420040_PERMIT FILE_20171231

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Michael F. Easley, Governor
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William G. Ross Jr., Secretary
CO r
North Carolina Department of Environment and Natural Resources
7
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Alan W. Klimek, P.E. Director
Division of Water Quality
December 10, 2004
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RECEPIT # 7003 1010 0001 2611 4834
T. Douglas Temple
Temple Farm, Inc.
256 Temple Farm Road
Scotland Neck NC 27874
Subject: Application for Renewal of Coverage under the State Non -Discharge General Permit
Dear T. Douglas Temple:
Your facility is currently approved for operation under one of the Animal Waste Operation General Permits.
These permits expired on October 1, 2004, On June 11, 2004, the North Carolina Division of Water Quality
(Division) issued revised State General Permits for animal facilities. The General Permits were issued in
accordance with the directive of Senate Bill 733 (Session Law 2003-28). The Division staff is currently in the
process of issuing Certificates of Coverage for these revised general permits.
In order to assure your continued coverage under the general permit, you must apply to the Division for renewal.
Enclosed you will find a Permit Coverage Renewal Application Form. The application form must be completed
and returned within 60 days from receipt of this letter.
Failure to request renewal of your coverage under a general permit within the time period specified may result in
a civil penalty. Operation of your facility without coverage under a valid general permit would constitute a
violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to $25,000 per day.
If you have any questions about the general permits, the enclosed application, or any related matter please feel
free to contact me at [phone].
Sincerely,
_X 'z
Keith Larick .
Animal Feeding Operations Unit
Enclosures (COC Renewal Form)
Cc: Halifax Soil and Water Conservation District
Raleigh Regional Office, Division of Water Quality
Permit File AWC420048
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lYVOCaloli:
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Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: htlp:llh2o,enr.state .nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal OpportunitylA(firmative Action Employer — 50% RecycledflG% Post Consumer Paper

IV
Douglas Temple
Temple Farm, Inc.
256 Temple Farm Road
Scotland Neck NC 27874
Dear Douglas Temple:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
May 30, 2003
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Subject:
mi
Alan W. Klimek, P.E., Director
Division of Water Quality
Certificate of Coverage No. AWC420048
Temple Farm, Inc.
Cattle Waste Collection, Treatment, Storage
and Application System
Halifax County
In accordance with your application received on June 2, 1999, we are forwarding this Certificate of Coverage
(COC) issued to T. Douglas Temple, authorizing the operation of the subject animal waste collection, treatment,
storage and land application system in accordance with General Permit AWG200000. This approval shall consist
of the operation of this system including, but not limited to, the management of animal waste from the Temple
Farm, Inc. Farm, located in Halifax County, with an animal capacity of no greater than annual average of 685
Non -Dairy Beef Cattle 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 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 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 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 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.
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet hftpJ/h2o.enr.ne.state.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/101% post -consumer paper
i A'
DENR Customer Service Center
An Equal Opportunity Action Employer

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 [phone]. If you need additional information concerning this COC or the General
Permit, please contact J. R. Joshi at [phone] ext. 353.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG200000)
cc: (Certificate of Coverage only for all cc's)
Raleigh-Regional-Ofce;_W.ater-.Qu ity-Section-
Halifax County Health Department
Halifax County Soil and Water Conservation District
Permit File AWC420048
NDPU Files
1:1

- RECEI
7�9
State of North Carolina WATER QUALlIy i
Department of Environment and Natural Resources
Division of Water Quality ty JUN 0 2 1999
Non -Discharge Permit Application Form
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) Non-Diphar a PermiWn
General Permit - Existing Liquid Animal Waste Operations g
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.
�n
1. GENERAL INFORMATION:
1. ] Facility Name: Temple Farm, Inc.
Eli
1.2 Print Land Owner's name: T. Douglas Temple
a= ?
1.3 Mailing address: 256 Temple Farm Road
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City, State: Scotland Neck NC Zip: 27874f`-�-
s
Telephone Number (include area code): 919 826-3568
U1
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): Rd. 1800 8 miles E. of Scotland Neck NC
1.6 Print Farm Manager's name (if different from Land Owner):
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): Temple Farm, Inc.
1.8 Date Facility Originally Began Operation: 01/01/14
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: _42 (county number); 48 (facility number).
2.2 Operation Description: Cattle operation
N—on--Dairy
685- Certified Design Capacity
Is the above information correct? ZTyes; no. If no, correct below using the design capacity of the facility
The "No. be for
of Animals" should the maximum num e—r which the waste management structures were designed.
Type of Swine No, of Animals Type of Poultry No. of Animals Type of Cattle No, of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer ♦ Beef 4/1 IqS
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow) ,
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-G-E 5/28/98 Page 1 of 4 42 - 48

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 86 I ; Required Acreage (as listed in the AWMP):
2.4 Number of lagoons/ storage ponds (circle which is applicable):
2.5 Are subsurface drains present within 100' of any of the application fields? YES or NO (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or(S& (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
YES or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? NZI
What was the date that this facility's land application areas were sited? IVA
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 Initials
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied; ��•J
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit
application for animal waste operations.
The CAWMP must include the following components. Some of these components may not
have been required at the time the facility was certified but should be added to the
C4 WMP for permitting purposes:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied tohe disposal fields (e. irrigation,
injection, etc.) �pp�lea/ �y 7717rtu -(70)z 17 Ft
3.3.3 A map of every, field used far 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.
NA 3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications. Sew d►m4G'• �' 1+�s Pip'yt - s
fy f3 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.
ly,4 _3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/28/98 Page 2 of 4 42 - 48

Facility Number: 42 - 48
Facility Name: Temple Farm, Inc.
ECEIVED
WATER
OUAL:TY E - ON
4. APPLICANT'S CERTIFICATION: VUH 0 2 1999
1> _ram �� [�2Zii (Land Owner's �r��..listed��77in question 1.2), attest that
this application for ,'— X-4. (Facility �Aname?fMflg question I.1)
has been reviewed by me arfd is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Signature .��'�, Date /
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
(Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5/28/98 Page 3 of 4 42 - 48

r
ry

DIVISION OF WATER QUALITY REGIONAL OFFICES (08)
Asbeville Regional WQ Supervisor
59 Woodfin Place
Asbeville, NC 29801
(s28) 251-6208
Fax (ezg)251- 452
Avery Macon
Buncombe Madison
Rorke
McDowell
Caldwell
Mitchel!
am
1*Vlr
Clay
Rutberford
Graham
Swain
Haywood
Transylvania
Hax son
Yancey
Jackson
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
(910) 48b 1541
Fax (910) 48"707
Anson
Moore
Bladen
Richmond
Cumberland
Robeson
Htunea
Sampson
Hoke
Scotland
Montgomery
Winston-Salem Regional WQ Supervisor
583 waughtown Suva
Winston-Salem NC 27107
(33b) 771-4M
Fu GU) 771401
Alanance Rocidagham
Allegheny Randolph
Asbe
Stokes
Caswdl
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
Washington Regional WQ Supwe=
943 Washington Square Mall
Washington. NC 27689
(25z)946." 1
Fax (AS] 975-3716
Beaufort Jonas
Berne Lenoir
Cbowan
Pamlico
cmVem
Niquetank
Currituck
Paquimams
Dare
Piss
Gases
TyrcA
(i moue
Washington
Hertford
Wayne
Hyde
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Alexander Lincoln
Cabarrus Moddenburg
Catawba Rowan
Cleveland Stanly
Gaston Unmet
hen"
Raleigb Regional WQ Supervisor
38M Batzetc Dr.
Ral igb. NC 27611
(919) 5714700
Fax [phone]
i=
Northampton
F�
Person
Granville
Vanoe
Halifax
Wake
Johnston
Warren
Lee
Wilson
Wilmington Region. WQ Supervisor
127 Can izW Drive Extension
Wilmington, NC 29405-3945
[phone]
Fax [phone]
Brunswick, New Hanover
Carteret Onslow
Columbus Puxkz
Duplin
4
FORM: AWO•G•E S12 O Page 4 of 4

Animal Waste Management Plan Certification
{Pitf'.ue Lvoe or Drift :i11 in(orm:htion dint does mot reuutre I Si,2n.itur,� e
IFxisdn, _�)r New or Expanded (please circle one) �
General Information -
Name of Farm: ._TQ
Owner(s) Name:_ �l .
Facility No: L12 --
Phone
vlailina Address:�S��,��,/eG��� 74f7y
Farm Location: AY ��ao �'�'' S E County Farm is located in:
& :;c n/• c k 0
Latitude and Lonvitude: � _ -9o" I Z /� 5 Integrator:
Please attach a copy of a county road map with location identified and describe below (Be Specific: road
names, directions. milepost. etc.):
IC. i—rA "VV\ J-- ki
�utw? ru
a
Operation Descr_iotion:
Type of Swine r No. of Animals Tape of Poultry No. of Animals c'pe of C:rrrle 10. of Aninlals
Wean to Feeder D Laver D D iry
:'Be 3 Feeder to Finish J Pullets.ef _(OOCS
.D Farrow to Wean
Z� Farrow to Feeder
0 Farrow to Finish Other Type of Livestock: Nttnther of Anitnals:
.a Gilts
Zi Boars
� �tr![dIR} OpCrYlltt)ft Olt
Preirotrs Desrzrt..Cat7at irti. <'Arldrtranaf;Desren:Cat?arrt� _' ::.' y .:. Tor. DesiQir C�7nacrfti " $
-• — -
Acreage available for application: 1 4 A/v. Required Acreage: N.
Number of Lagoons / Storage Ponds : Total Capacitv: Cubic Feet (fN)
Are subsurface drains present on the farm: 1'ES or N (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
sN,MMt,{,Fa,'tli,##k*iN*sN**+k**isMiMs/9ias}e�Yh sNMi.M,F+M yr sN�Ye,YWw�[s11 Nr,iK}M 1RM*k�,a��*+FMM+Is sNfiasa s:R*�rtM., i, s;ok M+N M+k ae +h sk#r;[sk ,;a +,
Owner / Manager Agreement
I (we) %-erifv drat all the above information is correct and will be updated upon changing_, I (%ve) understand die opemdon
and maintem nance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of die waste treatment and
SIPMe system or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) understand that there must be no discharge of
animal waste from the storage or application system to surface waters of die state eidher directly dhroush a man-made
conveyance or from a storm event less severe than the 21-year, 24-hour storm and there must not be run-off from die
application of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be
minimized using tecbnical standards developed by the Natural Resources Consm-adon Service, The approved plan will be
tiled at the farm and at the office of the local Soil and Water Conservadon District. i (eye) know drat any modification
must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to
implementation. .A change in land ownership requires written notification to DFNI or a new certification (if the approved
plan is chaneed) within 60 days of a title transfer.
'Name of Land Owner : T youq I&�-
Signature:�ti ✓'� Date:
Name of Nlanager(if different from o%vner r
Si -nature: Date:

4;
Technica.i Specialist Certification
I. As a technical specialist designated by the `forth Carolina SOO and Water Cunservanon Commission pursuatt to l
NCAC 6F .0005. I certify that the animal waste management system. for the farm named above has ail animal writ
management plan that meets or exceeds standards and speCiriC:ttuOns of the Divistun of Environmental `lsnaoemM
(DELI) as specified in 15A NCAC 2H.0217 and the USDA -Natural Resources Conservation Service (MRCS) anciJor the
`orh Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 3H.0317 and 1:A NCAC 6F ,0001.
.0005, The following elements are included in the plan as applicable. While each category designates a technical specialist
who may sign each certification (SD, SI. WUP, RC. I). the technical specialist should only certify parts for which they are
technically competent.
IL Certificatio f Design
A) Collection. Storn2 Tre ment Svste
Check the appropriate box
J Existine facility without ref tit (SD or WUP}/ .�.
Stange volume is adequate for o erasion cap uY: stora,2e capability consistent wide wage utilization
requirements.
"1 New. exnanded or r?rrnrltreri fnrili
.animal waste storage and treatment , ctures. suet
have been designed to meet or exc d the minimum
Name of Technical Special ri(Please Print):
Affiliation
Address (Agency):
but not limited to collection systems. lagoons and ponds.
%lards and specifications.
Date
Completed:
Pho�rle No.
Signature: / _ _Date:
B) Land ARPlication Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste udlization; chosen crop is
suitable for waste management: hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print):
Affiliation C.S Date Work Completed:
Address (Agent; a i a lV C, � 3 Phone `o.:�iq,�_ S g3- 3Y
r
Signature: Date: -Zc._ y
C} Runoff ontrols fro
Check rate 4ppropriare bo.r
:.1 Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
�Facihcv with exterior lots (RC)
,Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards drveluped by ARCS.
Name of Technical Specialist (Please Pznt): ( a he— S! o rA—
at'tiliation !'S C S Date Work Completed:
.addrms (AQertcv): ���x �� �7Y3 ` Phone No.:
D3tc: SIJrI1IUrC. T J - Zo yY

D). Ar)olication and Handling Eauinment
Check the appropriate box `
_1 ExiSrina nr t:xrafidingo fn'ili v %viLh exis ing wasic itiolication i m n (\VUP oral'[
.animal waste applicationNequipment specified in the plan has been eidier llc'ld calibrated or evaluated in
accordance with csistin; design tharu and tables and is able to apply was[!as necessary to accommodate the
waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates. a schedule for timin! of applications has been
established. required buffers can be M-a0tained and calibration and a+,ijvstment ;uidance are c-mmined as part of
the plan). '
-� Ne-. expanded, or exiidno facilir, wilt out zxisring application eauinrnent forsr+rny irriaatjon (1)
Animal waste application equipment specified in,the pl has been designed to apply waste as necessary to
accommodate the waste management plan: (proposed a p"Itcation equipment can cover the area required bN• the
plan at rates not to exceed either the specified hyd ulic or nutrient loading rates: a schedule for timing of
applications has been established: required buffers an bn maintained: calibration and adiustmem Quidartce are
contained as part of the plan). '\,.
D New, expnne,(L nr existing facility withou��xistiny. waste ap It Ation ecUinment for [.Ind 512re2inn not wing
Sr__rtc- irriemion. (WliP or 1)
Animal waste application equipment :specified in die plan has been selected to apply waste as necessary to
accommodate the waste managemen,Vplan: (proposed application equipm4= can cover the area required by the
plan at rates not to exceed Jwe be specified hydraulic or nutrient load�n�s rates: a Schedule For timing at
applications has been established required buffers can be maintained: calibrat)t, and adjustment guidance are
contained as pert of the plan) f
Name,of Technical Speci
Affiliation
Print):
to Work Completed:
Address (Agency): Phone No.:
Signature: Date:
E) Odor -Control. insect Control. Nlortal.ity i'vlanaZement and.Emergencv Acdon Plan (SD
SI. VVUP. RC or I)
The waste management plan for this facility includes a Waste Nianagernent Odor Control Checklist. an insect
Control Checklist, a Mortality ?management Checklist and an Emergency Action Plan. Sources of both odors and
insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Mortality hlanag4mem Plan and the Emergency action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): a yo e. 5 0 - 4—
Affiliation �19c .S Date Work Completed:
Address (Agency): . D , 8' off. � >< .�1 C. 7 F3 Phone No.: �9 /4 � 5a13 - 311� I
Signature: Date:_- 7-• Zo
F) Writt Notice of taw or E� andinrt Swine Farm
The foilo%iing signature blocks is only to a used for new or expanding swine farms Adf be -,in construction after June
21. 1996. If the futility was built before June 21. 1996, when was it corutructo,-tic last
expanded
I (we) certify that I (we) have attempted to contact'b;v certified mail all adfiiinins pmpCrty owners and all property owners
who own property located across a public road. streeL-or highway &n this new or expanding swine farm. The notice was
in compliance with the requirements of .CGS 106-305. c p of the notice and a list of the property owners notified is
attached.
Name of Land Owner:
Sig_nature: Date:
Name of Mana,er OC ditfere:I't Irom owner):
Signature:
Date:

