yes ;2��
❑ Yes � o
❑ Yes N�

]Facility Number: ZE=7 Date of Inspection
�` Cl(fur Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
es
❑ No
liquid level of lagoon or storage pond with no agitation?
C
27. Are there any dead animals not disposed of properly within 24 hours?
❑Yes
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
;No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
ONo
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?
rYes
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ No

I13 Divisio Soil and Water'Conser�ation Operation Review
©D stun of Soil and Water Conservagon ,Compliance1InLsL�pectront` �s �4 i f I p ` < < I fiv t h`''
khk kit ° ,
ivision of Water Quality-ComplianceiInspection
GG
i
!Other Agency.- Operation-
�.
0 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
■rn I i i w n�
F ility Number Z Date of Inspection Z
Time or Inspection b 24 hr. (hh:mm)
Permitted 0 Certified [] Conditionally Certified Q Registered JE3 Not Operation -al Date Last Operated:
r
Farm Name: .in.14.L:.r.k<I � r'?' 60.3 County:....... r`�..�..................... ............ I..........
Owner Name: A.0., +}.o....... Z Z S %' Z I 0 5
..........
Phone No:....... .............�............................................
// ril
Facility Contact: .4.I.. v ` !"r....C'ra�t....�= ......................Title:................................................................ Phon Nn:`....z.S..Z..`...5��.-.�..���
Mailing Address:.. ......4 ...D... ............Z..L%..U...... 14W7�. ✓ '�......... .���..........I.......Z3.�S.. ................... _........................
r 1
Onsite Representative: ~`� C! �G,G„ Integrator: ✓l r
................ ......... '�t✓'.!4.......Y.............................................................
Certified Operator:........i.� 1 j........ ............ Operator Certification Number:..........................................
Location of Farm: 7
, I / 2—,5
.
Latitude Longitude �° �"
At
Number of,Lagoons' - i �.t : ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps €'l ❑ No Liquid Waste Management System r
-!I'Ad . � '
Discharges & Stream Impacts __
1. Is any discharge observed from any part of the operation? ❑ Yes ;2-NO
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made•? ❑ Yes jao
h. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes �o
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system? (If ycs, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): ........�.�.1`.......... ..................................
..... .�......................................................................................................................... ....
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23199
❑ Yes N
❑ Yes Ng,"
❑ Yes WNo
Structure 6
...............................
❑ Yes No
7/
Continued on back

Facility Number:, L Date (If' 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
❑ Yes
;2- �0�
❑ Yes Imo
❑ Yes
❑ Yes No
❑ Yes,Vo<�
❑ Yes
12.
13. Do the receiving o differ with designated the Animal Waste Management Plan( ),_,..,..,..___ fNo
P yP .aG.
g p g g CAWMP ? ❑ Yes 14, a) Does the facility lack adequate acreage for land application? ❑ Yes
b) Does the facility need a wettable acre determination? (es ❑ No
c) This facility is pended for a wettable acre determination? iKs
❑ No
15. Does the receiving crop need improvement? El Yes No
16. Is there a lack of adequate waste application equipment? ❑ Yes ldN0
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
2<04
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
ZrNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
o
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
.(ie/ discharge, freeboard problems, over application)
El
;No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
El Yes
24.
Does facility require a follow-up visit by same agency?
❑ Yes
o
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Ye
❑ No
0,
Nd •VIOlatiORs *ot. deficientcipS •were hotf'd. daring (biS.vlslt.. Yoit will •reegiye 0a furthgr: • . - .
:•corresnonc�ence:about:thisvisit.:•.:::::::..::::-:::-:-:
:.:..............::.
Comments{re€er to question #)i liplarn,any,YE811.
a''nd/or any recommendations'or"any other comments.s r `.+ j a i
Use draw►ngs of €qc�i�l. rcttd o.betterexplainsttattons (eadd.t:ht ' ¢o v
nal page§,as neeesary�.T x � c �A .d u
w� /�iys II A" d �y c ,� w Fl,` sue- c Tt-� t r�pr,`..' A.
12`� C A +► -C' tf-d •GEC p.- 1 p w I„�r • f r� rX v,. �'p.-� .� I SG�,nw�^�i- �Ap/J /�/� r4au t�
6 ) 61XW-�kASt r-trtf1 S-d`'` „arS'es fir/dr9 ,d,j
s �tro r,� S o a,. ti/a, S / • �r/f ' �5► c R-�
¢I C r .i G111.e�rt �l h �/ f yf � di^ S i �} e-, r 4, . f r S c rf .J'� /-'6r-
w,t✓1�4/jt • J � *,, Aa4, ram- 4-0 a,-r,• e � 4-4-dr s •� �-r 1 d d mot. ¢•tom. � r
Reviewer/Inspector Name •- r.z mar r - j rt 7vIT", k. F :: h � 4
Reviewer/Inspector Signature: Date: L Y/ 9f��
3/23/99

