510040_PERMIT FILE_20171231

-/5 -Iq 15
Type of Visit: ;6Com 'ance inspection U Operation Review Q Structure Evaluation CWchnical Assistance
sit: Rouj
Reason for Vitine 0 Complaint 0 Follow-up 0 Referral 0 Emer2enev 0 Other 0 Denied Access I
Date of Visit: —ry Arrival Time: Departure Time: County: Region:
Farm Name: S[ 5. _ rq t�pf 2-n. Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative: �, �i^ ; �. takHe S Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm: Latitude:
Wean to Finish
Wean to Feeder
Pederto Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Mits
Boars
Other
Non -
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Certification Number:
Longitude:
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef feeder
Beef Brood Cow
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DW R) ❑ Yes No ❑ NA [] NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWR) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NA ❑ N E
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of3 21412015 Continued

(Facility Number: S( - Zld I jDate of Inspection: (
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 's (D
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):�7 I 'I
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental rest, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit'? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N ❑ NA ❑ NE
maintenance or improvement'?
t 1. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > t0% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): (3ar M &,f A-/ d$ /-'N q r /111-7 1
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16, Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment'?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes �N:o
� ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes gNo
°❑ NA [] NE
Yes ❑ NA ❑ NE
❑Yes g;N�o
°NA ❑NE
Yes ❑ NA ❑ NE
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes V
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Trans
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes E2
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes t
Page 2 of 3
gD
NA ❑ NE
Weather Code
udge Survey
NA ❑NE
No ❑ NA ❑ NE
21412015 Continued

FAcility Number: -410 Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27, Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33, Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments, (refer. to„question ft Explain y any. YES answers and/or any additional recommendations or:any other. comments. ,•<
Use=drawings.of facility to better,explain situations (useadditional pages as necessary).". %
Cs- Z 9-1 `% � �—
.o 4-1, q . 7
Reviewer/Inspector Name:
Phone: '7V — ZyZ© 0
Reviewer/Inspector Signature: 13 6c S �� CL`z✓ �� C
Page 3 of 3
Date: )_— I q' l 2
21412015

w
Type of Visit: f0 Compliance Inspection U Operation Review U Structure Evaluation U Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: -�'� Arrival Time: Departure Time: County: �3 Uh A6+Or\/Region: 00 D
1
Farm Name: —L� Favc rn5 L _ L-0 _(DUI)f�)L__Owner Email:
Owner Name: J 1, VY\ Fa <, mzj (_L.0 - Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry
Capacity
Pop.
C►attle C•apaclty Pop.
Wean to Finish
La er
Dairy Cow
Wean to Feeder
on -Layer
Daia Calf
Feeder to Finish
Daia Heiler
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder.
Drr P.oultr,
Ca acit
P,o P.
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Pouits
Other
Other
Discharges and Stream impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 9 No ❑ NA ❑ NE
❑ Yes] No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
�Z o
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation`?
❑ Yes
XNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
VNo
❑ NA
❑ NE
of the State other than from a discharge`?
Page l of 3 21412015 Continued

F'acilit Number: Date of Ins ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ZNo ❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes 210'No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: -
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): L�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ONo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes LJ No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ZNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit`? ❑ Yes XNo ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ZNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [XNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes &No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s): St.— n r1) 0,5(15
_
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ;ZNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes EfNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes eNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes ff No
❑ Yes Vr No
❑ NA ❑ NE
❑ NA ❑ NE
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
6 No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
P� No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? Ifyes, check the appropriate box below.
❑ Yes
ZNo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
10"No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
�Z No
❑ NA
❑ NE
Page 2 of 3 21412015 Continued

Facili Number: Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
No
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
[,2rNo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
ZNo
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
6 No
❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
E� No
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
LZ No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
Z No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ILJ No
❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
Ej No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency'?
❑ Yes
dNo
❑ NA ❑ NE
jComments (refer to question #): Explain, any YES answers and/or any additional recommendations or any other comments: .
Use;drawings Of facility to better explain situations (use additional pages as necessary). n
�Io(a�Jrto
LOop-5i-a I
oon t 01
0 0 A a
191/J�o
wo0LL''59
Boni o
Darn a y<g
tc)050(c) 3
tv0068 (
1DO(\1 a�
PL)r\g d�a-R
q
DL)nl 4) a�
ouna n 1 M 5
p0ti ti, 1.3
QL) o -.a3
�lyjr�
�00ti3cr-f
OOnt oRq
a
r m &Ltx (�
�,cRyya" 3 �,
a 0► t,
CUU
Reviewer/Inspector Name
Reviewer/Inspector Signat
Page 3 of 3
Phone: 9l9 g91
Date:
21412015

y
rype of visit: RTompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: © County: Nsta Region: (IROL
Farm Name , N e t_ y 0"N Fa C 1M S C_ C_ C _ Owner Email:
Owner Name: I I I I Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Integrator:
Phone:
Certified Operator: -_Kamea � "]OS Certification Number: R29 g05
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
MMW"_%A1
Swine
Wean to Finish
Capacity
Current Design Current
Pop. Wet Poultry Capacity Pop.
Layer I
Cattle
Dairy Cow
Design
Capacity
C►urrent
Pop.
Wean to Feeder
I
jNon-Layer
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design C««urrent
Du P,oult , Ca aci P,o
Layers
Dry Cow
Farrow to Feeder
Farrow to Finish
Non -Dairy
Beef Stocker
Beef Feeder
Gilts
(j
Non -Layers
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes No
❑ Yes No
❑NA ❑NE
❑NA ❑NE
❑ Yes
[Z No
❑ NA
❑ NE
[3 Yes
Z] No
❑ NA
❑ NE
❑ Yes
0 No
❑ NA
[] NE
Page 1 of 3
21412014 Continued

r
Facili Number: Date of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ,t3 )
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No
❑ NA
❑ NE
waste management or closure plan?
T
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
T No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
V] No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes rn No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes CZ No ❑ NA ❑ NE
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes n No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [—]Yes P No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes JZ] No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes )E!rN
❑NA ❑NE
❑ Weather Code
El Sludge Survey
❑NA ❑NE
o ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliancewithpermit S o ditions related to sludge? If yes, check CD Yes No ❑ NA ❑ NE
s
the appropriate box(es) below. {�
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance: ,�f
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes I /I No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes T �No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately. TT
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes No
❑ NA
❑ NE
:omments (refer to question #):Explain any YES answers and/or any additional recommendations or any other comments.'
Jse drawings of facility to better explain situations (use additional pages as necessary).
ca"UtLeeftu otjuj a U
L�� H �U m
f 6- 01-90 IS N o- (� 5 �j 3
9-01-co1s r?2, 0 47
Co- t5 C' N: 01,33
15 110a 0 11't
a = C(,'7 -p . S, s 1►_s
Reviewer/Inspector Name:
ReviewerAnspector Signature
Page 3 of 3
Phone: q199 9 r✓ (4 93C2
Date: 11'rz'g I / '�.
21412011

Type of Visit: )27Compliance Inspection U Operation Review U Structure Evaluation Q Technical Assistance j
Reason for Visit: APrRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: h n c)yVegion:
Farm Name:; L YY\ , F tr^„5 L L.!� _ Owner Email:
Owner Name: - Phone
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: ' jQ M,,C S
Back-up Operator:
Title:
Phone:
Integrator:
Certification Number: jBWf) C I1' 8 Z
Certification Number:
Location of Farm: Latitude: Longitude:
Design Current'
� a
Design
Current
Design Current
Swline
Capacity Pop.
Wet Poultry@opacity
X.,
Pop.
Cattle Capacity Pop.
Wean to Finish
FTLayer
Dairy Cow
Wean to Feeder
I INon-Layer
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
caXo
Dry Cow
Farrow to Feeder
D I;oultr
Ca .aci
P,o ,
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
0
Non -Layers
Beef Feeder
Boars
I
IPUIlets
Beef Brood Cow
Turkeys
Othe
ITurkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes PNo ❑ NA ❑ NE
[—]Yes [—]No
[:]Yes [:]No
❑ Yes ❑ No
[]Yes ZNo
❑ Yes ONo
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
Page I of 3 21412011 Continued

Faeilit Number: 51 jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ;—ZNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: so
Spillway?;AA `r
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes dNo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the pen -nit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks) ,�/'
9. Does any part of the waste management system other than the waste structures require ❑ Yes j /I No ❑ NA ❑ NE
maintenance or improvement? T
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [ No ❑ NA [] NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s);
13. Soil Type(s):
l4. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Feno ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ZrNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ;ZNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes [%�'No ❑ NA ❑ NE
❑ Yes E;rNo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes .E� No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 5rNo ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes LZINo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes f o
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ID Yes ] Nlo
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

. Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
JZ No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
No
❑ NA ❑ NE
the appropriate box(es) below. 9 0 1 y 6 Q-
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
� No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
No
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
No
❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
No
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
m No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
[;Z No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ff No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[Z No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
V No
❑ NA ❑ NE
Comments (refer to question #): Explain`any YES answers and/or any additional recommendations, or.any other comments::
Use drawings of facility to better explain, situations (use additional pages as necessary).
i r- j Lj rN ' Do fN 01 Lo
gI i ry Doi 1 N I oN Ut a 01S(
tp ja j 1) to I 03 D)o t (o(e
DoVti Il o,��-#
DjA of �
620
0 =� L4 :3j q
d-�$ i��3'�f 3]Wfiy 3q07o
dqF)J)9M CeTfkokOft tLv\Ok Lk� &7qEAVfd)
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 7 7 "7 Off✓
Date:
21412011

Type of Visit: RJCompliance Inspection O Operation Review p Structure Evaluation p Technical Assistance
Reason for Visit: 101ioutine O Complaint O Follow-up O Referral Q Emergency Q Other Q Denied Access
Date of Visit: Arrival Time: Departure Time: County: ion:
Farm Name: 7 L �C"m1.A _ -„ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Title:
Phone:
Phone:
Integrator:
Certification Number: Q`5
Back-up Operator: Certification Number:
Location of Farm: Latitude:
av C a 7
Longitude:
Design Current
W Design Current
Design Current
Swine
@a aci Po P
tY P•
at Poultr Ca aci Po
.wY p tY p•
Cattle
C►a aci Po
p tY p•
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
A r
urrent
Dry Cow
Farrow to Feeder
D P.oult4
Ca aci
P,o P.
Non -Dairy
Farrow to Finish
F
Layers
Beef Stocker
Gilts
ti
Non -Layers
I 113eefFeeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Puults
Other
I
10ther
r
s !
Discharees and Stream Imoacts
— /
1. Is any discharge observed from any part of the operation?
❑ Yes
I XNo
TTT
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
[]Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
ZrNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
;?�`No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facili Number: -
l
Date of inspection:
Waste Collection & Treatment
�/
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
f/fNo ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
0 No ❑ NA
❑ NE
cStructure S eture 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
[—]Yes
Z No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes �/No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
W. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes 6 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs, ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 36,29
13. Soil Type(s): \`
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18, is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑ Yes PrNo ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ILJ No ❑ NA ❑ NE
❑ Yes �No
❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. 1 ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ S 0 �aI is
Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and/" R`ai'nfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[ o
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
Page 2 of 3 21412011 Continued

Facility Number: jDate of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permi t4
D Yes �No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 'VNo
the appropriate box(es) below. -44 1 (JI.L2 a © 13 ,=# a &-,A 'a[) i L(
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ NA ❑ NE
❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes JNo ❑ NA D NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes J�fNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ;yNo ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
[] Yes VNo
❑ Yes P"No
[:]Yes VNO
❑ NA ❑ NE
❑NA ❑NE
[DNA ❑NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
ONo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
[� o
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes
No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments'.
Use drawings of facility to better explain situations {use additional ages as necessary).,':
VT c7t,�,cu� Cl�
10-1- 1 3 W 00 '�Ld4'If I) I
W000')gq
U30(0)$(S
/yy �,{{ 13
b j
Reviewer/Inspector Name:
Reviewerllnspector Signature:
1,3 a T)una 0,q4,
i 'ao ©.o$r
') \(0d
a,0a. Oral
r , r ► �� �VA
Page 3 of 3
4\acJ_ V d e 0, c- - �A rJy Ul)c&.\ Ckt�
Phone: 9 (9 9) Li 3k
Date:
/4/ 111
O�

i ype of visit: )o t ompuunce inspection v operation iceview v ntructnre Gvatuanon V i eennicai Assistance
Reason for Visit: ORoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access I
Date of Visit: Arrival Time: Departure Time: County: ��� t�S�UrRegion•
Farm Name: :K L r\ Fes. (` Y-Y\ Owner Email:
i t
Owner Name: t Phone:
Mailing Address:
Physical Address:
I
Facility Contact: `T 1 iY1 (. t� yl (`_ h Title:
Phone:
Onsite Representative: Integrator: 6a le4s be 1-0
Certified Operator: - (S so pJ Rto hb Certification Number: as g q (a
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Swine
Wean to Finish
Design
Capacity
Current
Pop.
Design Current Design Current
Wet Poultry Capacity Pop. Cattle Capacity Pop.
Layer DairyCow
Wean to Feeder
-Layer
DairyCalf
Feeder to Finish
DairyHeifer
Design C►urrent D Cow
Farrow to Wean
Farrow to Feeder
D F P,oultr, C*_a aci i;o Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
I Beef Brood Cow
Ot
Other
Turke s
key Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: -
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
[:]Yes NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
[:]Yes ❑ No
❑ Yes eNo
❑ Yes Z No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3 21412011 Continued

r t
Facilit Number: - Date of Ins ection:43
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
o ❑ NA ❑ NE
9'�'
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes;
] No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
o ❑ NA ❑ NE
Other Issues
28, Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
Z No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
�No ❑ NA ONE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
[7fNo ❑ NA ❑ NE
permit? (i.e., discharge, Freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
,,,___,,,(((
I/' No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
X
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
No ❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No ❑ NA ❑ NE
JG i l 5 �•��� 0 3 1 2) - a 1 # GL (v 'a. "� i 1 n-O .1�imQ �4,C.e�c,n ��c.Q,c,n�ar�t G" . ��� Qt*paj
fJ�ti�Ct �� Wt.lti-en
t� 'P_ `.-C.(
t f&L x= _ M m (9 e.�-cnr� r 3 r -13 _*4- a &LAe corn c)
'IV++ r.cxu (s- r 3 - i y
umcu affjp'� 0 Gjv\'J� Lm"
Reviewer/inspector Name:
Reviewer/inspector Signatur
Page 3 of 3
Phone: ).1- Q91-:,&
Date: / 0 - I3
21412011
-- - -- -. - - .`... — - Q

J
Facility Number: - Date of Ins ection•
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes ONo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes [] No
❑ NA
❑ NE
Structure i Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:^
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): � � 3
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes 2"No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes eEfrNo
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes ;?r�4o
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
J�a
9. Does any part of the waste management system other than the waste structures require
❑ Yes Flo
❑ NA
❑ NE
maintenance or improvement?
Waste ApRlication
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes j2rNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes ET -No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 342, C>�n o 1J
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes E2No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
D Yes__4E!'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes .e"No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application'?
❑ Yes�No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes LD'Ao
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes_. F:�"'No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes J2<o
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes ErNo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes )ro
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes No
❑ NA
❑ NE
Page 2 of 3 21412011 Continued

Z�-
4
Type of Visit: erCoroutine
ce Inspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit: O Complaint O Follow-up 0 Referral O Emergency O Other () Denied Access
Date of Visit: / rriva] Time: Departure Time: O County: Region:
Farm Name: 3 L Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: 6t,55r �L �Gf Integrator:
Certified Operator:
Phone:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pap.
Wean to Finish
Layer
I
Dai Cow
Wean to Feeder
Non -La er
I
Dairy Calf
F o Finish
Dairy Heifer
Farrow to Wean
pip
Design
Current
Dry Cow
Farrow to Feeder
D . P,oulfr,
Ca aci
l;a
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Nan -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
[—]Yes
o ❑ NA
❑ NE
Discharge originated at. ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: - tQDate of Inspection: Ir j
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: f"
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
S. Are there any immediate throats to the integrity of any of the structures observed? ❑Yes No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not property addressed and/or managed through a ❑ Yes IQ 0 ❑ NA
❑ NE
waste management or closure plan?
eat, notify DWQ
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmrNo
7. Do any of the structures need maintenance or improvement? ❑Yes❑ NA
[] NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes �o ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA
❑ NE
maintenance or improvement?
Waste Application — /
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �O ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [—,� ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): UZ rN.14 dA I S q-. 4 r q" t
c
13. Soil Type(s): /
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
El No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
Vo ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
o ❑ NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
g7N[:] NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps [] Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfer Weather
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspectio3041()
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No ❑ NA
❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes CrNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ YesVNo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes
NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
36. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the pen -nit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes [:]No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Cornitients {refer to Fquestion,#) Explain any YES�answers andlorlany addrtiona3 recommendatansorxany;other.canaments.
i � :�...:�
_.a=:
Use drawrpgs otzfacyhE to he'eir ezpl 3nr uat�gns�(u5etaddyt�onRi pqg" as necessarY�).� _ :..' .. ;
Reviewer/Inspector Name:
Phone: 7 61—y zo o
Reviewerllnspector Signature:
Page 3 of 3
Date: 1 1 f h (2�
T��
21412011

12( 2-11 rb
Type of Visit glcom ' nce Inspection O Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: p Arrival Time: �. �C7 Departure Time: County:
Farm Name: L Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: /' Title: �* Phone No:
Onsite Representative: ) falc rC l�'C'i77 �3" Integrator:
Certified Operator:
Back-up Operator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = o = 4 = longitude: = ° = 1 = 1{
Design
aacit
Current
Poulation
Im", Dgn Current
Wetul Cap�a&%ty Population Cattle
Design CurrentSwine
Capzaciitty Population
❑ Wean to Finish
❑ Layer
❑ DairyCow
❑ Wean to Feeder
❑ Non -Layer ❑ DairyCalf
❑ DairyHeifer
Dry Poultry ❑ D Cow
Non -Dairy
❑ Layers
❑ Beef Stocker
❑ Non -Layers
❑ Pullets ❑ Beef Feeder
❑ Beef Broad Cow
❑ Turkeys
❑ Turkey Poults
❑ Other Number of Structures:
Y�
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Giits
❑ Boars
Other
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ONo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made`?
❑ Yes
�❑ NA
VNo
El
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El Yes
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
ElNA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ No ❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104 Continued

Facility Number:fZ
Date of Inspection L f
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:1� OJT C�
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes .�❑ NA ❑ NE
❑ Yes�`N[:INA ❑ NE
Structure 5 ' Structure 6
❑ Yes �❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental three ,.notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ZfNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ NA ElNE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ;No❑ NA ❑ NE
❑ Excessive Pond ing [:]Hydraulic Overload ❑ Frozen Ground [:]Heavy Metals (Cu, Zn, etc.)
[:]PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) & ✓'n 4 C=14 4 !fA-
a
13. Soil type(s) f
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
;rNo ' NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
N NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Reviewer/Inspector Name -- Phone: --) J —yZot
Reviewer/Inspector Signature: �r Date: / Z J Z 3 % / 0
Page 2 of 3 12128104 Continued

r
Facility Number: - Date of Inspection
Re uired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No . ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the approprrate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement'? If yes, check the appropriate box below. ❑ Yes P<O ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes r
NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? El Yes NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit'? ❑Yes NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? El Yes ll
;. o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ElYes ❑ No ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30, At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or. Drawing's: ' t
Page 3 of 3 12128104

AV
Type of Visit l'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: Arrival Time: Departure Time: County:
Farm Name: If .�`& w Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone No:
Onsite Representative: e. IPe_4f"_r
Certified Operator: J i`►? mJZ I' n 'a Al _
Back-up Operator:
Location of Farm:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o = I 0 « Longitude: 0 ° = I =
Design Current
ine C►apacity Population
Design
Wet Poultry Capacity
Current Desigu Curren#
Population Cattle Capacity Population
LWean to Finish
❑ Layer
❑ DairyCow
❑ Wean to Feeder
❑ Non -Layer
❑ DairyCalf
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Dry Poultry
❑ Layers
❑ DairyHeifer
❑ D Cow
❑ Non -Dairy
❑ Beef Stocker
Beef Feeder
❑El
❑ Beef Brood Cow
Number of Structures:
ElNon-La ers
Gilts
Pullets
P[--] Boars
Other,
❑ Other
❑ Turkeys
❑Turke Poults
❑ Other
Discharp-es & 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 �NoO NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes A ❑ NE
ElYesPNEI NA ❑ NE
ElYes NA ❑ NE
12128104 Continued

Facility Number:,p
Date of Inspection i o
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier: iY` " 'l
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes Po
A El NE
El Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? El Yes No NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [] Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes "NoDNA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crap types)145 19
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
N NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
El NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
� ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes❑
NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
❑ No ❑ NA
❑ NE
?'=,l •i'i#1 t:a 3� �s. �k�$��t��
Comments (refer to question #) Explain any YES ansWers and/or any recommendationsffia-py,omments.
s;; �ft� g.s !€t
Use drawings of facility fo abetter explain situ a rions:j(use,actd1ttonal pages,ias neeessary):
Reviewer/Inspector Name i ���� G
�. .5 .., a. Phone: %]l'-/ j Zd c7
Reviewer/Inspector Signature: t.. s Date: It (i g/ 09
12128104 Continued

Facility Number:./ —/ p, I Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes o A ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. Cl Yes ONo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes FNO"�[01
NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ YesNA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ YesNA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes
NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additidnal=Coimments and/o�tDrawingsa'�'s�; ��'��,4'`��t� `:�� ��� ' � t
12128104
12128104

f 6l of ---
Type of Visit O'Compl a Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visi Routine O Complaint O Foltow up O Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: /i Arrival Time: ►� f��' Departure Time: County:
Farm Name: rd n P-7 J OL-t .1 E4e.4^L, Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: � �_� 1 Title:
Onsite Representative: 6fj �'�C-
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Region:
Back-up Certification Number:
Latitude: ❑ c 0 i 0 « Longitude: ❑ ° 0 ' = fl
Design Current
Design Current
Design Current
Swine
Capacity Population
Wet Poultry Capacity Population
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
I
airy Cow
❑ Wean to Feeder
10 Non -Layer I
ai Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
ElNon-Dairy
El Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Co
❑ Turke s
Other
❑ Other
E] urkey Pouets
❑Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
NA
PNo
❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
❑ Yes
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
r[3Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
o ❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ No ❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104 Continued

r- 1
Facility Number: tj —
Date of Inspection 1f/
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?
[IYes
No ❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier: 9
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in}: t
Jy
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No A ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
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
environmenta=0;NA
ify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
NoA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑Yes
o ❑ NA [:IN E
maintenance or improvement?
Waste Application
"NoNA
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ NE
maintenance/improvement?
I I. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop types) _�ca4 S-3- L_ S'nl�riy ►
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
•VETNo NA
❑ NE
15, Does the receiving crop and/or land application site need improvement?
❑ Yes
NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes❑
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes❑
NA
❑ NE
a �. :,� ;3,�.: Cj tf"
Comments#efer to'questioh #) Explain,an YES answers and/or; u'y ecommepdatinnsTor,;any other cgmment .
#U`se drawings of facilityJo better explarn,situations, (usefadditional pages as; necessu � gfl e g
i
T
Reviewer/Inspector Name � phone:
Reviewer/Inspector Signature: C e--Date: / (%
Page 2 of 3 12128104 Continued

Facility Number: S —
Date of Inspection ( /
Required Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
No I "NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
El Yes
o ❑ NA
❑ NE
the appropirate box.
❑ WUP ❑Checklists ❑Design ❑Maps ❑Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
o ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑ eather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No_E 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?
El Yes'rN;'
❑ NA
ElNE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes❑
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
No ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Dra°ry ngs :'i,<
Page 3 of 3 12128104
Page 3 of 3 12128104

�t
R•
a
Facility Number
•Division of Water Quality
O Division of Soil and Water Conservation
0 Other Agency
Type of Visit comp ' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: /(� Arrival Time: Departure Time: County: Region:
Farm Name: c� L w� lr, '� rq `` ` Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Phone:
Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
�o
Latitude:
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
------- 7_❑ Layer
I❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Longitude: = o =
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes NA El
El Yes;�0�01:1 NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o ❑ NA ❑ NE
12128104 Continued

Facility'Number:,5 —
Date of Inspection C 112 D
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
Ef No I NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
o ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
JS
Structure
5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 2_ t
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
0<o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
UrNo ❑ 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
7. Do improvement?
environmental thre , notify DWQ
❑ ElNE
any of the structures need maintenance or
Yes
ElNA
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
;XNo []NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
N ❑ NA ElNE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�`N[] NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ YesjN
A ❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
eN A ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yeso
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name Phone: G
ReviewerlInspector Signature: (m 1 Date:
12128104 Continued

Y-
Facility Number:-ZI Date of Inspection 2 0
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WI P ❑ Checklists ❑ Design ❑Maps ❑Other
❑ Yes Rio ❑ NA ❑ NE
❑ Waste Transfers ❑ Annual Certification
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Yes No ❑ NA ❑ NE
❑ Yes ZfNo ❑ NA ❑ NE
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
al Comments and/or Drawings:
❑ YesZNo,,E-
NA ❑ NE
❑ Yes NA ❑ NE
❑ Yes 9NNZOEI
/ ❑ NA ❑ NE
❑ Yes
NA ❑ NE
❑ Yes 'NA ❑ NE
❑ Yes o ❑ A ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
12128104

■ Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 510040 Facility Status: Active Permit: AWS510040 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Johnston Region: Raleigh
Date of Visit: 06/121,2007 Entry Time:0140 PM Exit Time: Incident #:
Farm Name: J.L.M. Farms LLC Owner Email:
Owner: ,J L M Farms LLC Phone, 000-778-3130
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address:
Facility Status: N Compliant ❑ Not Compliant
Location of Farm:
Integrator:
Latitude:55'20'15" Longitude:78°14'35"
NCSR 1199, 5 miles west of NCSR 1008 North side of NCSR 1008
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson
Secondary OIC(s):
On -Site Representative(s): Name
Primary Inspector: Patrick A Towell
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
Operator Certification Number: 20303
Title
Phone:
Date:
Phone
Page: 1

Permit: AWS510040 Owner -Facility: J L M Farms LLC Facility Number : 510040
Inspection Date: 06/12/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Lagoon ISOLATION UNIT 48.00
Lagoon SOW FARM 42.00
Page: 2