III. Certif catio of Installation
A) Collection. Storage. Tr tment Installation
New. exnanded or retr fitted facility (SI) �/"
Animal waste storage and treatment structures. such as bUt'no( limited to Ineoons and ponds. have been installed
in accordance with the approve'41an to meet or exc�d'tbe minimum standards and specifications.
For existing facilities
Name of Technic:-? Specialist (P
Affiliation
Address (Apencv):
Signature:
o-w retrofits, no certification is necessary.
Date Wort: Completed:
Phone No.:.
Date:
B) Land ,application Site (W P)
Check the appropriate box
The cropping system is in place on all land as specified in the animal waste management plan.
Z Conditional Approval: all required land as specified in the plan is cleared for planting: the cropping system
as specified in tbelvaste utilization plan has not been established and the owner has committed to establish the
vegetation as specified in the plan by (mondddayh•ear); the proposed cover crop is
appropriate for compliance with the wasteutilization plan.
J Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 daN
of this certification, the owner has committed to establish an interim crop for erasion control,
Name of Technical Specialist (Please Print):. �. [,Jq LA'e
Affiliation GCS Date Work Completed:
Address (Agency a �� �� C, 077 ?3 9 Phone No.: �9�4� - SS3 — 3 Y
Signature: - Date: 7•Z,, -9%
This folio► ng signature�l 4t is only to be used when the box for conditional approval in III. B
above h been checked. , ......
—\
I (we) certify that I (we) have committed t establisl the cropping syste pecified in my (our) waste utilization plan.
and if appropriate to establish the interim cro br erosion control. will submit to DEM a verification of completion
from a Technical Specialist within 13 calendar s foilowin a bate specified in the condidunal certification. I (we)
realize that failure to submit this verification is a vio ti a,df the waste management plan acid will subject me (us) to an
enforcement action from DEM.
Name of Land Owner:
Signature:
Name of Manager (if different from owner):
Signature:
Date:
Date:
0

C) Runoff Controls from.ENterior Lots (RC)
Facility with z,tterior 10t.S
Medsuds to minimize die run off of pollutants [rum lounsin; uie vza; h4%e br.-n in.iW[ed as .ipecitied
in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Pleue Print): _� �0ZnC_ S�h✓ 4—
Affiliation Date Work Completed:
Address (agency :
Signature:
D) A poliction and H
Check the appropriate h
]l Animal w
calibration a
'a AVGX // C. a 293
ndlin_-,EAuioment installation (WIrP or 1)
Phone No.: 1i/9� 583-3y�/
Date: 7 - Zn -V e
application and handling equipment specified in the plan is o:,. site and ready for use:
adjustment materials have been provided to die owners and are contained as part of the plan.
J Anintal waste applic on and handling equipment spetitict! in t �l. has not been initttlled but the owner
has proposed leasing or ird parry application and has pro ed a signed contract: equipment specified in
the contract agrees with Ch requirements of the plan: r uired buffers can be maintained; calibration and
adjustment guidance have bee rovided to the owner nd are contained as part of the phut.
..I Conditional approval: ?animal ante a ication and handling equipment specified in the plan has
been purchased and will be on site an taped by (montb/day/year): there is adequate
storage to held the waste until the a tpnt is installed and until the waste can be land applied in
accordance with the cropping syst contained in the plan; and calibration and adjustrttent guidance have
been provided to the owners an a contained asof the plan.
Name of Technical Specialist (Pl e Print):
Affiliation
Address (Agency):
SiLnature:
Work Completed:
Phone No..
ate:
The following signature block ' Only to be used when the box far conditional approval in III D
above has been checked.
I (we) certify that I (we) have commix to purchase the animal waste application and handling equipment as
specified in my (our) waste management p and will submit to DE�i a tcation of delivery and installation
from a Technical Specialist within lb calend a}s iollo��in: the day -SO,
ecitizd in the conditional certification. I
(we) realize that failure to submit this verification ' a 4iolation o e waste management plan and will subject me
(us) to an enforcement action from DES[.
Name of Land Owner:
Signature:
Name of Manager (if different fro caner):
Signature:
.. Date:
Date:
E) Odor Control. Insect Control and Mortality .Mana-e.ment (SD. S1. WUP._RC or 1)
Methods to control odors and insects as specified in the Plan have been installed. and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print):_, Ini�yrlt- -Sh OY+
affiliation 1yWC -S Date Work Completed:
Address (�
Signature:
Phone No.:('ylG) 5f3- 3ykl
Date: 7- Z.e2 - Y

r .
Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29535
Raleigh, NC 27626-0335
Please also remember to submit a copy of this form along with the complete .animal Waste
Management Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files with your Animal Waste -Management Plan.
AWC -- Au,u5[ 1. 1997

1�
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1REA-SOURCES
'MENT OF AGRICULTURE Page 1 of 2
CONSERVATION SERVICE 11/13/97
ld Office I919S583-3481
CONSERVATION PLAN
Client: Farm Inc, Temple Temple, T Douglas, III
Assisted By: pjb
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS I
PLANNED
I APPLIED
1
------------------- I
TRACT I FIELD I
-------------------------
AMOUNT I
MONTH
I ----------------------I
YEAR I AMOUNT I DATE
I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
I I
I
I
I I
I crop/grazing
3498 132, 33, 35 1
61.eAcl
I
I I
1
I I
3498 132 1
1
43.9ac1
I
10 1
I I
1997 I I
I CONSERVATION CROP ROTATION
133 1
5.4acl
10 1
1997 I I
I These fields will be used for crop production in warm seasons
135 1
12.5acl
10 1
1997 1 I
I and grazing cover crops and/or gleaning during the cool
I I
I
I
I I
1 seasons. A good ground cover will be maintained at all
I I
I
I
I 1
I times.
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL• This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50% ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

,,� ENT OF AGRICULTURE
f}ESOOCES CONSERVATION SERVICE
Field Office [phone]
Page 2 of 2
11/13/97
Client: Farm Inc, Temple
Assisted By: pjb
Farm Tract ACRES
CONSERVATION PLAN APPROVAL
Temple, T Douglas, III
LAND UNIT NAME
OWNER NAME
tempdo 3498 120.0 Temple Farm Temple, T Douglas III
TOTAL 120.0 ACRES
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
t----------------------------------------------------------------------------+
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all fields labeled HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if any
fields other than those HEL fields specified in this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
+-- -----------------------------------------------------------------------+
Cooper or (Producer) Date /S41bd 17'
+----------------------------------------------------------------------------+
The above Conservation Plan meets the requirements of the Field Office
Techni 1 de.
I // .-
Desi nated Co7prva&ionist Date
+-----------------------------------------------'-----------------------+
App owed by
A�
Conservation District Date - 97—
+-------------------------------------------------------------//--+
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50% ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservatlion tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

IQ
'Ilk
Too
;!vtj' "IT
T , I
%
IL I 7
14
WAS
lk
;5111
r-
1-1"

I RrM[ENT OF AGRICULTURE
RESOURCES CONSERVATION SERVICE
ifax Field office [phone]
Page I of 3
11/13/97
CONSERVATION PLAN
Client: Farm Inc, Temple
Temple, T Douglas, III
Assisted
8y: pJb
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS I
-PLANNED
I APPLIED
I
-------------------I-------------------------
TRACT
I
FIELD !
AMOUNT I
MONTHI
I ----------------------I
YEAR I AMOUNT I DATE
I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
I
I
I
I
I I
I CROP
3499
15,
7, 8, I
294.2Acl
I
I I
! Grassland
114,
15, 17,1
I
I
I I
!
118,
25, 26,1
I
I
I I
t
127,
28, 29,1
I
I
I I
!
132,
33, 35 I
I
I
I !
I
3499
1
15
I
29.6acl
10 11997
I !
I PASTURE AND HAY PLANTING
17
1
3.3acl
10 11997
I I
I Establish and/or maintain perennial grasses or legumes -grass
18
!
10.9ac1
10 1
1997 1 I
I mixture.
114
1
12,7ac1
10 1
1997 1 I
I These fields will be grazed for pasture and /or mowed for
115
1
8.2acl
10 11997
I I
I hay. A good ground cover will be maintained at all times.
117
!
9.9acl
10 11997
I I
I
118
HEL*I
11.0acl
10 1
1997 ( !
125
1
2.Oacl
10 1
1997 1 I
!
126
I
2.1acl
10 1
1997 I I
I
127
I
7.Oacl
10 1
1997 1 I
I
128
I
2.Oacl
10 1
1997 I I
I
129
I
0.9acl
10 1
1997 1 I
I
132
I
101.1acl
10 1
1997 I I
I
133
1
43.9aci
10 1
1997 I I
I
135
1
49.5acl
14 1
1997 I I
I
------------------------------------------------------------------------------------------------------------------------------------
I
I
I
I
I I
I crop
3499
I10,
11, 22,1
86.3Acl
I
I I
! Continuous Conventional Row Crop on Non-Hel cropland.
113,
24 1
!
!
I I
I
3499
1
I1D
!
I
!
24.Oacl
1
10 1
I 1
1997 I I
I
I CONSERVATION CROP ROTATION
113.
I
23.9acl
10 1
1997 I I
I These fields will be used for crop production during the warm
112
1
5.7acl
10 11997
I I
I season and for feeding livestock in the cool season. Huffer
113
I
25.lacl
10 11997
I I
I strips will be maintained along drainageways and livestock
124
1
7.6acl
10 11997
I I
I exclusion. Watering facilities and livestock exclusions
I
I
I
I
I I
I will be installed. See attached map.
------------------------------------------------------------------------------------------------------------------------------------
I
I
I
I
I I
I crop/grazing
3499
11,
2, 3, 4,1
402.6Acl
I
! I
I
16,
9, 16, I
I
I
I I
I
119,
20, 21,1
I
I
! I
!
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL• This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50% ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

r
TMENT OF AGRICULTURE . . Page 2 of 3
RESOURCES CONSERVATION SERVICE 11/13/97
fax Field Office [phone]
CONSERVATION PLAN
Client: Farm Inc, Temple Temple, T Douglas, III
Assisted By: pjb
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS I PLANNED I APPLIED 1
-------------------I-------------------------I----------------------I
TRACT I FIELD I AMOUNT I MONTHI YEAR I AMOUNT I DATE I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
122, 23, 30,1 1 1 1 1 I
131, 34 1 I I ! I I
I ! I ! I I I
3499 11 1 15.4ac1 10 1 1997 1 1 I CONSERVATION CROP ROTATION
12 1 22.4ac1 10 1 1997 1 1 1 These fields will be used for crop production in warm seasons
13 1 48.8ac1 10 1 1997 1 1 I and grazing cover crops and/or gleaning during the cool
14 1 19.5ac1 10 1 1997 1 1 I seasons. A good ground cover will be maintained at all
16 1 19.4ac) la 1 1997 1 I I times.
19 Ir 10.1ac1 10 1 1997 1 I I
116 1 22.9ac1 10 1 1997 1 I I
119 1 19.5ac1 10 1 1997 1 I I
120 1 31.9ac1 10 1 1997 1 1 1
121 1 0,5ac1 10 1 1997 1 I. 1
122 1 13.2ac1 10 1 1997 1 I I
123 1 69.8ac1 la 1 1997 1 1 1
130 1 43.7ac1 10 1 1997 1 1 I
131 1 51.3ac1 10 1 2997 1 I I
134 1 14.2ac1 10 1 1997 I I I
------------------------------------------------------------------------------------------------`-------- -------------------------
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL+ This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50t ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

NT of AGRICULTURE
' R&SOURCES CONSERVATION SERVICE
flax Field Office [phone]
Page 3 of 3
11/13/97
Client: Farm Inc, Temple
Assisted BY: pjb
Farm Tract ACRES
CONSERVATION PLAN APPROVAL
Temple, T Douglas, III
LAND UNIT NAME
tempdo 3499 2269.0 Temple Farm
TOTAL 2269.0 ACRES
OWNER NAME
Temple, T Douglas III
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
+-----------------------------------------------------------------------------
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all fields labeled HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if any
fields other than those HEL fields specified in this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
+---v=-lt---------------------------------------------------------�
l
Ciope ator�(Pro�Z�er) Date �J /V,,a 9'7
+----------------------------------------------------------------------------+
The above Conservation Plan meets e requirements of the Field Office
Technic 1 de.
x 2
r
+----Desnated -------Cons-------nist----------------------------Date------- -
---
- ---+
Ap oved by J�
Conservation District :r Date _
+----------------------------------------------s_------___-___-I
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the uSDA-SCS Field Office Technical Guide.
HEL* This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 501 ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

ML
11! ' -� -.1-
16

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ART74ENT OF AGRICULTURE
RESOURCES CONSERVATION SERVICE
.fax Field Office 0191583-39B1
k"yu � u, ..
11/13/91
CONSERVATION PLAN
Client: Farm Inc, Temple Temple, T Douglas, III
Assisted By: pjb
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS I PLANNED I APPLIED 1
------------------- I------------------------- I----------------------1
TRACT I FIELD I AMOUNT I MONTHI YEAR I AMOUNT I DATE I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
I I I I I I I crop/grazing
3497 111 2 1 16.1Ac1 I I I I
i I I I I I I
3497 11 1 10.6ac1 10 1 1997 1 1 1 CONSERVATION CROP ROTATION
12 1 5.5ac1 10 1 1997 1 I 1 These fields will be used for crop production in warn seasons
I i I I I I j and grazing cover crops and/or gleaning during the cool
I I I I I I I seasons. A good ground cover will be maintained at all
I I I 1 I I 1 times.
------------------------------------------------------------------------------------------------------------------------------------
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are' for 'the reduction of erosion and
will meet the Standards and SpecificaCions contained in the USDA-SCS Field Office Technical Guide.
HEL• This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least Sot ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

xTMENT OF AGRICULTURE
' RE90URCES CONSERVATION SERVICE
!ax Field Office [phone]
Page 2 of 2
11/13/97
Client: Farm Inc, Temple
Assisted By: pjb
'arm Tract ACRES
CONSERVATION PLAN APPROVAL
Temple, T Douglas, III
LAND UNIT NAME
OWNER NAME
:empdo 3497 40.0 Temple Farm Temple, T Douglas III
TOTAL 40.0 ACRES
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
+----------------------------------------------------------------------------+
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all fields labeled HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if any
fields other than.those HEL fields specified in this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
+--�---- #ao
--�---------------------------------------------------------+
-- r�Cooper( Pro uc r Date /J
+-----------------------------------------------------------------------------+
The above Conservation Plan meets the requirements of the Field Office
Tech caY Guide.
-�-- 6 ) ]
D ignated onservationist Date
+------------------------------------------------------------------------+
proved b n
Conservation District Date ��_ �� -
19
+----------------------------------------------------------------------------+
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50% ground cover maintained on
the surface Continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

-�
Ois
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`i

EMERGENCY ACTION PLAN
PHO`-E NU FIBERS
UWQ - S / - y7oa
EMERGENCY NIA INAGENM-N-i' SYSTEM - S13 31
SWCD 5"Q__-312-1
N- RCS C�r�g,l S ra- =23j 8-
This plan will be implemented in the event that wastes from your operation are leaking.
overflowing, or running off site. You should not wait until wastes reach surface waters or
leave your property to consider that you have a problem. You should make every effort to
ensure that this does not happen: This plan should be posted in an accessible location for
all employees at the facility. The following are some action items you should take.
1. Stop the release of wastes. Depending on the situation, this may or may not be
possible. Suggested responses to some possible problems arc listed befow.
A. Laeoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B: Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. Evaluate the application rates for the fields where runoff occurred.
C: Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close %•alves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
D: Leakage From flush systems. houses. solid separators -action include:
a. Stop re_,.-cle pump.
>,. Stop irm-pticn puma.
c. Make ;ure no siphon occurs.
J. Stop slI ticm ; in the house. [iU,:,i <% z;cm_. of �'�IiJ=tparator;.