D' ' ion of Soil and Water Conservation ❑Other Agency MIN ���
BDivision of Water Quality
F #� {
...�„ �i< Q,��;. .. � ;: >^�"�•� ;,,. ,,�:: k� <. Satz �x �*�,� „^^ :.rya �f �9 !� "G�a& :<��� �-. �,,,� a+r,sc:,. � �?' � � : ,� �a l � #§:;
Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-u of DSWC review 0 Other
Date of Inspection 0
Facility Number
Time of Inspection 24 hr. (hh:mm)
Registered Certified [3 Applied for Permit © Permitted JE3 Not Operational Date Last Operated;,,,,,,,,,,,,,,,,
Farm Name: .... 0J! _rK.0.jj_g ...... �"� �%'!�..,.. �... County:...,t.- 6' 6?.z..............................................
.............. ............................
Owner Name....... SM..' I� rl a.J , vf� ��!Q i ....... Phone No: .......................................................................................
Facility Contact: 1 !� . �. �'� v .... Title: .......................... Phone No:...,............................................... ..........................................
Mailing Address:... �,....�.. 4...X...{..L.� �..... ..�.`�.........'�!�- ..Z�?..�.g..�....../............................................... ..........................
Onsite Representative:..!:1..�.✓. LW-n .... .�.✓..!.."1...f . t�. ..... Integrator:...`.?.!7�.8.'S..............................................
Certified Operator._. ............ ......................................................... Operator Certification Number .........................................
Location of Farm: S 0- /
f........................................._........................................^ .................... y.................,.......... -...............................
Latitude Latitude Longitude 0• �' 0"
�� z �' Destgti : .current Design Current '' t. Design Current
Swine � Capaelty� Poputattop Poultr Ca" uci Po ulation, Cattle . Ca act Po ulaho
_.y P t3' ,.. P P. . Y . p.._. n
PF
Wean to Feeder ❑Layer ❑Dairy
eeder to Finish ❑ Non -Layer ❑ Non-DairyFarrow to Wean V;f;
❑ Farrow to Feeder ❑Other fA:-
Tr to Finish
Total Design Capacity.
❑GillsAll
❑Boars " ; �,, Total SSLW_
u
Subsurface Drains Present 110 Lagoon Area I© Spray Field Area
No Liauid Waste
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 ratan -made?
b. If discharge is observed, did it reach Surface Water'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimatecl flow in gallmin?
d. Does discharge bypass a lagoon systern? (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
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes N
❑ Yes No
❑ Yes ZN_��
❑ Yes rNo
❑ Yes
❑ Yes
❑ Yes
❑ Yes NV ,
❑ Yes VIA
7. Did the facility fail to have a certified operator in responsible charge'?
7/25/97
❑ Yes /0No
Continued an bac3

r�
Facility Number: Z — Z
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes LSO
Structures (Lagoons,ttold ine Ponds, Flush Pits, etc.}
�. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: P
Y
Freeboard(ft): .................1................................ I............... ........... ........................ .............. ........... ........... .................................... ........................ ............. I
10, Is seepage observed from any of the structures. ❑ Yes -2�''oo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12, Do any of the structures need maintenance/improvement? ❑ Yes
(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 f .�re�! nJl f...��` .C... L................................................. .............................................................
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?
0 No.violations:or. deficiencies were;noted;during this;visit: You,will receive.no.furiher
•:�correspQndeitcetib:outthis'visit:•:•�.�:�.:�:���:• •:�..�:�..�:�..•:-:-;........
❑ Yes
Yes .Jd'lVo
................................ ..
❑ Yes No
❑ Yes to
❑ Yes ;�O
❑ Yes No
❑ Yes No
❑ Yes No
Yes ❑ No
❑ Yes L�l'No
❑ Yes
❑ Yes ��N�
o
OC,V", CL 4- -; & -�F -4,,p,, -4 1cle, - 7- jco t-t� 4D
C,,Oq t3.,s-A & b,7 o 7 c-
r,4_C,V"_ .1 5 o-,, r�?q
01 I 7/25197
Reviewer/inspector Name 3 �/ #
.`.rs- iJ.Y/..rv"::.`..:(X ..+;r�,
Reviewer/Inspector Signature: Date:

❑ DSWC Animal Feedlot Operation Review
❑ DWQ Animal Feedlot Operation Site Inspection
e —Routine-0 Complaint 0 Follow-up of t)"7 ) inspection 0 Follow-uE of DSIVC; revicxv .0 Other
�] [.Da1jt,(,,IInspection
Facility Number rintt'Iuspection 0 24 hr. (hh:mm)
Farm Status: a Registered ❑ Applied for Permit
❑ Certified ❑ Permitted
Total Time firs fraction ot'hours
(ex:1.2; for 1 hr 15 min)) Spent on RevieH,hC-
or Inspection (includes travel and procv Mng)
l] \ot ) )erational I Date Last Operated.................................................................................................. ....
l' Fo /.
Farm Name: (,l 1 lX .5 Counts. �� � r �G1.........................I...............
Owner Name: �G.Y .S?..� ......Foe? d.�....... ....... Phonc .No: '� .�' /b 9.........................................
rM............ �.................................
Facility Contact: ....,.. J. M....4 .�.Ql`rM..E..!(................ Title: ..J...:.!,.�ntn. �.f� .......,.,.....,... Phone No. ...... �....`�..: .L. .........
Mailing:Address........ �r.�.,....t3��.....1��0................... I ....................................... ........................... .................. ..........................
Onsite Representative:...ZO. ............................................... Integrator........................ I.............
Certified Operator ........K��,,►t... ...... ....................................................... Operator Curt itication Number ......... I S S.I`i
Location of farm:
..............................s.f..s.,.....................................................................................................................................
Latitude • ©',ii Longitude i , f I+ ®Z r :9
Type of Operation
Swine
L
Design Current Design Current
Capacity Population Poultry Capacity Population
❑ Layer
❑ Non -Layer
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
t)Q
❑ Other
Design Current
Cattle Capacity Population
❑ Dairy .
❑ Non -Dairy
Total Design Capacity 1 60
Total SSLW : 8 50
Number of Lagoons / Holding Ponds E= ID Subsurface Drains Present 110 Lagoon Area ❑ Spray Field Area
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Di.scharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. 11 discharge is observed, was the conveyance man-ntade?
b. If discharge is observed. did it reach Surface Water? f f ' yes, notify DWQ)
c. if discha r-e is observed, what is the estiurated flow in callmin?
d. Does discharge bypass a lagoon system'' (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge'?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
nwi ntenancc/improverttcnt?
4/30/97
❑ Yes No
❑ Yes IJ No
,+ ❑ Yes ❑ No
1"a ❑ Yes ❑ No
jjtk, ❑ Yes
❑ No
❑ Yes
EKO
❑ Yes
1 do
❑ Yes
Mo
Continued on hack

Facility Number: —
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?
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoow and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Sin►cture 3 Structure 4 Structure 5
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
MMle 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................................................................................................................................................................................................
16. Do the receiving crops differ wiih 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 Reviewerfinspector fail to discuss review/inspection with on -site representative?
For Certified Faciditigs Onl4'
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes No.
❑ Yes 0 No
❑ Yes 0 No
Cl Yes • No
Structure 6
❑ Yes Q'No
❑ Yes ❑ No
❑ Yes ❑ NV
❑ Yes E No
❑ Yes d No
❑ Yes ❑ do
❑ Yes [}No
❑ Yes ❑ No
❑ Yes O No
❑ Yes [No
❑ Yes E3 No
❑ Yes ❑ No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
24. Does record keeping need improvement? ❑ Yes ❑ No
Reviewer/Inspector Name T
Re. viewer/Inspector Signature:
Date:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mr. Rudy Grammer
Smithfield Carroll's
P.O. Box 1240
Waverely, Virginia
DFHHNFZ
DIVISION OF WATER QUALITY
May 19, 1997
23890
Subject: Compliance Evaluation Inspection
Facility # 42-23
Carroll's Farm # 63
Halifax County
Dear Mr. Grammer:
On May 6, 1997, Mr. Buster Towell from the Raleigh Regional Office
conducted a compliance inspection of the subject animal facility.
This inspection is part of the Division's efforts to determine
compliance with the State's animal waste nondischarge rules.
The inspection determined that the Swine operation was not
discharging wastewater into waters of the State and that the
waste lagoon had the required amount of freeboard. As a result of
the inspection the facility was found to be in compliance with the
State's animal nondischarge regulations.
Effective wastewater treatment and facility maintenance are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil
penalties 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_was.te.__management
plan by December 31, 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 office.
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, North Carolina 27609 C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