Permit: AWS510040 Owner - Facility: J L M Farms LLC Facility Number: 510040
Inspection Date: 06/1212007 Inspection Type: Compliance Inspection Reason for VlsIt: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■ ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■ ❑
❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
■ ❑
❑
discharge?
Waste Collection, Storage & Treatment
Yes
No NA
NE
4. Is storage capacity less than adequate?
❑
■ ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc.)?
B. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS510040 Owner - Facillty: J L M Farms LLC Facility Number : 510040
Inspection Date: 06/12/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 10%/10 lbs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Coastal Bermuda Grass
(Hay)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■ ❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■ ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
■ ❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■ ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
■ ❑
❑
Records and Documents
Yes
No NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■ ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■ ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS610040 Owner - Facility: J L M Farms LLC
Facility Number: 510040
Inspection Date: 06/12/2007 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes
No NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■ ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall $ monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑
■ ❑
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ ❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■ Cl
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■ ❑
❑
27, Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Ywn
Nn NO
NF
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ ❑
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWS510040 Owner - Facility: J L M Farms LLC
Inspection Date: 06/12/2007 Inspection Type: Compliance Inspection
Otherlissues
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
Facility Number: 510040
Reason for Visit: Routine
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
Page: 6

ri,4_.
Facllety„yNumber � � i �
�e Division of Water:
,. 0 Division d.Soil.an
Other Agency
r�ptton ,
Type of Visit O Comp ' ce Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up Q Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: ZV Arrival Time: Departure Time: County:
Farm Name: n h i1I ♦ " n-- Owner Email:
Owner Name: Phone: _
Mailing Address:
Physical Address:
Region:
Facility Contact: Title: //�� Phone No:
Onsite Representative: Integrator: 60
Certified Operator: �f h^�^ `—.�riSo� Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: = o = 4 =41 Longitude: 0 ° = 1 = 4f
Design C
Swine Capacity,'Po
❑ Wean to Finish
ie ❑ Wean to Feeder
❑ F & to Finish
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
i Current;'
ty. Populatton;; Cattle
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkex Poults
❑ Other
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number,of
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes
ZNo ❑ NA
❑ NE
❑ Yes
❑ NA
ONo
[I NE
❑ Yes
NA
❑ NE
❑ Yes o NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑Yes El No ❑NA El NE
12128104 Continued

.a
Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ;oO
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:SO
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): o It
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA El NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes N NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N ❑ NA ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes ❑ No El ❑ 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) 3� m4sc�4 1
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑-fV ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes F/O
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ YesA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ 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 ar,any other comments
Use drawings of facility to better explain situations. (use additional pages as necessary):';.
Reviewer/Inspector Name �W Phone:
Reviewer/Inspector Signature: Li,.5 Date: / :;?)
Page 2 of 3 12128104 Continued

Facility Number: t.Sr — Date of Inspection a •
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes �No[03
NA El
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [I Yes NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspection�N�o
eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ YesNA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ YesrXo/
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 NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings.'
Page 3 of 3 12128104

---- T � �ivision of Water Quality
Facility Number S {ME - - O Division of Soil and Water Canservatian '``
�t
0 Other Agencyt2
Type of Visit 'Compliance Inspection O Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit ^Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date o1' Visit: 7 2$ v Arrival Time: e Departure Time: County: �'�^ts���! Region:
Farm Name: � t- K Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: C V- -C & 7E't��S
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator: Gro t_. > s 6S ras
Operator Certification Number: �-� 3CT 3
Back-up Certification Number:
Latitude: ❑ o ❑ j ❑ Longitude: = o ❑ 1
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity. Population
u wean to rccuor
❑ Feeder to Finish
❑ Farrow to Wean It t, 'z 195I S i
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
. ❑Boars _
Other ��
❑ Other -
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Points
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Dai Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stockei
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ?No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
WNo
❑ NA
❑ NE
❑ Yes
VNo
❑ NA
❑ NE
12128104 Continued

Facility Number: S — a
Date of Inspection %
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier: !
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3Z
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes PrNo
❑ Yes ❑ No
Structure 5
El NA El NE
❑NA ❑NE
Structure 6
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes E2rNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes 4 No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes FfNo ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes KNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No [INA ❑ NE
maintenance/improvement? `
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes Jj 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 ind Drifl ❑ Application Outside of Area
12. Crop type(s) G - f� vP.p�'1._ (y-
13. Soil type(s) Qf't-G V-Af"�'
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes to No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 6No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
7No
No
[XNo
❑NA El NE
❑ NA ❑ NE
❑ NA ❑ NE
ReviewerlIns ector Name �''dV 't jai] nl'.1 srr
p r , Mgt.. by ., . Phone: 112 .S l C)O :
Reviewerllnspector Signature: w Date:
12/28/04 Continued

Facility Number: St✓ — o Date of Inspection
,
Required
r
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes,O'No
❑ NA
❑ NE
20.
-ZJ.7,5-1 o 0
Does the facility fail to have all components of the CAWN4P readily available? If yes, check
❑ Yes )2rNo
❑ NA
❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design [I Maps El Other
21.
Does record keeping need improvem t? If yes c ck the a ro riate o below. ❑ Yes JZNo
tz�s 1 y l• ,.s ,.� S Ls i 1,( y/9
❑ NA
❑ NE
❑ Wast pplication ❑ Weekly Freeboard Was alysis ❑ SoilMa'lysis El
Waste Transfers El Annual
Certification
❑ RAfall ❑ Soing ❑ Cr field ❑ 120 Min Inspections ❑Monthly and 1"
Rain Inspections ❑ We#er Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes r a No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ONo
❑ NA
❑ NE
24,
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes P No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes )ZNo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge'?
❑ Yes KNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes PNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes �No
El NA
[I 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 �_e`No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
r
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 PKo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes Jz No
❑ NA
❑ NE
'$ `-5v '.- x �✓ 7' &
AdditionM C6tnments:anDrjd/or,awJngs � }.N}
.4 f � �� Y n5 t�IM1•ii. � � ..1�.i� Y �
If
S3Z L f ?-�Lf f fz 6 o LOS?, �, >� 0 6 + 1000 '7
1
rr
1 6 1? -.i'J� C CLC✓A TSZ� ZH r C', !) "r
VCH N r4
t I
CC U3L LW :L- 02 > ��L; �Prl�4-
s -t v U-AL- TQ PeP� F�►<~� zoo r
qZ ``c v MEr t•Lo Tj tll f E C _ 5�i4P,ntiJa.+� '�v
12128104
111-1 7q I — y-7Z-b k

Type of Visit /" Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit xRoutine O Complaint O Follow up 0 Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit: 3 o Time: va
D
Not O erational Below Threshold
Permitted Certified Conditionally Certified ❑ Re41Mistered Date Last Operated or Above Threshold:
Farm Name: _L_.__A EA'L5 LLC Count:
Owner Name:
Mailing Address:
Facility Contact:
Title:
Phone No: -771a 3 130
Onsite Representative: ("1MQx=F— ?r-TrAr,S Integrator:
Certified Operator:
Location of Farm:
Phone No;
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude a 4 0 µ Longitude ' • K
Design Current Design Current Design Current
Swine Ca acih, Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder EEE ❑ Laver I I I[] Dairy
❑ Feeder to Finish JE1 Non -Layer I 1 10 Non-Dain
❑ Farrow to Wean ZI D
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boats Total SSLW
Number of Lagoons
: Holding Ponds I Solid Traps
1❑ Subsurface Drains Present iio Lagoon Area 10 Spray Field Area
❑ No Liquid Waste Management System
Discharges S Stream Impacts
1. Is any discharge observed from any pan of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is obsen-ed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any pan of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection 8 Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: &
Freeboard (inches):
05103101
❑ Yes �zNo
❑ Yes P No
❑ Yes PNo
❑ Yes �A No
❑ Yes Z No
❑ Yes No
❑ Yes No
Structure
Continued

Facility Number: — d Date of Inspection 3 0
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
.1b'J�.2.S• aa4h
12. Crop type C gE� JQpr UeXLA
13. Do the receiving crops differ with those designated in the Certified Animal W to anagement Plan (CAWMP)?
UD
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes ZNo
❑ Yes ❑&o
❑ Yes [2'No
❑ Yes j2To
❑ Yes J0 No
❑ Yes To
❑ Yes No
❑ Yes 2No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes -Ofqo
❑ Yes eNo
❑ Yes ZNo
❑ Yes
❑ Yes 7No
❑ Yes ,E(No

Facility Number: _ 7J Date of Inspection 3 a o
Required
Records & Documents
21.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes id No
22.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes No
(ie/ WUP, checklists, design, maps, etc.)
23.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes ,3'f10
Was Application ❑Freeboard1 Waste Analysis ❑ Soil Sampling /0/z%a5
��i//''��
�3 c
24.
1
is acili y of l corYipliance witKany arplicable setback criteria in effect at the time of design?
❑ Yes �O`No
25.
Did the facility fail to have a actively certified operator in charge?
❑ Yes ';�o
'26.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes dNo
27.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes A!KNo
28.
Does facility require a follow-up visit by same agency?
❑ Yes V
29.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes Vo
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 3I-35)
❑ Yes ;dNo
3I.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ❑ No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes ❑ No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes ❑ No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes ❑ No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

-3]31 o3
Type of Visit J6Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other
Facility Number Date of Visit:
1-54 Permitted 20 Certified El Conditionally Certified ©Registered
Farm Name: L _PJ.'j rj MPFK t.0'P-1,4— Sov ............ ........ ...
Owner Name: J u,A L UC
Mailing Address:
❑ Denied Access
Time: � ! 1 is -
Date Last Operated or Above Threshold: _
County: _jo 1�.NJ'C�r-a 4
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator:
Location of Farm:
Operator Certification Number: �Z' e --;-a 3
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �6 " Longitude �' �6
Design Current Design Current Design Current
Swine CapacitV Population Poultry Capacity Po ulation Cattle Ca aci Population
❑ Wean to Feeder ❑ Layer El Dairy
El Feeder to Finish ❑Non -Layer L❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
ElFarrow to Finish
Total Design Capacity °g
❑ Gilts
❑ Soars Total SSLW
Discharges & Stream lmimets
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge. bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 7s� n =
Freeboard (inches): 3
05103101
❑ Yes �dNo
❑ Yes P No
❑ Yes 0 No
❑ Yes 10 No
❑ Yes ONo
❑ Yes XNo
❑ Yeso
Structure
Continued

„J
Facility Number: S i — = Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4_6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11, Is there evidence of over application? Excessive Ponding ❑ PAN ❑ Hydraulic Overload
Z-7 22
12. Crop type C-1 , Q C- • B .
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
1.6. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
yjj rS 'ae
18. Does the facility fail to have all components of the Certifidd Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) r1Z• I.3 a��� ad e-y
19. Does record keeping need improvement? (ie/ irrigation, freeboard,ib me analys s & soil spte reports)
20, Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes PNo
❑ Yes ["No
❑ Yes No
❑ Yes No
❑ Yes PNo
❑ Yes �No
❑ Yes PNo
❑ Yes ONo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
El ❑ Yes No
❑ Yes �No
❑ Yes [INo
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Commerits (i eferto,question #)f-Explai,ES a swers and/or'an recommendationsiianyither comments.
drawings ARMY,',+ . , f
Use of facility to better explaisons..(use-addldonal pages as necessary) 9 Field Copy ❑ Final Notes
s
y s
j,,•M� APPc.r`>:.p / �/.��. e1 z -r/.+-�. �� �P Ia.,r,..�s Zs� ._ ��7
2— PqA9 F-S
ReviewerAnspector Name
Reviewer/Inspector Signature:^ Date:
05103101 Continued

.1 r
Facility Number: — o Date of Inspection o
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ;9 No
❑ Yes �NO
❑ Yes );!fNo
❑ Yes gNo
❑ Yes YJ No
❑ Yes ff No
ZrNo
u r ,
#A4ditl6ha 9...ommentsran ory _ra p s• r,r �. „'� � ,. n„ �: a.T
05103101
05103101

Type of Visit ,0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit VRoutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number i Date of Visit: 7.1 U Time: ' �a
Nat O erational Below Threshold
�ermitted Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: - ___-- �)u 'it✓ Alme County: is So .4 S 7'0A
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Location of Farm:
Title:
Phone No:
Phone No:
Integrator: *-bfr'
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 06 « Longitude 0' 0` 0 LL
UADesign
in Ca aci
❑ Wean to Feeder
Current Design
P,o ulation Poultrye Ca aci
❑ La er
Current
P,o ulEft ion Cattle
❑Dai
Des€gn Current
Ca aci P.o ulation
Er
❑ Feeder to Finish
❑Non -La er
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
1
❑Other
Total Design Capacity
.'
Total SSLW
`k.
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons I� ❑ Subsurface Drains Present ❑ La oon Area
Hald€ng Ponds /Solid Traps ❑ No Liquid Waste Management System
❑ Spray Field Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes i! (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 PNo
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? El Yes
Waste Collyction & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure
Identifier: // / S�L�0)
Freeboard (inches): �b
05103101 Continued

r
Facility Number: 51 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
Z No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
Yes
No
(If
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
rN,
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
No
Waste Xplication
10. Are there any buffers that need maintenance/improvement?
❑ Yes
ZNo
11, is there evidence of over application9 ❑ Excessive Pending ❑ PAN ❑ Hydraulic Overload
Z7V 7-z5
❑ Yes
EI'No
12. Crop type M - S - G--
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
01
16. Is there a lack of adequate waste application equipment?
❑ Yes
��o
Reauired Records & DecumentF / ¢�
17. Fail to have Certificate CoveQ Bi &ncral Permit Permit
❑
of oy oth r readily available?
Yes
o
zoI all
18. Does the facility fail to have all components of the Cc fie(fAnimal rV aste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) / % o'yf
4lr�
19. Does record keeping need improvement? (ie/ irri ton, fre ard, t?�'tC7analSS ysis & soil sample+yreports�)
❑ YesZfl
❑ YesrN
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
ErNo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
ONo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application) ❑ Yes - O No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ONo
24. Does facility require a follow-up visit by same agency? ❑ Yes T,3No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes F tvo
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
3'-�' � i�:ir a�ti.Lv-:." ." �:J"5 '�ili•Yn� .tA' r5'
Comments (refer�to,question''#) kEzplam tiny;Y S auswers:.andlar ony recommeudations nr any other,°comments:+ t+
Use drawrngs of facility to better explain situattons..(use aildtttonal'pages. as necessary),�B'1 field CoPv ❑Final Notest
`: F ti X. s ,
l W .V
Reviewer/Inspector Name -1a.tJ,-
Reviewer/Inspector Signature: Date: c
05103101
' Continued

Facility Number: !s-I — q d 1 Date of Inspection �1
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29, Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes O] No
❑ Yes No
❑ Yes o
❑ Yes dNo
❑ Yes ;No
❑ Yes
❑ Yes;�Noo
Additional Comments'andlor Dcawin x,
,..,
A.
05103101

Type of Visit OCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 94outine Q Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: 8 D Time: 3a
Q Not Operational Q Below Threshold
"Permitted ,6certified [3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold:
Farm Name: D.3 A!3.--.....nlzu -........................................................ County:.......... -Tz 0'.A S r-1. d....
OwnerName:........................................................................................... Phone No:
................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: .................................... ............................ I ................................ ...........................................................................I......... ...........................
OnsiteRepresentative: ....... -6....'..,u.... ........................................... Integrator: ....................................................................................
Certified Operator:.... 1n;P¢;. S„ CAUA�/.�.c,....t;•.EV—Ls . Operator Certification Number: Z-Z- ate ,,,,.,,,,,.
Location of Farm:
- kA
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 6 64 Longitude • 4 "
Design ' Current Design Current. Design Cnrreiut' ` �.
Swine Ga aci Po ulation Poultry Ca aci Po" utation Cattle Ca p aar ;: 3Po ulati[oil
pElFarrow
ean to Feeder ❑Layer ❑ Dairy
eeder to Finish ❑ Non -Layer ❑ Non Dairy
'arrow to Wean "` {
to Feeder :. ❑Other
i ❑Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SS LW
Number''of La Dons ❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area r=
HoldingPonds'`/ Solid,Traps` i ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in galhnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Struct�yrc 1 Structure,2 Structure 3 Structure 4 Structure 5
Identifier: �. of ......�5.� LA �l.. a�............... .........................
Freeboard (inches): - 3 S ZI
5100 If
❑ Yes g No
❑ Yes Ef No
❑ Yes UNo
❑ Yes
ffNo
❑ Yes
&No
❑ Yes
�No
❑ Yes YNo
Structure 6
Continued on back

Facility Number: 5 — q_fl Date of Inspection 3 7 Printed on: 1 /9/2001
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes gNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes PNo
(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 , dNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes >G?(N o
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes N5 0
11, Is there evidence of over application? []Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type G nr . G►i..f
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documentsy//�
17. Fail to have Certificate of Cole oGeneral Permit readily available? 2a 9D
18. Does the facility fail to have all components of the Certified Animal Waste,lwlan"'ent Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) t�,:/q ���/
19. Does record keeping need improvement? (ie/ irrigatrbn, freeboard, wzaf AN%rialysis & soillsadnpTe reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24, Does facility require a follow-up visit by same agency?
25, Were any additional problems noted which cause noncompliance of the Certified AWMP?
�Y� yiQi lfignjs :o d�f c�en i lr ...his; ........ � •lre;e ... fu�t�gr
i�oriesiknitieike. abvtif this visit. .. :..:......:........:....:...::... .
f Cyz-C
i Z„L-/Je-�&r), C,, Shy-?7?
❑ Yes 12,1 o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes �o
❑ Yes ,0"fio
❑ Yes R14
❑ Yes, 0 0
❑ Yes ZrNo
❑ Yes 21'No
❑ Yes ZNo
❑ Yes �No
❑ Yes 0'1�0
❑ Yes 'o-KO
❑ Yes j No
❑ Yes 2�10
Reviewer/Inspector Name f ' .fj �.1 ..l J : ;4� �r [ 71 7��
1. �! ..,.. � >>>. � ,3. :. �r b :�,,.r. ,. ., w .> _: ,-
Reviewer/Inspector Signature: ,r77P Date: - / 7 %o / 5/00

'acility Number: j — c,1Z Date of Inspection Printed on: 1/9/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes ONO
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? []Yes 'ffNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes �Vo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes XNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes dNO
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes VNO
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ONO
ona omments'an or rawings 3 _ ,, s
'S.l� .il 3i �. ,, s 1I 3. ii. a i.3i.f3 Ek.. li
A.
5100

'Routine O Complaint .Q Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number Date of Inspection 1 S f A-
Time of Inspection Iq , a 24 hr. (hh:mm)
Permitted p Certified 0 Conditionally Certified [3Registered 113 Not O erational Date Last Operated:
Farm Name. 0.�1 �1`ivt,�?5 LE` . Sb c,.l
Owner Name: ...... c2s...... �z)-.-z....... .... .... t!..1..........
Facility Contact: ...:�.................... . sr.b. /Ljg .............Title:.........................
MailingAddress: ...................................... .............................................................................. ..
County:.........:G.�Si:�J�X raIf
.........................................
Phone No:
Phone No:
Onsite Representative: : . ... DER u,. t.............. .. Integrator: 6aC.QS6 a1'a M i LU Nr(--
..........................
Certified Operator:..........-........................ ` *_x...... ............................................................. Operator Certification Number:...... . `t` 3.r�............
Location of Farm:
I&
............................................................
Latitude Longitude 5 8 • /©4 4«
9 ,e De51gn� E €�CUrTents i DeC_ 1.lrrent., r nz�iDeslgtl 1°� E�CUI'Letlt �I
b Poult Cattle �;'s. u ,;awene , Capacity -Population . _ t3' Gapacity,..Populatioa' ,w . _. - ..:'. ...Capaci _ ;Population;
F.zS
❑ Wean to Feeder
r'
❑ Feeder to Finish
Farrow to Wean
Zi cr)
-L i6'o
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
�❑ Non -Layer �'•
❑ Other E,
3Tota1 Des>Ig
,aG,t �t
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
Non
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gat/min'?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): .... .................................................. ...............
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes No
❑ Yes 116No
❑ Yes )Z(No
❑ Yes N
❑ Yes
❑ Yes T-r _ _ -
❑ Yes �Io
Structure 6
❑ Yes O'No
Continued on back

Facility Number: — 3 Date of Inspection b Od
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes JZNo
(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 Fr, 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 eNo
_Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes �No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes VNo
12. Crop type C , /3 Eawtc W h fJ. n r _ - R� J
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 ,�rNo
b) Does the facility need a wettable acre determination?
❑ Yes ❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes ❑ No
15. Does the receiving crop need improvement?
❑ Yes ,ff'No
16. Is there a lack of adequate waste application equipment?
❑ Yes ❑'No
Renuired Records & Documents�r��I�$
17. Fail to have Certificate of Coverage & General erniit readily available?
❑ Yes �o
18. 'Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
El Yes XJ -No
rr
19. Does record keeping need improvement? (ie/ irrigation, fre be oard, waste anfitysis & soil same el reports)
❑ Yes [2No
20: Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes 21f4o
21, Did the facility fail to have a actively certified operator in charge?
❑ Yes JZINo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ;31No
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/El"N o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes J o
Iio •violatioi>ls'or- deficiencies wig re jiQte#• Oojog i�ls•visit! • Yoh 'Wiii•teet'iye 06 fu
cor'res' 6fidence' abaiif this' isit: •
Pr
?) So.0 TP Irl*j CeLLEcT-,%r!G ..r L+�(J �++�;NTAid F-E.Go t>42 cc `4`j Our- Plz.df,kAA.",
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: <C 1 r
I

Facility Number: �J — c�! a Date of Inspection S I tm
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ZNO
28. Is there any evidence of wind drift during land application? (i.e..residue on neighboring. vegetation, asphalt, ❑ Yes )dNo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes JC3/No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes
54,o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ��No
Al
K

0 Division of Soil and Water Conservation - Operation Review
0 Divisiion of Soil and Water Conservation'. Compliance Inspection
0 Dtvisioiti of Water Quality - Compliance Inspection. �.
0 Other Agency -Operation Review
y.. _ . � '
10 Routine 0 Complaint 0 Follow-up of DW2 inspection Q Follaw-up of DSWC review 0 Other
Facility'Number
Date of Inspection
_ lime of Inspection 2.4 hr. (hh:mm)
0 Permitted 17 Certified © Conditionally Certified © Registered JE3 Not Operational Date Last Operated:
Farm Name: ..1L�1.1t1............. .G.:}.............. i:...L�7n�h.............. ........... ............. (:aunty: • .... �1....N...!�%. f..i.. rL 1..........
O%% ner N:amc:......... ......................................... .............. .... .............................. ........................ Phone No:................................................................................
Facility Contact: ..............................................................................Title: ................... Phone No:
.viaiiin" Address: ....................................... ..............................
14
Orrsite kepresentatiye:....✓ ..�'.......... } r �4 ./ ]nte-ratnr:...... =.:` .:� �Z/'.J=....,:.'....................................
.........�.�.......................... ...... ...................
Certified Operator:................................................................................................................ Operator Certification Number:.........................................
Location of farm:
Latitude Lannittade �• �:
W11ir
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
ronulatron
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Laver ❑ Dairy
❑ Non -Layer I I 1E3 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps I I[] No Liquid Waste Management System
Dischar.,es & Stream Imttacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance tnan-made?
h. If discharge is observed, did it reach Water of the State? (If yes, notify DW Q)
c. if discharge is obscrvcal. what is the cslitnated flow in galhnifl?
d. Dees discharge bypass a lagoon system'? (If ycs, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Ii'aste Collection & Treatment
4. Is storage capacity (Freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Slruclurc 2 SrrUeture 3 Structure 4 Structure 5
T
❑ Yes 710
❑ Yes A No
❑ Yes 0 No
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes
❑ No
StruLtUrc
f/
[duttificr:
........L
I:r•cchnard (inches}:....................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed'? (ic/ trees, severe erosion, ❑yes jNo
seepage, etc.)
1'_;19y Continued on hack

' Facility IN timhcr: SC D'.It-c of 111"pi;i'tlf ll
ti, Ai-c there structures on -site which are not properly addressed and/or nianaged through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need tmtinlenance/improvement:'
S. Does any part of the waste managlenunt system other than waste structures require maintenance/improverent?
9. Do any stuctures lack adequate, gouged markers with required maxinutm and minimum liquid level
elevation markings?
%N rite Application
I O. Are there any buffers that need maintenance/improvement'?
1. is there evidence of over application•? ❑ Excessivc flonding ❑ PAN
12, Crop type �� A) L"—
❑ Yes 1Na
/] Yes ❑ No
❑ Yes ?'No
❑ Yes No
❑ Yes;3/No
❑ Yes ❑ No
Du the receiving crops differ with those dCSi<<natCLl in the Certified Animal Waste Management Plan (CAWMP)'' ❑ Yes ;21�0
! 4. ai Does the facility iack adcquatc arrca,,c for land application'.' ❑ Yes ❑ No
hI Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wcttahle Acre determination'.' ❑ Yes ❑ No
15. Does the receiving crop need improvenicill? ❑ Yes P"o
16.
Is there a lacy of adequate .waste application equipment''
❑ Yes
❑-NO
1{vguir•er_1 Records & Doc•umcnls
17.
Fail to have Certificate of Coveracc & Gcncr.rl Permit readily available'?
❑ Yes
❑ o
I5.
Does the facility fail to have al: components of the Certified Animal Waste Management Plan readily availahle?
/
(ic/ WUP, checklists. desiyrt, mapti. e(c.)
❑ Yes
No
19.
Does record keeping need improvement? (ic/ irrigation, freehoard, waste analysis & soil sample reports)
❑ Yes
dNo
,(i.
Is facility not in compliance with any applicable setback criteria in cl'fect at the time of design?
❑ Yes
[ io
21.
Did the facility fail to have a actively certified operator in charloc;?
❑ Yes
WNo
/
Fail to notify regional DWQ of' crner�aency situations its required by General Permit?
(ic/ discharge. freeboard problems. over application)
❑ Yes
No
73.
Did Reviewer/lnspector fail to discuss review/inspection with on -site representative?
❑ Yes
;No
24.
Does facility require a follow-up visit by same agency'?
❑ Yes
Ca'No
f
74;.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
[�o
0:?�10
yiolaiiforis:o:r cleficienc�. .were. . . . iiuririK this visit; Yoi>F;w'iil receive Rio. #'tt. . . .. , .
'or,respondence.abotit.thes 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):
7 rU i mR o v e� C 7w a / % X�6 r' b4�7"f r e l `r G,I. L Elk5 /—z;,# �w
i U rL �5�j iJ �5li,L I �SP�Y Tr'd•ti K���>~�N-�- rr�
Reviewer/Inspector Name O v LC
Reviewer Anspector Signature: ZIMMm 6 Date:
nn

I Facility Number: T) - A Date (if Inspection
Odor issues
?4. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes [fi" No
liquid level of lagoon or storage pond with no agitation?
Are there any dead animals not disposed of properly within 24 hours? ❑ Yes (j No
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property) f
Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes QiNo
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes P''No
:. Do the animals feed storage bins fail to have.appropriate cover? ❑ Yes 91NO
3/23/99

;r[��Dtvrsron fSoil a is Watc"r` 'Conservation=`Operaiion Revitw
3 i - - •-
0 Division of Soil 'and Water Comervation - Compliance Inspection
biviAon of Water Quality -,Cum pliance Ins ection , l ,
[] Other 'Agency - Operation Review ° 3
LU Routine 0 Complaint 0 Follow-up of DWO inspection Q Follow -rip of I)SWC review 0 Outer
Facility Number Daw of Inspection I3 i,
___j I •firm° of 111spectiort 24 hr. (hh:mm)
© Permitted © Certified 0 Conditionally Certified Q Registered JE3 Not O er:rtional Date Last Operated:
Farm Name: ...-..,�11.+f�!....5. ''�...-..l- .f`�"�........... county:........R�..G� n�,�i.T'i!�
A�Ll_.........................................................................................
OwnerName: ................................................... ........................................................................ Phone No:..........................................................................,.,..........
Facility Contact: "Title: Phone No:
Nlailing Address:
Onsite Representative: �' 4 T cJIntegrator:i i
-- JL-�S S�
Certified Operator:............................................................................................... Operator Ccr•tification Number:...' z.s
Location of Farm:
............................................. ............................................................ .............................................
Latitude �'�' �" Longitude �• �� ���
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
p
-2.7:,
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
$b'�
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I ❑ Dairy
❑ Non -Layer I JE1 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area JEI Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)? ❑ Yes 21No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-madc'? ❑Yes ONO
b. If discharge is observed, did it reach: ❑ Surface Waters ❑ Waters of the State ❑ Yes PMo
c. if discharge is observed. what is the estimated flow in gal/ruin'?
d. Does discharge hypass a lagoon system? ❑ Yes ONo
2. Is there evidence of past discharge from any part of (lie operation`? Cl Yes gr�lo
1 Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes plf TO
Waste Collection & Treatment
4. Is storage capacity (Freeboard plus storm storage) lessrthan adequate? ❑ Yes '40
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Ie 4
Freeboard (inches): ...........
...ca .....................Y-3..,.........................I................................................................
1/5/99 Continued on back