6: Contact the technical specialist who certified the lagoon (\RCS, Consulting
Engineer etc.)
a. INaMe: U S 1
b. Phone:. t wG,L-::� w -:s — 3 q�r 1
is Implement procedures as advised by DW'Q 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.

Insect Control Checklist for Animal Operations
S+nrrcc Cause .1tMi's to Control lusccts� Sitc Sliccific 1'e':u•l14:c1
I In�lr Cinncrs Accttmudaiion of solids
0
tilts
❑ Flush system is designed and operated
sufficiently to remove accumulated solids from
gutters as designed.
O ltc move bridging of aeettrrtulated solids it
I.:1gomis wid his Crusted Solids ❑ Maintain lagoons, smiling basins and piss where
pest breeding is apparent to minimize the
crusting of solids to a depth of no more than 6 -
8 inches over more than 30% of surface.
F).Ccl�.Ivc V'z6Ctjtiv4 Decuying vegclallnit - — — n Maintain vegetative control along banks of
lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along ►vaters edge on impoundmenl's perimeter.
Dry Systems
Fccd spillage n Design, operate and utaintaiet feud systems
banters and Iroughs) to minimize the
XMI11111lation
ofdccaying wastage.
can up spillage on a routine basis (c.g., 7 - 10
day interval daring suuuner; 15-30 clay interval
t ring wititer).
feed Srmr q:c • Accumulations of feed resltlmcY _ Redt[ce ninistnre accumulation within and
around inuncdiate perimeter of teed storage
areas by insuring drainage awry from site
andlor providing adecpratc coalainaicnt (e.g..
covered bin for lirc►vcr's grain un(f similar high
wislure graiet products).
fuspect fur and remove or break upraccuu dated
solids in filter strips around toil sioral;c as
seeded.
A1.10 rl„����J �� I I. I'�'rr;• I'.it;e f

S+8111-cc Cause RMPs to Control Insects Sitc Specific Praclices
A1allaw, I IuWinb Arcas • Acntmulations of animal wastes Eliminate tow areas Ilial trap moisture along
and feed wastage fences and other locations where waste
accumulates and disturbance by animals is
tnimal.
D` Maiptain fence rows and filler strips around
animal Bolding areas to minimize
accumulations of wastes (i.e., inspect for and
remove or break asp accumulated solids as
needed).
fh y Kl:auurc I hiLdlinb Accumulations of animal wastes Remove spillage on a routine basis (e.g., 7 - 10
5),t�u►� day interval during summer, 15-30 day interval
during winter) where manure is loaded far land
application or disposal.
O Provide for adequate drainage around manure
stockpiles.
O,/ Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles uud
manure handling areas as needed.
For more inGirrar bon contact the Cooperative Extension Service, Department of rniontology, nnx 7613, North Carolina State INiversily,
It.akiVh, NC, 27695-7613.
AKIN: :nahwr 11. 1996, hij;C 2

D A IA FARM WASTE MANACEMENr ODOR CHECKLIST
Source Cause _ _ BMPs. to Minimize Odor _ Site Specific Practices
Farmstead production ❑ Vegetative or wooded buffers
0? ❑ Recommended best management practices
❑ Good judgment and common sense
Paved lots or barn alley 0 Wet manure -covered surfaces C1 Scrape or flush daily
surfaces ❑ Promote drying with proper ventilation
❑ Routine checks and maintenance on waterers,
hydrants, pipes, stock tanks
Bedded areas Urine O Promote drying with proper ventilation
+� • Partial microbial decomposition ❑ Replace wet or manure -covered bedding
Manure dry stacks • Partial microbial decomposition ❑ Provide liquid drainage for stored manure
Storage tank or basin
surface
Partial microbial decomposition ;
• Mixing while filling;
• Agitation when emptying
❑ Bottom or mid -level loading
Q Tank covers
❑ Basin surface mats of solids;
❑ Minimize lot runoff and liquid additions
❑ Agitate only prior to manure removal
❑ Proven biological additives or oxidants
Settling basin surfaces 0 Partial microbial decomposition O Liquid drainage from settled solids
• Mixing while filling ❑ Remove solids regularly
AM • Agitation when emptying
Manure, slurry or sludge • Agitation when spreading ❑ Soil injection of slurry/sludges
spreader outlets + Volatile gas emissions ❑ Wash residual manure from spreader after use
IY,~i ❑ Proven biological additives or oxidants
Uncovered manure,
Volatile gas emissions while
0
Soil injection of slurry/sludges
slurry or sludge on field
drying
l incorporation within 48 hrs
Vspead
surfaces
When C >r i r
Q t ¢� eed iQ eC�
in thin uniform layers for rapid drying
S -. SC r(pt
O
Proven biological additives or oxidants
Flush tanks
Agitation of recycled lagoon
❑
Flush tank covers;
Jyf 4
liquid while tanks are filling
p
Extend fill lines to near bottom of tanks with
anti -siphon vents
Outside drain collection
Agitation during wastewater
0
Box covers ~
or junction boxes
conveyance
nJ 4

Source Cause I3MPs to Minimize Odor Site Specific Practices
Lift stations Agitation during sump tank ❑ Sump tank covers /A
filling and drawdown
End of drainpipes at Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagoon conveyance _ T lagoon liquid level
Lagoon surfaces Volatile gas emission; ❑ Proper lagoon liquid capacity;
• BiologicaI mixing; ❑ Correct lagoon startup procedures;
• Agitation
❑
Minimum surface area -to -volume ratio;
❑
Minimum agitation when pumping;
1
❑
Mechanical aeration;
(�
❑
Proven biological additives
Irrigation sprinkler
• High pressure agitation;
❑
Irrigate on dry days with little or no wind;
nozzles
0 Wind drift
❑
Minimum recommended operating procedure;
❑
Pump intake near lagoon liquid surface;
fA
❑
Pump from second -stage lagoon;
]� I rrjy4
❑
Flush residual manure from pipes at end of
11 �Y
sI /sludge pumpings
Dead animals
9 Carcass decomposition
Proper disposition of carcasses
Standing water around
8 Improper drainage;
GKGrade
and landscape such that water drains
facilities
0 Microbial decomposition of
away from facilities
organic matter
Mud tracked onto public • Poorly maintained access roads
roads from farm access
Additional Information :
Farm access road maintenance
Cattle Manure Management ; 0200 Rule/BMP Packet
Dairy Educational Unit Manure Management System - Lake Wheeler Road Field Laboratory; EBAE 209-95
Lagoon Design and Management for Livestock Manure Treatment and Storage ; EBAE 103-83
Management of Dairy Wastewater; EBAE 106-83
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings
Available From :
NCSU, County Extension Center
NCSU - BAE
NCSU - BAE
NCSU - BAE
NCSU - BAE
Florida Cooperative Extension

Mortality Management N•lethods
(check: which method(s) are buns implemented)
d Burial three- "ace f the ground within 24 hours after
feet beneath the surf a _roan t ht
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
i Rendering at a rendering plant licensed under G.S. 106-168.7
Z) Complete incineration
'D In the case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture
�l Any method which in the professional opinion of the State Veterinarian would
make possible the salvaec of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)

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Animal Waste ti(ariagement Plan Certification
cPlx'ast tvm: or onnt all information flint die., nm reuutrz n si,_:1:iwr'!i
IExistinz _,br New or Expanded (please circle one)
General Information:
Name of Farm: __T� VVN
Owner(s) Name:
r
Facility No: �Z2 --
Phone \o: m - Sz(— 3 E
Mailing .�ddrzss:12S,a ,�, /�,�j�arr G' aF/��or �PcK C. 2-- 2,f 2
Farm Locarion: . J G S E County Farm is located in:
Latitude and Longitude: fz -0,L ---,v I 7Y5 Integrator:
Please attach a copy of a coun[y road map with location identified and describe below (Be specific: road
names. dir.-ciions. mileaost. etc.):
Operation Description:
Type of Suvine No. of Anhnals
Z) Wean to Feeder
• Feeder to Finish
• Farrow to Wean
! Farrow to Feeder
7 Farrow to Finish
Q Gilts
J Boars
Tvpe of Porrltn•
_l Laver
Zl Pullets
wile e No. of Aniurals
D D rvXef (095
Other Type of Livestock: ;Number of Animals:
No. of Animals
Erpandrn�> Operar�on Only 4
Prerious:Desr' ia..Cat#acre•:i.,.,...>'Aildrrrdnai:'DesrQii":CdaarrtE..' Toral.Desrsm CTAacrn.. '. :".$
Acreage Available For Application: A 4,16 Required Acreage: 11,4
Number or Lagoons / Storage Ponds : A Total Capacity: //4- Cubic Feet (0)
Art: subsurface drains present on the farm: ITS or J N (please circle one)
df YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
}M}h�k}I�i�#1M#M1M�k,M 1r�*#,k,le.ye,Msf,,k�%,MK�+NrKe+�+h+M#,ksrk rr�.M�#�M�!++k�N#+i��h Kii.#�+kF+ki'+ix�M ow%%r.�%%%W#M*s:. }1e +�}k is*%i. ,n +.•r%k
Owner / Manager Agreement
I (we) verity that all the above information is correct and will be updated upon changing. I (we) understand the operation
and maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new certification to be submitted to the Division of
Envirunmentat Management before the new animals are stocked. I (eve) understand that there must be no discharge of
animal waste from the storage or applicadon system to sursace waters of the state tither directly through a malt-olade
conve}ante or from a storm event less severe than the �j-year, '_-4-hour storm and there must not be run-off from tit
application of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be
minimized using technical standards developed by the Natural Resources Conservation 5ervick. The approved plan will be
tiled at the farm and at the office of the local Soil and Water Conservaion District. I (wc) know [ha[ ariv modification
must be approved by a technical specialist and submitted to fife Soil and Water Conservation District prior to
implementatiun. A change in land ownership requires written notification to DELI or a new cetvficadon (if the approved
plan is changed) within 60 days of a title transfer.
Name of Land Owner � l7ou q 14
Si-nature:�;�—P� J ,� Date:
dame of Nlanager(ii different from owner):
Signature: Date:

4�,
Technical Specialist Certification
L As a technical specialist de.;ienated by the :Forth Carolina Soil and Water Cunsen-atiun Commission pursuant to l iA
NCAC bF .0005. 1 certify that the animal waste management sYs(em ft}r the farm named above has art animal wasr
management plan that meets or exceeds standards and specifications of the Division of Environmental Nlanaoemen,
(DENT) as specified in 15A NCAC 2H.0217 and (he USDA -Natural Resources Conserti-ation Service (MRCS) andlor the
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and l-5.a NCAC bF .0001.
.0005. The following elements are included in the plan as applicable. While each category: designates a technical specialist
who may sign each certification (SD, S1, WUP. RC. I). the technical specialist should only certify parts for which then are
technically competent.
II. Certificatio f Design
A) Collection. Storn2e. Tre ment Svs
Check [lie appropriate box
J Fxistine facility without rei
Storage volume is adequate for
requirements.
J
(SD or %VUP�
;ration caf! uy: storage capability consistent %•�ith caste utilization
Animal waste storage and treatment a ctures. surf
have been designed to meet or c. c d the minimurn
Name of Technical Special
KPlease Print):
Affiliation_
Address (Agency):
but not limited to collection systems. lagoons and ponds.
i.lards wid specifications.
Date
Completed:
�ImL No.
Signature: / Date: — )
B) Land Application Site (WUP)
The plan provides for minimum separadons (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management: hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print):_ & 1- _ �o
Affiliation M C.S Date Work Completed: < L--
Address (Agent 0. E3o 7 hPI/V n Phone No.. - SIr3- 3Y b'�
Si_nature: Date: 7-2c7
C)
Che
J Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
/Faciliiv with exterior lot (RC)
Methods to minimize the run off of pollutants from lounein_a and heavv use areas have been designed in
accordance with technical standards developed by N-RCS.
Name of Technical Specialist (Please Pint): CA
CAe- � r-T-
.kt*tilia[ion I?� s Date Work Completed: �s �
address (,�sency): ��1� u� G �7d3 Phone No.:
Si,2nsttrre: Daw, ZD•'cly

} . •
l
D). Application and Handling E uinment
Check (lie ap,proprirfre i)o.r
_j Exisiinag nr expanding fn'ili v %viLh exiS( na wasie acQli'aunn i m (1VUP or, )
Animul waste aoplicauun\equipment specified in the plan has been eiUier li�l�l calibrated or e�aluatzd in
accordance with Misting design charts and tables and is able to apply w•as[z'a5 necessary 10 accommodate the
waste management plan: (existing, application equipment can cover the area{required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has bears
established: required buffers can be >it intained and calibration and at; usrment guidance are c-mlained as part of
the plan).
J -New. e3pndnrexi51ino faclllt�' wit) ttiUl e.[tStlnQ ��'a5fe �I)�'tlCa[lnll eguir+men( (nr Srr1t: ifri4n(1nn (I)
Animal waste application equipment specified in the plaq'has been designed to apply' waste as necessary to
accommodate the waste management plan: (proposed a pjicalion equipment can cover the area required by the
plan at rates not to exceed eidler the specified hvd" ulic or nutrient loading rates: a schedule for timing or
applications has been established: required buffers an b4�maintained: calibration and adiustment guidanceTare
contained as part of the plan). /01 :
D Ng%v, expantjej or existing facility—ithout4xiistinq. waste no lid:) inn eyuiQrnent for „!Ind snmdin4 not 24sist-
srra irr_iaation. (WUP or 1)
Animal waste application equipment specified in the plan has been elected to apply waste as necessary to
accommbdate the waste managemegt, plan: (proposed application equipm [ can cover the area required by the
plan at rates not to exceed eitllef�''the specified hydraulic or nutrient load rates: a schedule for timing of
applications bas been estsblishe f: required buffers can be maintained: calibraatA� and adjustment guidance are
-'contained as piLrt of the plan),/ v
Name,of Technical Specialist lease Print):
Affiliation Date Worm Completed:
Address (Agency): Phone No.:
Signature: f Date:
E) Odor Control. Insect Control. LVlortality iyiannement and Emer2enev Action Plan (SD
SI. WUP. RC or I)
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect
Control Checklist. a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and
insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
NlortLty `Ianaument Plan and the Emergency action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): O ri e— 51 0
Affiliation iJRC S Date Work Cumpleted:
Address (Agency): 8' ed --I V 11 C, -� 7 rf3 Phone No.:. /�,� SF,3 - 34
Sionature: Date: Zz Zv -Y8"
F) Writt -Notice of Vow or E� nnding S«'ine Farm ��
The follo%rin, signature block is only to' ; used for new or expanding swine farrrtsylt b�E e.in coinstruction after June
21. I996. If the futility was built before June 21. 1996, when wa5 it cnrutruct5d4r last
expanded
I (we) certify that l (we) have attempted to contacfhy certified mail all,adjbining property owners and all property owners
who own property located across a public road. stree`or hibhvyavj&offi Us new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-305."',,a. copylof the novice and a list of the property owners notified is
attacltrd. %�
Narne of Land Ovvner:
Signature: Date:
Fame oanager ( if dIt'l'erca'i From owner):
Signature: Date:

A)
Certif ratio of Installation
llection. Storage. Tr tment Installation
New. exnanded or retr fitted [acility (SD ��-
Animal waste storage and ere ent structures. ,uch as but -not limited to lagoons and ponds. have be.n installed
in accordance with the approve i,,p[an to meet or excescI"& minimum standards and specificadons.
For existing facilities
Name of Technic:-.' Specialist (P
Affiliation
ofr-t'retroftls, no certification is necessary.
Date Wort: Completed. -
Address (Asiency): Phone No,:
Signature: Date:
B) Land :fin lication Site M P)
Check the appropriate box
al The cropping system is in place on all land as specified in the animal waste management plan.
.! Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system
as specified in the -waste utilization plan has not been established and the owner has committed to establish the
vegetation as specified in the plan by (monthldaylvear); the proposed cover crop is
appropriate for compliance with the wasteutilization plan.
0 Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 da,,
of this certification. the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print): l JgVA �- k o
Affiliation R CS Date Work Completed:
Address (Agency • alp C, ,?7 93 9
Signature: Date: ' -Zv y
This follo%ng signatures only to be used when the box for conditional approval in III. B
above hadbeen checked. /`�\
I (we) certifv that I (we) have committed t establish the cropping syst�specitizd in my (our) waste utilization plan.
and if appropriate to establish the interim cro ur erosion control. wil[ submit to DELI a verification of Completion
from a Technicai Specialist within 13 calendar followin dale specified in the conditional certification. I (eve)
realize that failure to submit this verification is a viu [i ,6f We waste management plan and will subject me (us) to an
enforcement action from DEtit.
Name of Land Owner:
Signature:
Name of Manager (if different from owner):
Signature:
Date:
Date:

C) Runoff Controls from Exterior Lots (RC)
Facility with emerior leas
NIt:dsods to minimize Ute run off of pollutants from iounsing :and heav%, use nreni hint bran inimlled as .;pCettied
in the plan,
For facilities without exterior lots, no certification is necessary,
Name of Technical Specialist (Please Print): _ W oZnc__ S � 6 y/ +—
affiliation IVR(5 Date Work Completed:
Address (A2enc
Signature:
.�, D) Apolicgtion and Hdr
Check the appropriate tool
.1 Animal a-8e
calibratiUtl an
M
C a7F3 �--Phone tio.: Ii/-RJ 5J 3-35��r/
Date.
tallation (WUP or I)
application and handling equipment specified in the plan is o:: site and read.. for uie:
adjustment materials have been provided to the owners and are contained as part of the plan.
J ,animal waste applic 'tin and handling equipment specified in t plan ]tag not been installed but die u«vner
has proposed leasing or ird party application and has pro led a signed contract: equipment Specified in
the contract agrees with di reyviremenrs of the phut: r aired buffers can be maintained: calibration and
adjustment guidance have lxe rovided to the o-ner nd are contained as part of the plat.
.:l Conditional approval: Animal ante a ication and handling equipment specified in the plan has
been purchased and will be on site an called by (momh/da}•/year); there is adequate
storage to hold the waste unfit the a �p nt is installed and until the waste can be land applied in
accordance with the cropping systpe comai'ne'd in the plan; and calibration and adjustment guidance have
been provided to the owners angdre contained as daft of the plan.
Name of Technical Specialist
Affiliation
Address (Acency):
Si -nature:
�..
Print):
Work Completed:
Phone -No.
Date:
The following signature block\calend
used when the box for conditional approval in III D
above has been checked.
I (we) certify that I' (we) have cochase the animal waste application and handling equipment as
specified in my (our) waste manad will submit to DE�i a ication of delivery and installation
from a Technical Specialist withinvs tollow�ine the dot ecitied in rite conditional certitic atiun. I
(w•e) realize that failure to submit ' a violation o e waste management plan and will subject me
(us) to an enforcement action from DE:�t.
Name of Land Owner:
Signature:
Name of Manager (if different fro
Signature:
r):
Date:
Date:
E) Odor Control. Insect Control and Mortality i"Ylanazement (SD. St. WUP. RC or 1)
Methods to control odors and insects as specined in the Plan have been installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print):a ar S h oy+
Affiliation 1,e�C S Date Work Completed:
.address (agent OX � /��I I � ,�iC 7 7�3 Phone No.:�>/9 � 5�3 - 3�Fr/
Si�nsture: Y Date:

Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Water Qualitv Section, Compliance Group
P.O. Box 9535
Raleigh, NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
ivIana;ement Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files with Your Animal Waste Management Plan.
.. WC: -- Au,ust 1. 1997 h

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U•4;JDEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
Halifax Field Office [phone]
Page 1 of 2
11/13/97
CONSERVATION PLAN
Client.. Farm Inc, Temple
Temple, T Douglas, III
Assisted Hy-- pjb_
.- ----------------------------------------------------------------------------------------------------------
--------------------
LAND UNITS
I PLANNED
I APPLIED
I
-------------------I-------------------------
TRACT I PIELD
I AMOUNT I MONTHI
I ----------------------I
YEAR I AMOUNT I DATE
I PLANNED CONSERVATION TREATMENT
I
I I I
I I
I crop/grazing
3498 132, 33, 35
I 61.8AOI
I
3498 132
I I I
I 43.9aCl 10 11997
I I
I I
I
I CONSERVATION CROP ROTATION
133
I 5.4acl 10 11997
I I
I These fields will be used for crop production in warm seasons
135
I 12.5acj 10 11997
I I
I and grazing cover crops and/or gleaning during the cool
I
I I I
I I
I seasons. A good ground cover will be maintained at all
I
------------------------------------------------------------------------------------------------------------------------------------
I 1 !
I I
I times.
r ER
---
ti
OCT 3�'2
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
Will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50t ground cover maintained on
the surface continuously may be substituted for either a conventionally planted raw crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

a '5, DEPARTMENT OF AiZ;RICULTURE ' Page 2 of 2
NATURAL RESOURCES COMSERVATION SERVICE 11/13/97
Halifax Field Office '919)583-3481
CONSERVATION PLAN APPROVAL WATER QUACITY SrH3MC
I
f i
Client: Farm inc, Temple Temple, T Douglas, III (� OCT n/+a
Assisted By: pjb- -- I —3 li
I
1
Farm Tract ACRES LAND UNIT NAME, OWNER NAME �-- •.- _ - _,� r
tempdo 3490 120.0 Temple Farm Temple, T Douglas- III-- --.-•-, _�._._, ..
TOTAL 120.0 ACRES
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
+----------------------------------------------------------------------------+
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all fields labeled-HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if.any
fields other th4n those HEL fields specified in this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
+--�� ----------------------------------------------------------------------}
t--tsfra
Cooper or ( r duce Date IJ /Ya a 17
+---------------------------------------------------------------------------+
The above Conservation Plan meets the requirements of the Field Office
Techni 1 de.
Desi nated Cons rvationist Date
+--.-------------------------------------------------------------_-- -----+
App oved by
Conservation District Date . g
+--------------------------------------------------------------�
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
Will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatmem must be applied and maintained to meet FSA Compliance. Idle land with at least 50% ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

MUSS DEP,%RTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
Halifax Field Office [phone]
CONSERVATION PLAN
Page 1 of 3
11/13/97
Client: Farm Inc,
Temple
Temple, T Douglas, III
Assisted By: pjb=:.,,-_._"-
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS 1
PLANNED
I APPLIED
------------------- 1-------------------------
TRACT I FIELD I AMOUNT I
MONTHI
I----------------------1
YEAR I AMOUNT I DATE
I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
1 I
I
I
I I
I CROP
3499 15, 7, 8, I
294.2Ac1
I
I I
I Grassland
114, 15, 17,1
1
1
1 1
1
118, 25, 26,1
1
.1
1 1
1
127, 28, 29,1
1
1
1 1
1
132, 33, 35 1
1
1 1
1
I I
3499 15 1
I
29.6ac1
I
10 1
I 1
1997 1
1
PASTURE AND NAY PLANTING
17 1
3.3ac1
10 1
1997.1 1
1 Establish and/or maintain perennial grasses or legumes -grass
18 1
10.9ac1
10 1
1997 1 1
f mixture.
114 1
12.7acj
10 1
1997 1
These fields will be grazed for pasture and /or mowed for
115 1
8.2ac1
10 1
1997 1
hay. A good ground cover will be maintained at all times.
117 1
9.9ac1
to 1
1997 1
Ila HEL*I
ll.0ac1
10 1
1997
125 1
2.0ac1
10 1
1997
126 1
2.1ac1
10 1
1997 1 1
127 1
7.0ac1
10 1
1997 1
128 1
2.0ac1
10 1
1997 1 I
129 1
0.9ac1
10 11997
1
132 1
101.1ac1
10
1997 1
133 1
43.9ac1
10
1997 1 1
1
135
49.5ac1
10 1
1997 1
1
------------------------------------------------------------------------------------------------------------------------------------
I I
I
I
I I
I crop
3499 110, 11, 12,1
86.3Ac1
I
I I
I Continuous Conventional Row Crop on Non-Hel cropland.
113, 24 I
I
I
I I
1
I I
3499 110 1
I
24.0ac1
I
10 1
I I
1997 1 1
I
I CONSERVATION CROP ROTATION
Ill I
23.9ac1
10 1
1997 1 I
1 These fields will be used for crop production during the warm
112 1
5.7ac1
10 1
1997 1 I
1 season and for feeding livestock in the cool season. Huffer
113 1
25.1ac)
10 1
1997 1 I
I strips will be maintained along drainageways and livestock
124 1
7.6ac1
10 1
1997 1 I
f'exclusion. Watering facilities and livestock exclusions
I I
I
I
1 I
1 will be installed. See attached map.
I I
I
I
I I
I crop/grazing
3499 11, 2, 3, 4,1
402.6Ac1
I
I 1
I
16. 9, 16, 1
1
I
I I
I
119, 20, 21,1
1
I
I I
I
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatment must.be applied and maintained to meet FSA Compliance. Idle land with at least 50k ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time. ___k

'U.S% DERARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
Halifax Field Office I9191583-3481
CONSERVATION PLAN
Page 2 of 3
11/13/57
Client: Farm.Inc, Temple
Temple, T Douglas, III
Assisted By: pjb.;."-
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS I
PLANNED
I APPLIED .
I
------------------- I-------------------------I----------------------
TRACT I FIELD I
AMOUNT I
MONTHI
YEAR I AMOUNT I DATE
I
I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
122, 23, 30,1
1
I
1 I
I
131, 34 I
I
I
I I
I
I I
3499 11 I
I
15.4acl
I
10 11997
I I
I I
I
I CONSERVATION CROP ROTATION
12 1
22.4acl
10 1
1997.I I
I These fields will be used for crop production in warm seasons
13 I
48.8acl
10 11997
I I
I and grazing cover crops and/or gleaning during the cool
14 I
19.5acl
10 11997
I I
I seasons. A good ground cover will be maintained at all
16 I
19.4acl
10 1
1997 I I
I times.
19 I
10.1acl
10 1
1997 I I
I
116 I
22.9acl
10 1
1997 I I
I
119 I
19.Sacl
10 1
1997 I I
I
120 1
31.9acl
10 11997
I I
1
121 I
0.Sac 1
10 11997
122 1
13.24cl
10 11997
I
123 I
69.8acl
10 1
1997 I I
I
130 I
43.7ac1
10 1
1997 1 I
1
131 I
51.3acl
10 1
1997 1 1
I
134 I
------------------------------------------------------------------------------------------------------------------------------------
14.2acl
10 11997
1 1
I
�'_�-�_��r�'_��Y-'�•�
OCT
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL• This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least Sot ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

* .S� DEp?`RTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
Halifax Field Office [phone]
CONSERVATION PLAN APPROVAL
Client: Farm Inc, Temple Temple, T Douglas, III
Assisted By: pjk-.nl.l 4 -
Page 3 of 3
11/13/97
Farm Tract ACRES LAND UNIT NAME OWNER NAME
------------------------------------------------------------------------------------------------------------------------------------
tempdo 3499 2269,0 Temple Farm
Temple, T Douglas III
TOTAL 2269.0 ACRES
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
+-----------------------------------------------------------------------------+
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all -fields labeled HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if any
fields other than those HEL fields specified in.this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
r �
Coope ator�(Proilcer) Date J3 �Vo v 91i'
-------------------------------------------------- _---------------------------+
The above Conservation Plan meets a requirements of the Field Office
Technic 1 de:.
Desi nated Corrvatio`nIst Date--------------------------------------------------------�-------+
Ap oved by
Conservation District Y�Wmo, AAA,0�&�l Date �j
+----------------------------------------------s---------------zf �� -J / %
--+
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatment must be applied,and maintained to meet FSA Compliance. Idle land with at least 50t ground cover maintained on
the surface.continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

:'U.*. ,LWARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
Halifax Field Office i919j583-3481
CONSERVATION PLAN
Page 1 of 2
11/13/97
Client: Farm Inc, Temple Temple, T Douglas, III
Assisted By: pj',� w _
- --LAND UNITS I PLANNED I APPLIED,
------------------- I------------------------- 1----------------------I
TRACT I FIELD I AMOUNT I MONTHI YEAR I AMOUNT I DATE I PLANNED CONSERVATION TREATMENT
------------------------------------------------------------------------------------------------------------------------------------
1 .I 1 1 1 I 1 crop/grazing
3497 11, 2 1 16,1Acl I I
3497 11 1 10.6acl 10 1 1997 I I I CONSERVATION CROP ROTATION
12 1 5.5ac1 10 1 1997 1 These fields will be used for crop production in warm seasons
I I I 1 and grazing cover crops and/or gleaning during the cool
1 1 1 seasons. A good ground cover will be maintained at all
I times.
------------------------------------------------------------------------------------------------------------------------------------
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL* This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50} ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

.U.S., DE{�IRTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
Halifax Field Office (9191583-3481
Client: Farm Inc, Temple
Assisted 9yu pjb -_ - -
Farm Tract ACRES
CONSERVATION PLAN APPROVAL
Temple, T Douglas, III
LAND UNIT NAME, OWNER NAME
Page 2 of 2
11/13/97
------------------------------------------------------------------------------------------------------------------------------------
tempdo 3497 40.0 Temple Farm Temple, T Douglas III
TOTAL 40.0 ACRES
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
+----------------------------- ------------------------------------------ - - - - -+
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all fields labeled.HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if any
fields other than those HEL fields specified in this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
+- ---- -----------------------------------------------------------------+
Coopera or (�r:c r Date /J /Ym-L. 5-7
+------------------------------------------------------------------- ------------+
The above Conservation Flan meets the requirements of the Field Office
Tech ca Guide.
U j) �
D ignated onservationist Date G� /,3-q7
+--------------------------------------------------------�------------------+
proved b %%
—
Conservation District - Date
+----------------------------------------------------------------------------+
-------------------------
HEL Fields marked as HEL are highly erodible fields. Ali practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL` This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50V ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

u'Y.EAlER GEN CY ACTION PLAN
PHON-E `UMBERS
DWQ s7 i - 97410
EMERGENCY hI.-\VAGE.\,fEN-T SYSTEivI - 5L -"031
S W C D R1 -
NFRCS (gi 9)
This plan will be implemented in the eve -it that wastes from your operation arc 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 locadon for
all employees at the facility. The following are some action items you should take.
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:
D`''�' .
a. Immediately stop waste application. f
b. Create a temporary diversion -to contain waste. •�`
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. Evaluate the application rates for the fields where runoff oc.-urred.
C: Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate funher discharge.
d. Repair all leaks F-ior to restarting pumps.
D: Lc3kahe from flush s\-stems. houses.:olid separators -action include:
a. Stop rz:..c[t pump.
b. Stop irrigation pump.
c. MuAe sure no siphon oc.urs.
J. Swp _I1 ilo%\ = in the house. tlu:�i ;terns.:: 4' Ihd sd?arators.