Mr. Rudy Grammer
Page 2
The General Assembly recently passed Senate Bill 1217 which will
require all animal waste management systems to designate an
"Operator in Charge". it shall be the responsibility of this
individual to oversee the operation and maintenance of the animal
waste management system and to have control over waste application
activities. Currently classes are being held for operators of swine
facilities and training is being developed specifically to address
dairy and liquid poultry operations. For more information please
call either your local Soil and Water Conservation District or
Cooperative Extension Service Office.
The Raleigh Regional Office appreciates your cooperation in this
matter. If you have any questions regarding this inspection please
call Mr. Buster Towell at [phone].
Sincerely, ._.
Judy Garrett
Water Quality Section Supervisor
cc: Mr. Jeff Dillard, Halifax County Health Department
Mr. Wayne Short, Fishing Creek Soil and Water
Conservation District (Halifax County)
Ms. Margaret O'Keefe, DSWC --- RRO
DWQ Compliance Group
RRO Files
42-23

❑ DSWC Animal Feedlot Operation„ Review
---- �Q.Animal Feedlot Operation Site inspection
0 Routine GrCOMpl2int 13 State employee tail 0 Follow-up of DWQ inspection Cj Follow-up of DSWC review
Date of Inspection
Facility Number ZL
Time of Inspection Use 24 hr. time
Farm Stators: � Total Time (in hours) Spent onRe, -iew ; �D
or Inspection (includes travel and processing)
Farm Name: rA)-,-v 11S /��;q0-- A' 6 Z _ County:
r 0 t
Owner Name: f �� �"/`r s Phone No: Z
Mailing Address:-
r /Onsite representative:�!'� Integrator:
1 i Y
Certified Operator Name:
Location of Farm:
Latitude ®••�"
N
Longitude ®a 3©4 U`
Q Not Operational Date Last Operated:
ype of Operation and Design Capacity
Pouitrw Cattle Number
Number Number.
❑ Wean to Feeder
` ❑ Layer ❑ Dairy
n-Laver 10 Beef
7, v
[I Other Type of Livestock
Q Feeder to Finish
FMMw to Wean
Farl6w to Feeder
a ow to Finish
ti! P
:.;, Number o Lagoon Holding. p Subsurface Drains Present
13 Lagoon Area S0rav Field area
Gener�i
1. Are the.e any bufers that need maintettancelimprovement'?
2. Is any discharge observed from any part of the operation?
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it roach Surface Water? Of yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaVmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Was there any adverse impacts to the waters of the State other than from a discharge?
:. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
1
❑ Yes 2<o
❑ Yes ZINO
❑Yes,
❑ Yes L�fNo
❑ Yes �'Na
i
❑ Yes N
❑ Yes No
❑ Yes No
Continued on back

7. L iL4 ch.- facility fail to have a certified operator in responsible charge (if inspection after 1/1/97)?
8, A:e there lagoons or storage ponds on site which need to be properly closed?
Structures (La dons and/or Holding Ponds
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon 1� Laaoon 2 N ^ NLaoun 3
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance!improvement?
(If any of questions 9-I2 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste 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. ��_ S,n !� r,. 5 .....__..... ..... _ _. �. . _ ..___.
16. Do'the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities Only
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in anyway?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge?
❑ Yes 2No
❑ Yes No
❑ Yes 2reNo f
Lagoon 4
.-...._.....�......_. � Yes
El Yes NO
❑ Yes t 'a
❑ Yes 0
❑ Yes 1 0
❑ Yes , o
❑ Yes I�No
❑ Yes o
❑ Yes 1 o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gip/qLN -} � �✓os-�.s r�-�, ,,►-. �-N�.t,/ �-, cn, s' - S-�7. � � w� � 3•�:1 e y C /�-1- G� � �l�iN�f
Rerieiver.!1n5pecror Nome _ �il �S��I� _ �D ��✓:�!`/ h
r
Rcvi}Fer:InspectarSignature:,� _ Date:
cc: Division of Wafer nualin% Water Quulin, Section, Fac•rlin-.-lssessment Unit 1 Ii l-4 95