Facility Number: 1!3 j — Date of inspection 3 - Y
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑Yes No
seepage, etc.)
6. Are there structures on -site which are. not properly addressed and/or managed through a waste management or
closure plan? Yes � No
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
T Do any of the structures need maintenancelirnproverncnt? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ElYes �No
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings? ❑ Yes VNo
Waste Application �No
10. Are there any buffers that need maintenance/improvemenI? ElYes
11. is there evidence of over application? ❑ Ponding ❑ Nitrogen ❑ Yes 0
12. Crop type .................................................................................
13. Do the receiving crops differ with those designated in the Certified Animal aste Management Plan (CAWMP)? ❑ Yes INO
14. Does the facility lack wettable acreage for land application? (footprint) ❑ Yes �No
15. Does the receiving crop need improvement'? ❑ Yes P"No
16, Is there a lack of adequate waste application equipment? ❑ Yes VfNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes 7No
13. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? /
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ZI No
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 XNo
21. Did the facility fail to have a certified operator in responsible charge? ❑ Yes IN
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 0
24. Does facility require a follow-up visit by same agency? ❑ Yes XNO
NDAIolations .or. deticien' de's .were noted during fh' is.visii:. V-6u raTiIfreeeiive nQ further .. '
eorrespoaidenee: about: this Asit.. . ... ... . .. .
comments (refer to question #): Explain any YES answers and/or'anyirecommendations or any oilfer comments ':I # Y
Use drawings of facility, to:betterrezplain' situations. (use additional pages as necessary):A4 Y f
SaOZ- ,.sL_.Cbt<r..n.'P-A- MIL cATi 11� t , C)441 tE-O W61mm 'us ri jAc- �
Cvr � f►�JAt�a�s �i �6�1`ri.� AAfAeo- To" Tj•r-_v:o.S� �JHs ALROV-9 PA`T-s cbr�PAT, ISc.Q,_tf k
Reviewer/inspector Name
,3`:) �w 4. S17 } ._L12 t'6 '
Reviewer/Inspector Signature: �1�_ .1 . JC#--,q^ Date: 3 izi 99
1 /6/99

of Soil and Water Conservation ❑ Other Agency
of Water Quality
Facility Number I
of DS W C review
Date of Inspection
Time of Inspection
24 hr. (hh:mtn)
13 Registered 13 Certified U Applied for Permit 2rPermitted 113 Not Operationally Date Last Operated:
Farm Name:...�5 N.^/K/f!..1 .4t G_��.....70../✓....f►rr.................. County: JQj�?..............................................
Owner Name: ...
r�..a.l. S..S..�1[.'� �..... 1..�Y....%...................................... Phone No:..../.......77..�. 3 �.j. ..?.............................
r�a
Facility Contact: ............................ _-s............. Title............/...............
Mailing Address:f .R,......b...ii._..f.4...e..4................�.P../ J 17(it ti
Onsite Representative... ..g9.� l�J
.........................................................
Certified Operator:....... ...._:.......L....... �o..............................................................
Location of Farm:
... Phone No:
.* C . ;V-75`t z
Integrator:G9./%.1�:.U.Y
Operator Certification Number:
Latitude =• 0` Di1 Longitude 0• =` =1{
Design =* Current a Design Current Design, - Current ` `
Swine> - v Ca acit Po ulation Poultry Capacity..Popplation w Cattle
P Y PCapacity Population
❑ Wean to Feeder 10 Layer I Dairy \
[]Feeder to Finish JLJ Non -Layer I on-Dairy
❑Farrow to Wean DDD y
❑Farrow to Feeder ❑ OChert,
❑ Farrow to Finish Total Design;Capacity
❑ Gilts
❑ Boars Total SS) W
��
Numbe` r agoons , Holding Ponds ®"❑ Subsurface Drai—n—s—Pres—emID Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System
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
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes e Noo
❑ Yes o
❑ Yes !�'1V0
❑ Yes No
❑ Yes Pn,
❑ Yes
ElYes R1Il
❑ Yes
❑ Yes N
❑ Yes No
7/25/97

Facility Number: j" j t�
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laeoons,Holdine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes o
❑ Yes o
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: . W J:.?�.�'!g:: �.!!:.k'�:..................................... .........................................................................................................
Freeboard(ft): ....... .....u.......................�.2.-V.................................................. ..................... ............... .................................... ....................................
10. Is seepage observed from any of the structures? ❑ Yes o
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes
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 o
(If in excess oof+ �WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type L,r•�r• ..1... f:... 1�.�.rH.!..'?....5.......... ..
16. Do the receiving crops differ with thane designated in the Animal Waste Management Plan (AWMP)? ❑Yes o
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes
18. Does the receiving crop need improvement? ElYes No
19. Is there a lack of available waste application equipment? ❑ Yes
20. Does facility require a follow-up visit by same agency? ❑ Yes No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes o
22. Does record keeping need improvement? El Yes o
For Certified or Permitted Facilities Only
23. Does the facility-fiil to have a copy of the Animal Waste Management Plan readily available? ❑ Yes
24. Were a additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes N
25. W re any additional problems noted which cause noncompliance of the Permit? ❑ Yes No
E3No.violations.or. rleFicieRcies:were.natid-during this:visit.' Yousr'iil receive;n6.fur#h'er-: ;I
• cgrresp#ladeitee about this. visit'.• "

P . N
0 Division of Soil and Water Conservation 0 Other Agency
&115ivision of Water Quality
jGrUoutine O Complaint O Fallow -up of DWQ inspection O Follow-up of DSWC review O Other
I�_�•'I' Date of Inspection ip
Facility Number / o Time of Inspection � 0 24 hr. (hh:mm)
Registered Certified © Applied for Permit © Permitted 113 Not O erational Date Last Operated:.......
Harm Name: o'*.Mz±!.......... County: a I n1 N
Owner Name:1�5 (�►o ... m' �r,r�!�.•....•s7..,..•........................... Phone No:...:.1...•.......•.......%•.(......,...30......••.....................
............•.. ...f......................... ..........r.... / a
401
Facility Contact:..... ...... &.. tk_5................... Title :................................... I............................ Phone No. ......
r?
Mailing Address: ...... .pD box / bd�l.9........................................................ ... C� ( S.bof»............................................... ... Z
1/t�,, ........• ............
Onsite Representative: ............:(.:, P-Vxly ........ .............................. Integrator: .......... 04dske1'.v........ ..........
Certified Operator ......... Jo .N............ 2...Q .,u..�.L':........................................... Operator Certification Number ;.....,trAPLZ..? ................
Location of Farm:
••...................•.....................................•.....•••......•... ........................................................................•................................................................................•..................................
A
_ ,p y l
..........................................55.°.'4:f.....1�.:.......1..^'.c..e.......... d.......I.'.�p��...�4.A+5.�..... ............................................................... r
Latitude '=1=11 Longitude =* =, ={f
Destgn Current Design Current- Q DesignCurrent
=Swore , ,' Gapactty Population
❑ Wean to Feeder
:Poultry a y Capacity populationry Cattle Capacity
❑ Layer Ma:
Population ;
❑ Feeder to Finish
Farrow to Wean 2 c&6x
❑ Non -Layer ❑Non-Dairy
po a rs l i ;', tt��Qt
A
��
El Farrow to Feeder
❑ Other r
Q '
❑Farrow to Finish
❑ Gilts
Total Design Capacity
z, T t
oars
�:� �
�Numberrof [ agoons jUding Ponds ©'
10 Spray Field Area J
❑ Subsurface Drains Present ❑ Lagoon Area
❑ No Liquid Waste Management S stem
�€ x
e4' t
�. : Ru R,
General
1.
Are there any buffers that need maintenance/improvement?
Cl Yes
L.D- o
2.
Is any discharge observed from any part of the operation?
❑ Yes
EKO
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
L 1<0
Water?
b. If discharge is observed, did it reach Surface (If yes, notify DWQ)
❑ Yes
0<0
c, if discharge is observed, what is the estimated flo%v in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
i 1-<0
3.
Is there evidence of past discharge from any part of the operation?
❑ Yes
M'No
4.
Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
ff<
5.
Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
P'No
\
maintenance/improvement?
\ 6.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
24
\\\ 7.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
G-<.`
7/25I97
Continued on back

Facility Number: ,S- — U
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.tiolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
A
Identifier: S.A.w J�Ff..F...�'v: .........................
Freeboard(ft):........3................................0.............................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14.. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
J ,
15. Crop type O.SL.... ..................
❑ Yes WINO
❑ Yes 9<0
Structure 5 Structure 6
......................................................................
.........................................................................
❑ Yes l.2YNo
❑ Yes M- o_
❑ Yes �-No
❑ Yes 2To
❑ Yes L+1No
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? L.I Yes tl No
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. )Vere any additional problems noted which cause noncompliance of the Permit?
❑ Yes E No
❑ Yes [:X�O�
� Noo
❑ Yes
❑ Yes
❑ Yes 0'No
❑ Yes Fl-go
r
❑ Yes Bo
❑ Yes M1<01
❑ Yes 0 0
No.violations,or. delFiciencies were noted during this, visit.:You:will receiveno• tirther
•:•correspondeinceal3outthis:visit:"•�,.;.�.;•'. • .'•:.:.:,�,.; �..�.:.-'.:.;.�.;•�.:•'.•;.:•;.".'.;.:.�,•:.
Reviewer/Inspector Name x� x /f<' 1 @5.
fl i, k W1
RQY. tra Z.
Reviewer/Inspector Signature: ��Q_ - ��� Date: 1 211, h

d
Division of Soil and Water Conservation ❑ Other Agency
Division of Water Quality
Routine O Complaint 0 Follow-up of DNVQ ins t•ction O Follow-u taf DSWC review O Other
Date of Inspection 7
:FAOber
1. Timeof Inspection ` ') e 24 hr. (hh:mm)
0 Registered [3 Certified 13 Applied for Permit [3 Permitted JE3 Not Operational Date Last Operated:.,
Farm fume: .......... `� ' 'fi-4— cn,' f County:........ �` '� Jt/� ..........................
OwnerDame .. ..... . Phone No:.......................................................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
1liailinbAddress : ..................... ................................................................................................ .
Onsite Representative:... U ..........&.7FU7....`.,,,................................... Integrator . ......................................
Certified Operator�............................................................................................................... Operator Certification Number..........................................
Location of Farm:
Latitude �' �� ��� Longitude
Design Current Design Current Design Current
Swine Capacity Popiilatton . :Poultry Capacity Population Cattle,: ;, Capacity: Population
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean
f
a; ❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
4o
2. Is any discharge observed from any part of the operation?
ElYes
A No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance. man-made?
❑ Yes
( No
b. If discharoe is observed, did it reach Surface: Water? (If yes, notify DWQ)
❑ Yes
No
c. If dischar<ue is observed, what is the estimated flow in gaUrnin?
d. Does discharge bypass a lagoon system? (If yes, notifv DWQ)
❑ Yes
No
3. Is there evidence of past discharge from any part of the operation'?
❑ Yes
/No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
Pio
5. Does any part of the waste management system (other than lagoonslholding ponds) require
❑ Yes
No
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time ol'design?
❑ Yes
�f
kQ No
/
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
No
M 5197
Guitt►rucrf nn hack

Facility Number: -5,—
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Latioons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4
........... I......................�... '......................................................................................... ..
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12, Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste AVpiication
14. Is there physical evidence of over application'?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes �] No
❑ Yes , No
❑ Yes tlJ No
❑ Yes 4 No
Structure 5 Structure 6
15. Crop type ......54.......................................
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?
For Certified Facilities Onit
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
Reviewer/Inspector Name
❑ Yes
0 No
❑ Yes
EINo
fO Yes
❑ No
❑ Yes [IPo
❑ Yes P(No
......................................
❑ Yes
Clo
❑ Yes
❑ No
❑ Yes
ONo
❑ Yes
ANo
❑ Yes
[INo
❑ Yes
[X No
❑ Yes &No
P,Yes ❑ No
❑ Yes lJ No
Reviewer/Inspector
Date:
30
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

Facility Number:,.Q_- 70
Division of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date: 7 G
Time: Z :ob
General Information:
Farm Name: W r County: d ,-� c 4")
Owner Name: f`;!gPhone No:
On Site Representative: - Integrator: -d sbery
Mailing Address: 2 1
r-j t_.
Physical Address/Location: S !.' :,s�r+'3�e-f��� W r
Latitude: /__ Longitude: I I
Operation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
&sow �4 cW a ❑ Layer U Dairy
❑ Nursery ❑ Non -Layer ❑ Beef
❑ Feeder
OtherType of Livestock. Number of Animals:
Number of Lagoons: (include in the Drawings and Observations the freeboard ofLeach7agoon)
FaciIity_Inspection:
Lagoon
Is lagoon(s) freeboard Iess than 1 foot + 25 year 24 hour storm storage?: Yes ❑ No ❑
Is seepage observed from the lagoon?: Yes ❑ No ❑
Is erosion observed?: Yes ❑ No ❑
Is any discharge observed? Yes ❑ No ❑
❑ Man-made ❑ Not Man-made
Co ver Crop
Does the facility need more acreage for spraying?: Yes ❑ No 0
Does the cover crop need improvement?: Yes ❑ No ❑
( list the crops which need improvement)
Crop type: Acreage:
Setback Criteria
Is a dwelling located within 200 feet of waste application? Yes ❑ No ❑
Is a well located within 100 feet of waste application? Yes ❑ No ❑
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream? Yes ❑ No ❑
Is animal waste land applied or spray irrigated .within 25 feet of Blue Line Stream? Yes ❑ No ❑
AOI -- January 17,1996

Maintenance
Does the facility maintenance need improvement? Yes ❑ No ❑
Is there evidence -of past discharge from any part of the operation? Yes ❑ No ❑
Does record keeping need improvement? Yes ❑ No ❑
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes ❑ No ❑
Explain any Yes answers:
Signature: i �` 1 / _ Dater
cc: Facility Assessment Unit Use Attachments if Needed
Drawings or --Observations:
A01-- January 17,1996

•. .T:.L-14-1995 15= 26 FROM
DEN WATER OUPL I TY SECTION TO P . 02/02
Site Requires Immediate- A rccnrinn
Facility No.1�
DIVISION OF'ENVMONNENTAL MANAGEMENT
ANl•MAL FEEDLOT OPERATIONS S= VISITATION RECORD
DATE: / b,, 1995
Time: !3, 0 -
Farm Name/Owner) G(h o - k47 J� ,6 W %A
Mailing Address: Z .a- Ct S• /y'` 5 -.
County:._ 20A &5 _ - --� - - -- - --- - - -
Iateg=r: �2 a i Lq h ar D Phone: -71 3 / 3 V
On Site Reoresentativc: r -e Phone:
Physical Address/Location: S 1i 9
Type of Operation: Swine Poultry Cattle
Design Capacity: Za o s Number of Animals on Sire: Y
DEM Certification Number- ACE DEM Ccrtifieadon Number: ACNEW� � _
Latitude: ' Zo !S LongirudZ Y ' ./!Z -4Z'—" Elevation: Feet
Circle `des or No
Does the Animal Waste Lagoon have sufficiear freeboard of 1 Foot + 25 year 24 hour stow event
(approximately 1 Foot + 7 incises) Gor No Acrual Freeboard: j-�t. Inches
Was any seepage observed from the lagoon(s)? Yes So Was any erosion observed?
�10
o
is adequate land available for spray`? orNo Is croPbate? or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria'? 200 Feet from Dwelfingo cOar No
100 Feet from Wells? (Q or No
�Ze animal waste stockpiled within 100 Fect of USGS D lue Linc• S trcam? Yes or
a-dMat waste land applied or spray irrigated within 25 Feet of a USGS Map Blue .Line'? Yes No
animal waste discharged inro waters o he state by man-made ditch, flushing system, or ether
,imi:ar man-made- devices'? I'es if Yes. Please Expiazrs_
"sf,�:5 itic Facility maistrain adequate waste matsdgeracar.records (volumes of ruanure, land applied.
spray irrigated on specific acreage with cover crop)'' or No
?Additional Comments: F ''- a �i?.�-►
S(Slnit P-rs s, I �,. !n a+11J IT" �+'sr.d IAIY.J-I1 01" JI Vee - m OV ,
cc: Facibry Assessment Unit Use Atmchsnems if iNeed.ed.
l

� o��F W a rF9Q�
0
� r
O �
August 30, 2007.
George H. Pettus
Environmental Management
Maxwell Foods, Inc.
943 Millers Chapel Road
P.O. Box 10009
Goldsboro, North Carolina 27532
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coteen H. Sullins, Director
Division of Water Quality
Subject; Sludge Survey Testing Dates
Maxwell Foods, Inc.
Animal Waste Management System
Dear Mr. Pettus:
The Division of Water Quality (Division) received your sludge surveys information on July 31,
2007. With your results, you requested that sludge surveys for the numerous lagoons not be
required until 2009. Due to the amounts of treatment volume available, the Division agrees that
sludge surveys are not needed until 2009. The results of the 2009 sludge surveys are to be
submitted by March 1, 2010. The farm lagoons that are granted an extension are listed on the
attached Maxwell Farms Sludge Survey Extensions.
If yqu have any questions, please call me at [phone].
Sincerely,
Dennis G
Lund
Environmental Engineer
cc: Washington Regional Office, Aquifer Protection Section
Wilmington Regional Office, Aquifer Protection Section
RaleiglPZe— anal•tOffice, Aquifer Protection Section `'�. •} t
Central Files
Aquifer Protection Section 1636 Mail Service Center
Internet: www.newaterauality.orit Location: 2728 Capital Boulevard
An Equal OpportunitylAffirmative Action Employer— 50% Recycled110% Post Consumer Paper
Nam'' Carolina
Naturally
Raleigh. NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax l: (919) 7t5-0588
Fax 2: [phone]
Customer Service: [phone]

MAXWELL FARMS
SLUDGE
SURVEY EXTENSIONS
FARM NO.
FARM NAME
LAGOON
ID
COUNTY
REGIONAL
OFFICE
SURVEY
EXTENSION DATE
1
07-0011
Wilmar Farm
1
Beaufort
Wash
2009
2
07-0011
Wilmar Farm
2
Beaufort
Wash
2009
3
31-0212
Houston Farm
1
Duplin
Wilm
2009
4
31-0212
Houston Farm
2
Duplin
Wilm
2009
5
31-0402
Benson Sow Farm
1
Duplin
Wilm
2009
6
31-0402
Benson Sow Farm
2
Duplin
Wilm
2009
7
31-0847
Coyote Nurseries
1
Duplin
Wilm
2009
8
33-0020
Blount Bros. Farm
1
Edgecomb
Ral
2009
9
33-0020
Blount Bros. Farm
2
Edgecomb
Ral
2009
10
40-0063
JLM Parker Farms
1
Greene
Wash
2009
11
40-0063
JLM Parker Farms
2
Greene
Wash
2009
12
40-0075
Cross Creek Farm
1
Greene
Wash
2009
13
40-0097
Bullhead Farm
1
Greene
Wash
2009
14
42-0005
Perry Nursea
1
Halifax
Rai
2009
15
42-0013
Per Sow Farm
1
Halifax
Rai
2009
16
42-0013
1 Perry Sow Farm
2
Halifax
Rai
2009
17
51-0040
Dunn Farm
1
Johnston
Ral
2009
18
51-0040
Dunn Farm
2
Johnston
Ral
2009
19
52-0018
Potters Hill Farm
1
Jones
Wash
2009
20
52-0018
Potters Hill Farm
2
Jones
Wash
2009
21
54-0023
Moody Farm
1
Lenoir
Wash
2009
22
96-0020
Roberts Nursery
1
Wayne
Wash
2009
23
96-0021
Sasser Nurse
1
Wayne
Wash
2009
24
96-0096
Pig ybank Farm
1
Wayne
Wash
2009
25
96-0096
Pig bank Farm
2
Wayne
Wash
2009
26
96-0097
Horsepen Farm
1
'Wayne
Wash
2009
27
96-0097
Horsepen Farm
2
Wayne
Wash
2009
28
96-0099
Grant Farm
1
Wayne
Wash
2009
29
96-0099
Grant Farm
2
Wa ne
Wash
2009
30
96-0100
Eagles Nest Farm
1
Wayne
Wash
2009
31
96-0100
Eagles Nest Farm
2
Wayne
Wash
2009
32
96-0100
Eagles Nest Farm
3
Wayne
Wash
2009
33
96-0103
Collie Farm
1
Wayne
Wash
2009
34
96-0103
Collie Farm
2
Wayne
Wash
2009
35
96-0162
Sanderson Farm
1
Wayne
Wash
2009
36
96-0164
Boardhead Al Farm
1
Wash
2009
37
96-0164
Boardhead Al Farm
_Wayne
2
Wayne
Wash
2009
38
96-0165
Best Al Boar
1
Wayne
Wash
2009
39
96-0178
Indian Springs
1
Wayne
Wash
2009
40
96-0203
Joyner Daniels
1
Wayne
Wash
2009
41
96-0203
Joyner Daniels
2
Wa ne
Wash
2009
8/30/2007 dgl

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
October 1, 2004
J.L.M. Farms LLC
J.L.M. Farms LLC
PO Box 10009
Goldsboro NC 27532
t' r' ':Subject:
.j
OCR a
Dear J.L.M. Farms LLC:
Alan W. Klimek, P. E., Director
Division of Water Quality
Certificate of Coverage No. AWS510040
J.L.M. Farms LLC
Swine Waste Collection, Treatment,
Storage and Application System
Johnston County
On June 1 I, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General
Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill
733 (Session Law 2003-28).
In accordance with your application received on February 25, 2003 and in accordance with the directive
of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to J.L.M.
Farms LLC, authorizing the operation of the subject animal waste collection, treatment, storage and land
application system in accordance with General Permit AWG100000. The issuance of this COC
supercedes and terminates your previous COC Number AWS510040 which expires October 1, 2004.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the J.L.M. Farms LLC, located in Johnston County, with an animal capacity of no
greater than an annual average of 2000 Farrow to Wean, 160 Gilts swine and the application to land as
specified in the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to
Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are
nneccessary, f'Ciey"nnfay`,be�l�ap-laced by an equivalent number of sows. Any of the sows may be replaced
by gilts at a rate of 4 gilts,lfor every 3 sows
The COC shall be ef�ective from the date of issuance until September 30, 2009. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Since this is a revised State
General Permit, it contains new requirements in addition to most of the conditions contained in the
previous State General Permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please nay careful attention to the record keeping
and monitoring conditions in this permit.
Aquifer Protection Section —Animal Feeding Operations Unit
1636 Mail Service Center, Raleigh, North Carolina 27699-1638
Phone: [phone] FAX: [phone] Internet: h2o.enr.state. nc.us
An Equal Opportunity/Affirmative Action Employer —50% Recycled110% Post Consumer Paper
NorthCarolina
Naturally

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of -the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified_in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this COC
or the General Permit, please contact Paul Sherman at [phone].
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Aquifer Protection Section
Johnston County Health Department
Johnston County Sail and Water Conservation District
Permit File AWS510040
APS Central Files

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
May 1, 2003
J.L.M. Farms LLC
J.L.M. Farms LLC
PO Box 10009
Goldsboro NC 27532
Subject: Certificate of Coverage No. AWS510040
J.L.M. Farms LLC
Swine Waste Collection, Treatment,
Storage and Application System
Johnston County
Dear J.L.M. Farms LLC:
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration date of the Swine Waste Operation General
Permit AWG100000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In -accordance with your application received on February 25, 2003 and in accordance with the directive
of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to J.L.M.
Farms LLC, authorizing the operation of the subject animal waste collection, treatment, storage and land
application system in accordance with General Permit AWG100000. The issuance of this COC
supersedes and terminates your previous COC Number AWS510040 which expired on April 30, 2003.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the J.L.M. Farms LLC, located in. Johnston County,.,with.-an .animal capacity of no
greater than an annual average of 2000 Farrow toWean, 160 Gilts swine and the application to land as
specified in the facility's Certified Animal Waste Management PIan (CAWMP). If this is a Farrow to
Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are
unneccessary, they may be replaced by an equivalent number of sows. Any of the sows may be replaced
by gilts at a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until October 1, "2004. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization PIan 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.,
{fib. rN—R
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699.1617
Customer Service Center
An Equal Opportunity Action Employer
Intemet httpJlh2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

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.
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 maybe reached at (919) 5714700. If you need additional information concerning this COC
or the General Permit, please contact Michelle Barnett at [phone] ext. 544.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Water Quality Section
Johnston County Health Department
Johnston County Soil and Water Conservation District
Permit File AWS510040
NDPU Files

WASTE UTILIZATION PLAN
Goldsboro Hog Farms, Inc.
Friday, February 25, 2000
Producer: J.L.M. Farms LLC
Farm Name: J.L.M. Farms LLC
PO Box 10009
Goldsboro,NC 27532
Telephone # : [phone]
Type of Operation : Farrow to Weanling Swine
Number of Animals : 2160 sows design capacity
Application Method: irrigation
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant nutrients in the animal waste should be
used to reduce the amount of commercial fertilizer required for the crops in the fields where
waste is to be applied. This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil tests are strongly
encouraged so that all plant nutrients can be balanced for realistic yields of the crop to be
grown.
Several factors are important in implementing your waste utilization plan in order to
maximize the fertilizer value of the waste and to ensure that it is applied in an
environmentally safe manner. Always apply waste based on the needs of the crop to be
grown and the nutrient contents of the waste. Do not apply more nitrogen than the crop
can utilize. Soil types are important as they have different infiltration rates, leaching
potentials, cation exchange capacities, and avaialable water holding capacities. Normally
waste shall not be applied to land eroding at greater than 5 tons per acre per year. With
special pre -cautions, waste may be applied to land eroding at up to 10 tons per acre per
year. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen.
Either of these conditions may result in runoff to surface waters which is not allowed under
DEM regulations. Wind conditions should also be considered to avoid drift and downwind
odor problems. To maximize the value of the nutrients for crop production and to reduce the
potential for pollution, the waste should be applied to a growing crop or applied to bare
ground not more than 30 days prior to planting. Injecting the waste or disking will conserve
nutrients and reduce odor problems. This plan is based on waste application through
irrigation for this is the manner in which you have chosen to apply your waste. If you choose
to inject the waste in the future, you need to revise this plan. Nutrient levels for injecting
waste and irrigating waste are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for.this type of facility. Acreage requirements should be based on the waste analysis report
from your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for ananlysis. This waste
utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H.0217 adopted by the Environmental Management Commission.
Page 1 of 1

Vk
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
2160 sows X 6.1 tons wastelsowslyear = 13176 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
2160 sows X 5.4 Ibs PAN/sows/year = 11664 PAN/year
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown,
soil type and suface application.
TABLE 1 : ACRES OWNED BY PRODUCE
TRACT FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC.
DETERMINING PHASE CODE NIACRE NIACRE USED TIME
1598
- 1A
WAGRAM 0-6%
SG
1
100
6
5.63
583
SEP-MAR
1598
1A
WAGRAM 0-6%
BH
5.5
275
0
5.83
1603.25
MAR-SEP
1598
- 1 B
WAGRAM 0-6%
SG
. 1
100
0
4.96
496
SEP-MAR
1598
18
WAGRAM 0-6%
BH
5.5
275
0
4.96
1364
MAR-SEP
1598
-- 1C
WAGRAM 0-6%
SG
1
100
0
4.74
474
SEP-MAR
1598
1c
WAGRAM 0-6%
BH
5.5
275
0
4.74
1303.5
MARSEP
1598
- 1D
BLANTON 0-5%
SG.
1
100
0
2.2
220
SEP-MAR
1598
' 1 D '
BLANTON 0-5%
BH'
4.5
225
0
2.2
495
MAR-SEP
1598
2A
BLANTON 0-5%
BH
4.5
225
0
3.41
767.25
MAR-SEP
1598
- 2A
BLANTON 0-5%
SG
1
100
0
3.41
341
SEP-MAR
1598
- 2B
BLANTON 0-5%
SG
1
100
0
5.2
520j
SEP-MAR
1598
2B
BLANTON 0-5%
BH
4.5
225
0
5.2
1170
MAR-SEP
1598
3A
BLANTON 0-5%
SG
1
100
0
2,38
238
SEP-MAR
1598
3A
BLANTON 0-5%
BH
4.5
225
0
2.38
535.5
MAR-SEP
1598
- 3B
BLANTON 0-5%
SG
1
100
0
1.61
161
SEP-MAR
1598
3B
BLANTON 0-5%
SH
4.51
225.
0
1.61
362.25
MAR-SEP
TOTALS: 10633.8
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
" Indicates a Crop Rotation
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirments. Beginning in 1996 the Coastal Zone Management Act will require farmers in
some eastern counties of NC to have a nutrient management plan that addresses all
nutrients. This plan only addresses Nitrogen.