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. Die 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 fail
holes and compact with a clay type soil.
c. Have a professional evaluate -the condition o[ 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 dtiration?
C. Any damage rioted, such as employer injury, fish Uls,= 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?
e. Are potable water wells in danger (either on or off..of the property)?
h. How much reached surface waters?
3: Contact appropriate agencies.
a. During normal business hours, call your DWQ (Division -of Water Quality)
regional office; Phone - - . After hours, emergency number. 939-733-3942.
Your phone call should include: your name, facility, telephone number, the details
of the incident from item 2 above, the exact location of the facility, the location or
direction of movement of the spill, weather and wind conditions. The corrective
measures that have been under taken, and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number
C.
Instruct EMS to contact local Health Department.
d. Contact CES, phone number - - , local SWCD office phone number - -
and local NRCS office for advice/technical assistance phone number - - -
A: 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
dams-ze.
a. Contractors Name:
b. Contractors .address:
c. Contractors Phone:

6: Confacitiht technica] specialist u-ho certified the lagoon (INRCS. Consulting
Engineer. etc.) V
a. \ame:`U S T—') +4 A/
b. Phone: (5Ig )5 w a — 3 qS, I
is 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.

Insect Control Checklist for Anima! Operations
tinlrrcc Cuusr 11Mi's its Caulrul luseets siIC S16cciric 110:,,c+ic"
Liquid Sys Ients
1:111111 Gutters • Accuctltrlation of solids ❑ Flush system is designed an&operated
sufficiently to remove accumulated solids from
gutters as designers.
y j O Remove bridging of accumulated solids ju
1.:igtums and I'ils
I:,,ccS,i�•c Vcgct;�tivr
• Cri
led Solids 0 Maintain lagoons, settling basins and pits where
PCs[ breeding is apparent 10 minimize the
y In cnisiing of solids to a depth of no more turn 6 -
Nf� 8 iuclics over more than 30% of surface.
- Decaying VCgCIalmn n Maimaut vegetative control along hanks of
lagoons and other impoundments to prevent
accumulation of rlceaying vegetative master
along waters edge on impoundmeni's perimeter.
Dry Systems
I L,.Ik, - Fcc41 S1611.1ge n Design, operate and maintain feed systems (e.g.,
bunkers and troughs) In minimize 111e
Accumltlation of decaying wastage.
can up,spillage on a routine basis (e.g., 7 - 10
day interval (hiring summer; 15-30 clay interval
faring winter). -
i C01 S1411.1Lc T - Accumulations of fend residues _ .Itedtice moisture aceurnulalinn within and
around hnnicdime perimeter of iixtj storage
areas by insuriuy drtinagc away front site
tuul/ar providing adecplate Containment (e.g.,
covered bin for l)rewees grain and similar high
totsture grain products).
dnsped fctr and reprove or bread: up accumulated
solids in filler-slrhls arumul feed swr l e as
needed.
AtJV

Snnrec Cruse DMps to Control Instals Site Specific Pra Bets
Amiairl I1nldin6 Areas Is Accumulations of animal wastes Eliminate low areas that trap moishrre along {
and feed wastage fences and other locations where waste t
accurrttrlates and disturbance by animals is
tnimal.
Er Maintain fence rows and filter strips around
animal holding areas to minimize
accumulations of wastes (i.e., inspect far and
remove or break up accumulated solids as
needed).
n, y Majime I Iamlli % Accumulations of animal wastes CK Remove spillage on a routine basis (e.g.. 7 - 10
day interval during summer, 15-30 day interval
during winter) where manure is loaded for land
applicatiolt or disposal.
0 provide for adequate drainage around manure
stockpiles.
0-1 Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
matinre handling areas as needed.
For more MI'Linnatinn ennead the Coniteralive Exlcnsion Service, Department ofFniomology. Rox 7613, North Carolina State University,
1talci;;h. NC. 27695.7613.
ANIW :jidicr 11. 1996, fagc2

D i m FARM WASTE MANAGEMENT ODOR CHECKLIST
Source Cause BMPs to Minimize Odor Site Specific Practices
Farmstead production ❑ Vegetative or wooded buffers
❑ Recommended best management practices
❑ Good judgment and common sense t
Paved lots or barn alley Wet manure -covered surfaces ❑ Scrape or flush daily
surfaces
❑ Promote drying with proper ventilation
X f fi ❑ Routine checks and maintenance on waterers,
V hydrants, pipes, stock tanks
Bedded areas 0 Urine ❑ Promote drying with proper ventilation
1�a Partial microbial decomposition ❑ Replace wet or manure -covered bedding
Manure dry stacks 6 Partial microbial decomposition ❑ Provide: liquid drainage for stored manure
A)
Storage tank or basin 0 Partial microbial decomposition ; ❑ Bottom or mid -level loading
surface 0 Mixing while filling ; ❑ Tank covers
• Agitation when emptying ❑ Basin surface mats of solids;
❑ Minimize.lot runoff and liquid additions
❑ Agitate only prior to manure removal
❑ Proven biological additives or oxidants
Senling basin surfaces a Partial microbial
A/R '
Manure, slurry or sludge •
spreader outlets
Mixing while filling
Agitation when emptying
Agitation when spreading
Volatile gas emissions
❑ Liquid drainage from settled solids
❑ Remove solids regularly
❑ Soil injection of slurry/sludges
❑ Wash residual manure from spreader after use
❑ Proven biological additives or oxidants
Uncovered manure,
Volatile gas emissions while
❑
Soil injection of slurry/sludges
slurry or sludge on field
drying
❑l
incorporation within 48 hrs
surfaces
When CoVt.,ed feed A ref,
@/Spread
in thin uniform layers for rapid drying
S .. Sc 14Pe0C
❑
Proven biological additives or oxidants -
Flush tanks
_
Agitation of recycled lagoon
0
Flush tank covers;N
f4
liquid while tanks are filling
p
Extend fill Iines to near bottom of tanks with
anti -siphon vents
Outside drain collection
Agitation during wastewater
❑
Box covers
or junction boxes -
conveyance
/Ja

Source
Cause
BMPs to Minimize Odor Site Specific Practices
Lift stations
a
Agitation during sump tank
O
Sump tank covers
filling and drawdown
End of drainpipes at
a
Agitation during wastewater
❑
Extend discharge point of pipes underneath
lagoon
conveyance
lagoon liquid level
—
Lagoon surfaces
a
Volatile gas emission;
❑
Proper lagoon liquid capacity; t
a
Biological mixing;
❑
Correct lagoon startup procedures; "
a
Agitation
❑
Minimum surface area -to -volume ratio;
}
❑
❑
Minimum agitation when pumping;
Mechanical aeration;
y
❑
Proven biological additives
Irrigation sprinkler
a
High pressure agitation;
❑
Irrigate on dry days with little or no wind;
nozzles
0
Wind drift
❑
Minimum recommended operating procedure;
❑
Pump intake near lagoon liquid surface;
f❑
Pump from second -stage lagoon;
!� l
❑
Flush residual manure from pipes at end of
s� .sludge pumpings .
Dead animals
a
Carcass decomposition
CVProper
disposition ofcarcasses
Standing water around
a
Improper drainage;
Grade and landscape such that water drains
facilities
a
Microbial decomposition of
away from facilities
organic matter
/
Mud tracked onto public
a
Poorly maintained access roads
CTFarm
access road maintenance
roads from farm access
Additional Informition : Available From :
Cattle Manure Management; 0200 Rule/BMP Packet NCSU, County Extension Center
Dairy Educational Unit Manure Management System - Lake Wheeler Road Field Laboratory; EBAE 209-95 NCSU -BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83 NCSU - BAE
Management of Dairy Wastewater; EBAE 106-83 NCSU - BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU - BAE ,
Nuisance Concerns in Animal Manure Management: Odors and Flies; PROI07. 1995 Conference Proceedings Florida Cooperative Extension

Mortality Management tMethods
(check which method(s) arc being implemented)
Burial t v three feet beneath the surface of the _round within 24 hours after
knowledge of the death. The burial must be at mast 300 feet from any flowing
stream or public body of water.
J Rende;ine at a rendering plant licensed under G.S. I06-163.7
Complete incineration
In the -case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture
C! Anv method which in the professional opinion of the State Veterinarian would
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)

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• - M' ��1r fie' •r' t, l � • if r w
h

*TMENT OF AGRICULTURE
;:G RESQURCES CONSERVATION SERVICE r r
.fax Field Office [phone]
Kaye 1 ut
11/13/97
Client: Farm Inc, Temple Temple, T Douglas, III
Assisted By: pjb
------------------------------------------------------------------------------------------------------------------------------------
LAND UNITS I PLANNED I APPLIED 1
------------------- i------------------------- I ---------------------- I
TRACT I FIELD I AMOUNT } MONTHI YEAR I AMOUNT I DATE I PLANNED CONSERVATION TREATMENT
I I I 1 } I I crop/grazing
i497 11, 2 1 16.1Ac1 I I I I
I 4 I I 1 I 4
3497 11 1 10.6acl 10 1 1997 1 I I CONSERVATION CROP ROTATION
12 1 5.5ac1 10 1 1997 1 I I These fields will be used for crop production in warm seasons
1 I I i I I I and grazing cover crops and/or gleaning during the cool
seasons. A good ground cover will be maintained at all
I I I I I I I times.
------------------------------------------------------------------------------------------------------------------------------------
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide.
HEL+ This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50k ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

,RTMENT OF AGRICULTURE
Page 2 of 2
.. , RESQURCES CONSERVATION SERVICE 11/13/97
fax Field Office [phone]
client: Farm Inc, Temple
Assisted By: pjb
'arm Tract ACRES
CONSERVATION PLAN APPROVAL
Temple, T Douglas, III
LAND UNIT NAME
OWNER NAME
:empdo 3497 40.0 Temple Farm Temple, T Douglas III
TOTAL 40.0 ACRES
CERTIFICATION OF COMPLIANCE WITH THE FOOD SECURITY ACT, 1985
+-----------------------------------------------------------------------------+
I (We) concur in the conservation practices and installation schedules
indicated in this conservation plan for all fields labeled HEL*. I (We)
understand that, when this conservation plan for HEL fields is applied
to the land and maintained on a continuing basis, the conservation system
will meet all of the Food Security Act of 1985 requirements for
conservation compliance. Furthermore, I (we) understand that if any
fields other than those HEL fields specified in this plan will be used for
the production of agricultural commodities, I (we) will contact ASCS and
SCS for an HEL determination.
+--------- -- -- -------------------------------------------------------------+
Coopers or (Pro uc r Date /,T
+----------------------------------------------------------------------------+
The above Conservation Plan meets the requirements of the Field Office
Tech ca Guide.
D ignated onservationist Date
+--------------------------------------------------------------------------+
proved b
Conservation District Date
+----------------------------------------------------------------------------+
-------------------------
HEL Fields marked as HEL are highly erodible fields. All practices planned and installed are for the reduction of erosion and
will meet the Standards and Specifications contained in the USDA-SCS Field Office Technical Guide,
HEL* This treatment must be applied and maintained to meet FSA Compliance. Idle land with at least 50% ground cover maintained on
the surface continuously may be substituted for either a conventionally planted row crop or any conservation tilled crop in
the conservation cropping sequence provided no land disturbing activity occurs during that time.