r
State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr„ Governor
Jonathan B. Howes, Secretary
A4�
DEHNR
DIVISION OF WATER QUALITY
August 26, 1996
Mr.. Rudy Grammer
Smithfield--Carrolls
P.O. Box 1240
Waverely, Virginia 23890
Subject: Compliance Evaluation
Carrolls Farm # 63
Facility # 42-23 SR
Halifax County
Dear Mr. Grammer:
Inspection
1117
On August 7, 1996, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is part of the Division's efforts to
determine compliance with the State's animal waste nondischarge
rules.
The inspection determined that this swine facility was not
discharging wastewater into waters of the State and that the waste
lagoon had more than the required amount of freeboard. There was a
Waste Utilization Plan onsite and it was determined that records
were being kept to show waste application events: As a result of
this inspection the facility was found to be in compliance with the
State's animal nondischarge rules.
Effective wastewater treatment and facility stewardship are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil
penalties 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 31, 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 office.
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh. North Carolina 27609N%`f C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 500% recycled/ 10% post -consumer paper

ME
Carrolls # 63
Page 2
The General Assembly recently passed Senate Bill 1217 which will
require all animal waste management systems to designate an
" Operator in Responsible Charge". It shall be the responsibility
of this individual to oversee the operation and maintenance of the
animal waste management system and to have control over waste
application activities. Currently classes are being held for
operators of swine facilities and training is being developed
specifically to address dairy and liquid poultry operations. For
more information please call either your local Soil and Water
Conservation District or Cooperative Extension Service Office.
The Raleigh Regional Office appreciates your cooperation in this
matter. If you have any questions regarding this inspection please
call Mr. Buster Towell at (9.19) 571-4700.
Sincerely,
ICj(,6 �. 460�
Judy E. Garrett
Water Quality Supervisor
cc: Halifax County Health Department
Fishing Creek Soil and Water Conservation
Steve Bennett -Regional Coordinator, DSWC
RRO File Copy
District (Halifax)

Facility Number: L�_ Z.3
Division of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date: _74�
Time: r 3 Z,,r
General Information:
Farm Name:_ C�k✓d/a A;T/4,
Owner Name: 42L`d/<1 r u �-S Phone No: Z703 3S/ z(o
On Site Representative: Y-- Integrator: Cq l/S
Mailing Address: 0 ! Z Ct -4-
t:z_
Physical Address/Location: 1123 Vic. s
Latitude:_/L( / 3"3 Longitude: _ % 7 1-3 0 1 2_
Operation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle
U-Sow St? o ❑ Layer ❑ Dairy
❑ Nursery ❑ Non -Layer ❑ Beef
427eeder 5� "v
OtherType of Livestock: Number of Animals:
No. of Animals
-7
Number of Lagoons:y" (include in the Drawings and Observations the freeboard of each" lagoon)
� I r-ra"I v-,vr I La o ++"
Facility Inspect_ lorL
Lagoon
Is lagoon(s) freeboard less than 1 foot + 25 year 24 hour storm storage?:
Yes ❑
No Er
Is seepage observed from the Iagoon?:
Yes ❑
NoJ2-'-
Is erosion observed?:
Yes ❑
No
Is any discharge observed?
Yes ❑
No
❑ Man-made ❑ Not Man-made
Cover Crop
Does the facility need more acreage for spraying?:
Yes ❑
No ❑
Does the cover crop need improvement?:
Yes ❑
No ❑
( list the crops which need improvement)
Crop type:_ UbyA5 Acreage: L
Setback Criteria
Is a dwelling located within 200 feet of waste application? Yes ❑ No Cy,
Is a well located within 100 feet of waste application? Yes ❑ No
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream? Yes ❑ No
Is animal waste land applied ors spray irrigated within 25 feet of Blue Line Stream? Yes ❑ ' Nov
P Y g
A01 -- January 17,1996

Maintenance
Does the facility maintenance need 'improvement? Yes ❑ No
Is there evidence -of past discharge from any part of the operation? Yes 2No ❑
Does record keeping need improvement? Yes ❑ No
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes 21/'�'No ❑
Explain any Yes answers: O' -/ , i14- A
c1, re,4, r IV Q D -sc,4-Sir---7 7fi`5 ! �A- G�
b�, /�l� r b r o,s�� rr9 ��-� h � ff l��•-� 4� � �r�6i�
cc: Facility Assessment Unit
12rawings or _Observations_
AOI -- January 17,1996
Date:
Use Attachments if Needed