TABLE 2 : ACRES WITH AGREEMENT OR LONG TERM LEAS
(Agreement with adjacent landowners must be attached.)
(Required only it operator does not own adequate land. See fequired. specifications 2.)
TRACT FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC.
DETERMINING PHASE CODE N/ACRE NIACRE USED TIME
394 J 3C IWAGRAM 0-6% BH 1 5.51 275 0 6.41 1762.75 MAR-SEP
TOTALS: 1762.75
Indicates that this field .is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
* Acreage figures may exceed total acreage in field due to overseeding.
**Lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial
nitrogen (COMM N) supplied.
The following legend explains the crop codes used in TABLES .1. and 2. above:.
CROP CODE CROP UNITS LBS NIUNIT
BH
I HYBRID BERMUDAGRASS-HAY
TONS 50
SG
I SMALL GRAIN OVERSEEDED
AC 50

TOTALS FROM TABLES 1 AND
ACRES LBS AW
N USED -.
TABLE 1
30.33
10,634
TABLE 2
6.41
1.763
TOTALS:
36.741
12,397
AMOUNT OF N PRODUCED: 11,664
-BALANCE -733
.This number must be less than or equal to 0 in order to fully utilize the a_ himal waste N
produced.
Acres show in each of the preceeding tables are considered to be the usable acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter
areas not receiving full application rates due to equipment limitations. Actual total acres in the
fields listed may, and most likely will be, more than the acres shown in the tables.
NOTE: The Waste Utilization Plan must contain provisions for periodic land application of
sludge at agronomic rates. The sludge will be nurturient rich and will require precautionary
measures to prevent over application of nutrients or other elements. Your production facility
will produce approximately 1900.8 pounds of plant available nitrogen (PAN) per year in the
sludge that will need to be removed on a periodic basis. This figure is PAN when
broadcasting the sludge. Please be aware that additional acres of land, as well special
equipment, may needed when, you remove this. sludge.
See the attached map showing the fields to' be used for the utilization of waste water.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the soil at the time of
irrigation such that runoff or ponding occurs. This rate is limited_ by initial soil moisture
content, soil structure, soil texture, water droplet size, and organic solids. The application
amount should not exceed the available water holding capacity of the soil at the time of
irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the
crop.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on -the average of once every 5.92 months. In no instance should the volume of
waste being stored in your structure be within 1.58 feet of the top of the dike.
If surface irrigation is the method of land application for this plan, it is the responsiblity of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and
amounts of Nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application rates and amounts.
APPLICATION APPLICATION
TRACT FIELD SOIL TYPE CROP RATE (inlhr) AMT jinchei)
1598
-]A,-IB.-IC
WAGRAM0-6%
SG
0.60
'1
1598
IA, IB, IC
WAGRAM 0-6%
BH
0,60
•1
1598
-ID,-2A--2B,-3A,-3B
BLANTON 0-5%
SG
0.75
'1
1598
1D, 2A, 213, 3A, 3B
BLANTON 0-5%
BH
0.75
•1
394
3C
WAGRAM 0-6%
BH
0.60
'1
* This is the maximum application amount allowed for the soil assuming the amount of
nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.

NARRATIVE OF OPERATION
This Wup has been revised to reflect wettable acres utilizing the most current FSA map at
scale (1 "=660'). The irrigation pulls are drawn on the map and correspond to the WUP..
Computations and a D-1 are provided. The 100# overseed option is utilized with the
following conditions: (1) no animal waste may be applied on the coastal after August 31, (2)
an application of 50# may be applied between Sep 15 and Oct 30. The remaining 50# may
be applied in Feb or Mar, and (3) the small grain must be taken off by April 7 either by
harvesting or grazing.
J.

PLANS & SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application..Any
discharge of waste which reaches surface water is prohibited. Illegal discharges are subject
to assessment of civil penalties of $10,000 per day by the Division of Water Quality for every
day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land to properly dispose of waste. If the producer
does not own adequate land to properly dispose of waste, he shall provide NRCS with a copy
of a written agreement with a landowner who is within a reasonable proximity, allowing
him/her the use of the land for waste application for the life expectancy of the production
facility. It is the responsibility of the owner of the facility to secure an update of the Waste .
Utilization Plan when there is a change in the operation, increase in the number of animals,
method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic
crop yields based on soil type, available moisture, historical data, climate conditions, and
level of management, unless there are regulations that restrict the rate of application for other
nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RMS) or
an Alternative Conservation System. (ACS). If an ACS is used the soil loss shall be. no greater
than 10 tons per acre per year and appropriate filter strips will be used where runoff leaves
the field. These filter strips will be in addition to "Buffers" required by DEM. (See FOTG
Stantard 393 - Filter Strips and Standard 390 Interim Riparian Forest Buffers).
5. Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated
on conventionally tilled cropland.. When applied to conservation tilled crops or grassland, the
waste may be broadcast provided the application does not occur during a season prone to
flooding. (See "Weather.and Climate in North Carolina" in the NRCS Technical Reference -
Environment file for guidance.)
*7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that
runoff does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control conditions
conducive to odor or flies and to provide uniformity of application.
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with
a high potential for leaching. Waste nutrient loading rates on these soils should be held to a
minimum and a suitable winter cover crop planted to take up released nutrients. Waste shall
not be applied more than 30 days prior to planting of a crop on bare soil.
11. Any new swine facility sited on or after October 1, 1995 shall comply with the following:
the outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary

and from any perennial stream or river (other that an irrigation ditch or canal_ Animal waste
other than swine waste from facilities sited on or after October 1, 1995), shall not be applied
closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips)
12. Animal waste shall not be applied closer than 100 feet to wells.
13. Animal Waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landownwer.
14. Waste shall be applied in a manner not to reach other property and public right - of ways.
15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted croplands
provided they have been approved as a land application site by a "technical specialist".
Animal waste should not be applied on grassed waterways that discharge directly into water
courses, except when applied at agronomic rates and the application causes no runoff or drift
from the site.
*16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc.,
shall not be discharged into the animal waste management system.
J.
*17. A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.): If needed, special vegetation shall be .
provided for these areas and shall be fenced, as necessary., to protect the. vegetation.
Vegetation such as trees, shrubs, and other woody species, -etc. are limited to areas where
considered appropriate. Lagoon areas should be kept mowed and accessible. Lagoon berms
and. structures should be inspected regularly for evidence of erosion, leakage or discharge.
*18" If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the possibility
of an illegal discharge, pollution and erosion.
*19. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should be
kept on site.
20. Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied as a preemergence with no other applications of
animal waste during the crop season.
*21. Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be
managed to maintain the liquid level between the markers. A marker will be required to mark
the maximum storage volume fpr waste storage ponds.
22. Waste shall be tested within 60 days of utilization and soil shall be tested at least
annually at crop sites where waste products are applied. Nitrogen shall be the rate -
determining element. Zinc and copper levels in the soils shall be monitored and alternative
crop sites shall be used when these metals approach excessive levels. pH shall be adjusted
for optimum crop production amd maintained. Soil and waste analysis records shall be kept
for five (5) years. Poultry dry waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be maintained for five (5) years.

23. Dead animals will he disposed of in a manner that meets North Carolina Department of
Agriculture regulations.
* Liquid Systems
ra

NAME OF FARM: J.L.M. Farms LLC
OWNER I MANAGER AGREEMENT
I (we) understand and will follow and implement the specifications and the operation and
maintenance precedures estalished in the approved animal waste utilization plan for the
farm named above. I (we) know that any expansion to the existing design capacity of the
waste treatment and/or storage system or construction of new facilities will require a new
utilization plan and a new certification to be submitted to DEM before the new animals are
stocked.
(we) understand that I must own or have acces to equipment, primarily irrigation
equipment, to land apply the animal waste described in this waste utilization plan. This
equipment must be available at the appropriate pumping time such that no discharge occurs
from the lagoon in a 25-year 1-day storm event. I also certify that the waste will be applied
on the land according to this plan at the appropriate times and at rates that no runoff occurs.
NAME OF FACILITY OWNER: J.L.M. Farms LLC
SIGNATUR! �,�, M . rQ,,.s / 4r _ +'3 DATE: c�) 1,,,,2S/40
NAME OF MANAGER (if different from owner):
SIGNATURE: DATE:
NAME OF TECHNICAL SPECIALIST: George H. Pettus
AFFILIATION: Goldsboro Hog Farms, Inc.
ADDRESS (AGENCY): PO Box 10009
Goldsboro, NC 27532
[phone]
SIGNATURE:
please print
DATE: �5 rfY,2000
Page 9 of 9

M
ANIMAL WASTE UTILISATION AGREEMENT
I, Oft-c- "wrs , hereby give 6v"75 mw "oo r*mMs
permission to apply animal waste from his Waste Utilization System
on `}'sr acres of my land for the duration of time shown below.
The-field(s) on which waste can be applied are shown on the
attached map.
I understand that this waste.contains nitrogen, phosphorous,
potassium, and other trace elements and when properly applied
should'not harm my land or crops. I also understand that the use
of waste will reduce my need for commercial fertilizer.
Adjacent Landowner: • A:m* Date:-�o-apco
Waste Produce —Date:,i,�aG
Technical Rep esentative: Date: 3-,;D-L9000
SWCD Representative: Date:
Term of Agreement: ,19— to
Go4j;4TIe,�K DF Tea►q Op
(I) /Q{r eme"PJr 15 Fort OWL- YO*K IHTWIPWALS 1NIrM /4uToivts�-rrCr M�+I14L
(2) V(fT+CT_ ?AvzTY ChN TrIz, p4A-ry rites AomsFu cwr W,na 34a&`i morrc6 .
tary
hn� coi+ewl+�fronl �PIR�s: � �7, 2003

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
Goldsboro Hog Farms
Dunn/Maxwell Sow Farm
PO Box 10009
Goldsboro NC 27532
Dear Goldsboro Hog Farms:
1 � •
10
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND, NATURAL RESOURCES
r
December 30, 1999'rj , �j��'
DEkNR RAC-- - �--�._ .
�., EIGH RFcr�f �
C OFF1Ct
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number`5,1:-7 '
Johnston-C65fity
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, SLUR], 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 ,
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Johnston 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

•x.
FACILITY NUMBER
FARM NAME:
REVIEWER: -T. 14 0,JT"
DATE: z
TYPE
NUMBER
# ANIMALS
LAGOON- PAN
POND - PAN
Farrow/Wean
sow
2.5= .
5.4=
19=
Farrow/Feeder
sow
4=
6.5=
22=
Farrow/Finish
sow
10=
26=
91=
Wean/Feeder
head
1=
0.48=
1.6=
Feeder/Finish
head
1 =
2.3=
7.9=
Gilt Developer
head
1=
2.5=
Boar Stud
head
1=
3.7=
DESIGNIVOLUME CALCULATIONS:
Top of dike elevation:
Elev, below structural & storm storage:
Normal operating water level elevation:
(top of permanent storage):
Bottom elevation:
Permanent storage volume ibft3
Temporary storage volume 3bz ft:'
IRRIGATION:
Operating Pressure (psi)
Flow (gpm):
Application Rate (in/hr):
Nozzle/Ring Size(s):
Design
Recorded
Design
Recorded
Design
Design
Design
Design
WUP - Days of temporary storage: f �
Calcs - Days of temporary storage:
5z� ft. 1' 25 yr./24 hr. storm in.
ft. 2nd 25 yr./24 hr. storm in.
ft. Structural freeboard in.
3 6 ft.
Actua
Actual
Actual
Actual
Actual
Actual
Exceeds required volume?,
Exceeds required volume?
FREEBOARD CK.
1
2
3
4
.5
Water level reading
Top of dike reading
Difference
Marker reading

CAWMP Components
Permitted Facility; Date: 6�1'7 3
Completed Certification Form, ate: 1
Waste Utilization Plan; Date: f
Amount of plant available nitrogen pr ddldfused annually ( $ Ibs)
Dominant soil series: LJz g (8,� A
Crops to be grown:
Field Maps r
Based on usable (Total= Usable= )
Present day format w/RYES or actual records; application windows 2/1/93;
Standard #633 required specifications
�G Emergency Action Plan
Odor Control Checklists (effective 1/97)
Insect Control Checklist (effective 1/97)
Mortality Checklist (effective 1/97)
Type of irrigation; T eling un Solid -Set Small Gun Center Pivot Linear Move
Other (description):
NRCS irrigation parameters usable field size, max. application rate, max. application
rate per cycle (effective 9/1/96) or
Calibration information or
Land application system design information (after 9/1/96) including parameters,
equipment type, system layout and settings
Show design needs (storage & treatment calculations)
Operation & Maintenance Plan
Site schematic
Site evaluation, after 2/96 (NRCS NC-CPA-1.7) includes wetlands determination
Hazard classification
Construction inspection notes, including liner inspection & observation trench (after
9/1196)
Consideration for emergency spillway (after 6/21/96)
REQUIRED RECORDS effective 9/1/96 PERMITTED FACILITIES
Waste application records (IRR 1 &2) General Permit & COC on site
IiIR Annual soil sample reports for 1999__---� weekly lagoon level records
(Cu index- z�w 7�
+8 ) �� - ..
��
(Zn index: 231 -- 9 161 )
P 3ZY — liSZ
Waste analysis - date last taken- 9
2 PAN Ibs/1000 gals. for struc ure #
lsa . 17 PAN lbs/1000 gals. for structure #2

DRAFT
Draft - Revised January 20, 1999
JUSTIFICATION & DOCUMENTATION FOR M NDATORY WA DETERMINATION
Facility Number St . ' _ Operation is flagged fora wettable
Farm Name: %3,Aa_ semis acre determination due to failure of
On -Site Representative: A - �'_ d Part 1l eligibility item(s) F1 F2 F3 F4
Inspector/Reviewer's Name: a Operation not required to secure WA
determination at this time based on
Date of site visit: 3 Z-`t exemption E1 E2 E3 E4
Date of most recent WUP: Annual farm PAN deficit Eg' pounds
Irrigation System(s).- circl :1. and -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w permanent pipe; 5. stationary sprinkler system wlportable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary gun system wlportable pipe
PART 1. WA Determination Exemptions (Eligibility failure, Part II, overrides Part I exemption.)..
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I. or PE.
E2 Adequate D, and D21D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or.PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part II. Complete eligibility
checklist, Part II - F1 F2 F3, before completing computational table in Part III).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map. nit AVPIkR
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres fortravelers or less than
2 acres for stationary sprinklers).
✓ F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part Ill.

DRAFT
Draft - Revised January 20, ] 999
Facility Number
Part 111. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER'°Z
TYPE OF
IRRIGATION
SYSTEM
TOTAL
ACRES
CAWMP
ACRES
FIELD
%
COMMENTS3
i s
,t a•.
Z7.13
1
3s 6 (a
N
7. S?
7.�
rr
1
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
June 26, 1998
Goldsboro Hog Farms
Dunn/Maxwell Sow Farm
PO Box 10009
Goldsboro NC 27532
I TF ?e
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANI) NATURAL RESOURCES
Subject: Reissuance of Certificate of Coverage
No.AWS510040
Dunn/Maxwell Sow Farm
Swine Waste Collection, Treatment, Storage and
Application System
Johnston County
Dear Goldsboro Hog Farms:
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on July 14, 1997. In accordance with the issuance of the revised General Permit, we are
forwarding this Certificate of Coverage (COC) to Goldsboro Hog Farms, authorizing the operation of
the subject animal waste collection, treatment, storage and land application system in accordance with
General Permit AWG100000. This approval shall consist of the operation of this system including, but
not limited to, the management of animal waste from the Dunn/Maxwell Sow Farm, located in Johnston
County, with an animal capacity of no greater than 2000 Farrow to Wean and 80 Gilts and the
application to land as specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003, and shall hereby void
COC No AWS510040 dated July 14, 1997. The COC shall hereby incorporate by reference any specific
conditions of the previous COC issued to this facility. The purpose of this COC is to allow coverage
under the revised General Permit. Please review the revised General Permit (enclosed) and pay
particular attention to Condition II.10 regarding tree removal from lagoon embankments, Condition III.1
regarding inspection frequency of the waste treatment, storage and collection system and Condition II1.6
regarding notification requirements for system failures, spills and emergencies. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS510040
Dunn/Maxwell Sow Farm
Page 2
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Katharine Keaton at [phone] ext. 533.
Sincerely,
for A. Preston oward, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Johnston County Health Department
Raleigh Regional Office, Water Quality Section
Johnston County Soil and Water Conservation District
Permit File

I \�
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
July 14, 1997
George Pettus
Dunn/Maxwell Sow Farm
PO Box 10009�,-
Goldsboro NC 27532 JUL 11 g 1991
Certificate of Coverage No. AWS510040
Dunn/Maxwell Sow Farm
Swine Waste Collection, Treatment, Storage
and Application System
Johnston County
Dear George Pettus:
In accordance with your application received on June 25, 1997, we are forwarding this Certificate
of Coverage (COC) to Farm No. 51-40, authorizing the operation of an animal waste collection, treatment,
storage and land application system in accordance with the State's General Permit (attached). This
approval shall consist of the operation of this system including, but not limited to, the management of
animal waste from the Dunn/Maxwell Sow Farm, located in Johnston County, with an animal capacity of
no greater than 2000 Farrow to Wean and 80 isolation gilts and the application to a minimum of 37 acres
of land as specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until December 31, 2001. Pursuant to this
COC, you are authorized and required to operate the system in conformity with the conditions and
limitations as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of
wastes to surface waters. An adequate system for collecting and maintaining the required monitoring data
and operational information must be established for this farm. Any increase in waste production greater
than the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to actual
increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General
Permit or the CAWMP may result in the revocation of this COC.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact J R Joshi at [phone] ext. 363.
Sincerely,
i
,1�-A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Johnston County Health Department
Raleigh Regional Office, Water Quality Section
Johnston County Soil and Water Conservation District
Permit File

SI'`+D
State of North Carolina ako
Department of Environment, Health and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form / Survey
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Liquid Animal Waste Operations
The following questions have been completed utilizing .i 1 Cn%n� I�,tr,� he
Division. Please review the information for completenes �i make any corre d ns
which areappropriate. If a uestton has not been com 1 b IIlli� e vision se
q P �ion
, y''iY ,i
complete as best as possible. Do not leave any q a s 'ered.
Application Date: 23 TW46 a7
I. 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.
1. One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
2. Two copies of ageneral location map indicating the location of the animal waste facilities and R+~irn
field locations where animal waste is disposed; �'ry
3. Two copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, one must be completed prior to submittal of a general permit application �!
for animal waste operations.
II. GENERAL INFORMATION: ::.._ .. .
1. Farm's name: Dlmn/Maxwell_Sow Farm
2. Print Land Owner's name: Goldsboro H R Farms
3. Land Owner's Mailing address: PO Box 10009
City: Goldsboro NC Zip: 27532
Telephone Number: 778-3130
4. County where farm is located: _Zohnston _
5. Farm 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): NQSR 1199, smiles west of NCSR 1008 North side�f
NCSR 1008
6. Print Farm Manager's name (if different from Land Owner):
7. 'Lessee's / Integrator's name (if applicable; please circle which type is listed): "eeg�TGoldsboro Hog Farms
51 - 40
FORM: AWO-G-E 2/26/97 Page 1 of 3

f.
4
III. OPERATION INFORMATION:
1. Farm No.: _.-4Q
2. Operation Description: Swine operation
Farrow to Wean
- Certified Design Capacity
Is the above information c ect? yes; � no. If no, correct below using the design capacity of the facility
Tyne of Swine o. of A0imal4 Type of Poull[y AnimalsTyne of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow) Cs co rG,c.. Qef �.. a s (c E-k tu.�....-L.r
0 Farrow to Finish (# sow)
Other Type of Livestock on the farfn: No. of AnimalsL
3. Acreage cleared and available for application:4 Required Acreage (as listed in the CAWMP): ,37
.4. Number of Lagoons: 2 ;Total Capacity: 1,283, bx b Cubic Feet (ft3)
Number of Storage Ponds: ; Total Capacity: Cubic Feet (ft3)
5. is animal waste being applied on any field which has subsurface drains? YES or O (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? YES or NO (please circle one)
IV. APPLICANT'S CERTIFICATION:
1, 6V L*41' ~ t-koG PA1zM S
(Land Owner's name listed in question II.2), attest that
this application for W4NN j&AAxW6L L SOW _ (Farm name listed in question 1I.1)
has been reviewed by me and 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
ew;/ M&R.
Date V6 ENE 41
V . MANkGEWS CERTIFICATION: (complete only if different from the Land Owner)
[, (Manager's name listed in question 11.6), attest that this
application for (Farm name listed in question I1.1)
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
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUNIBER: [phone]
FORM: AWO-G-E 2/26/97
Page 2 of 3

ANIMAL WASTE MANAGEMENT PLAN CERTIFICATION FOR EXISTING FEEDLOTS
1,
Please return the completed form to the Division of Environmental Management at the address on the
reverse side of this form.
Name of farm (Please print) 2yt4bI epow pAgm - -- —T
Mailing Address: f90!-Dh'Rww N G Fitwcvt�me • g4• Box l 000g &vLp!4M W, 7-702
Phone No.: qlq- 77L3-3130
County (of farm):-;Tn�,4N
Farm location: Latitude and Longitude: ZO' 15" �° 35(required)• Also, please attach a
COPY of a county road map with location identtT
Type of operation (swine, layer, dairy, etc.) _ _ 5Wt
Design capacity (number of animals) : 2160
Average size of operation (12 month population avg,): 2080
Average acreage needed for land application of waste (acres) 37 Acvvs
Technical Specialist Certification
As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant
to 15A NCAC 6F .0005, I certify that the existing animal waste management system for the farm named
above has an animal waste management plan that meets the operation and maintenance standards and
specifications of the Division of Environmental Management and the USDA - Soil Conservation Service
and/or the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and
15A NCAC 6F .0001 - .0005. The following elements and their corresponding minimum criteria have been
verified by me or other designated technical specialists and are included in the plan as applicable: minimum
separations (buffers); adequate quantity and amount of land for waste utilization (or use of third party);
access or ownership of proper waste application equipment; schedule for timing of applications; application
rates; loading rates; and the control of the discharge of pollutants from stormwater runoff events less severe
than the 25 - year, 24 - hour storm.
When checked, see reverse side of form for conditions/exceptions.
Name of Technical Specialist (Please Print): 61rORlyir 14 . e `ys,
Affiliation (Agency): &0vr w ►av& flu i Nc . —
Address (Agency): 4 F01 WA 1000 o N lli3Z Phone No.: PI(q.778-3(so
Signature: , _ ti Date: 07 Dfcg5;
owner/Manager Agreement
I (we) understand the operation and maintenance procedures established in the approved animal waste
management plan for the farm named above and will implement these procedures. I (we) know that any
expansion to the existing design capacity of the waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the Division of Environmental Management
before the new animals are stocked. I (we) also understand that there must be no discharge of animal waste
from this system to surface waters of the state either directly through a man-made conveyance or through
runoff from a storm event less severe that the 25-year, 24-hour storm. The approved plan will be filed at the
farm and at the office of the local Soil and Water Conservation District.
Name of
Signature:
Name of 1
Signature:
r,
ease
Date:
!� ,__S i ice..
Note: A change in land ownership inquires notification or a new certification (if the approved plan is changed) within 60 days of a title transfer.
DEM USE ONLY: ACE#

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ANIMAL WASTE UTILIZATION PLAN
Producer: J.L. MAXWELL
Location: P.O. BOX 10009
GOLDSBORO NC 27532
Telephone: [phone]
Type Operation: Existing Combination swine Farm
Number of Animals:8'0.00 swine ��
STORAGE STRUCTURE:
APPLICATION METHOD: irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that -all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in.an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DEM regulations.
Page: 1

r ti
ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will'conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirement's
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
2080 swine x 5.93846153846 tons waste/swine/year = 12352 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
2080 swine x 5.28076923077 lbs PAN/swine/year = 10984 lbs. PAN/year
N R.GS^.{e. }ate,. d,
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
Page: 2

r �
ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS- ICROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW.N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
1598
18.63
1
WaB
BC
5
250
Q
4657.5
I
APR-SEP
1598
1-1
IWaB
1SG
I
11
150
IO
118.631931.5
SEP-MAY
1598
2
BC
5
250
0
jBnA
I
I
I
110.4312607.5
APR-SEP
1598
SG
1
0
1-2
1BnA
T
�50
110.431521.5
SEP-MAY
1598
3
BC
5
0
jBnA
I
�250
17.57 11892.5
APR-SEP
1598
SG
1
0
1-3
jBnA
I
150
17.57 1378.5
SEP-MAY
END
. I
TOTAL110989
Indicates that this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses nitrogen.
Page:.._..3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
In interplanted fields (i.e. small grain, etc, interseeded
in bermudagrass), forage must be removed through grazing,
hay and/or silage. Where grazing, plants should be grazed
when they reach a height of six to nine inches. Cattle
should be removed when plants are grazed to a height of four
inches. In fields where small grain, etc, is to be removed
for hay or silage, care should be exercised not to let small
grain to reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too
high and this will definitely interfere with stand of
bermudagrass. This loss of stand will result in reduced
yields and less nitrogen being utilized. - Rather than
cutting small grain for hay or silage just before heading as
is the normal situation, you are encouraged to cut the small
grain earlier. You may want to consider harvesting hay or
silage two to three times during the season, depending on
time small grain is planted in' the fall.
The ideal time to interplant small grain, etc, is late
September or early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or mowed to a
height of about two inches before drilling for best results.
Page: 4

r ti
ANIMAL WASTE UTILIZATION PLAN
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required -.nitrogen
less any commercial nitrogen (COMM N) supplied.
The .following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
BC
SG
HYBRID BERMUDAGRASS-CONTROLLED GRAZED
SMALL GRAIN OVERSEEDED
TONS
50
50
TABLE 1
TABLE 2
TOTAL
TOTALS FROM TABLES LAND 2
ACRES
LBS AW N USED
36.63
10989
0
0
36.63
10989
* BALANCE
-5
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