• • tit r • ^.� i ', ,'%Y / r
1
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�xP � `r� ,••oaf: •' a- .:��t,,;,��. • ,�_ �,� �'

ze to s
;> Division of Water Quality
�Factiity Nurnber' L Q Division of Soil and Water Conservation`'"
-
0 Other Agency
Type of Visit Co ante 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: I /L Arrival Time: % -p Departure Time: County:
Farm Name: T2 ","' �(i .. 12.�. �vt Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
Dl7 +t
Onsite Representative: 11i Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Other
❑ Other
Region:
Back-up Certification Number:
Latitude: = 0 = t = Longitude: = ° = I =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
1' 10 Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
p
❑ Beef Feeder —t-
❑ Beef Brood Co
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes Yo
NA El NE
❑ Yes NA ❑ NE
❑ Yes No/0 NA ❑ NE
❑ Yes
o
ElNA
[INE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
12128104 Continued

A
Facility Number: — Date of inspection
Re aired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 421 No NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes;No
o �❑ NE
the appropriate box. El ElChecklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l" Rain Inspectio�No
❑ ,eather Code
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 o 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 rNo
NA El NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance orthe 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
❑ N E
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
Page 3 of 3 12128104

Facility 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 freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Str re 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): NNd
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? Yes ❑ No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structure v El ❑ No El NA El 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 ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
y�' Of❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
❑ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
i
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: t -5 Date: 7 0
12128104 Continued

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
T. Douglas Temple
Temple Farm, Inc.
256 Temple Farm Road
Scotland Neck NC 27874
Dear T. Douglas Temple:
NCDENR
NORTH CAROLINAjDEPARRTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
`a�'tijyR R�CErGy --� �✓
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 42=48:n
44AII x 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. IRRI, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincerel
"� x e'0�7
Kerr T. Stevens, Director
Division of Water Ouality
cc: Raleigh Regional Office
Halifax County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
T. o gIas Temple
Temple Farm, Inc.
256 Temple Farm Road
Scotland Neck NC 27874
Farm Number: 42 - 48
Dear T. Douglas Temple:
1 � •
"I
NORTHCAROLINA DEPARTMENT OF NCDENR
ENVIRONMENT AND NATURAL`RES URGES,\,
April 6, 1999
� � P
You are hereby notified that Temple Farm, Inc., 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 six 60 days to submit the attached application and all supporting documentation. In
accordance with hapter 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 Dianne Thomas at [phone]
extension 364 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sing ely,
ma's
for Kerr T. Stevens
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,
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
MEMORANDUM
TO: Regional Water Quality Supervisor
FROM: Shannon Langley
SUBJECT: Application for special agreement
i
MW
1 � o
NCDEN.R.
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL .RESOURCES\.
\0. /
,vim{
Please find attached a copy of application for special agreement for facility number
If you have any questions, please call me at 733-5083, ext. 581.
ATTACHMENT
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50%n recycled/10%a post -consumer paper

NC Division Of Water Quality February 24, 1998
Water Quality section
Non -Discharge Compliance/Enforcement unit
PO Boy: 29535
Raleigh, NC 27626-0535 r3lRECEIVED
i�fAn U a
Dear Sirs:
1.'JAT&., k iuAu fY SECTION
Non 0chaV Compliance Ent
Please
find enclosed:
1)
Application
For A
Special
Agreement.
2)
February 24,
1998
letter
3)
December 31,
1997
letter
4)
February 23,
1998
letter
and attachments from NRCS
T. Douglas Temple !I!
President, Temple Farm, inc.
T-
1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
APPLICATION FOR A SPECIAL AGREE EIUED
(INFORMATION REQUIRED FOR ANIMAL OPERATIONS REQUESTING A PE IAL AGREEMENT)
I. GENERAL INFORMATION:.
BAR 0 9 1998
1. Applicant (Owner of the Facility): ;lea a WATER QUALITY SECTION
Gamplian e Ent
2. Facility No.: 442 — 4,4 8
3. Facility Name: 1 11% .,�� 22
4. Print or Type Owner's or Signing Official's Name and Title (the person who is
legally responsible for the facility and its compliance):
Bat1�1°SlG�t7l�
Mailing Address:.25� TTn��edt-n� i2c/
City:jaeJ2!�1&6Z4c-e-l� State: `VC Zip: X 7epa'_
Telephone No.:
6. County where facility is located:
7. Operation Type (Swine, Poultry, Cattle):
8. Application Date: ,2 3 Ge 6 �;'?
II. ELIGIBILITY FOR A SPECIAL AGREEMENT:
As per Senate Bill 1217 which was ratified on June 21, 1996, the Environmental Management
Commission (EMC) may enter into a special agreement with an operator who registered by
September 1, 1996 with their local Soil and Water Conservation District office and who makes
a good faith effort to obtain an approved animal waste management plan by December 31,
1997. This special agreement shall set forth a schedule for the operator to follow to obtain an
approved animal waste management plan by a date certain and shall provide that the EMC shall
not issue a notice of violation for failure to have an approved animal waste management plan so
long as the operator complies with the special agreement. Operators who did not register by
September 1, 1996 with their local Soil and Water Conservation District office or who can not
document that they made a good faith effort to obtain an approved animal waste management
plan by December 31, 1997, will not receive a Special Agreement from the EMC. These
facilities will be subject to civil penalties, criminal penalties, injunctions and all other
enforcement tools available to DWQ.
1. Date facility requested assistance from their local Soil & Water Conservation District
%z /V[ r— C, i _ Gn /- OP. e - C,e ►,/i .C+&,V 4- 1-1r sP e
FORM SPAG 1/98
Page l of 4

2. Efforts made since February 1, 1993 to develop and implement a certified animal
waste management plan (Use additional sheets if necessary). This summary must
include:
A. All contacts made with technical specialist
B. Dates and types of plans developed
C. Contracts signed
D. Funds expended
E. Improvements made to the system
F. Animals removed and not retoacked at the facility
G. Other actions taken
A
1-1�- d» KX1W1,y use L./0u4101e x7d_o WW-
n corn nos P� ielas,e%�1 Ad06 dxSe41&(, u�ou/c/ .�Q_ e C141)4 94/
4 Alld AM -Li S "76" �D74' d(�tel�o7�
.%B %� r'QrGr_.a,eai/Dre�pm�2�GozrSe��Vc17`7071 /J�d%i -
v
i / i ti rr
• • -• � /MUMMA 1121r
I/e
Tk Ap )7) — A�g 1 - TZ-& AraiZr1-f
0lr c7(i-r G Wr r e ` ar �n yzVI& - J�ryD 1 ! 0 S /Y/ ,P k- 7iu +a7 7ss v YJo�
Pr o �e /x: ,-f _As ��,�a_�/ , /,/ "/ 4'C i7,1/W �W
6J-e� /`s o 7r G� y .I' f - 1 iJ S T7/!! P!! e�Ta�l� Yf u f !74-tx
Cops 7`YLtG�le9? CO
C O y! S7L 7i" C.r G �/ O 77 ayl
�G: _ 91 � Y► C
FORM SPAG 1/98
7`�--
'17, -r,; cc ml;7 i�WL° o 77
Page 2 of 4

II. PROPOSED SCHEDULE FOR OBTAINING CERTIFICATION:
Please list each of the specific things that will be done at your facility to implement a
certified animal waste management plan and the date you will have each activity,
completed. This must include a review of the possibility of not restocking animals that
are scheduled to be removed from the facility until such time as a certified plan can be
implemented. Please also list the date on which animals were most recently restocked at
this facility. The EMC reserves the right to deny any proposed schedules that are
excessively long. (Use additional sheets if necessary).
C ss iTc du trio r e �r �� wee=K h le hid 'geAd Re a r� o r� X c yr. tsi�f,S
--pub fp 74.rJ erttfsn!s -
6t//rr�errn�•S�s? m C�1n� /r Y cers ►G�lpn •�� renZalL l� e*��r
- - 9�•d%. �n �><�ah c/ �m� k �� u.�d a /l �rous�frl .��
- -jFls a&�z :FIodz Ud/&er A" f'Ws _
1�,, ar r�li�cll»�xT�{en ,4q� �2o-r u4;oos'e��•L
�r
�riT 7�iL�rK-C'Arnr �ap l �°i^��e�- �a,�r .2,��• _ „
Ale d Vf41 ��re
Applicant's Certification:
!e-Gat�-n7 .ins
I, T;,P6"J L �MQA-4. attest this application for a Special Agreement
,,:,Jth the EMC has been reviewed by me and is accurate and complete to the best of my
knowledge. I understand if all required parts of this application are not completed and if all
this docun7ent removes my responsimaty anti tiat)inty Tor complying with all Nortn Carolina
General Statutes and Regulations. I understand that the failure to meet any -dates that area reed
upon by myself and the EMC will result in appropriate enforcement actions being taken by the
EML
ut/�.o , m
Print Name of Owner
Date SlYler-r/
Signature of Owner
FORM SPAG 1/98 Page 3 of 4

Required Items:
One I on final and two 2 copies of the completed and a ro riatel executed
a-p.plicalion form, alon with an-y attachments.
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE COMPLIANCE/ENFORCEMENT UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626.0535
FORM SPAG 1/98
Page 4 of 4

NC Division Of Water Quality February 24, 1998
Water Quality Section
Non -Discharge Compliance/Enforcement Unit
PO Box 29535
Raleigh, NC 27626-0535
Dear Sirs:
As you surely are aware, the wet weather this winter has been extreme.
There have been only a few days that a tractor could stand up to drive
fence poles. There have been even fewer days that soil was dry enough
to put in crossings for fill. In building our water troughs, we had
to have a time that a concrete truck would not get stuck and at the
same time temperatures above freezing at night so that the concrete
for the bases would not freeze and crack. Likewise, in building the
sides, there had to be a time when it was not raining and still not
expected to freeze at night. Also, grading around water troughs
cannot be done nor rock hauled in with such wet conditions.
You can rest assured that this project will be completed as soon as
weather permits, especially since we are presently watering our cattle
in a temporary spot with portable troughs. Since the buffers and
exclusions are complete, I would hope that DWQ would grant us an
extention through April, 1998.
I would like to assure you that this project has been worked on
every day that weather has permitted us to do anything on it. Since
the first of December, when our plan was finally approved, we have
worked on this project every fit day including Saturdays, Sundays,
Christmas Eve, Christmas Day, and New Years Day.
T. Douglas Temple III
President, Temple Farm, Inc.

December 31, 1997
Mr. Kenneth Schuster, P.E.
Regional Supervisor
N.C. Dept. of Env. & Nat. Resources
3800 Barrett Drive, Suite 101
Raleigh, N.C. 27609
Dear Mr. Schuster,
We have been working hard to meet the December 31 deadline
for being certified under the .0200 Regulations and the
Halifax County Livestock Ordinance. We have completed the
following work on facility #42-48:
-Seeding of filter strips and field borders are done.
-Crossing culverts are in but, soil to crown culverts is
too wet.
-Fencing on 1450' of electric fencing is up and an
additional 1320, of fencing has poles up.
(3300' more of fencing to run)
-Well is in and pump hooked up for water supply.
-2000, of pipe laid and freeze proof cut-offs in and
580' of electric underground wire installed.
-Watering troughs are laid off and 4 bases are poured
and other 4 formed out and waiting for warmer and
dryer weather to pour.
-Geodetic matting and stone waiting for trough
completion.
We have not been able to complete everything for
certification because of the cold and wet weather. We
will complete the work just as soon as the weather permits.
We are requesting a Consent Agreement to allow us to finish
the necessary work without penalty.
Sincerely,
Temple Farm
CC: Halifax County Health Dept.
J. Wayne Short, NRCS

United States
Natural
Post Office Box 8
Department of
fwl�l� Agriculture
Resources
Conservation
Halifax, N.C. 27839.0008
Halifax County Agricultural Center
Service
(P)919 583 3481 (FAX)919 583 1814
February 23, 1998
Doug Temple
Rt. 2, Box 546
Scotland Neck, NC 27874
Dear Mr. Temple,
Attached are notes documenting our working with you on your .0200
waste management plan and its application. Our records show we
have been planning and implementing the .0200 regulations on your
farm from the August 13, 1996, until the present.
After harvest your work on your animal waste management plan was
progressing well until the rains came in mid December. As you
and I discussed the last of December when you brought in the
pictures of your work and we assisted you in preparation of a
letter to DWQ on your status, the rains and cold weather have
created problems that cannot be solved until drier and warmer
weather returns and stays a while.
1- The low bearing 6trength-of your wet river soils won't allow
concrete -trucks in or out'to pour your pads or tanks.
2- Waterline ditches are filled with water and lines cannot be
checked for leaks until the water goes down.
3- The soil is too wet for earthmoving, filling, and compacting
your cattle crossings.
4- Temperatures must be above freezing when concrete is poured
and all through drying.
State, Wickham, and Roanoke soil series will need many days
without rain before soil moisture conditions will allow you back
to work.
If present weather conditions persist, it could be late April or
early May before soil moisture and temperature conditions are
good. At that time you must prepare your land and plant your
crops. I would consider my -time table carefully -when putting my
completion dates.on the-,DWQ:'forms.

Please contact us when you are ready for further assistance or
cost share construction checks.
Sinc rel ,
,,r
Wayne hort
District Conservationist
JWS:pb

AUG 14 1996
REGISTRATION FORM
to
Obtain an Approved Animal Waste Management Plan
(Pursuant to Sec. 14, Part VI of Senate Bill 1217)
DISTRICT:
NAME OF OPERATOR:
f ,
w
(Please Print)
ADDRESS:
_.—
(P.O. Box or Street Address)
z 7
(City) (State) (Zip Code)
Telephone Number:
( 7/ q L fl.2 6- 3-<0 L
(Home) (Business)
.209
Type of Operation: Size: I.so sow„ -.ram rM
(No. of animals)
(Signature of Operator)
(District Signature)
(Date)
(Date)
DSWC (7/18/96)

U.S. DEPARTMEitP OF AGRICULTURE Page 1 of 6
NATURAL RESOURCES CONSERVATION SERVICE Feb 18, 1998
Halifax County (Halifax) Field Office [phone]
Technical Assistance Notes
Client Name: Temple, T Douglas III
Business Name:
Business ID:
Client Address
------------------------------
Rt 2 Box 546
Scotland Neck, NC
27874-9237
Client Phone Ext Description
-------------- --------------------
919-826-3568 HOME
Business Address
--------------------------------
Business Phone Ext Description
-------------- --------------------
--------------------------------------------------------------------------------
NOTES
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JYC
Fund ID: CTA Date: 12/10/97
Note:
Construction check on water line installation.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: CTA Date: 12/03/97
Note:
Visited farm site to check waterline progress and get cost share
singature.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: 7CS Date: 12/01/97
Note:
Reviewed and discussed Doug's cost share contract and planned work.

U.S. DEPARTMENT OF AGRICULTURE Page 2 of 6
NATURAL RESOURCES CONSERVATION SERVICE Feb 18, 1998
Halifax County (Halifax) Field Office [phone]
Technical Assistance Notes
Client Name: Temple, T Douglas III
Business Name:
Business ID:
Assistance Type: Technical Assistance
Fund ID: CTA
Assisted By: JE
Date: 11/26/97
Note:
Discussed Specs. for watering trough for livestock.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: CTA Date: 11/25/97
Note:
Gave Mr. Temple an estimate Cost Share payment for his cattle operation.

U.S. DEPARTMENT OF AGRICULTURE Page 3 of 6
NATURAL RESOURCES CONSERVATION SERVICE Feb 18, 1998
Halifax County (Halifax) Field Office [phone]
Technical Assistance Notes
Client Name: Temple, T Douglas III
Business Name: Temple, T Douglas, III
Business ID: tempdo
Client Address
------------------------------
Rt 2 Box 546
Scotland Neck, NC
27874-9237
Client Phone Ext Description
919-826--3568 HOME
Business Address
------------------------------
Rt 2 Box 546
Scotland Neck, NC
27874-9237
Business Phone Ext Description
919-826-3568 HOME
--------------------------------------------------------------------------------
NOTES
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: 7CS Date: 02/16/98
Note:
Tract# 3497, discussed installation of cattle crossing under NC/CS and
also number of animals on 11A.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: CTA Date: 10/01/97
Note:
Mr. Temple called into the office and wanted information on width of
filter strips. By his operation being a cattle feed lot and his
situation being a unique one I informed him that I would need to confirm
some facts with our area engineer.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: COI Date: 09/19/97
Note:
Tract# 3499, Farm# 3882, changed field numbers and acres to match FSA new
maps.