.­~_
JUL-14-1995 15:2E FROM OEM WATER QUALITY SECTION TO RRO F'. 0?i22
Site Requires Immediate Attendor _
Facility No. q7 - z
DWISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VTSITATION RECORD
DATM: -7 - 23~ , 1995
r
Time:
Farm Name/Owner_ v
Mailing Address: _ #0' 0 ti 0 x- 12 Z-/ Q
63 '
County: 'FFl
Integrator. Phone:
On Site Representative: Ou w✓ Phone:L(o
Phvsical Add=s/Locadon: L- '1 Oyn f 5 iz //?_� U F F
Type of Operation. Swine Poultry - Cattle
Design Capacity: — „ 4 o d Sa-,l Number of Animals on Sire:
Number:
DENI Certification ACE_ DEM Certification Number: ACNEW
Latitude: b-' _63 Longitude: 77 6 Elevation: Feet
Circle Yes or No
.Does the Auinai Waste Lagoon have svfflcienr freeboard of i Foot + 25 year 24 hour storm event
(approximately 1 Foot t 7ialches) Y or No Actual Fzeeboard: fit. Inches
Was any seepage observed from the-lagooti(s)? Yes r No Was arty erosion observed? e rNo
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No 7 ¢,
7
Crap(s) being utilized- 0 z, nfJ Y,- C-r i 1V _ _ ^ _ t.v L [: c� s
Does the facility rneet SCS miairrium setback criteria.) 200 Feet from Dwellings? Ye or No
100 Feet from Wells? a or No
x _ e animal waste stockpiled within 100 Feet of US'GS Blue Line Strcam? e No
ardmal waste land applied or slrray irrigated within 25 Feet of a USGS Map Blue Line'? Yes or N
animal waste discharged into waters of the state by roan -made ditch, flusbing system, or other
;irn:;a_r man-made devices? Yes or No If Yes, Please Explain.
7-)4 ms the facility maintain adequate waste maztagemcnt .Tecords (volumes of manure, land applied.
spray irrigated on specific acreage with cover crop)'? Yes or No
Additional Comments: C2iyl4-0Ly�?'� LVmj one _W,cF,I F',0j ' d,74edm
j(Lo•1IJ11 S• OC'rS�!+
.-.I�+ra S.� e_ � ^- - ���"' F _fLcJw�. +�Mrb �-t �.0 /^� ,5'.[.fi- 5'�(i F r �► ,l/%�/
cc: Facility Assessment Unit
Use Attachments if Needed.
TOTAL P.d2

....w. TO
JUL-14-1995 15 : 2e FROM DEM WATER QUALITY SECTION
RRO P.02/02
Site Requires Immediate A nentior
Facility No. e/Z_-Z�
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE'VISITATION RECORD
DATE: i - ?sr — , 1995
Time:
Farm Name/Owner:
Mailing. Address: •_�' d
County:
Integrator. Phone:
On Site Representative: ' ►11 ► 6 Phone: 3" a _f ?
Physical Addressa ocation: L"'o F �J�iL /� Z� i7 F F S/z /// ?
Type of Operation: Swine LX2- Poultry Cattle.
Design Capacity: _ d S70p%/ Number of Animals on Site:. 4/Z_� o
DEM Certification. Number: ACE DEM Certification Number: ACNEW
Latitude:.' j ' " Longitude:_'" Elevation: _ Feet
Circle Yes or No
Does the Animal Waste.Lagoon have sufficientfreeboard of l Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) Desor No Actual Freeboard: _: R. Inches
Was- any seepage observed from. the-lagoon(s)? Yes r No Was any erosion observed? e�r No
Is -adequate land available for spray? Yes or No 7 Is the cover -crop adequate? Yes or No 7
Crop(s) being utilized. J
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? e or No
100 Feet from Wells? or No
-.nc arirnal waste stockpiled within 100 Feet of USGS Blue Line Stream? a No
animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or N
animal waste discharged into waters of the state by inan-made ditch, flushing system, or usher
� iimilar man-made devices'? Yes or No If Y -s, Please Explain.
L
{. 5 the fie:ility maintain adequate waste martagcmcrir records (volumes of m2Aure; land applied,
spray irrigated on specific acreage with Lover crop)? Yes or No
Additional Comments: [aYl4P.y p a+ wqj _ wog r / _/ ��h_ G� e F� �/ 0�
r
r
r•lam_( F
Signature
cc: Facility Assessment Unit
Use Attachments if Needed.
TOTAL P.02