I
I
ANIMAL WASTE UTILIZATION PLAN
* This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or'ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen.needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2.' Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract I Field I Soil Type
1598 1 I WaB
1598 12 I BnA
Crop
I BC
BC
Application RatefApplic. Amount
*1
*1
(inches)
Page: 6

ANIMAL WASTE UTILIZATION PLAN
1598
1 3
i
I BnA
i
I BC
I
I .5
1598
I
I --1
I
WaB
I
I SG
I
I .5
1598
!
I •-2
I
I BnA
I
I SG
f
f .5
1598
I
I -3
I
I BnA
I
I SG
I
f .5
f
*I
*1
*1
*1
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must btu removed on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
PAge: 7

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters' of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer -either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than to tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor .or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
-comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 --- Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved'as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways; waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
�.__ _.._ ....._.. _ .. ....._......._...._......_ _.._r�_.__....,..,.....,.. _ __...._._...w . - ag.e:

WASTE UTILIZATION PLAN
REOUIREDSPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be ipstalled to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall'be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:DUNN SOW FARM
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina. Division of Environmental Management (NCDEM) before
the new animals are stocked. I (we) also understand that there
must be no discharge of animal waste from this system to surface
wasters of the state from a storm event less severe than the 25-
year, 24-hour storm. The approved plan will be filed on -site at
the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDEM
upon request.
Name of Facility Owner: J.L. MAXWELL
(Please print)
Signature_'___�_ Date: _ �3/d. 7/7
Name of g��If dif'ament from owner) :
Signature:
Date:
Name of Person Preparing Plan: (Please print)Jerry Raynor
Affiliation:Johnston SWCD Phone No. 919-989-5381
Address (Agency): 806 North Street
Smithfield NC 27577
Signature: v� %u, (� Date: _ J%y

�r"•\ L'nlfeC Mares
l;� � ;r Oeoar.r^en� of
So 11
Consorvafkon
Service
C?_RATOR: GI,fP1r?
?lease review the attached plan and specifications eare5ully. Recain
cnis plan for your use and records. it is strongly recommended that you,
your contractor, and Soil Conservation Service personnel are in agreement
as 'co how the waste lagoon is to be constructed. The Soil Conservation
Service personnel will meet with all concerned parties and walk over the
site to explain all flags and markings. It is important that everyone
•.nderstand -,,hat is expeczea so that final censtruction meets plans and
specification and the '-ob can be certified for payment (if cost -sharing
is involved).
The pad dimensions and grades are the best estimate. The BUILDER or
CONTRACTOR is RESPONSIBLE for final layout and design of the pads. The
Soil Conservation Service personnel will assist in a limited capacity,
as its major concern is the proper design and construction of the waste
tr_aCmenC lagoon.
The actual amount of material required for pads and dam may vary from the
estimates. The design.will attempt to balance cuts and fills as close as
possible. If additional material is required after construction is complete
on the lagoon, the contractor and owner will negotiate on the price and
location of borrow area. .
tIOTc: Design Requirement: l:'.��,fsl6 cu.fC. cu. yds.
Estimate of Excavation: cu.ft. - 36.rr`7 cu.yds.
Estimate of Pad L Like: cu. f t. - z�w4. cu.yds.
1.2h i ' Ration
Job Class
mate
Designed BY
,Name
Design Approval C-(�Q.,.,._ f4_C T
rl
Name
3
Date
O.". sc, C:Cn1/Ir 6j,QA sir .C•
—.nl JI �y;i'�Ilylf

' UZ.C.A!
Soil Conservation Service
(June 91)
SCS-CPA-026 I. Name and Address of Person
HIGHLY ERODIBLE LAND AND WETLAND . r,1..., S't ,.<<, , %Cw , l ; �;�1
CONSERVATION DETERMINATION
1. Name of USDA Agency or Person Requesting Determination 5. Farm No. and Tract No.
SECTION I - HIGHLY ERODIBLE LAND
2. Date of Request
3. County
'Q
FIELD NO.(s)
TOTAL ACHES
,�/
i. Is soil survey now available for making a highly erodible land determination? Yes Ed No ❑
i?f 4i,+.;' t:,; ;:-
tt•`_ f ;y;
1. Are there highly erodible soil map units on this farm? Yes [21 No ❑
? ? ig '' ",
'S'< '
K List highly erodible fields that, according to ASCS records, were used to produce an agricultural commodity in any
crop year during 1981.1985.
). List highly erodible fields that have been or will be converted for the production of agricultural commodities and,
according to ASCS records. were not used for this purpose in any crop year during 1981.1985; and were not
enrolled in a USDA set -aside or diversion program.
i o. This Hiohly Erodible Land determination was oom ed in the: Office Field ❑'
Y' ` :9: :;. '
`r�fiy
SFCTIAM 0 _ VJFTLANn
FIELD NO-W
TOTAL ACRES
11. Are there h dric soils on this farm? Yes ❑ No ❑
q� '! :'o«;?a +,#
w P+
12. Wetlands (W), including abandoned wetlands, or Farmed Wetlands (FW) or Farmed Wetlands Pasture (FWP).
Wetlands may be farmed under natural conditions. Farmed Wetlands and Farmed Wetlands Pasture may be
farmed and maintained in the same manner as they were prior to December 23, 1985, as long as they are not
abandoned.
13. Prior Converted Cropland (PC). Wetlands that were converted prior to December 23, 1985. The use, management,
drainage, and alteration of prior converted cropland (PC) are not subject to the wetland conservation provisions uAless
the area reverts to wetland as a result of abandonment.
14. Artificial Wetlands (AW). Artificial wetlands includes irrkption4induced wetlands. These wetlands are not subject
to the wetland conservation provisions.
15. Minimal Effect Wetlands (MW). These wetlands are to be farmed according to the minimaFeffect agreement signed
at the time the minimal -effect determination was made.
16. Mitigation Wetlands (MIW). Wetlands on which a person is actively mipgating a frequently trapped area or a wetland
convened between December 23, 1985 and November 28, 1990.
17. Restoration with Violation (RVWyear). A restored wetland that was in violation as a result of conversion after
November 28, 1990, or the planting of an agricultural commodity or forage crop.
18. Restoration without Violation (RSW), A restored wetland converted between December 23, 1985 and
November 28, 1990, on which an agricultural commodity has not been planted.
19. Replacement Wetlands (RPW). Wetlands which are converted for purposes other than to increase production,
where the wetland values are being replaced at a second site.
T. Good Faith Wetlands (GFW+year). Wetlands on which ASCS has determined a violation to be in good faith and the
wetland has been restored.
'1. Converted Wetlands (CW). Wetlands converted after December 23, 1985 and prior to November 28, 1990. In any
year that an agricultural commodity is planted on these Converted Wetlands, you will be ineligible for USDA benefits.
'2. Converted Wetland (C W+year). Wetlands converted after November 28, 1990. You will be ineligible for USDA
program benefits until this wetland Is restored.
13. Converted Wetland Non -Agricultural use (CWNA). Wetlands that are converted for trees, fish production, shrubs,
cranberries, vineyards or building and road construction.
?4. Converted Wetland Technical Error (CWTE). Wetlands that were converted as a result of incorrect determination
by SCS.
15. The planned alteration measures on wetlands in fields are considered
maintenartra and are in rmm�lGantys
wan r•JA.
.'.6. The planned alteration measures on wetlands in fields are not considered to be maintenance and it
installed will cause the area to become a Converted Welland (CW). See item 22 for information on CW+year.
'7. The wetland determination was completed in the office halo and was delivered[:] malted to the person on
18. Remarks. _. ; -
'H_•r s_`. �' -.: �1 �. i-,t ,--U '- •t:_ l. i...-, i `.� . il•. L?• f ('�. ..�'h.:c T�f•.?•, �J�.� �`r-1 'E'���-_„ 1`.1.
.9. 1 cern,fv that the ahewe doernrinotion is correct and adequnie for use in determining 30. Signature. of SCS Di vrict Conservationist 31. Dale
eli,kihiht'i for USDA program henefirs', and that K-edand hydrology, hydricsoils, and ='�• _
h vdr'ophytic vegeration under normal circumstances exist on all areas txulined m
Wetlarulr Farmed It'erlunds. and Farmed Warlords Pauurr. +• "' �� � �`��"t
Apsistance and programs of the Soil Conservation Servke rvaHebk Wj",0# logo 1p --, eubr aer a or 4ndicap.
PcrsU11 Copy

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U. S. Department of Agriculture
Soil Conservation Service
NC-ENG-34
September 1980
HAZARD CLASSIFICATION DATA SHEET FOR DAMS
Landowner County '7 0 �! /1
Community or Group No. Conservation Plan No.
Estimated Depth of Water to Top of Dam__2_Ft. Length of Flood Pool 4 Ft.
Date of Field Hazard Investigation /Z - G - 9 3
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. Elev. :Est.
evation
Kind of
:Improvements:
of Breach
Reach: Length:
Width:
Slope:
Land Use
; Improvements
Above :Floodwater Above
Flood Plain:
Flood Plain
Ft.
Ft.
Ft.
Ft.
/
L(I fJ n rY I
I Spp
3oo
-7 °o
'
2 2000
3 o a
/o
: 7cr, G� • r.-r
Describe potential for loss of life and damage to existing or probable future downstream
improvements from a sudden breach^ fs I =rcr: r-�..� �•/
,9) 4-v Y-
Hazard Classification of Dam (a, b, c) (see NEM-Part 520.21)
Dam Classification (I, II, III, IV, V) 7' - ,Cf)f) "/�r�
By
na
7-
it e
Concurred By,/ -
name title
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.
Date /a 6 -- 9 3
Date /a1 -- /n3

DEPAPTMENT OF THE INTERIOR DEPA-RTME;
. GEOLOGICAL SURVEY G A) 7;q U OqD
)50mk- E. 151 152 12'30" 154
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SCS-ENG-S38
k0i. S-70
U. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FARMER'S NAME ra_,,-) >>�.f� i}; r__�teJ4 DISTREGT_.,���t>'r/..ir�,r/
DATE t ? ' -- 9 COUNTY _ : �-� Fl .is � / - - S. C. S. PHOTO SHEET NO. — WORK UNIT
WATERSHED WATERSHED AREA MEASMEMENTS 2,X r �� J
CROPLAND —ACRES PASTURE; ACRES
WOODLAND ACRES TOTAL ACRES POND CLASS WORK UNIT CONSERVATIO.AST
SKI ICii OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. Scala l feet)
Lmod• rvierrncr pnml in cenlcr lint of dam and ldmlily on sAnch.
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BORING NUMBER AND PROFII.E
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SCS-iNG-538
Ile- 5-70
U. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FA.RMER'S NAME reL�.S DISTRICT
DATF 13 r COUNTY 3o S", _
S. C. S. PHOTO SIIFL'T NO. WORK UNIT _
WATERSHED AREA MEASUREMENT'S
CROPLAND ACRES PASTURE•. ACRES ,
WOODLAND ACRES TOTAL ACRES I POND CLASS WORK UNIT CONSE:RVAT[u.:[ST
SI:FTCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx, scale l'r= fee[}
LrKafr relerrnc'e Donn, to center line o/ dam and Identity on slerch.
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-
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SHOW
DF.PT[i
SCALE
I10RING NLJ.MBF.R Ati[1 PROFILE
H'jee ,1.1 1.11 d.,m nee qnd wilt —ay Gunny, /ref/ then swnded c.r., Jnd Our.uw Pit Nmn„1 • 1et.4.ule u,th rert,:.,f rr.1 tine.
f C'on tniucd on GJ[I[ where necesWry, Sh,- w1.1t, f.7DN elewnvnf on dary "ee honnyf.
1 ` — --
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17- — -
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Eiilitl.ti'Gti ns:i[�I Iit�rr I/crr'�-- SIGNAll IItr: i 1rll.N^ ��cxK�==�
cove pc�

TYPES OF MATERIAL ENCOUNTERED IN BORINGS
(Use one of system.; below)
UNIFIED CLASSIFICATION
GW -Well grded gravels; gravel, sand mix
GP -Poorly graded gravels
GM -Silty gravels; gravel -sand -silt mix
GC -Clayey travels; gravel -sand -clay mix
SW -Well graded sands; sand -gravel mix
SP - Poorly graded sands
SM - Silty sand
SC -Clayey sands; sand -clay mixtures
ML- Silts; silty, v. fine sands; sandy orclayey silt
CL-Clays of love to medium plasticity
CH -Inorganic clays of high plasticity
MH -Elastic silts
OL-Organic silts and silty clays, low plasticity
OH -Organic clays, medium to high plasticity
USDA CLASSIFICATION
g- gravel
s - sand
vfs- very fine sand
sl- sandy loam
fsl - fine sandy loam
I - loam
gl - gravelly loam
si - silt
sil -silt loam
cl-clay loam
sicl - silty clay loam
scl - sandy clay loam
sic -silty clay
c-clay
1. Suitable mntcrial for embankment is available C 'vis [�] No (lndicale where hm.rrea on rh. skerch on
nnrrrae s+.rdl
lu'NiMZKS::
0D-A_(X.3 etr.t�. rA�a-�eYake,tit YYLr`CL�ce� do yt'e_czt�a. 4
st 5 w c} - � �`� a -�.C'Gr�",� .�r,. -•- i��Zi'�'.] �xY--�� -v... R�t,.�e..Pltri�.
1
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y��,t ri►r�-,rL..l-_�.Sr',�. ct��/t-et ✓1wP-tT v�-tcr�
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2 Explain hazerda requiring bpecial attention in deaign tserwue, ayrrrw.., k err_]
S�„-c-�}- ! C'`[�� I,{-3 C'.o����1,}, .2,-r-t-r� �an��...nd~'•�_,
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'Lz._.e - .t-•c'..l'n'-e _ r.c G�r/tc�/�►� r`rp-1 ��/ti�Y�..
4 r
GENERAL REMAliKS.
f y
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�,_��. � �}
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I

Operator:Jim Maxwell County: Johnston
Distance to nearest residence (other than owner):
1. STEADY STATE LIVE WEIGHT
0 sows (farrow to finish)
0 sows (farrow to feeder)
0 head (finishing only)
2000 sows (farrow to wean)
0 head (wean to feeder)
Date: 11/17/93
1500.0 feet
x 1417
lbs.
= 0
lbs
x 522
lbs.
= 0
lbs
x 135
lbs
- 0
lbs
x 433
lbs..
- 866000
lbs
x 30
lbs.
= 0
lbs
TOTAL STEADY STATE LIVE WEIGHT (SSLW) = 866000 lbs
2. MINIMUM REQUIRED TREATMENT VOLUME OF LAGOON
Volume = 866000 lbs. SSLW x Treatment Volume(CF)/lb. SSLW
Treatment Volume(CF)/lb. SSLW= 1 CF/lb. SSLW
Volume = 866000 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION
Volume = 0.0 cubic fee " Owner requests no sludge storage.
Sludge will be removed as needed. "
4. TOTAL DESIGN VOLUME
Inside top length 660.0 feet ; Inside top width 200.0 feet
Top of dike at elevation 52.0 feet
Freeboard 1.0 feet ; Side slopes 3.0 : 1 (Inside lagoon)
Total design Lagoon liquid level at elevation 51.0 feet
Bottom of lagoon elevation 38.0 feet
Seasonal high water table elevation 43.4 40.-O feet
Total design volume using prismoidal formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 LENGTH WIDTH DEPTH
3.0 3.0 3.0. 3.0 654.0 194.0 13.00
AREA OF TOP
LENGTH * WIDTH =
654.,0 194.0 126876 (AREA OF TOP)
AREA OF BOTTOM
LENGTH * WIDTH
576.0 116.0 66816 (AREA OF BOTTOM)
AREA OF MIDSECTION
LENGTH * WIDTH * 4
615.0 155.0 381300 (AREA OF MIDSECTION * 4)
CU. FT. _ [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
126876.0 381300.0 66816.0 2.2
VOLUME OF LAGOON AT TOTAL DE�TO,T TTnTTTn TrrsrrT - 12456'16 CU. FT.

5. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width =
660.0 200.0 132000.0 square feet
Buildings (roof and lot water)
Length * Width =
0.0 0.0 0.0 square feet
TOTAL DA 132000.0 square feet
Design temporary storage period to be 180 days.
5A. Volume of waste produced
Approximate daily production of manure in CF/LB SSLW 0.00136
Volume = 866000 Lbs. SSLW * CF of Waste/Lb./Day * 180 days
Volume = 211997 cubic feet
5B. Volume of wash water
This is the amount of fresh water used for washing floors or volume
of fresh water used for a flush system. Flush systems that recirculate
the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days storage/7.48 gallons
per CF
Volume = 0.0 cubic feet
5C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amount.
180 days excess rainfall = 7.0 inches
Volume = 7.0 in * DA / 12 inches per foot
Volume = 77000.0 cubic feet

5D. Volume of 25 year - 24 hour storm
Volume = 6.7 inches / 12 inches per foot * DA
Volume 73700.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
5A.
211997
cubic
feet
5B.
0
cubic
feet
5c.
77000
cubic
feet
5D.
73700
cubic
feet
TOTAL 362697 cubic feet
6. SUMMARY
Total required volume 1228697 cubic feet
Total design volume avail. 1245816 cubic feet
Min. req. treatment volume plus sludge accumulation 866000 cu feet
At elev. 47.9 feet ; Volume is 876591 cubic feet (end pumping)
Total design volume less 25yr-24hr storm is. 1172116 cubic feet
At elev. 50.3 feet ; Volume is 1158245 cubic feet (start pumping)
Seasonal high water table elevation 13444wQ-feet
7. DESIGNED BY: (�lf� APPROVED BY: L'au.,��-ia.r.. �C-C•T_
DATE: 1 �a�N �3 DATE •
E 3
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN
COMMENTS: -kk-N tJ W G-n1,1Z4 u uH+1 •

SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS
----------------------------------------------------------
Clearing:
All trees and brush shall be removed from the construction area
before any excavating or fill is started. Stumps will -be removed
within the area of the foundation of the embankment and fill areas
and all excavated areas. All stumps and roots exceeding one (1)
inch in diameter shall be removed to a minimum depth of one (1)
foot. Satisfactory disposition will be made of all debris. The
foundation area shall be loosened thoroughly before placement of
embankment material. Lagoon site (and pad site if needed) to be
stripped of topsoil (3") and stockpiled for use on dike and pad
slopes (2-3"). The topsoiling quantity is in excess of amounts
specified on page one (1).
Cut-off Trench:
---------------
A cut-off trench (when specified) shall be installed as shown in
the plans.
Construction:
-------------
Construction of excavated and earthfill areas shall be performed to
the neat lines and grades as planned. Deviations from this will
require prior approval of the SCS. Earthfill shall be placed in
max. of 6" lifts and not placed in standing water. Compaction shall be
performed by shee s-foot roller during
placement. The embankment of the lagoon shall be installed using
the more impervious materials. Construction of fill heights shall
include ten (10) percent for settlement. To protect against seepage,
when areas of unsuitable material are_. encountered, they will need to
be excavated a minimum of -I wo 0feet - below grade and backfilled and
compacted with a SCS approved material (ie-CL,SC,CH). Refer to the soil
investigation information in the plans for special considerations.
Precautions should be taken during construction to prevent excessive
erosion and sedimentation. t,s-nRc_ iNTVRroR- aF LA60M -M t3ELINeD WITH Sc,&L r"ArEiz,AL
Fok#4v A-T- S+re #2, 8�m+ube, 67,7,88'7, , u &" r.AyC-RS a F-OLLER • 4vEQUA7E
MArC-RiAL I AVAit. 4F5tc[DfT�. IF ► C-ca-1SAR-(,AAAT�M+AL CA-W PEE 9BrkiW6Da €0r21N&4 LDGAT►PN
Vegetation;
All exposed embankment and other bare constructed areas shall be
seeded to the planned type of vegetation as soon'as possible after
construction according to seeding specifications sheet.

SEEDING RECOMMENDATIONS
-----------------------
AREA TO BE SEEDED: 3.5 ACRES
USE THE SEED MIXTURE INDICATED:
0 LBS. FESCUE GRASS @ 60 LBS./ACRE
(BEST SUITED ON CLAYEY OR WET SOIL CONDITIONS)
SEEDING DATES: SEPTEMBER 15 TO NOVEMBER 30
0 LBS. 'PENSACOLA' BAHIA GRASS @ 60 LBS./ACRE
(SEE FOOTNOTE NO. 1)
SEEDING DATES: MARCH 15 TO JUNE 30
28 LBS. HULLED BERMUDA GRASS @ 8 LBS./AC.
(SUITED FOR MOST SOIL CONDITIONS)
SEEDING DATES: APRIL 1 TO JULY 31
0 LBS. RYE GRAIN @ 30 LBS./ACRE (NURSERY FOR FESCUE)
140 LBS. RYE GRASS @ 40 LBS./ACRE (TEMPORARY VEGETATION)
SEEDING DATES: DECEMBER 1 TO MARCH 30
LBS.
APPLY THE FOLLOWING:
3500 LBS. OF 10-10-10 FERTILIZER (1000 LBS./ACRE)
7 TONS OF DOLOMITIC LIME (2 TONS/ACRE)
350 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
ALL SURFACE DRAINS SHOULD BE INSTALLED PRIOR TO SEEDING. SHAPE
ALL DISTURBED AREA IMMEDIATELY AFTER EARTH MOVING IS COMPLETED.
APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A CULTIPACKER
OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH A MULCH
ANCHORING TOOL OR NETTING.
1. PENSACOLA BAHIAGRASS IS SLOWER TO ESTABLISH THAN COMMON

OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is designed for waste treatment (permanent storage) with
min. odor control. The time required for the planned fluid level to be
reached (permanent + temporary storage) may vary due to soil conditions
flushing operations, and the amount of fresh water added to the system.
The designed 6 months temporary'storage is an estimated volume
based on: 1) waste from animals; 2) excess rainfall after evaporation;
and 3) the largest 24 hour (one day) rainfall that occurs on the
average of once every 25 years. The volume of waste generated from
a given number of animals will be fairly constant throughout the year
and from year to year. This estimate is based on 7 inches of excess
rainfall which is equal to or exceeds the highest 6 months excess in
a year. The average annual excess rainfall is approximately 8 inches.
Therefore, an average of 8 inches of excess rainfall will need to be
pumped each year. The 25 year rainfall will not be a factor to consider
in an annual pumping cycle, but this storage volume must always be
available. A maximum elevation is determined in each design to begin
pumping and this is usually the outlet invert of pipe(s) from
building(s). If the outlet pipe is not installed on the elevation to
begin pumping, a permanent marker must be installed on this elevation
to indicate when pumping should begin. An elevation must be established
to stop pumping to maintain minimum treatment depth (6 feet).
Pumping can be started or stopped at any time between these two
elevations for operating convenience as site conditions permit, such as
weather, soils, crop, and equipment in order to apply waste without
runoff or leaching.
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent damage to crops.
The following items are to be carried out:
1. It is strongly recommended that the treatment lagoon be pre -
charged to 1/2 its capacity to prevent excessive odors during
start-up. Pre -charging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be
covered with effluent at all times. When precharging is complete,
flush buildings with recycled lagoon liquid. Fresh water should not
be used for flushing after initial filling.
2. The attached waste utilization plan shall be followed. This
plan recommends sampling and testing of waste (see attachment)
before land application.

3. Begin pump -out of the lagoon when fluid level reaches eleva-
tion 50.3 as marked by permanent marker. Stop pump -out when
the fluid level reaches elevation 47.9 or before the fluid depth is
less than 6 feet deep (this prevents the loss of favorable
bacteria). The design temporary storage, less 25 year storm
is 288997 cubic feet or 2161696 gallons. As stated before, this
volume will vary considerably from year to year.
4. The recommended maximum amount to apply per irrigation is
one (1) inch and the recommended maximum application rate is 0.3
inch per hour.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
6. Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be diverted from the lagoon to stable
outlets.
8. Keep a minimum of 25 feet of grass vegetated buffer around
waste utilization fields adjacent to perennial streams. Waste will
not be applied in open ditches. Do not pump within 200 feet of a
residence or within 100 feet of a well.
9. The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of Environ-
mental Management, has the responsibility for enforcing this law.

Total Volumes
Grid cell size: 4.01 by 4.00
Original drawing scale: 50.00 ft/in
Project: Jim Maxwell
Drawing: Drawing 2
Number: GHF018
Location: Johnston Co.
Bid Date:
Engineer: G. Pettus
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 11/16/93 Time: 19:45:58
Final surface: Proposed
Initial surface: Existing
Tight Volumes Expansion Expanded Volumes
Cut 36806.83 0.00 36806.83
Fill 28724.26' 25.00 35905.32
Difference 8082.57 Net Export : 901.51
All volumes are in cubic yards.

Site Balance Report
Grid cell size: 4.01 by 4.00
Original drawing scale: 50.00 £t/in
Project: Jim Maxwell
Drawing: Drawing 2
Number: CHF018
Location: Johnston Co.
Bid Date:
Engineer: G. Pettus
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 11/16/93 Time: 19:47:17
Final surface: Proposed
Initial surface:,Existing
There are no "Proposed" structures.
Fill shrink/swell percent: 25.00 Cut shrink/swell percent: 0.00
Balancing to 0.0 +/- 10.0 cubic yards
delta
Cut
Fill
Cut - Fill
0.000
36806.83
35905.32
901.51
0.066
36524.91
36679.58
-154.68
0.057
36566.41
36566.31
0.10
Raise "Proposed" by 0.057 feet.