U.S'. bE PARTMENT. OF AGR I CULTURE Page 4 of 6
NATURAL aESOURCES CONSERVATION SERVICE Feb 18, 1998
Halifax County (Halifax) Field Office [phone]
Technical Assistance Notes
Client Name: Temple, T Douglas III
Business Name: Temple, T Douglas, III
Business ID: tempdo
Assistance Type: Technical Assistance
Fund ID: FSA
Assisted By: JE
Date: 09/17/97
Note:
Talked with Mr. Temple about a field that needs a porton of grass planted
on it for live stock exclusion. Mr. Temple informed us that soybeans were
planted there and Wayne Short told him to disk them in because his plan
will need to be in place by 12/31/97.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: FSA Date: 09/12/97
Note:
I talked with Mr. Temple about planting buffer strips and now was the
time to plant grass, these practices need to be in place by 12/31/97.
---------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JE
Fund ID: COI Date: 08/26/97
Note:
Talked with Mr. Temple about watering systems for his cattle operations.
Sending him specs on the design of watering troughs and livestock
exclusions.
--------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JWS
Fund ID: FSA Date: 07/14/97
Note:
Went over Crop Conversion with Mrs. Mary Jo Temple.
----------------------------------------------------------------------------------
Assistance Type: Technical Assistance Assisted By: JWS
Fund ID: FSA Date: 06/25/97
Note:
Meet with Mr. Temple to discuss his Animal Waste Management Plan -
Livestock Exclusion and Water System.

vision of Water Quality
Q Division of Soil and Water Conservation
ai 0Ot4er,Agency
Type of Visit omptiance pection O Operation Review O Lagoon Evaluation
Reason for Visit O utine O Complaint O Fallow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date. of visit: Z5 G 'rime: E= Printed can: 7/21/2000
Q Not O erational Q Below Threshold
[3 Permitted Certified J[] Conditionally Certified [] Registered Date Last Operated
�o�r'Above 'Threshold: ...................
Farm Name: ........ ! �j! :5.........C..-..................................... County:.......7............................................
Owner Name:........aT+ /� Phone No:
.... ....... �1...............
Facility Contact: .............................................................................. `Title:....,................. Phone No
Mailing Address: ............................ ........
OnsiteRepresentative: ........................................................................................................... integrator:......................................... ...........................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
A
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �� �° Longitude
Design Current
Swine Capacity Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I JE1 Dai
❑ Non -Layer on -Dairy j
❑ Other
Total Design Capacity
Total SSL W
Number of Lagoons ❑ Subsurface Drains Present 1113 I.au-on Areu 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharge & Stream Impacts
I. is any discharge observed from any part of the operation? ❑ Yes [] No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyancc Winn -made'? Cl Yes No
h. If discharge is observed, did it rccic:h Water of the State'? (If yes, notify DWQ) [3 Yes b No
c. ll'discharoc is observed. what is the estimated flow in galhnin'?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes d No
2. is there evidence of past discharge from any part of the operation? ❑ Yes 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 ❑ Yes ,No
Structure I SU'u.:turc 2 " Structure ; Structure 4 Structure 5 Structure G
Identifier: .................................................... ................................... ........ ............................ .................................... ....................................
Freeboard (inches):
5100 Continued on back

Fa:ility Niumber: Z — Date of Inspection zi2v�,7,1 Printed on: 7/21/2000
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 E 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 maintenance/improvement'? ❑ Yes No
I I. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type / .17v-.^ . t j vr'/_ 4117 -e
13. Do the receiving crops differ with (hose designate(T in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes U No
14. a) Does the facility lack adequate acreage for land application? ❑ YesLNo
b) Does the facility need a wettable acre determination'? ❑ Yes
c) This facility is pended for a wettable acre determination'? ❑ Yes
15. Does the receiving crop need improvement'? ❑ Yes
16. Is there a lack of adequate waste application equipment'? ❑ YesRequired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes o
19. Does record keeping need improvement? (ie/ 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 N
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?
0e/ discharge, freeboard problems, over application) ❑ Yes o
23. Did Reviewer/Inspect r-fail to discuss review/inspection with on -site representative'? ❑ Yes o
24. Does facilit quire a follow-up visit by same agency? ❑ Yes o
25. We ny additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes o
�w.� '10' yiolat�i6ris;or• d�fciencies v ire rtofed du-r'it ii this;visit'. ;Y;ojx Will-receiye t<id further; ,
cokris oricience: about this visit. ' ........ .
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name 5'�.J ��
Reviewer/Inspector Signature: r Date: �j%�z / �� 5100

D/ Zs me:
:2!
'Number ate or visit:
Nat O erational OBelowThreshold
Permitted 0 Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: t57" 's, 51,;�n_ L- County:
Owner Name:
Mailing Address:
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: / Integrator:
Certified Operator: ftru -y0I Q : Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0a 06 44 Longitude 0 06 64
Discharges & Stream lmgact
1, is any discharge observed from any part of the operation? WV❑ Yes
Discharge originated at: ❑ Laaoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes
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
2. Is there evidence of past discharge from any part of the operation? ❑ Yes
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
WasteCollection & Treatment
4, is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued
No
No
No
No
No
No
No

w
y
Facility Number: `f Z — Date of Inspection .
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ 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?
(If any of questions 4-6 was answered yes, and the situation poses an
El Yes
No
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_Agplication
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
11. Is there evidence of over application? ❑ Excessive Pending ❑ PAN ❑ Hydraulic Overload
❑ Yes
No
12. Crop type
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
i
15. Does the receiving crop need improvement?
❑ Yes
No
16• Is there a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17. 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? (ic/ 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
I 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?
(ic/ discharge, freeboard problems, over application)
❑ Yes
E I No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24. Does facility require a follow-up visit by same agency?
❑ Yes
No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
... - .. as .:
Comments (refer fo ii.. uestlon #) � Eiiplain-any YES`snswers.andlor any•recommentlahons or any other comments.. ; ��,,
n
Use,ctrawln s,af facili to be
� ty tter explain situations. (use aciilitianai pages astnecessary)� ,, ["] Field Copy ❑Final Notes �-;
� � y, ���ry �:# k��. ., i•y ~-• ��
Reviewer/inspector Name J . .sa.
Reviewer/inspector Signature: Date: ! D L
O5103101 Continued

Type of Vislt t3 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint, O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: MZTETime:
0 Not Operational 0 Below Threshold
ermitted 0 Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ..............
FarmName:.....7��Q.,lc.../`?�:r./` 5.........�!!... County: .....................................................................................
Owner Name:
Facility Contact:
Mailing Address:
....................................................................... Phone No:.......................................................................................
Title:
Phone No:
Onstte Representative integrator:...................................................................
p ......................................................
Certified Operator:....... .! .Ll..........:�'ti......7+ /............................. Operator Certification Number:..........................................
Location of Farm: !!
a
�V
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 6 46 Longitude ' 4 ii
Design .` Current Design :' Current' Desiga �''
Cilpacity Population, Poultr3'. Ca aci ,.Po uliidon Cattle `,Ca aci : F
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
LEE
❑ Boars
❑ Layer ILI D
❑ Non -Layer I I on -Dairy I
❑ Other
-Total -Design Capacity
Totsti ssLw
3 W4i s
Number of Lagoons ❑Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area
Holding Ponds. !Solid Traps ❑ No Liquid Waste Management System �j' s
�a- S.`____
Discharges & Stream Im acts
1. Is any discharge observed from any part of the operation? ❑ Yes 10 No,
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes o
c. If discharge is observed. what is the estimated flow in galhnin?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Ye No
Str to 1 Structure 2 Structure 3 Structure 4 Structure S Structure b
IdentiFier: .................................................... ................................... .............................................................................
Freeboard (inches):
5/00 Continued on back `'

Facility Number: Date of Inspection Printed on: 10/26/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ETN0
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes o
(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
ago
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
�1 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
Ponding ❑ PAN Hydraulic Overload
11. Is there evidence of over application? ❑ ❑
El Yes
IGl t� o
12. Crop type „_ pl r rf .t
13. Do the receiving crops differ with those desi ated in the deertified Animal ante Management Plan (CAWMP)?
❑ Yes
No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
10
b) Does the facility need a wettable acre determination?
ElYes
0
c) This facility is pended for a wettable acre determination?
❑ Yes
o
15. Does the receiving crop need improvement?
❑ Yes
Rio
16, Is there a lack of adequate waste application equipment'?
❑ Yes
o
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes o
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.) ❑Yes ;N�
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) El Yes /
20, Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes o
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes o
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes o
23. Did Reviewer/Inspe r fail to discuss review/inspection with on -site representative? ❑ Yes o
24. Does facilit equire a follow-up visit by same agency? ❑ Yes No
25. Wer ny additional problems noted which cause noncompliance of the Certified AWMP? ElYes o
o yigla ions o de eierteies •were note¢• 00ring �his:visit; • Y'oo Will•teeeive ijQ flui-fte
stones ondeitce: about: this :visit:
Caany other comments , s 4 mnients (refer to question #): Explain any YES�answers and/or any recommendations or
OeEdrawtngs,of facility to better explam situations. (use additional.pages as necessary)
Reviewer/Inspector Name Je4e
1— e
Reviewer/Inspector Signature: Date: 5100

/ -t
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN,RECEIPT REQUESTED
T. Douglas Temple
Temple Farm, Inc.
Rt 2 Box 546
Scotland Neck NC 27874
Dear T. Douglas Temple:
- - MIA
OW
1 � �•r
A01.% 000% mom 1
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 11, 1998
Subject: Request for Status Update
Certified Animal Waste Management Plan
Temple Farm, Inc.
Facility Number: 42-48
Halifax County
In accordance with State Regulations (15A NCAC 2H .0217(a)(1)(E)) adopted by the Environmental
Management Commission on February 1, 1993, the owner of the subject facility was required to submit a
Certification Form for the facility's animal waste management system by December 31, 1997.
This letter is to advise you that this office has no record of having received the required Certification_ for
the subject facility. Please provide this office with an explanation as to why this Certification was not
submitted as required. This explanation must be received within 30 days following the receipt of this letter.
Any existing facility owner which did not submit the required certification by the deadline is no longer
deemed permitted to operate their animal waste management system. Therefore, if the certification was not
submitted as required and the facility is still in operation, this facility is being operated without a valid
permit. N.C.G.S. 143-215.6(b) allows the Secretary of the Department of Environment and Natural
Resources to take appropriate enforcement actions for this violation for as long as the violation continues.
As per Senate Bill 1217, which was ratified on June 21, 1996, the Environmental Management
Commission (EMC) may enter into a special agreement with facilities that did not meet the December 31,
1997 deadline. These special agreements can only be issued to facility owners which signed up for assistance
with their local Soil and Water Conservation District Office by September 1, 1996 and which can
demonstrate that they made a good faith effort to meet the December 31, 1997 deadline. The special
agreement, if issued, would contain a specific schedule for the facility to follow to develop and/or implement
an approved animal waste management plan. Attached is an application for a special agreement between the
EMC and the subject facility. If you can demonstrate that this facility can meet the conditions for a special
agreement, you may send this request along with your explanation as to why the plan has not been developed
and implemented. This request would also be due within 30 days from receipt of this letter.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper

Also attached is a form (Form RR 2/98) that must be filled out if the facility is no longer in operation or is
below the threshold established in15A NCAC 2I1 .0217(a)(1)(A). Facilities which maintain the number of animals
below certain thresholds are not required to be certified, These thresholds are:
100 head of cattle
75 horses
250 seine
1000 sheep
30,000 birds with a liquid system
Please submit this form if the subject facility is not operating or is below the threshold limit established in 15A
NCAC 2H.0217(a)(1)(A),
Please submit all responses to this matter to the following address:
Attu: Shannon Langley
Division of Water Quality
P.O. Box 29535
Raleigh NC 27626-0535
Once your response is received, it will be evaluated in detail along with any supporting information that
you may wish to submit. Following this review, you will be advised of the results of the review and of any
additional actions that must be taken to bring your facility into compliance.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with the requirement to develop and implement a certified animal waste
management plan by December 31, 1997, Please also be advised that the submittal of a request for a special
agreement does not assure that one will be issued. Each facility will be reviewed on a case by case basis and
appropriate actions will be taken to bring each facility into compliance.
Thank you for your immediate attention to this issue. If you have any questions concerning this matter,
please do not hesitate to contact Mr. Shannon Langley of our staff at [phone] ext. 581.
Sincerely,
A. Preston Howard,
cc: Facility File — Non -Discharge Compliance/Enforcement Unit
DWQ Regional Office
Shannon Langley
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Atiirmative Action Employer 50% recycled/10% post -consumer paper

December 31, 1997
ti
Q�
Mr. Kenneth Schuster, P.E.
Regional Supervisor
N.C. Dept. of Env. & Nat. Resources
3800 Barrett Drive, Suite 101
Raleigh, N.C. 27609
Dear Mr. Schuster,
We have been working hard to meet the December►31 deadline
for being certified -under the .0200 Regulat-ions,and the
Halifax County Livestock Ordinance. We have completed the
following work on facility #42--48':
-Seeding of filter strips and field borders are done.
-Crossing culverts are in but, soil to crown culverts is
too wet. -
-Fencing on 1450' of electric fencing is up and an
additional 1320' of fencing has poles up. '
(3300' more of fencing to run)
-Well'is in and pump hooked up for water supply.
-20001 of pipe laid and freeze proof cut-offs in and
580' of electric underground wire installed.
-Watering troughs are laid off and 4 bases are poured
and other 4 formed out and waiting for warmer and
dryer weather to pour.
-Geodetic matting and stone waiting for trough
completion. �-
We have not been able to complete everything for,
certification because of the cold and wet weather..We
will complete the work just as soon as the weather permits.
We are,requdsting a Consent Agreement to allow us to -finish
the necessary work without penalty.
Sincerely,
1,411.
Temple Farm '
CC: Halifax County Health Dept.
J. Wayne Short, NRCS. •
- r
I

m
7/to
"0 Divis• n of Soil and Water Conservation [3 Other Agency
qM rvision of Water Quality
19'Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
Registered C1 Certified [3 Applied for Permit 13 Permitted JE3 Not Opera Date Last Operated: .................
perated:................
Farm Name:... .. 7f�h —1 ....... !3.. ....r............ County:.... .1 i..'..''...Z`................... I., .... .......................
Owner Name: 4 q ............. \,
.�p.�-c..�-...�....�.....:.................................. ... Phone No:....r..l.t.......iZ�........`�`S�G.rT.............................
Facility Contact: ... Title. Phone No: .............................
Mailing Address:..... z .... 9.s. x..........6 .......I......:5�.'...I..."'. n .....n.`..0 :........................................ ................... ..........................
Onsite Representative:...... 5.A`.`.....L�r Integrator:........................................................... .............
Certified Operator; .... W`n!.`... J......... ?^.L..e........................................... Operator Certification Number:.........................................
,ocation of Farm: S �G ( D `
J
.... ................. 1
Latitude Longitude =• =, =Gi
Design,
Current
aPaultry
, Design"Current Design ` Current
Swine _ ; ; ,'v apacity Population ",
�
Capacity Population ,Cattle 'apactty on f` :
x
Wean to Feeder
f
%'
❑ Layer
❑ Dairy
ry
yPoliiilat
»
Feeder to Finish.
f[J
❑Non -Layer
on -Dairy
-r
9_1Farrow
to Wean,
❑ Farrow to Feeder
❑Other
..n
❑ Farrow to Finish
a�, �'T©ta15De5�gR CapaCitji ,£
�R
❑ Gilts
❑Boars
..� Total SSLW:..
............JI
............. ...._,......_..........
NumbofxLagoons /Holding Ponds ❑Subsurface Drains Present
❑ Lagoon Area
I0 Spray Field Area
No Liquid Waste Management Systemk
vn
�.
51
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at; ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
mai ntenance/improvement?
f. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25197
❑ Yes No
El Yes
❑ Yes No
❑ Yes No
❑ Yes o
El Yes;N�
❑ Yes Na
❑ Yes o
❑ Yes o
❑ Yes o