Orientation: -45.0
Lower Left
Z..Magnification: 12.8 Inclination: 28.0--
�
F -r•Jii P
r. J'jrrl
Pi
I�r'Cr�j �ii'j f I� � � r �!!ljp�, r' i �h� it Tl, hTij�� ��;,;�•�.... _
iA
fr-
�/fl,/! _' .ra..,fn,ulul:.:_ fiirfli t,... l+r�]�fru,r..._ h�l�jnr,Jc r lJf,-Fi�l.. `.
3D Mesh Surface
Proposed
Protect: Jim Maxwell
Drawing: Drawing 2
NuAber: GHF818
Location: Johnston Co.
Bid Date:
Engineer: 0. Pettus
Owner:
Estimator:
Prepared bw: GOLDSBORO HOG FARM using SITEMORK
Date: 11/16/93 Time: 20:54:22
3D Mesh Surface

45.80
:............ I --
48.00
49.00
47.00
i
sales_ 38.BD 38. 48.08
I
i
I
' 3B.0B
WAS
t. 52 @0
.0o--•-------------- ----•-
31.00
Report: Plan View Cross-section Locations
Project: Jim Maxwell
Drawing: Drawing 2
Surface: Proposed
Prepared by: GOLDSBtW HN FAW using S1TEWORK
Date: 11/16,193 Time: 19:29:04
Scale: 120 ftiin

Cross -Section Plots
Digitized Points
Project: Jim Maxwell
Drawing: Drawing 2
Number, GHF018
ILocation: Johnston Co.
Did Date:
Engineer: G. Pettus
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: llzl6,e93 Time: 19:32:25
A — A'
...............................
-------'--'
Proposed
----------'
...............................
--.^—~~'..'.~~~' ............................................
Ex i st i
......................................................... ........... ................................ ...... ................ -- ^—' -------'-------'
------^-----------------'—^-------'----- ---- --' ---------------
`
—.---------------------------'^---''-----'....... ---'...... ' --------^------''
orx«-1maL�
.............................................................. ........................ —...................................................... ----------------
�
L--.--_'--_--.,___............... ............................................... ...... 0.",r?"""°",""",=,=.................................................
.j
0

57.6
55.6
53.6
51.6
49.6
47.6
45.6
43.6
41.6
39.6
37.6
35.6
Cross -Section Plots
Digitized Points
Horiz. scale: 90 +t/in Vert. scale: 4 ft/in
Project: Jim Maxwell
Drawing: Drawing 2
Number: GHFOIS
Location: Johnston Co.
Bid Date:
Engineer: G. Pettus
Owner:
Estimator:
Prepared by: GCILDSBORO HOG FARM using SITEWORK
Date: 11/16/93 Time: 19:36:35
B - B,
........................... ....... :::::: .......................................................................................... ...............................................
....................................... .......................... ............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
op5sed
.............................. I ....... ...... I—, ......Pr........... ....................... ..................................................
.......................... : ............................................................................. : ............................... ............. ..................
--------------------- .... ....................
. ................ .
.......................................................................... ................... .............................. ...... ...............
Exis
................
ing
.............. ......................... ..................................................................... ............ .... .................... ............................................
...................................................................................................... ....... ...... ...................
............
.............. ............................................................................................................. ....... ...............................................
Origin -,-I
......................................................................................................... .............................................. ............ ..............
..................................
.................................... .....................................................................................................................................................................
540.0
T=

Cross -Section Plots
Digitized Points
Project' Jim Maxwell
Drawing: Drawing 2
Number: GHFeis
Location: Johnston Co.
Bid Date:
Engineer: 6. Pettus
Prepared bqj: GOLDSBORO HOG FARM using SITEWORK
Date: lIzI6193 Time: 19:40:38
-------------------~--. ..................
^
.........Prop, ned
........
- --------.--��-----.
'-------.......... ---------. --------.-------..
---.. -------------. ------------. -------- ------.
Exisinm
--------'--------- ---------~.---------.--------.. —.---------..----'--
--------- -------'' ----------------------------' --------^' -------
`
---------'. -------''—^---------^--~---------------T--'^-----''�-----'--'
original
L---^-----.7,,77 7 7��,�����,��7 ...,. :..r..... 7�7 --------]

WASTE UTILIZATION PLAN
VvNN mow fAwmn Plm m4wr-LO
Owners name--: Gac..aS'daPa IV06- F�County:
Mail Address-:/04.4OX /000q 6-.04d.S610�f''0, H G. A 75.314-
Type of production unit---- :StVI-If rr,v'T a00a Sows ra c✓&*w
Type of waste facility-----: 1A4�A5Y416/c. Z-4;?e­40A✓
Your animal waste management facility has been designed for a
given storage capacity. When the waste reaches the designed
level, it must be land applied at a specified rate to prevent
pollution of surface and/or ground water. The plant nutrients
in the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on the fields
where the waste is to be applied. This waste utilization plan
uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle and annual soil tests
are encouraged so that all plant nutrients can be balanced for
realistic yields of the crop to be grown.
Several factors are important in implementing your waste
utilization plan in order to maximize the fertilizer value of
the waste and to ensure that it is applied in an
environmentally safe manner. Always apply waste based on the
needs of the crop to be grown and the nutrient content of the
waste. Do not apply more nitrogen than the crop can utilize.
Soil types are important as they have different infiltration
rates and leaching potential. Waste shall not be applied to
land eroding at greater than 5 tons per acre per year. Do not
apply waste on saturated soils or an land when the surface is
frozen. Either of these conditions may result in runoff to
surface waters. Wind conditions should also be considered to
avoid drift and downwind odor problems. To maximize the value
of nutrients for crop production and to reduce the potential
for pollution, the waste should be applied to a growing crop or
not more than 30 days prior to planting. Injecting the waste
or disking will conserve nutrients and reduce odor problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage
requirements may be more or less based on the waste analysis
report from your waste management facility.
The design of your waste management facility is based on the
following:
Amount of Waste Produced Per Year:
� "145- animals x tons waste/animal/yr= /­?/1r8`stons
total waste
02 00U Saw F .Qa�. 7v We79 ✓ 5/ 3.3 /3�� G S//y• S'

Amount of Plant Available Nitrogen Produced Per Year:
,1600 animals x lbs. N/animal/year = 101?0O lbs./yr
Avai cable' N
Applying the above amount of waste is a big job. You should- -
plan time and have appropriate equipment to apply the waste in
a timely manner. Your facility is designed for 180 days of
storage. Therefore, it will need to be pumped every 6
months -
Tract Field Soil Crop Yield Lbs. N Acres Lbs.' N Month to
No. No. Type Per Ac..., Used Apply,
.6
WW
6 �
3oa
%�•�'
SS'�9
A�°�'� oar.
!s k 9
o*1170IIv
300
59 f
3
&4,, . v
GU ONr-V
4,4,,rwe
6 rov/W
-3 0'0
7. 5' 7
;Z .2 71--------------
Total 36.63 /d9�9
Available Nitrogen / O 8oU
Surplus ❑r.Deficit /99
Narrative Of Operation" OipE7�,� � ,� 7-h`,5tr fV
�.EyEL OF M�4+✓ l /S Oe2Q0, 4Er7 7V ^oSTiyii✓ !v Tv vs/� yl.-'Lds ..+, 4!Wr4ry6If rx ee
4450 .¢fr ff r 7-,V 47- JVtJ5rA!'- ��c, c.pTiu.✓ y�T.�T ,�, ..tea ,fc,P
skdOld-r-T rd- G„l,�PwaC, ( °ir+v�'.pc .SiG.f��9� 6 C JW d47 c &Ar;pWZ2,5'
ti0 .-sr/%d4/t,s4ff27 7V e49•s L u ^/ 7 IS s,rZ- of ..-AWV�� sew 9rn�-�
f*&6zr Fo'p .Q�GGMNJE�✓O�?7'/l�.ciS Gov
Call the Soil and Water Conservation District Office after you
receive waste analysis report to obtain the amount per acre to
apply and the irrigation application rate prior to applying
waste.
Prepared by: G- Id-(JrVIf-T G""--7-
Name Title
Concurred in by: _ 6,0 ) or& r±gwv;
Producer
(Copy to producer and copy to case file)
Date
23 wy,13
Date

Operator is applying waste using a Nelson 150 Big Gun with a
1.41 inch ring nozzle. Gun operates at a 65-70 PSI and is op-
erated in a 330 degree circle mode. The application rate cal-
culates out to be approximately 0.78 inches per hour. Soils
where waste is being applied is Blanton sand and Wagram loamy
sand. Suggested application rates for Blanton sand is 0.75
inches per hour. Suggested rates for Wagram loamy sand is 0.6
inches per hour.
Based on this information I am making the following recommend-
ations:
1) Use a travelling speed compensator to assure even distri-
bution as the reel winds in.
2) Switch to taper bore nozzles. Taper bore nozzles provide
more uniform distribution. Uniform distribution is much
more important when applying waste rather than plain
water.
3) Reduce application rate to 0.6 inches per hour or less.
Application rate for Wagram loamy sand is 0.6 inches per
hour. Generally speaking as the slope of the land in-
creases the application rate should decrease to reduce
the possibility of runoff. Changes in pressure and nozzle
size will probably be needed to achieve this reduction in
application rate.
4) Waste application should be performed in a manner to
avoid drift. This usually means when winds are less than
5 mph.
5) Do not apply waste during wet or rainy periods when soils
are saturated or when the soil is frozen.
6) Do not apply waste during periods when the grass is dor-
mant. For coastal bermuda, applications can usually be
made between April 15 and October 15. If coastal bermuda
is the only grass to be used.for waste application then
the waste water level in the lagoon must be managed so
that maximum storage is available going into the fall and
winter months.
7) Do not apply waste closer than 100 feet from water wells
for human comsumption.
8) Do not apply waste closer than 200 feet to dwellings
other than those owned by the landowner.
9) Do not apply waste in any manner that would result in
waste reaching other property and/or public right of
ways.

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ATTACiTMiENT E
- 1 of 3
Agri -Waste Ma-mageme.nt
Biological andAgricultural Engineering North Carolina State University
LIVESTOCK WASTE SAMPLING ANALYSIS AND CALCULATION
OF LAND APPLICATION RATES
James C. Barker*
I. SAMPLE COLLECTION
A. Semi -Solid Lot:Hanure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of manure from
different locations using nonmetallic collectors.
ii. From storage
a. Collect about 2 lbs of manure from under the surface crust
avoiding bedding materials and using nonmetallic collectors.
B..Liquid.Manure Slurry
i. Under -slotted -floor pit
a. Extend a 1/2" nonmetallic conduit open on both ends into
manure to pit floor.
b. Seal upper end of conduit (e.g.. by placing a thumb over end
of conduit) trapping manure that has entered lover end, remove
and empty slurry into plastic bucket or nonmetallic container.
c. Take subsamples frog 5 or more locations or at least l quart.
d. Mix and add about 3/4 pint to nonmetallic sample container.
ii. Exterior storage basin or tank
a. ,Make sure manure has been well mixed with a liquid manure
chopper -agitator pumpor propeller agitator.
b. Take subsamp les from about 5 pit locations, from agitator pump
or from manure spreader and place in a plastic bucket.
* Professor and Extension Specialist, Biological and Agricultural Engineering
Department. North Carolina State University, Raleigh. NC.

2 of 3
e. Mix and add 3/4 pint to a nonmetallic sample container.
C. Lagoon Liquid
i. Collect about 3/4 pint of recycled lagoon liquid from inflow pipe
to flush tanks in a nonmetallic sample container.
ii. From lagoon
a. Place a small bottle (1/2 pint or less) on end of 10-15' pole.
b. Extend bottle 10-15' away from bank edge.
c. Brush away floating scum or debris.
d. Submerge bottle within l' of -liquid surface.
e. Empty into a plastic bucket, repeat about 5 times around
lagoon, mix, ,and add 3/4 pint to nonmetallic sample container.
D. Broiler or Turkey Litter
i. House litter
a. Visually inspect litter for areas of varying quality, e.g.,
areas around feeders and waterers, and estimate percent of
floor surface in each area.
b. Take about 5 litter subsamples at locations proportionate to
item a. E.g., if 20% of litter of similar visual quality is
around feeders and waterers. take 1 subsample there and the
other 4 subsamples from remainder of floor surface.
c..At each location, collect litter from a 6" by 6" area down to
earth floor and place in a plastic bucket.
d. After 5 subsamples have been added to the bucket, mix, and add
about-2-3 lbs litter to a'nonmetallic sample container such as
a 1-gallon freezer bag and seal.
ii. From dcockpile
a. 'rake subsamples from about 5-locations at least 18" into p1le.
b. Kix, add 2-3 lbs to nonmetallic sample container and seal.

ATTACH:• ENT b
3 of 3-
"D
II. SAMPLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed. Rinse
residues from container with clean water but do not use disinfectants,
soaps, or treat in any other way.
B. Pack sample in ice, refrigerate, freeze, or transfer to lab quickly.
C. Hand -delivery is most reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and tape.
E. Commercial sample containers and mailers are also available. Contacts:
i. A&L Eastern Agricultural Lab, Inc. iii. Polyfoam Packers Corp.
7621 Vhitepine Road 2320 S. Foster Avenue
Richmond. VA 23237 G'heeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co.
3315 Winton Road
Raleigh, NC 27604
Ph: [phone]
iv. NASCO
901 Janesville Avenue
Fort Atkinson, WI 53538
Ph: [phone]
F. Private analytical labs are available, but sample analyses are costly.
G. The NCDA provides this service for North Carolina residents.
i. Address: North Carolina Department of Agriculture
Agronomic Division
Plant/Vaste/Solution Advisory Section
Blue Ridge Road Center
P.O. Box 27647
Raleigh, NC 27611
Ph: [phone]
Attn: Dr. Ray Campbell
ii. Forward $4 along with the sample.
iii. Include the following identification information with sample:
a. Livestock species (dairy, swine, turkey, etc.)
b. Livestock usage (swine -nursery, finishing; turkey -breeders,
brooderhouse, grower, number flocks grown on litter; etc.)
c. Waste type (dairy -lot scraped manure, liquid slurry; swine -pit
slurry, lagoon liquid, sludge; broiler -house litter, stockpile
iv. Routine analyses performed on all samples: N, P, K, Ca, Mg, Na,
S, Fe, Mn, Zn, Cu, B
v. Additional analyses performed upon request: DM, Mo, Cd, Ni, Pb
prc

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37elD

LAGOON DESIGN CHECK LIST
A J J To., I Copy of 026 and supporting maps included if clearing involved.
Play (including access roads and waste application system sites)
2 Dana Safety Exclusion /✓A
a. Dike not over 15 feet high to down stream slope and not over
to acre feet storage to top of dike.
3. Storage Volumes
designed volume exceeds needs
all temporary storage is designed above the seasonable high
water table.
-d. minimum of 6 feet treatment volume depth available
�. no sludge storage statement included if landowner so requests
4. Operation & Maintenance Plan (sheet included)
a'� begin and end pump -out elevations shown
5. Location Sketch (included)
�a'! distance and direction to nearest residence shown
�b:�road numbers shown
/c.�north arrow shown
Sin/r�.+•a�6. Hazard Classification Sheet (NC-ENG-34 included)
Shed a f/" distance .to nearest stream in event of dike failure shown
b ✓ distance to nearest public road in event of failure shown
c � topo map of area to support a & b above included
/ 7. Waste Utilization Plan (included)
a. all tracts, field numbers, field acreage, (available acres
excluding buffers for ditches, roads, homes, property line,
etc.) crops shown
A To P%a,� b. signatures of producer &: person preparing plan
c. pumping agreement signed by adjoining landowner showing tract
use - SaK, Fa,. �, numbers, f ield numbers, acres, etc. if needed
d. legible ASCS maps of effluent disposal fields included
Plan e. legible soil survey sheets showing all effluent disposal
fields included
f. suitability of soils for crops planned assured
g.-'attachment "B" on sampling procedure included
8. Soil Investigation Sheet (SCS-ENG-538 included)
4 a.✓ minimum of three borings on Class IV & V lagoons
b borin5s 2.0/ below designed bottom of lagoon
c.✓ location & elevation of borings in relation to grid survey
d:� seasonal high water table at highest elevation
e ✓ borrow area location shown

Operator:J L Maxwell, III County: Johnson Date: 06/22/94
lJ
Distance to nearest residence (other than owner): 89�8.0 feet
1. AVERAGE LIVE WEIGHT (ALW)
0
sows
(farrow to
finish)
x
1417
lbs. =
0
lbs
0
sows
(farrow to
feeder)
x
522
lbs. =
0
lbs
.0
head
(finishing
only)
x
135
lbs. =
0
lbs
0
sows
(farrow to
wean)
x
433
lbs. -
0
lbs
0
head
(wean to feeder)
x
30
lbs. =
0
lbs
Describe other :
21600
Total
Average Live Weight =
21600
lbs
2. MINIMUM REQUIRED TREATMENT VOLUME OF LAGOON
Volume = 21600 lbs. ALW x Treatment Volume(CF)/lb. ALW
Treatment Volume(CF)/lb. ALW = 1 CF/lb: ALW
Volume = 21600 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION l
Nej si�;d�t A � isc
Volume = 0.0 cubic feet
4. TOTAL DESIGNED VOLUME
Inside top length (feet)--------------------- 95.0
Inside top width (feet)---------------------- 95.0
Top of dike elevation ( feet) -------------------- 50.0
Bottom of lagoon elevation (feet)------------- 39.0
Freeboard (feet)----------------------------- 1.0
Side slopes (inside lagoon)------------------ 3.0 1
Total design volume using prismoidal formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 LENGTH WIDTH DEPTH
3.0 3.0 3.0 3.0 89.0 89.0 10.0
AREA OF TOP
LENGTH * WIDTH =
89.0 89.0
AREA OF BOTTOM
LENGTH * WIDTH =
29.0 29.0
7921 (AREA OF TOP)
841 (AREA OF BOTTOM)
AREA OF MIDSECTION
LENGTH * WIDTH * 4
59.0 59.0 13924 (AREA OF MIDSECTION * 4)
CU. FT. _ [AREA TOP.* (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
7921.0 13924.0 841.0 1.7
Total Designed Volume Available = 37810 CU. FT.

5. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width =
95.0 95.0
9025.0 square feet
Buildings (roof and lot water)
0.0 square feet Describe this area.
TOTAL DA 9025.0 square feet
Design temporary storage period to be 180 days.
5A. Volume of waste produced
Feces & urine production in gal./day per 135 lb. ALW 1.37
Volume = 21600 lbs. ALW/135 lbs. ALW * 1.37 gal/day 180 days
Volume = 39456 gals. or 5274.9 cubic feet
5B. Volume of wash water
This is the amount of fresh water used for washing floors or volume
of fresh water used for a flush system. Flush systems that recirculate
the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days storage/7.48 gallons
Per CF
Volume = 0.0 cubic feet
5C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amount.
180 days excess rainfall = 7.0 inches
Volume = 7.0 in * DA / 12 inches per foot
Volume = 5264.6 cubic feet

5D. Volume of 25 year - 24 hour storm
Volume = 7.0 inches / 12 inches per foot * DA
Volume = 5264.6 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
5A.
5275
cubic
feet
5B.
0
cubic
feet
5c.
5265
cubic
feet
5D.
5265
cubic
feet
TOTAL 15804 cubic feet
6. SUMMARY
Temporary storage period____________________>
180
days
Rainfall in excess of evaporation=====_=____>
7.0
inches
25 year - 24 hour rainfall__________________>
7.0
inches
Freeboard=======------=_______________-_____>
1.0
feet
Side slopes=====____________________________>
3.0
. 1
Inside top length==_________________________>
95.0
feet
Inside top width____________________________>
95.0
feet
Top of dike elevation=====__________________>
50.0
feet
Bottom of lagoon elevation=====__===========>
39.0
feet
Total required volume=====__________________>
37404
cu. ft.
Actual design volume=______________________ _>
37810
cu. ft.
Seasonal high watertable elevation (SHWT)===>
46.0
feet
Stop pumping
46.6
feet
Must be > or = to the SHWT elev.====__=___>
46.0
feet
Must be > or = to min. req. treatment el.=>
45.0
feet
Required minimum treatment volume=====______>
21600
cu. ft.
Volume at stop pumping elevation=====_______>
21710
cu. ft.
Start pumping
48.3
feet
Must be at bottom of freeboard & 25 yr.,rainfall
Actual volume less 25 yr.- 24 hr. rainfall==>
32545
cu. ft.
Volume at start pumping elevation=====______>
32523
cu. ft.
Required volume to be pumped________________>
10539
cu. ft.
Actual volume planned to be pumped=====_____>
10813
cu. ft.
Min. thickness of soil liner when required==>
1.6
feet
7. DESIGNED BY: � '� "� (&J- j-- APPROVED BY: e�
DATE: E f 3 9 DATE:
7
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN /
COMMENTS: V-0j CCrnscar ��c�rt Gh S�r,�FS and r_IAV f �laF

:mod -
ti{ . .
This lagoon is designed for waste treatment.with minimum odor
control. The time required for the planned fluid level to be
reached may vary due_to soil conditions,flushing operations,
the amount of fresh water added to the system.
CPEPAIT IONANDMAINTENANCE PLAN
- -
and
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include -solid set,..
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent runoff from the field or damage
to crops.
The following items are to be carried out:
I. It is strongly recommended that the treatment lagoon be pre -
charged to 1/2 its capacity,.to,prevent excessive odors during
start-up. Pre -charging 'reduces;: the.. con centra_t`ion of the initial
waste entering the lagoon thereby reducing odors:- Solids should be
covered with effluent at all times..
2. The attached waste utilization plan shall;'`be'_-eoliowed - This
plan recommends sampling and testing of waste (see Attachment B).
before land application.
3. Begin pump -out of the lagoon when fluid.:level''reaches eleva
tionCjg, 3 as marked by permanent markers.' Stop pump --out when
the fluid level reaches elevationor before fluid depth is
less than 6 feet deep (this prevents the loss of favorable
bacteria) .
4. The recommended maximum amount to apply.per irrigation is
one (1) inch and the recommended maximum application rate is 0.4
inch per hour.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
6. Repair any eroded areas or are damaged by rodents and
establish in vegetation.
7. All' surface runoff is to be diverted from the lagoon to stable
outlets.
B. The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of Environ-
mental Management, has the responsibility for enforcing. this law.

SEEDING SPECIFICATIONS
----------------------
AREA TO BE SEEDED: 0.5 ACRES
USE THE SEED MIXTURE INDICATED AS FOLLOWS:
0.0 LBS_ FESCUE GRASS AT 60 LBS./ACRE
(BEST SUITED ON CLAYEY OR WET SOIL CONDITIONS)
SEEDING DATES: SEPTEMBER 1 TO NOVEMBER 30
FEBRUARY 1 TO MARCH 30
0.0 LBS. RYE GRAIN AT 30 LBS./ACRE (NURSERY FOR FESCUE)
0.0 LBS. 'PENSACOLA' BAHIA GRASS AT 60 LBS./ACRE
(SEE FOOTNOTE NO. 1)
SEEDING DATES: MARCH 15 TO JUNE 15
0.0 LBS. HULLED COMMON BERMUDA GRASS AT 8 LBS./ACRE
(SUITED FOR MOST SOIL CONDITIONS)
SEEDING DATES: APRIL 1 TO JULY 31
5.0 LBS. UNHULLED COMMON BERMUDA GRASS AT 10 LBS./ACRE
SEEDING DATES: JANUARY 1'TO MARCH 30
0.0 LBS. RYE GRASS AT 40 LBS./ACRE (TEMPORARY VEGETATION)
SEEDING DATES: DECEMBER 1 TO MARCH 30
LBS.
APPLY THE FOLLOWING:
500.0 LBS. OF 10-10-10 FERTILIZER (1000 LBS./ACRE)
1.0 TONS OF DOLOMITIC LIME (2 TONS/ACRE)
50.0 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
ALL SURFACE DRAINS SHOULD BE INSTALLED PRIOR TO SEEDING. SHAPE
ALL DISTURBED AREA IMMEDIATELY AFTER EARTH MOVING IS COMPLETED.
APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A CULTIPACKER
OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH A MULCH
ANCHORING TOOL OR NETTING.
1. PENSACOLA BAHIAGRASS IS SLOWER TO ESTABLISH THAN COMMON
BERMUDA GRASS. WHEN USING BAHIA, IT IS -RECOMMENDED THAT 8
LBS./ACRE OF COMMON BERMUDA BE INCLUDED TO PROVIDE COVER
UNTIL BAHIAGRASS IS ESTABLISHED.

• ' {. r'• ( Al ! +�.•��~��I + `• ; •,/" \I
" � � , .ti` / i n , 5; .•,l ( �� . •1 ♦ ' 1' �.\ �•� I 4a( �'� � I `� _ i tVIS
• `ti - .yl`'< `' • : '=�Q*,•�f * \' �• .{J`^.�j% .j} uyi J �✓�•�' i ' •i'/�•��-. ` \ �1 �t � f '��
•.: * _ _ r r fr�_: • J ';' 1�t .:ram 1�� l!
Ll
rr i� is ;'•� V (�. •}( ,;1 r� ! �'y1 �� �r .:�' :.•T ,%�.-. J �i . " - ,1r /_��r` i
•�J' 1 �\ !� t.- .:- c,1js`� �fr::_-�:•.•/ � 1)' ..Fr('- ,�;aC •• ••if, -
�:c r
� '
�; 'r`.I ,• �ra�''��� is�' ' .."r ` l / -.
ram.... -- �',', - ` J�.. i •'. .��` _ j•'• �'._
'ell
_'1 / `t. Lai �� rr /j � �` -.•'. �:!.~ ' rn41 �4 -• l+.
' • as ��,'+� D� __�\ . i �" r * .
I1i21 I
s'r ♦ � /
Ae
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fir;.. ' . a, - _..._> •ter ,
. ar. •ar ,�- f, 1
5
r16 ri S -I D 100-1 OD C)

OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is designed for waste treatment (permanent storage) and
180 days of temporary storage. The time required for the planned
fluid level (permanent and temporary storage) to be reached may vary
due to site conditions, weather, flushing operations, and the amount
of fresh water added to the system.
The designed temporary storage consists of 180 days storage for:
(1) waste from animals and (2) excess rainfall after evaporation. Also
included is storage for the 25 year - 24 hour storm for the location.
The volume of'waste generated from a given number of animals will be
fairly constant throughout the year and from year to year, but excess
rainfall will vary from year to year. The 25 year rainfall will not
be a factor to consider in an annual pumping cycle, but this storage
volume must always be available.
A maximum elevation is determined in each design to begin
pumping and this is usually the outlet invert of pipe(s) from
building(s). If the outlet pipe is not installed at the elevation to
begin pumping, a permanent marker must be installed at this elevation
to indicate when pumping should begin. An elevation must be established
to stop pumping to maintain lagoon treatment depth.
Pumping can be started or stopped at any time between these two
elevations for operating convenience as site conditions permit, such as
weather, soils, crop, and equipment in order to apply waste without
runoff or leaching.
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent damage to crops.
The following items are to be carried out:
I. It is strongly recommended that the treatment lagoon be pre -
charged to 1/2 its capacity to prevent excessive odors during
start-up. Pre -charging reduces the -concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be
covered with effluent at all times. When precharging is complete,
flush buildings with recycled lagoon liquid. Fresh water should not
be used for flushing after initial filling.
2. The attached waste utilization plan shall be followed. This
plan recommends sampling and testing of waste (see attachment)
before land application.
3. Begin temporary storage pump -out of the lagoon when fluid level
reaches the elevation 48.3 as marked by permanent marker. Stop pump -
out when the fluid level reaches elevation 46.6 .. This temporary
storage, less 25 yr- 24 hr storm, contains 10539 cubic feet or
78835 gallons.

SHEET 2 OF 2 -
4. The recommended maximum amount to apply per irrigation is
one (1) inch and the recommended maximum application rate is 0.3
inch per hour. Refer to the waste utilization plan for further details.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
6. Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be diverted from the lagoon to stable
outlets.
8. Keep a minimum of 25 feet of grass vegetated buffer around
waste utilization fields adjacent to perennial streams. Waste will
not be applied in open ditches. Do not pump within 200 feet of a
residence or within 100 feet of a well. Waste shall be applied in a
manner not to reach other property and public right-of-ways.
9. The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of Environ-
mental Management, has the responsibility for enforcing this law.

U. S. Department of Agriculture
Soil Conservation Service
NC-ENG-34
September 1980
HAZARD CLASSIFICATION DATA SHEET FOR DAMS _/
Landowner (i — County :1 a k, 0' 2c , _• _
Community or Group No. Conservation Plan No.
Estimated Depth of Water to Top of Dam .3 Ft. Length of Flood Pool 9.5 • Ft.
Date of Field Hazard Investigation .E—.2 - 91
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. Elev. :Est.
Elevation
Kind of
:Improvements:
of Breach
Reach: Length: Width:
Slope:, Land Use
; Improvements
: Above :Floodwater Above
Flood Plain:
Flood Plain
Ft. Ft.
Ft.
Ft.
Wore—
-
1
woe :3aa
•
Waad
1"2;/l CO3e,A
2
3
:boo
i J
Describe potential for loss of life and damage to existing or probablp futur owntream
improvements from a sudden breach
Hazard Classification of Dam (a, b, c) (see NEM-Part 520.21) 6--
Dam Classification (I, II, III, IV, V) Sara C' 7 �Q)1--
By
name
e
Concurred By C' 1W 4 - C-
name title
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.
Date
Date 7 //—

WASTE UT 1L:_7ATI01N
Owners name--: % r County: rJ.i J'544
Mai 1 Address-: SL 171 9 0, /0009 6-'ods �o,,o INC-
Type of production unit----- S�;ne- .�s�,laho, _L""
Type of waste facility - - - - - _AnZ?Crchfc X aQ0
Your animal waste management facility has been designed for a
given storage capacity. When the waste reaches the designed
level, it must be land applied at a specified rate to prevent
Pollution of surface and/or ground water. The plant nutrients
in the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on the fields
where the waste is to be applied. This waste utilization plan
uses nitrogen as the.iimiting nutrient. Waste should be
analyzed before each application cycle and annual soil tests
are encouraged so that all plant nutrients can be balanced for
realistic yields of the crop to be grown.
Several factors are important in implementing your waste
utilization plan in order to maximize the fertilizer value of
the waste and to ensure that it is applied in an
environmentally safe manner. Always apply waste based on the
needs of the crop to be 'grown and the nutrient content of the
waste. Do not apply more nitrogen than the crop can utilize.
Soil types are important as they. have different infiltration
rates and leaching potential. Waste shall not be applied to
land eroding at greater than S tons per acre per year. Do not
apply waste on saturated soils or on land when the surface is
frozen. Either of these conditions may result in runoff to
surface waters. Wind conditions should also be considered to
avoid drift and downwind odor problems. To maximize -the value
of nutrients for crop production and to reduce the potential
for pollution, .the waste should be applied to a growing crop or
not more than 30'-days prior to planting. injecting the waste
or disking will conserve nutrients and reduce odor problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage
requirements may be more or less based on the waste analysis
report from your waste management facility.
The design of your waste management facility is based on the
following:
Amount of Waste Produced Per Year:
135- animals x p tons was te/animal/yr= t,c�/ tons
total waste

80 -animals x �.3 1b5. N/cnima:/year - I- �% - lbs./yr
1 rN on �s �n / �� 1�c co) aJvlk� Ava.labie N
rzC 7cp .� i.r. / IC'
Applying the above.amount of waste is a big job. You should
plan time and have appropriate equipment to apply the waste in
a timely manner. Your facility is designed for 160 days of
storage. Therefore, it will need to be pumped every 6
months.
Tract Field Soil Crop Yield Ub5. N Acres Ubs. N Month to
No. No. Type Fer Ac. Used Apply
Total
Available Nitrogen
Surplus Or Deficit
Narrative of Operation:—
Call the Soil and Water Conservation District Office after you
receive waste analysis. report to obtain the amount per acre to
apply and the irrigation application rate prior to applying
waste. / /f Zi
Prepared by:
Name
Title
Concurred in by: - ----. -_-
Producer
(Copy to producer and copy to case file)
Date
Date

c
WASTE UTILIZATION PLAN
i14N SaW kuM (�t,t� MAytUEit,
Owners name--: lyv6-- F/��rnS County:
J_V/r­� 7-04�-
Mai l Addre5s--:/40•30X /0009 6-04-e.s64rd/ 4-' G. A 7.53^;-
'l y p e of production unit---- : S cyi.•'E 4 A/ i T a D 00 Sa "s r4f t✓F-g.��
Type of waste facility-----: /�N�,�U.{3�c LAG -Doi✓
Your animal waste management facility has been designed for a
given storage capacity. when the waste reaches the designed
level, it must be land applied at a specified rate to prevent
pollution of surface and/or around water. The plant nutrients
in the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on the fields
where the waste is to -be applied. This waste utilization plan
uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle and annual soil tests
are encouraged so that all plant nutrients can be balanced for
realistic yields of the crop to be grown.
Several factors are important in implementing your waste
utilization plan in order to maximize the fertilizer value of
the waste and to ensure that it is applied in an
environmentally safe manner. Always apply waste based on the
needs of the crop to be arown and the nutrient content of the
waste. Do not apply more nitrogen than the crop can utilize.
Soil types are important as they have different infiltration
rates and leaching potential. Waste shall not be applied to
land eroding at greater than 5 tons per acre per year. Do not
apply waste on saturated soils or on land when the surface is
frozen. Either of.these conditions may result in runoff to
surface waters. Wind conditions should also be considered to
avoid drift and downwind odor problems. To maximize the value
of nutrients for crop production and to reduce the potential
for pollution, the waste should be applied to a growing crop or
not more than 30 days prior to. planting. injecting the waste
or disking will conserve nutrients and reduce odor.prcblems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage
requirements may be more or less based on the waste analysis
report from your waste management facility.
The design of your waste management facili-t-1-y- is based on the
following:
Amount of Waste Produced Per Year:
4/!S animals x /• 9 tons waste/animal/yr=!-7/gT-`stons
total waste

a0l}D animals x _� lbs. R/ar,irral/year /O�� lbs./yr
Avai lable' N
Applying the above amount of waste is a big job. You should7/-9
plan time and have appropriate equipment to apply -.the waste in
a timely manner. Your facility is designed for 1e0 days of
storage. Therefore, it will need to be pumped every 6,
months..
Tract
Field
Soil
Crop Yield Lb5.
N
Acres Lbs. N
Nonth to
No.
No .
Type
Per
Ac .
Used
Apply"
/S9 �
1
� �.
Q�frr ua9
�� �
340
%�• b 3
SSA 9.
,g�°?.= aGT
!Sq �
,�,
G�¢�7•ov
ca�s'i�G
G �/�
300
/p. y3
3 / a
� '
5s9'
GG�'3T7QL
7.S7
.
Total
Available Nitrogen /D B
Surplus O r .Deficit m.?.r ,�,9 �. .✓Er>c�
Narrative of Operation: O�ET��rTQ� ,c4ps
EyE� 0 �` �'�✓9s is-P��i��4E1� Tb
O�°��i ix'� /s Acso q�.9•QE Thar t•��¢ yr� �f+��U w97'iv.✓ .A.¢T�x fzi �''a �c.P�•E
E&�f/i�`'+�3 •��E xk6T�y- TJ Gh�✓aC. (/�°.rYw-.�� qu(a9�� cq..� 6E c..c��
,gyp Es7-,j4d4itAA:5v 7 , e-a n 4 �3 ' v�� v .✓ Their s.r� �F .f-er�6a� sc� �A .s �
Call the Soil and Water Conservetion District Office after you
receive waste analysis report to obtain the amount per acre to
apply and the irrigation application rate prior to applying
waste.
Prepared by: �ftT��c,T e'e-3-7. //-Ag-93
ame Title Date
Concurred in by: 13VPVg3
Producer Dale
(Copy to -producer and copy to case file)

Operator is applying waste using a Nelson 150 Big Gun with a
1.41 inch ring nozzle. Gun operates at a 65-70 PSI and is op-
erated in a 330 degree circle mode. The application rate cal-
culates out to be approximately 0.78 inches per hour. Soils
where waste is being applied is Blanton sand and Wagram loamy
sand. Suggested application rates for Blanton sand is 0.75
inches per hour. Suggested rates for Wagram loamy sand is 0.6
inches per hour.
Based on this information I am making the following recommend-
ations:
1) use a travelling speed compensator to assure even distri-
bution as the reel winds in.
2) Switch to taper bore nozzles. Taper bore nozzles provide
more uniform distribution. uniform distribution is much
more important when applying waste rather than plain
water.
3) Reduce application rate to 0.6 inches per hour or less.
Application rate for Wagram loamy sand is 0.6 inches per
hour. Generally speaking as the slope of the land in-
creases the application rate should decrease to reduce
the possibility of runoff. Changes in pressure and nozzle
size will -probably be needed to achieve this reduction in
application rate.
4) waste application should be performed in a manner to
avoid drift. This usually means when winds are less than
5 mph.
5) Do not apply waste during wet or rainy periods when soils
are saturated or when the soil is frozen.
6) Do not apply waste during periods when the grass is dor-
mant. For coastal bermuda, applications can usually be
made between April 15 and October 15. If coastal bermuda
is the only grass to be used for waste application then
the waste water level in the lagoon must be managed so
that maximum storage is available going into the fall and
winter months.
7) Do not apply waste closer than 100 feet from water wells
for human comsumption.
8) Do not apply waste closer than 200 feet to dwellings
other than those owned by the landowner.
9) Do not apply waste in any manner that would result in
waste reaching other property and/or public right of
ways.

ATTAC1-T"`fEN 1 L
Y Agri - Taste Ma--n-a'
eme t
Biological and AgriCultural Engineering North Carolina State Llriiversity
LIVESTOCK WASTE SA .FLING,' ANALYSIS AND CALCULATION- '
OF LAND APPLICATION RATES
James C. Barker-*
1. Sk%'.PLE COLLECTION F.
A. Semi- Solid --l-cc lSanure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of manure from
different locations using nonmetallic collectors.;"'
ii. From storage
a. Collect about 2 lbs of manure from under .the- surface''crust
avoiding bedding materials and using nor=ecallic-coll.ectors.
B. .Liquid .iianure Slurry -
i. Under -slotted -floor pit
a. Extend a 1/2- nonmetallic conduit open on.'bor-h ends'ineo
manure to pit.•floor.
b. Seal upper end -of conduit (e.g.. by"placing a'thumb•over end.
of conduit) trapping manure that has entered lower' 'end, •remove
and.em-'ty slurry into plastic bucket or nonmetallic -container.
c. Take subsarmples from 5 or more locations or at least I quart.
d. Kix.and add about 3/4 pint to nonmetallic sample container.
ii. Exterior storage basin or -tank
a. :lake sure manure has been well mixed with a liquid manure .
chopper-agizacor pump. or propeller agitator. .;;..
b. Take subsaroles from about 5 pit locations, from agitator
P P =-
or from manure. spreader and place in a plastic bucket.
t Professor and Extension Specialist, Biological and Agricultural EngineeringZr-
i s f
Department, North Carolina State University, Raleigh, NC.

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

Ii. SA.�S.PLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed. Rinse
residues from container with clean water but do not use disinfectants,
soaps, or treat in any other way.
B. Pack sample in ice, refrigerate, freeze, or transfer to lab quickly,
C. Hand -delivery is most reliable way of sample transfer.
D. If nailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and tape.
E. Commercial sample containers and mailers are also available. Contacts:
i. A&L Eastern Agricultural Lab, Inc. iii. Polyfoam Packers Corp. .
7621 Vhitepine Road 2320 S. Foster Avenue
Richmond, VA 23237 - Wheeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co. iv. NASCO
3315 Winton Road 901 Janesville Avenue
Raleigh, NC 27604 Fort Atkinson, WI 53538
Ph: [phone] Ph: [phone]
F. Private analytical labs are available, but sample analyses are costly.
G. The NCDA provides this service for North Carolina residents.
i. Address: North Carolina Department of Agriculture
Agronomic Division
Plant/Waste/Solution Advisory Section
Blue Ridge Road Center
P.O. Box 27647
Raleigh, NC 27611
Ph: [phone]
Attn: Dr. Ray Campbell
ii. Forward $4 along with the sample.
iii. Include the following identification information with sample:
a. Livestock species (dairy, swine, turkey, etc.)
b. Livestock usage (swine -nursery, finishing: turkey -breeders,
brooderhouse, grower, number flocks grown on litter: etc.)
c. Waste type (dairy -lot scraped manure, liquid slurry; swine -pit
slurry, lagoon liquid; sludge; broiler -house litter, stockpile
iv. Routine analyses performed on all samples: N, P, K, Ca, Mg. Na.
S, Fe, Yn, Zn. Cu. B
V. Additional analyses performed upon request: Dh, Ho, Cd, Ni. Pb
prc

UNITED 5:.:,TES SOIL
DEPARTMENT OF CONSERVATION
AGRICULTURE SERVICE
------------------------------------------------------------
W.ISTE M NAGErlEN?' FACILITY SITE EVALUATION
GENERAL INFORMATION
3�orRQ�1!�2 11.�Jr. F2r1n _
---------
TELEPHONE--------------------
LOCATION-E.
SIZE OPERATION -
3 �l� f o„
LOCATION DATA
DISTANCE FROM NEAREST RESIDENCE NOT OWNED BY
PRODUCER Z�20-Q-FT.s� ¢ 4)" /�' ,y�,J ,/
IS SITE WITHIN IGO-YEAR FLOOD PLAIN? YES------- NO-" --
If yes, Scs cannot provide assistance.
IS SITE AT LEAST 100 FT. FROM A "BLUE LINE"
PERENNIAL STREF.!'S? YES--z- NO ----
If no, site must be relocated.
IS SITE WITHIN 1 MILE ZONING JURISDICTION
OF A MUNICIPALITY? YES------- NO- Z
If yes, landowner should consult with Local zoning board
about required permits. Permits Must be obtained prior
to design approval.
Are utilities in, construction area? YES----- NO-L""-
If yes, see Part 503 of the National Engineering Manual
and follow policy.
(Copies of naps or other reference materials may be
attached to site evaluation.)
0
11
Page 1
AC. NQ J,,� / Gal
o- -'Prrn i�w7 /1C

WETLANDS
. ^/
ILL SITE INVOLVE CLE.-.-:NC •=OCELAND l:RR /volt S5 e cLf rJ)rS f.,n
NC: -CROPLAND? YES ----- NO ----
if yes, producer rust complete a Fornr.D-J,026.
WILL ACTION RESULT IN S', ...:.?BUSTING? YES---- NCO-Z.-
YET_`NDS ARE. INVOLVED, IT IS THE RESPONSIBILITY OF THE
PRODUCER TO CONTACT THE US ARMY CORP OF ENGINEERS AND THE
DIVISION OF ENVIRONMENT4-L I-IANA GEMENT TO DETERMINE IF
ADDITIONAL PERMITS ARE REQUIRED. NO WETLANDS SHOULD BE
ALTERED UNTIL PRODUCER RECEIVES WRITTEN APPROVAL FROM SCS,
j US ART•i'r CORP OF ENGINEERS AND NC DIVISION OF ENVIRONMENTAL
MANAGEMENT.
(A copy of AD-1026 and CPA-026 should be attached to
site evaluation.)
OTHER ENVIRONMENTAL FACTORS
IS ENDANGERED AND/OR THREATENED SPECIES HABITAT
PRESENT? YES---- NO-•
1S A DESIGNATED NATURAL SCENIC AREA INCLUDED IN THE
PLANNING AREA OR WILL PLANNED ACTIONS IMPACT ON AN
ADJACENT NATURAL SCENIC AREA.? YES---- NO-z
IS AN ARCHAEOLOGICAL OR HISTORICAL SITE LOCATED IN THE
PLANNED AREA? YES----- NO-h
.ARE THERE PRIME, UNIQUE, STATE OR LOCALLY IMP TANT
FARMLANDS IN THE OPERATING UNIT? YES---- NO---
yjIi L THE ACTION RESULT IN SODBUSTING? YES----- NO -
If yes to any of these questions, refer to form NC-CPA--16
for policy sources. The form does not need to be
completed.
ODOR CONTROL
HAS ODOR CONTROL BEEN DISCUSSED WITH
PRODUCER..........
........ PREDOMINANT WAND DIRECTION?
YES----
NO ----
........POSSIBLE EXPANSION OF TREATMENT
VOLUME FROM 1 CU.FT. UPWARDS
TO /
3 CU . FT./LB. OF ANIMAL?
YES-✓ -
NO----
........PRECHARGING LAGOON.WITH FRESH
WATER TO AT LEAST 1/2 OF THE
CAPACITY?
........USING GOOD SOUND JUDGMENT IN
YES--
NO ------
LAND APPLICATION OF WASTE?
YES----
No ----
Page 2
• 17..,} u.�P � O� !

i'ASTE HANI;-tGZ.I: v 1
APPLY HASTE?
Ir NO, DOES 0RDUCER HAVE ACCESS _C
MORE LAND? YES---- ----
ZP .i.;D 1c NOT J; NED BY PRODUCE. ,
CAN PRODUCER GE _ -.C•REEMEN T ON LAND
ON WHICH TO APPLY WASTE? YES----- rNO--_---.
(Attach Waste Utilization Plan to site evaluation.)
SOIL INVESTIGATION VALID
SHEET ATTACHED
1S SOIL SUITABLE FOR LAGOON?
IS A CLAY LINER REQUIRED?
r F YES, IS CLAY AVAILABLE
ONLY IF SOIL INVESTIGATION
ONSIT£?
IS A CORE TRENCH REQUIRED?
(Attach soil investigation sheet to
YES- - NO-----
-_ NO ------
Y£S-- NO------
QU£STIONABLE----- ---
Y£S------ NO- -`---
site evaluation.)
SITE APPROVED YES-K---- NO------
CONDITIONAL
eco+'dc Geoe CONDITIO,N5AL� ---�--%--_-
LlC0_ £NTS !r_
yf
SC CC C'��_J4�✓;c�____;L?.-1^__L Lc,i LeIi_Q� _2�1��'G/c_
7— T ---
---------------------------------------------------------
THIS SITE INVE,StICA. T ION IS VALID AS LONG AS THE DESIGN AND
CONSTRUCTION OF LAGOON CONTINUES IN REASONABLE TIME
PERIOD. UNDUE DELAYS OR HESITANCY IN CONSTRUCTION 14AY
REQUIRE THAT SITE LUATION ALIDATED.
SIGNATURE_ ------- DATE_"1J____
S
Page 3

Orientation: -45.0
52.00
48.00
46.00
44.00 '
42.00
40.00 '
30.00
.irk: Kr
\\\.�i.'�.!5.--�i:�:�':N<•�", �� -.:•„III._ _
'a(*► :�!;�rlirrrrr . Ji'==�::::;:.. _"Sr(J�iljf,..; tti,�.��°�_ ••
-•.,, iu:: : rr+r+ • it+ij- •=-r=�.:-_ �a��(J/r►�aaii':..�.?- _. -_ - - ;�111.'�- 1����aa�y��
•:i ..- -:.: �• - r. _h�'•i . � �I ++1 t7/ Kam' - %�'at"-==-�-� ��. --, a
,�• �y- �-.. _..• r�:�-.;.;. ie.�..t��Arru►IH!/�f�r''��•-'+'-=__.�aa���-�_r__3'3::::-' ..�rs3
.:r..:'` { � �'"'�� - �'yi !. ��q�►�U�W% _-'"_'� a �.: • .� .��` _
,•�'� r+i+rr� Hirl�y ••� ;: i:�••- ` it
. ;,:: {errUq+► ` �sr_,�{' � aaZ`�� !! :if+i; r+irrf!►r ,wE
�+�'''�r4�i,�yry.4jnlilrf Q.".Ra=•�:+r';u„'la�r!+ij�1V/
w y�� �44�l4�f1 I;�qS
iI1�=�►r�r�r 4�
Lower Left A' 3D Mesh Surface
3D Mesh Surface
Proposed
Protect: Dunn Isolation
Drawing: Drawing 1
Number:
Location:
Bid Date:
Engineer:
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 06/22/94 Time: 19:44:51

41.00
'. 00
00
Report: Plan View Cross-section Locations
Project: Dunn Isolation
Drawing: Drawing 1
Surfaco: Proposed
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 06/22/94 Time: 19:35:29
Scale: 30 ftiin

51.2
48.2
45.2
42.2
39.2
50.6
47.6
44.6
41.6
38.6
Cross -Section Plots
Digitized Points
Horiz. scale: 25 +t/in Vert. scale: 6 ft/in
Project: Dunn Isolation
Drawing: Drawing I
Number:
Location,
Bid Date:
Engineer:
Owner.
Estimator:
prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 06/22/94 Time: 19:38:41
A - A'
-- - - - - - - - - - - - :::::,.-..2 f- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proposed
.............................. ........... ...................................... . .....................................
............
ExiA ing
........... ....... % .......................................... .......... .................
202:FA -------------------------
225.0
b - b-
- - - - - - - - --- -- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - -----------------
............................. ............................... ........... ............ ...................... ...........
PropDsed
............................. ........................................... ........................... ....... .......... ... ...................................................
Exis ing
........................... .............................................. .......... ....................... ................................................................................
---------- 144-.-1•----------

F. S•70 ,. SOIL CONSERVATION SERVICE
sm INVFSTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
�oc pied a
TUPo 11?cy
0
•
. • lr��
.. WATERSHED AREA MEASUREMENTS :.
CROPLAND —ACRES
...-.. ..
-. •. . •• .. low,:..
■■■�i����.■■■■■■■�i�■■■®SEES
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:..,PROFILE
Nake and l;Sl dam -slit end spill"Al bofnes first- Men ponded area and borroto pit borines -stpercte waA mTecat rdd line.
(Continued on bae-k wAre nec&ss,ory) SAow tooter t4bie elevations an dam -site 6arings.
©I©I
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C�eo�Ja c t E�7� SGl �`eZ -yS�

(Usc one of system, below)
UNIFIED CLASSIFICATION USDA CLASSIFICATION
GW - Well graded gravels: gravel, sand mix g - gravel
GP -Poorly graded gravels s-sand
GM -Silty gravels; gravel -sand -silt mix vfs-very fine sand
GC -Clayey gravels; gravel -sand -clay mix sl- sandy loam
SW -Well graded sands: sand-grtivel mix fsl-fine sandy loam
SP -Poorly graded sands I - loam
SM -Silty sand gl - gravelly loam
SC -Clayey sands; sand -clay mixtures si - silt,
ML- Silts; silty, v. fine sands; sandy or clayey silt sil - silt loam
CL-Clays of low to medium plasticity cl-clay loam
CH -Inorganic clays of high plasticity sicl-silty clay loam
MH-Elastic silts scl- sandy clay loam
OL-Organic silts and silty clays, low plasticity sic -silty clay
OH -Organic clays, medium to high plasticity c -clay
1. Suitable material for embanimsent is available Yea 0 No (Indreare ruhere lorcrea an rh. sker[h on
r.crra.e side) + + JJ
RE��M,,{IARKSPTry cr_n4 /&C LJr_ /470n bG'Tulery, ft�f Pr 7s 0..,ci 3J So;�3 %oo�
711, beef / 2T 7frs 1Dc`r. 4 e 1 1
stoc r'c Qood ma7eiiG' Ts'r C/ay �i�r✓ qnd do '06 we �rJcifP��a/
00J 6C Ckfi)4. bQ;Jd,-Z
2. Explain baxards requiring special atteatioa in design (Secnaae. sarina..rock etc.)
GENERAL REMARKS:
24 25 ll 26 127 12sl 23 1 301131 32 33 34 35 36113738 '39 1401141 42 43 144 45 46 47 48 49 150 1611
f
I 1
1

I
U. S. DEPARTMENT OF AGRICULTURE APPROX. SCALE 1tt '" 1320'
SOIL CONSERVATION SERVICE
C OO P ED T I rJ G WITH � VSI)..SCS.OR r WpRrH 11145
STATE AGRICULTURAL EXPERIMENT STATION -
sy, •; ,4.yrCr ti�tl: ti Tk � / f � - ' ` S ;* S.s4 . , `' >,- :, :'' 1 �� :� 1-• ,; ► 7 �' T;*..e�r;
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11
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•� �:L r� 4.
;.'••: �• 1¢t V`��T; �': ��? Silk'-Y��'S���'�t'•t .SI r�ti �=' 1 .4�.t�'iM +
S tii• ��. ��.'•y$': t+4�1 1. : i4 ' :L R �'� c- f4�'•.. 7, 'h .`1v'S�L- r `L•ah�^!,
' �a F.hy `v.'... �• i ia; �.S�_ r -ri `"�, �'•.� {k.
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Site Balance report
Grid cell size: 1.40 by 1.40
Original drawing scale: 50.00 ft/in
Project: Dunn Isolation
Drawing: Drawing 1
Number:
Location:
Bid Date:
Engineer:
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 06/22/94 Time: 19:30:55
Final surface: Proposed
Initial surface: Existing
There are no "Proposed" structures.
Fill shrink/swell percent: 25.00 Cut shrink/swell percent: 0.00
Balancing to 0.0 */- 10.0 cubic yards
delta
Cut
Fill
Cut - Fill
0.000
1858.93
815.53
1043.41
1.099
1342.03
1475.19
-133.16
0.974
1390.13
1387.53
2.60
Raise "Proposed" by 0.974 feet.

SHEET 1 OF 2
SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS
----------------------------------------------------------
FOUNDATION PREPARATION:
The foundation area of the lagoon embankment and building pad shall be
cleared of trees, logs, stumps, roots, brush, boulders,sod and rubbish.
Satisfactory disposition will be made of all debris. The topsoil from
the lagoon and pad area should be stripped and stockpiled for use on
the dike and pad areas. After stripping, the foundation area of the
lagoon embankment and building pad shall be thoroughly loosened prior
to placing the first lift of fill material to get a good bond.
EXCAVATION AND EARTHFILL PLACEMENT:
-----------------------------------
The completed excavation and earthfill shall conform to the lines,
grades, and elevations shown on the plans. Earthfill material shall -
be free of material such as sod, roots, frozen soil, -stones over
6 inches in diameter, and other objectionable material. To the extent
they are suitable, excavated materials can be used as fill. The fill
shall be brought up in approximately horizontal layers not to exceed 9
inches in thickness when loose and prior to compaction. Each.layer
will be compacted by complete coverage with the hauling and spreading
equipment or standard tamping roller or other equivalent method.
Compaction will be considered adequate when fill material is observed
to consolidate to the point that settlement is not readily detectible.
NOTE THE SPECIAL REQUIREMENTS FOR PLACEMENT OF LINERS IN THE LINER
SECTION OF THIS SPECIFICATION. The embankment of the lagoon shall be
installed using the more impervious materials from the required
excavations. Construction of fill heights shall include 5 percent for
settlement., Dikes over 15 feet in height and with an impoundment
capacity of 10 acre-feet or more fall under the jurisdiction of the NC
Dam Safety Law. The height is defined as the difference in elevation
from the constructed height to the downstream toe of the dike.
Precautions shall be taken during construction to prevent excessive
erosion and sedimentation.
LINER: THE MINIMUM REQUIRED THICKNESS SHALL BE 1.6 ft.
NOTE: LINERS (PARTIAL OR FULL) ARE REQUIRED WHEN THE ATTACHED SOILS
INVESTIGATION REPORT SO INDICATES OR WHEN UNSUITABLE MATERIAL IS
ENCOUNTERED DURING CONSTRUCTION. A TYPICAL CROSS SECTION OF THE LINER
IS INCLUDED IN THE DESIGN WHEN LINERS ARE REQUIRED BY THE SOILS REPORT.
When areas of unsuitable material are encountered, they will be over -
excavated below finish grade to the specified depth as measured
perpendicular to the finish grade. The foundation shall be backfilled
as specified to grade with a SCS approved material (ie - CL,SC,CH).
REFER TO THE SOILS INVESTIGATION INFORMATION IN THE PLANS FOR SPECIAL
CONSIDERATIONS.