Fadlity Number: t17
8. Are there lagoons or storage ponds on site which need to be properly closed? k641— C] Yes ❑ No
Structures (Laimons,flolding Ponds. Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft): .................................... .................................... ................................... ..................................... .................................... ....................................
10. Is seepage observed from any of the structures? Rzq- [3 Yes [D No
It. Is erosion, or any other threats to the integrity of any of the structures observed? C Yes 0 No
12. Do any of the structures need maintenance/improvement? C1 Yes [I No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes [:] No
Waste Applicatio
14, Is there physical evidence of over application? El Yes 0 No
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type (z ..... .. .. . .... .......... d ......... ...... .............................................................
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. >atS any additional problems noted which cause noncompliance of the Permit?
No.viO'Wiohs',or. &rden'c'ie's*ere'-n'o'tid- du'dfig'this .'visit. - Y.o'U"W'ill-'re'e'ei'V'e,'no'-ftiriliei-'
............... ­.__..­­­ ......
co&6060deiko tihoid thjs'v1:0t'.-','.
......................... ;,
0 Yes Err
0 Yes JO No
0 Yes J3 N
El Yes Zsw
0 Yes 7Nw
0 Yes 7N o
0 Yes 0
:�X
C1 Yes [I No
❑ Yes ❑ No
❑ Yes ❑ No
wi Ar n, V a,// C", rj-, vs-
r9 65 4 '4 A/
7/25/97
FReviewer/Inspector Name
evIe Revie' wer/Inspector Signature: Date,

❑ D: :: n of Soil and Water Conservation 0 Other Agency
vision of Water Quality
Routine 0 Coin hint 0 Follow-up of DAVO ins ration 0 Follow-up of DSWC review 0 Other
Date of Inspection.
F• •' y Number
Time of inspection ?Tdo :] 24 hr. (hh.mm)
Registered © Certified © Applied for Permit Ci Permitted 10 Not Opera Date Last Operated: ..........................
Farm Name: . fir•, j fL.. ..!✓f!' ........!t..-C.....7........................................ County:./&, f..'%..,.%.`.......................... .......................
Owner Name 1 �+� �J ......... Phone No: 1 1 ` ...... ..........................
R
Facility Contact:......lrl.i2 ........../ ..... L ................ Title:.. .................................... Phone No:..... .............................................
40
Mailing Address: 3. J.. .......... .%tr//iY- -............ .... ..........................
Onsite Representative: .... U-lS.lu �. l.... g �.....................I..............
$�,.......�................................................ Integrator: '..
Certified Operator ;......... 41.Q-W ......z-? o.�.
�................................................... Operator Certification Number ..........................................
[.,ovation of Farm: S O f}
w
Latitude • ' 66 Longitude ' 4 41
x Design Currents g Design ,Current3 Design ,;Current
Swme Capacity Population
Poultry Capacity Population Cattle , �CapacityPopulation
n to Feeder
❑ LayerDai
F[IF:'eder to Finish
❑ Non Layer
on Dairyow
to Wean
., ,.
4, .,,
sr� F
�3,
.';
❑ Farrow to Feeder
< ❑Other
x ,,.', x
❑ Farrow to Finish
d Total Design Capacity'
❑ Gilts
"-
BoarsAN.
<.
tai� .4
To SSLW'.
.Number of La Dons /aHoldm Ponds
' ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
z�
A f ', P ❑ No Liquid Waste Management System t'
.. .
;
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at, ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
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
maintenancehmprovement?
b. 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?
7I25I97
❑ Yes No
❑ Yes No
❑ Yes No
ElYes � "0
[] Yes VNo
❑ Yes IP N
❑ Yes
❑ Yes i
Cl Yes `Y o
El Yes No
Continued on back

0
Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.tiolding Ponds, Flush Pits, etc.)
9. Is storage'capacity (freeboard plus storm storage) less than adequate?
Stricture I Structure 2
❑ Yes ❑ No
❑ Yes ❑ No
Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft):..........................................................................
10. Is seepage observed from any of the structures? ❑ Yes ❑ No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
04 ❑ Yes ❑ No
12. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes ❑ No
Waste Application
14. Is there physical evidence of over application? ❑ Yes ❑ No
(If in excess of WMP, or runoff entering wafters of the State, notify DWQ)
15. Crop type cP.l.�..1^.�,r Ax..IGi..r.x..............................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes ❑ No
17. Does the facility have a lack of adequate acreage for land application? % ❑ Yes l�tvo
18. Does the receiving crop need improvement?
❑ Yes
_Noo
19. Is there a lack of available waste application equipment?
❑ Yes
L3110
20. Does facility require a follow-up visit by same agency?
❑ Yes
o
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
�' Tl� a
22. Does record keeping need improvement?
❑ Yes
❑
For Certified or Permitted Facilities Onl
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes . ❑ No
24. We�ny
' ' nal problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
25. Wditional problems noted which cause noncompliance of the Permit? ❑ Yes ❑ No
� No.vit?lationsor. de�i:ciencies. were ntited� during' this" visit.- You.will Tecei�e� n' 61tirtherr
correspondence about this'.visit.: i
Reviewer/inspector Name y `,.,
.,
3 e k
,
5,,, F.
5 ^Y �M
.f " �` i3, �,' ' . �
Reviewer/Inspector Signature:
Z
Date: j

�,� K -'� '34 �' --�:.k .'<,..,x.'+�;',.-ixv`9ti.� ,e.,-.gin-s.x_'j..•7 wSs', .:.rt.e,.,. ,.n'.:�....> .,.,, a4"-.?.mod. ..-. ...--�. .;::.,.:^<.. .x� .., .. _" ...a ..., '`e : YS�',
2
r £�� DSWC Animal Feedlot Operation Review ' a.
E.
{ ❑ DWQ Animal Feedlot Operation Site Inspection
:f n 4'MT:
e
aw
Yk:: -
® Routine O Complaint O Follow-up of t)WQ inspection
O Follow-u of I)SIVC review O Other
Date rif' Inspection —S�
Facility Number
Time of Inspection 0 24 hr. (hh:mm)
Total Time (in traction of hours
Farm Status: 0 Registered ❑ Applied for Permit
(e.: 1.25 for I hr 15 min)) Spent on Review
❑ Certified ❑ Permitted
or Inspection (includes travel and processing)
0 Not Operational ona! Date Last Operated.................................................................................................................................................
Farm Name:......: c/..Y!.i?1r.....Fa.c,. a...�.E_ C_ :......................................................
County:..... ...j. .fit �................,............. .............
Owner Nance: 1 , (. .�. t� I'lu►ne No:.....................................
.................................... . ,..... .. n :ti:.G .................................�..,...�...........................................:.........,................
Facility Contact:........ CTitic
Phone No:.........::..:'...............................
.may.11,1
.....................I...........-....... .........,..�::'.....:�
Mailin-address: i'; .. .�}..:! 1............."...,�.:.......�...
,.�:...............................
.`..:4 ...,..�.......,......:.....:....:...........r.............
..
OnsiteRepresentative: .....�..........., ;:;.`.... .`:..........._.r.......................................... ............................
Integrator.......................................................................................
.
Centred Operator:....:.. ... :: ..... ..! 5..::�.t.t.......................................
Operator Certification i`umber• �... ...:.......
Location of Farm:
w
............. ` ......... ... ...................... s,..... ...)........... ... .. ............ .i _
Latitude • & f6 Lonkittrde ` 6 �� 66
Type of Operation
Swine. '
P,
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
❑ Other
.Design Current
Cattle Capacity Population
❑ Dairy
O Non -Dairy Z,r .
Total Design Capacity; �, /✓
`Total'SSLW
--------------------------
Number of Lagoons l Holding Ponds ❑ Subsurface Drains Present ❑ Lagoon Area I0 Spray Field Area
General
1. Are there any buffers that need maintenance/improvement!
2. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. Ifdischarbe is observed, did it reach Surface Water? (Ifyes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/nain?
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/hulding ponds) require
4/3{)/97 Rlal rttett:ince/improvement?
El Yes ❑ No
❑ Yes El No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 0 No
❑ Yes 0 No
Confin tied on back

Facility Number: —
6. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ❑ irk
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes O'No
Structures (Lagoons and/or 1jolding I'ondsl `
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes Q No
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
..........................................................................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes ❑ No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ❑ No
12. Do any of the structures need maintenance/improvement`? ❑ Yes 0 No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes C] No
Waste Application �
14. Is there physical evidence of over application'? ❑ Yes O'No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
0 No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
❑ No
18.
Does the receiving crop need improvement?
❑ Yes
©'No
19.
Is there a lack of available waste application equipment?
❑ Yes
Q No
20.
Does facility require a follow-up visit by same agency?
ED Yes
❑ No
21.
Did Reviewer/[nspector fail to discuss review/inspection with on -site representative?
❑ Yes
[] No
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes ❑ No
-23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
24. Does record keeping need improvement? ❑ Yes ❑ No
Reviewer/Inspector Name
Reviewer/Inspector Signature:, - Date -
cc: Division of Water Quality, Water Qualify Section, Facility Asses.xment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
T. Douglas Temple
Temple Farm, Inc.
Rt 2 Box 546
Scotland Neck NC 27874
Dear T. Douglas Temple.
July 11, 1997 -3i�7" - �
JUL
Subject: Removal of Registration .-
Facility Number 42-40
Halifax County
This is to acknowledge receipt of your request that your facility no longer be registered as an animal waste
management system per the terms of 15A NCAC 2H .0217. The information you provided us indicated that your
operation's animal population does not exceed the number set forth by 15A NCAC 2H :0217, and therefore does not
require registration for a certified animal waste management plan.
Under 15A NCAC 2H .0217, your facility is deemed permitted if waste is properly managed and does not
reach the surface waters of the state. Any system determined to have an adverse impact on .water quality may be
required to obtain a waste management plan or an individual permit. You are rerninded that a discharge of wastes to the
surface waters of the state will subject you to a civil penalty up to $10,000 per day.
Should you decide to increase the number of animals housed at your facility beyond the threshold limits listed
below, you will be required to obtain a certified animal waste management plan prior to stocking animals to that level.
Threshold numbers of animals which require certified animal waste management plans are as follows:
Swine 250
Confined Cattle 100
Horses 75
Sheep 1,000
Poultry with a l uid waste s tem 30,000
If you have questions regarding this letter or the status of your operation please call Sue Homewood of our staff
at [phone] ext 502.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Raleigh Water-Qiiality.Regioeal:Of iceD
Halifax Soil and Water Conservation District
s
Facility File
r
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%a post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Steve W. Tedder, Chairman
T. Douglas Temple
Temple Brothers
Rt 2 Box 546
Scotland Neck NC 27874
Dear Mr. Temple:
MW
IDEEHNF;Z
December 5, 1996
Subject: Operator In Charge Designation
Facility: Temple Brothers
Facility ID #: 42-48
Halifax County
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Ag+icultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge by January 1, 1997, for each animal
waste management system that serves 250 or more swine, 100 or more confused cattle, 75 or more horses,
1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management system. Our
records indicate that your facility is registered with the Division of Water Quality and meets the requirements
for designating an OIC.
A training and certification program is not yet available for animal waste management systems involving
cattle, horses, sheep, or poultry. Owners and operators of these systems will be issued temporary animal waste
management certificates by the Water Pollution Control System Operators Certification Commission
(WPCSOCC). The temporary certificates will expire December 31, 1997, and will not be renewed. To obtain
a permanent certification, you will be required to complete ten hours of training and pass an examination by
December 31,1997. A training and certification program for operators of animal waste management systems
involving cattle, sheep, horses, and poultry is now being developed and should be available by the spring of
1997. The type of training and certification required for the operator of each system will be based on the nature
of the wastes to be treated and the treatment process(es) primarily used to treat the animal waste.
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. If you do not intend to
operate your animal waste management system yourself, you must designate an employee or engage a contract
operator to be the Operator in Charge. The person designated as the Operator in Charge, whether yourself or
another person, must complete the enclosed application form for temporary certification as an animal waste
management system operator. Both the designation form and the application form must be completed and
retumed by December 31, 1996.
If you have questions about the new requirements for animal waste management system operators, please call
Beth Buffington or Barry Huneycutt at 91gn33-0026.
/zo
FOR
Steve W. Tedder
Enclosures
cc: Raleigh Regional Office
Water Quality Files
Water Pollution Control System IPA Voice 919-733-0026 FAX [phone]
Operators Certification Commission N!Mf An Equal Opportunity/Afflrmative Action Employer
P.O. Box 29635 Raleigh, NC 27626-0535 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
November 13, 1996
T. Douglas Temple
Temple Brothers
Rt 2 Box 544
Scotland Neck NC 27874
SUBJECT: Operator In Charge Designation
Facility: Temple Brothers
Facility ID#: 42-40
Halifax County
Dear Mr. Temple:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations .for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincerely,
A. PAstonoward, Jr., P.E., ector
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O, Box 27687,
Raleigh, North Carolina 2761 1-7687 rfC An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% recycled/IC% post -consumer paper

IUL-14-1995 15: 26 FRC1h4_ DEt'1 WATER LL1AL I Tti' SECTION TO
R-Rc R.02/02
1
~ _ Site Requires Immediate .At-tennorr
Facility No.
Df'VTSION OF ENVIRONNCN1 T'AL MANAGEMEW c yt-efo�
ANIMAL FEEDLOT OPERA11ONS SM VISITATION RECORD ,�L w y�
DATE: - 7 � 755
Time:
Farm Name/Owner 1 0,, -n / { (= 9 r �---- _ ai- C I --
Mailing Adda css: 0 2- _,.. 6 ° ;< 531 lt d 6r�^i7e L -32
County:
T ntegrator.
Phone: � Z 6 3
On Site Representative: Mi4r,, -J u-C 1t Phone:
Phvsical Address/Location: o
Type of Operation: Swine _4�— Poultry Cattle
Design Capacity-.
Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour swrm event
(approximately 1 Foot + 7 inches) Yes orp A"*-Acrual Freeboard: Wit. Inches
Was any seepage observed from the lagoon(s)? Yes oo Was any erosion observed? Yes or No ✓�
Is adequate land available for spray or No Is she cover crop adequate? Wor No
Crag(s) being utilized: �� s� t�r�Laa=j ,,_t i-'d Can! �,-liAa- CL
Does the facility meet SCS minimum setback criteria'! 200 Feet from Dwellings? or No
100 Feet from Wells? e r No
animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or
anknal waste land applied or spray irrigated within 25 Feet of a USGS VLap Blue Line? Yes or�a
animal waste discharged into waters of the srate by inan-made ditch, flusbing system, or ether
.;iT^ltar man-made devices? Yes 6roif Ys, Please Expl:am.
rf, nv; lnc eacility mainEwn adequate waste nlallagerneIlt Tecords (volumes of nianure, land applied
spray "gated on specific acreage with cover crop)'' Yes or
Additional Comments: n LEEW 5 Ll S L I✓ G
.�—_ � dj �0- L �•'f - ,.s _„�fJ ill � � � r,a.-i' •.S'., t Yv'�f� %�D �! D /Le /2.j��,.
-NZ&-
Signature
cc: Facility Assessment Unit
Use Attachments if Needed..
TCTPL w.02