SHEET 2 OF 2
Soil liner material shall come from an approved borrow area. The
minimum water content of the liner material shall be optimum moisture
content which relates to that moisture content when the soil is kneaded
in the hand it will form a ball which does not readily separate. Water
shall be added to borrow as necessary to insure proper moisture content
during placement of the liner. The moisture content of the liner
material shall not be less than optimum water content during placement.
The maximum water content relates to the soil material being too wet
for efficient use of hauling equipment and proper compaction. Proper
compaction of the liner includes placement in 9 inch lifts and
compacted to at least 90 percent of the maximum ASTM D698 Dry Unit
Weight of the liner material. When smooth or hard, the previous lift
shall be scarified and moistened as needed before placement of the next
lift.
The single most important factor affecting the overall compacted perme-
ability of a clay liner, other than the type of clay used for the
liner, is the efficient construction processing of the compacted liner.
The sequence of equipment use and the routing of equipment in an estab-
lished pattern helps assure uniformity in the whole placement and
compaction process. For most clay soils, a tamping or sheepsfoot
roller is the preferable type of compaction equipment.
The soil liner shall be protected from the discharge of waste outlet
pipes. This can be done by using some type of energy dissipator(rocks)
or using flexible outlets on waste pipes.
Alternatives to soil liners are synthetic liners and bentonite sealant.
When these are specified, additional construction specifications are
included with this Construction Specification.
CUTOFF TRENCH: _ Cla A; i.x r�A adle� (o4erL 1;eea,*�
v
A cutoff trench shall be constructed
shown on a typical cross section in
cutoff trench shall be determined by
materials.
VEGETATION:
under the embankment area when
the plans. The final depth of the
observation of the foundation
All exposed embankment and other bare constructed areas shall be seeded
to the planned type of vegetation as soon as possible after construc-
tion according to the seeding specifications. Topsoil should be placed
on areas of the dike and pad to be seeded. Temporary seeding or mulch
shall. be used if the recommended permanent vegetation is out of season
dates for seeding. Permanent vegetation should be established as soon
as possible during the next period of approved seeding dates.
REMOVAL OF EXISTING TILE DRAINS
-------------------------------
When the drains are encountered, the the will be removed to a minimum
of 10 feet beyond the outside toe.of slope of the dike. The tile
trench shall be backfilled and compacted with good material such as.
SC, CL, or CH.

r
f
a
� °r -I I � , � i R - � � �d!f'► u �
4
r
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1 � I ti ya
I V /l

nATF : 07-nS_g4
to A D _10 _2 61 P A G E ____�_________ 1
,(E:NORTH CAROLINA 37-2. COUNTY: JOHZlSTOV--___i(it _31 CfiUF'_YEAR ?a4. ID NO. 241-7(-9770_—__—_—_
'FtODUCEF,TNAME 'h ADDRfSS TELEPHONE 6. COUNTY OFFICE NAME h ADDRESS TELEPHTT
H G MAXWELL III JOHNSTON COUNTY A.TS OFFICE [phone]
PO BOX 10009 BOX too
GOLDSBORO, NC 275320009 SMITHFIELD NC 27577-0180
FARMING INTEREST (Completed A�producer)__
Circle each tractrfor which a 'YES' answer applies to the tract far Items 10, 11, 12, OR f?
on AD-i026. (OF' = Operator, OW = Owner, OO = Owner -Operator).
FARM OP/ TRACT CROPLAND OWNER
00 OW/ NO
00
B292 OW t598 45.0 H G MAXWELL III
B292 OW 1599 .F H G MAXWELL III
E02 OW 1600 26.8 H G MAXWELL III
F'HOTO/GRIT) -SCS DETERMINATIONS-
3. 9. t0. 11.
HEL 027 A027 Wetland
N16/1B N N N
Y, t 5/3C N N N
015/1B N N H
12. You are recorded as a tenant or sharecropper on the farm numbers listed below,
Please specify the tracts that apply to you by completing items (a) and (b).
(a) Circle 'YES' or 'NO' in the 'FARMING INTEREST' column beside each tract number below to indicate whether you have a
farming interest in the tract. The HELC and WC provisions will apply to all land in which you have a farmiDj interest.
(b) If any 'YES' answer to questions 10,11,t2,or 13 on AD-1026 applies to your land listed below, circle
the applicable tract in the 'Tract No' coluain.
FARM TRACT FARMING CROPLAND OWNER
NO NO INTEREST
NONE FOUND
t3. MULTIPLE COUNTY INTERUT:(CONTROL COUNTY:WAYNE—___________ NCB
OTHER CMTIES 6 STATES
BLADEN NC; DUPLIN NC; GREENE
JONES NC; LENOIR HC
FINAL PAGE
PHOTO/GRID -SCS DETERMINATIONS-
8. 9. 10. 11.
HEL 027 P327 Wetland
NC; JOHNSTON NC

1 -
AD-1026
oz m g,i UNITED STATES DEPARTMENT OF AGRICULTURE Form Approved - OMB No.0560-0004 .
HIGHLY ERODIBLE LAND CONSERVATION (HELC) AND WETLAND
CONSERVATION (WC) CERTIFICATION -
1. Name of Producer: }..:.
?..Identification Number - _
3.. Crop:'Year
n.:';
�}
4. Do the attached AD-1026A(s) list all your famling interests by county, and show current
YE
NO "
SCS determinations? If "Nn", i r�rrlurl rrxu' Crxtrrlr ASCS Or e hcfi�re crrnrpletin�� this fnrnr.
5. Are you now, applying. for, or. -do you have a FrnHA insured or guaranteed loan?
/
6::- Do'you have a crop ins6rance'6ontract issued or reinsured by the Federal Crop`
n r
Insurance Corporation?
"7. .Are you a ,landlord - on any farim, listed on AD-1026A that wilL.,not be :in."co_mpliance with
HELC and WC provisions? =
8. Has a HELC exerription been approved on any 1;anms listed on AD-1026A because the
landlord refuses to comply?
9. List here or attach a list of affiliated persons with farming interests. See reverse for -an
explanation. Enter "Norte",.if applicable.
If items 7 or 8 are answered "YES", circle the applicable farm number on AD-1026A.
During either the crop year entered in item 3 above, or the term of a requested USDA --loan -
10. Will you plant or produce an agricultural commodiryon land -for which'alhighly erodible-' '!r-
YES
NO
land determination has -not -been made? .-- . .. _ __. _
_..._
_✓
11. Will you plant or produce an agricultural commodity on any land that is or was a vvet area
on which planting was made possible b- draining, dredging. filling, or leveling or any other'
4
=-•
_ '
means after December 23, 1985'?
✓
12. Will you, or have you since November 28. 1990. made possible the planting of any crop,
pasture, agricultural commodity, or other such crop by: la) converting any wet areas by
draining, dreogino filling, leveling, or an)- oalIer means, or. (b) improying off- modif
. y g-
drainage system"
13. Will, you convert any,.wet areas for.fish production, trees,.vipeyards, shrubs, building
consEruc60n, or other non-agricultural use?
"YES" -`for any one of these items, sign, and date inItem 14 below.Circle the applicable
::,If answers to items I 0, 111 .tractnumber on AD-1026A, or list'in item'12 on'AD=1026A. ASCSWII refer this A4)(526
12 ' or'13 pare'. .::::.:
,:.�. .:� to SCS` for a determination. DO NOT sign in item 16 until SCS determination
is complete.
"NO" for all of these items or SCS determinations are complete, complete item 16.
1Vcerfifyhe above information, and the information on attached AD-1026A's, is true and correct to'thebest of my
14. Signature of Producer �'%Date 0?p,�114q15. Referral To SCS SCS determination is needed becaus Daie Referred Signa f ASGS Repre rive(Corrrpleted by Awered in item 10, 11, t 2 or 13. - 5 - � �
NOIL:-,�t3etore,signing in item'l8, Rea0':A1J-it}ztJ Appendix.
I hereby certify that the above information, and the Information on attached AD-i026A's,' is true, arid_Correct fo the best of my
knowledge and belief. It is my responsibility to file; a new AD-i026 in the event there are any changes in rimy farming
operation(s). In signing this form, I also certify that I have received and will comply with the compliance requirements on
16. Signature of AD-1026 Appendix.
Producer �
Dale
17. Remarks:

Sr
e+L' ho r, e p f -
S.D.;'. � 26 1. Name anti Aoo(ess or Person 2. Date of Request
SO 'I Cor;s rvation Service tJune 91) y G- lncv
HIGHLY ERODIBLE LAND AND WETLAND 3. County 1 I / .s/ I
CONSERVATION DETERMINATION ��/as h�'`"D A" e�,,�,3,z°DO9 �a has ioar
4. Name of USDA Agency or Per s n Requesting Determination 5. Farm No. and Tract No.
/I 5 !14 A -r r '1--, 1 P72 Q:7 -g�'90
SECTION I - HIGHLY ERODIBLE LAND .
6. Is soil survey now available for making a highly erodible land determination? Yes 03" No
FIELD NO,(s)
TOTAL ACRES
��;`� �� � �
IWAMt "=
7. Are there hi hly erodible soil map units on this farm? Yes No ❑
8. List highly erodible fields that, according to ASCS records, were used to produce an agricultural commodity in any
crop year during 1981-1985.
9. List highly erodible fields that have been or will be converted for the production of agricultural commodities and,
according to ASCS records, were not used for this purpose in any crop year during 1981-1985; and were not
enrolled in a USDA set -aside or diversion program.
10. This Highly Erodible Land determination was com feted in the: Office
© Field ❑
`.���� �;<`
;
'��t�€:� :.
SECTION II - WETLAND
FIELD NO.(s)
TOTAL ACRES
11. Are there h dric sails on this farm? Yes No ❑
-' ...:
'r i
12, Wetlands (W), including abandoned wetlands, or Farmed Wetlands (FW) or Farmed Wetlands Pasture (FWP).
Wetlands may be farmed under natural conditions. Farmed Wetlands and Farmed Wetlands Pasture may be
farmed and maintained in the same manner as they were prior to December 23, 1985, as long as they are not
abandoned.
13. Prior Converted Cropland (PC). Wetlands that were converted prior to December 23. 1985. The use, management,
drainage, and alteration of prior converted cropland (PC) are not subject to the wetland conservation provisions unless
the area reverts to wetland as a result of abandonment.
14. Artificial Wetlands (AW). Artificial wetlands includes irrigation -induced wetlands. These wetlands are not subject
to the wetland conservation provisions.
15. Minimal Effect Wetlands (MW). These wetlands are to be farmed according to the minimal -effect agreement signed
at the time the minimal -effect determination was made.
16. Mitigation Wetlands (MIW). Wetlands on which a person is actively mitigating a frequently cropped area or a wetland
converted between December 23, 1985 and November 28, 1990.
17. Restoration with Violation (RVW-year). A restored wetland that was in violation as a result of conversion after
November 28, 1990, or the planting of an agricultural commodity or forage crop.
18. Restoration without Violation (RSW). A restored wetland converted between December 23, 1985 and
November 28,1990, on which an agricultural commodity has not been planted.
19. Replacement Wetlands (RPW). Wetlands which are converted for purposes other than to increase production,
where the wetland values are being replaced at a second site.
20. Good Faith Wetlands (GFW+year). Wetlands on which ASCS has determined a violation to be In good faith and the
wetland has been restored.
21. Converted Wetlands (CW). Wetlands converted after December 23, 1985 and prior to November 28, 1990. In any
year that an agricultural commodity is planted on these Converted Wetlands, you will be ineligible for USDA benefits.
22. Converted Wetland (CW+year), Wetlands converted after November 28, 1990. You will be ineligible for USDA
program benefits until this wetland is restored.
23. Converted Wetland Non -Agricultural use (CWNA). Wetlands that are converted for trees, fish production, shrubs,
cranberries, vineyards or building and road construction.
24. Converted Wetland Technical Error (CWTE). Wetlands that were converted as a result of incorrect determination
by SCS.
25. The planned alteration measures on wetlands In fields are considered maintenance and are in compliance
with FSA.
26. The planned alteration measures on wetlands in fields are not considered to be maintenance and if
installed will cause the area to become a Converted Wetland (CW). See item 22 for information on CW+year.
,! t. i ne wetiana oetermination was compietea in the otfice fieldFlanowasoeuvereaLj mailedU2rio the person on
28. Remarks. 7�C, cLre-a- 7 5 /pG4iec J 42.aC �j
Pn C r�7� is f7o � or GG/ ah
14reit 1s 1i9C ar �esS� po pot" CQ,, Ct �Yea.f`v<, arvea- 7ya� is /rx4.,c� oo,,
rn C w5 -Sr
29. 1 ce ify that the above determination is car et and adequare for use in determining 311. Signature of SCS District Conservationist 31. Date
eligibility for USDA program benefirs, and that wetland hydrology, hydric sons, and
hpdraphytic vegetation under normal circumstanres exist on all areas ourlined as
Werlaads: Farmed Wedands, and Farmed Wetlands Pasture.
Assistance and programs of the Soil Conservation Service available without regard to race, religion, color, sex, age, or h6ndicap.
SCS Copy

" 1 united States Soil
Deparimenl of conservation
Agriculture Service
806 North Street
Smithfield, NC 27577
Tract r j '� C( S
Dear i�ri 1.`fl�a'L- -UA'
In compliance with the provisions of the Food Security Act
of 1985 and the Food Agriculture Conservation and Trade Act
of 1990, 1 am enclosing a copy of the Highly Erodible Land
and Wetland Conservation Determination Work Sheet (SCS-CPA-
026) and a photo copy of your farmland. Determinations have
been made on this tract as you requested.
Fields listed in item 8 or item 9 on Form SCS-CPA-026, and
shown on the enclosed map, have been classified as highly
erodible under the current definition.
Fields listed under 12 of Form SCS-CPA-026 and marked "Wit,
are considered wetlands. You may lose all USDA program
benefits if you clear or drain these areas.
Potential wetlands are marked "PW" on the attached
photograph. Soils in these areas are not normally wetland
soils, but could have some small areas of wetland contained
within them. You should contact SCS for an onsite check
before clearing these areas.
If you do not agree with this determination, you may request
a redetermination within 15 days of the date of this letter.
Your request must be made in writing and should state the
reason for the request for reconsideration. Requests are to
be made to the above address.
If you have any questions, you may call this office at
(919) 989--5381.
Yours truly,
� // r
Kenneth C. York
District Conservationist
O The Sod Conservation ServiCe
is an agency of the
Qeoertment of Apricuhure

1
Total Volumes
Grid cell size: 1.40 by 1.40
Original drawing scale: 50.00 ft/in
Project: Dunn Isolation
Drawing: Drawing 1
Number:
Location:
Bid Date:
Engineer:
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 06/22/94 Time: 19:31:52
Final surface: Proposed
Initial surface: Existing
Cut .
Fill
Difference :
Tight Volumes
1858.93
652.42
1206.51
All volumes are in cubic yards.
Expansion (%)
0.00
25.00
Net Export :
Expanded Volumes
1858.93
815.53
1043.40

06/23/97 09:27 FAX
WASTE UTILIZATION PLAN
19003
REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations•that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (see FOTG Standard 393 -Filter Strip)
5. 'Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding,, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina', for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 9

06/23/97 09:27 FAX 004
WASTE UTILIZATION PLAN
ItEQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 10

06/23/97 09:27 FAX 10005
WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 11

Swine Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Specific Practices
• Swine production Q Vegetative or wooded buffers;
Q Recommended best management practices;
U Good judgment and common sense
Animal body surfaces • Dirty manure -covered animals R Dry floors
Floor surfaces • Wet manure -covered floors 3' Slotted floors;
IT Waterers located over slotted floors;
f3 Feeders at high end of solid floors;
W Scrape manure buildup from floors;
❑ Underfloor ventilation for drying
Manure collection pits • Urine; ❑ Frequent manure removal by flush, pit recharge,
• Partial microbial decomposition or scrape;
Cl Underfloor ventilation
Ventilation exhaust fans • Volatile gases; Ca' Fan maintenance;
Dust L7 Efficient air movement
Indoor surfaces
• Dust
ff
Washdown between groups of animals;
5V
Feed additives;
D
Feeder covers;
Ca
Feed delivery downspout extenders to feeder
eeyem
Flush tanks
• Agitation of recycled lagoon
❑
Flush lank covers;
liquid while tanks are filling
IT
Extend fill lines to near bottom of tanks with
anti -siphon vents
Flush alleys
• Agitation during wastewater
❑
Underfloor flush with underfloor ventilation
conveyance
Pit recharge points
• Agitation of recycled lagoon
a
Extend recharge lines to near bottom of pits
liquid while pits are filling
with anti -siphon vents
Lift stations
• Agitation during sump tank
❑
Sump tank covers
filling and drawdown
Outside drain collection • Agitation during wastewater ❑ Box covers .
or junction boxes conveyance
- Nnvcniher 11. 1996, Page 3

Source Cause BMPs to Minimize Odor Site Specific Practices
End of drainpipes at • Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emissions; GY Proper lagoon liquid capacity;
• Biological mixing; W Correct lagoon startup procedures;
• Agitation Gr Minimum surface area -to -volume ratio;
IT Minimum agitation when.pumping;
❑ Mechanical aeration;
er Proven biological additives — wrt PA
Irrigation sprinkler • High pressure agitation-, Gr irrigate on dry days with little or no wind;
nozzles • Wind drift EY Minimum recommended operating pressure;
19" Pump intake near lagoon liquid surface;
❑ Pump from second -stage lagoon
Storage tank or basin • Partial microbial decomposition; ❑ Bottom or midlevel loading;
surface Mixing while filling; ❑ Tank covers;
• Agitation when emptying ❑ Basin surface mats of solids;
❑
Proven biological additives or oxidants
Settling basin surface •
Partial microbial decomposition;
❑
Extend drainpipe outlets underneath liquid
•
Mixing while filling;
level;
•
Agitation when emptying
❑
Remove settled solids regularly
Manure, slurry or sludge •
Agitation when spreading;
❑
Soil injection of slurry/sludges;
spreader outlets .
Volatile gas emissions
❑
Wash residual manure from spreader after use;
❑
Proven biological additives or oxidants
Uncovered manure, 9
Volatile gas emissions while
❑
Soil injection of slurry/sludges
slurry or sludge on field
drying
❑
Soil incorporation within 48 hrs.;
surfaces
❑
Spread in thin uniform Iayers for rapid drying;
❑
Proven biological additives or oxidants
Dead animals •
Carcass decomposition
0
Proper disposition of carcasses
Dead animal disposal •
Carcass decomposition
❑
Complete covering of carcasses in burial pits;
pits
❑
Proper location/construction of disposal pits
Incinerators •
Incomplete combustion
❑
Secondary stack burners
AW - November 11, 1996, Page 4

Source Cause BMPs to Minimize Odor Site Specific Practices
Standing water around • improper drainage; IN Grade and landscape such that water drains
facilities . Microbial decomposition of away from facilities
organic matter
Manure tracked onto . Poorly maintained access roads gr Farm access road maintenance
public roads from farm
access
.i
Additional information : Available From
Swine Manure Management; 0200 Rule/BMP Packet
Swine Production Farm Potential Odor Sources and Remedies ; EBAE Fact Sheet
Swine Production Facility Manure Management: Pit Recllarge - Lagoon Treatment; EBAE 128-98
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment ; EBAE 129-88
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE I03-93
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet
Controlling Odors from Swine Buildings; PIH-33
Environmental Assurance Program ; NPPC Manual
Options for Managing Odor; a report from the Swine Odor Task Force
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings
NCSU, County Extension Center
NCSU -BAE
NCSU - BAE
NCSU - BAE
NCSU - BAE
NCSU - BAE
NCSU - Swine Extension
NC Pork Producers Assoc
NCSU Agri Communications
Florida Cooperative Extension
AMOC - November If, 1996, Page 5

Insect Control Checklist for Animal Operations
Source Cause
BNWs to Control Insects Site Specific Practices
Liquid Systems
Flush Gutters • Accumulation of solids
❑ Flush system is designed and operated
sufficiently to remove accumulated solids from
gutters as designed
❑ Remove bridging of accumulated solids at
discharge
Lagoons and Pits Crusted Solids
9 Maintain Iagoons, settling basins and pits 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°/a of surface.
Excessive Vegetative • Decaying vegetation
EY Maintain vegetative control along banks of
Growth
lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along watces edge on impoundment's perimeter.
Dry Systems
Feeders • Feed Spillage ❑ Design, operate and maintain feed systems (e.g.,
bunkers and troughs) to minimize the
accumulation of decaying wastage.
Or Clean up spillage on a routine basis (e.g., 7 - 10
day interval during summer; 15-30 day interval
during winter).
Feed Storage • Accumulations of feed residues ❑ Reduce moisture accumulation within and
around immediate perimeter of feed storage
areas by insuring drainage away from site
and/or providing adequate containment (e.g.,
covered bin for brewer's grain and similar high
moisture grain products).
❑ Inspect for and remove or break up accumulated
solids in filter strips around feed storage as
needed.
AMir -November 11, 1996, Page 1

Source Cause
Animal Holding Areas • Accumulations of animal wastes Q
and feed wastage
O
Dry Manure Handling • Accumulations of animal wastes Q
Systems
a
O
BIVIPs to Control Insects- Site Specific Practices
Eliminate low areas that trap moisture along
fences and other locations where "waste
accumulates and disturbance by animals is
minimal.
Maintain fence rows and filter strips around
animal holding areas to minimize
accumulations of wastes (Le., inspect for and
remove or break up accumulated solids as
needed).
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
application or disposal.
Provide for adequate drainage around manure
stockpiles.
Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
manure handling areas as needed.
For more information contact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University,
Raleigh, NC, 27695-7613. "
AMIC - November 11, 1996, Page 2

.,
Mortality Management Methods
(check which method(s) are being implemented)
❑ Burial three feet beneath the surface of the ground within 24 hours after
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
Rendering at a rendering plant licensed under G.S. 106-168.7
C! 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
(I' Any method which in the professional opinion of the State Veterinarian would
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)
December 18, 1996

State of North Carolina
Department of Environment,
Health and Natural Resources MIA
Raleigh Regional Office
James B. Hunt, Jr., Governor PEHNJonathan B. Howes, SecretaryDivision of Soil and Water Conse
June 20, 1997
George Pettis
Goldsboro Hog Farms
PO Box 10009 Q
Goldsboro, NC 27532
SUBJECT: Operation Review Summary
Dunn/Maxwell Sow Farm Facility Na. 51-40 . �jji
Johnson County
Dear Mr. Pettis,
On June,V, an Operation Review was conducted of Dunn/Maxwell Sow Farm, facility no. 51-40. This
Review, undertaken in accordance with G.S. 143-215.1OD, is one of two visits scheduled for all registered
livestock operations during the 1997 calendar year. The Division of Water Quality will conduct a second site
inspection.
During the Review, it was determined that waste was not being discharged to the waters of the State,
and the animal waste collection, treatment, storage and disposal systems were properly maintained and
operated under the responsible charge of a certified operator. A copy of the completed review form is
enclosed for your information.
The following observation was discovered and noted for response. This was not required at the time
of review but in preparation for the upcoming general permit, you will need to secure and maintain the
following record on your farm: an Operation and Maintenance Plan for the waste management system.
The Division of Soil and Water Conservation appreciates your cooperation with this Operation Review.
Please do not hesitate to call me at 919/571-4700 ext. 208 if you have any questions, concerns or need
additional information.
S O'Keefe
Environmental Engineer I
cc: Johnson Soil and Water Conservation District
Judy Garrett,-Water'Quality Regional -Supervisor
DSWC Regio`nal'Files
3800 Barrett Drive, Suite 101, 4M FAX [phone]
Raleigh, North Carolina 27609 N%A
C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 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 12, 1996
Goldsboro Hog Farms
Dunn/Maxwell Sow Farm
PO Box 10009
Goldsboro NC 27532
SUBJECT: Operator In Charge Designation
Facility: Goldsboro Hog Farm-Dunn/Maxwell Sow Farm
Facility ID#: 51-40
Johnston County
Dear Farm Owner:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919C733-0026.
Sincerely
i
A. Preston Howard, Jr., irector
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Sox 27687. Nf
���C FAX [phone]
Raleigh, North Carolina 2761 1-7687 An Equal FAX
Actlon Employer
Voice 919-715-4100 W% recycled/10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
�EHNR
DIVISION OF ENVIRONMENTAL MANAGEMENT
November 9, 1995
Mr. Eddie Rowe
Dunn -Maxwell Sow Farm
2125 Scout Road
Four Oaks, North Carolina 27524
Subject: Compliance Evaluation Inspection
swine Operation
SR 1199
Facility No. 51-40
Johnston County
Dear Mr. Rowe:
On October 17, 1995, Mr. Buster Towell from the Raleigh Regional Office
conducted a compliance inspection of the subject animal facility. This inspection
is part of the Division's efforts to determine potential problems associated with
animal waste disposal systems.
Mr. Toweil's site visit determined that wastewater from your facility was
not discharging to the surface waters of the state. In addition, no manmade
pipes, ditches, or other prohibited conveyances (for the purpose of willfully
discharging wastewater) were observed. As a result, your facility was found to
be in compliance during this visit.
Effective wastewater treatment and facility stewardship are a
responsibility of all animal facilities. The Division of Environmental Management
is required to enforce water quality regulations in order to protect the natural
resources of the State. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil penalties and may also
result in the loss of deemed permitted status, requiring immediate submission of
a waste management plan.
This office would also like to take this opportunity to remind you that you
are required to have an approved animal waste management plan by December 1997.
This plan must be Certified by a designated technical. specialist or a
professional engineer. For a listing of certified technical specialists or
assistance with your waste management plan you should contact your local Soil and
Water Conservation District.
The Raleigh Regional Office appreciates your cooperation in this matter.
If you have any questions regarding your inspection please call Buster Towell at
[phone].
Sincerely,
&�' 'i�
J y E. Garrett
Water Quality Supervisor
cc: Johnston County Health Department
Johnston County Soil and Water Conservation District
Steve Bennett -Regional Coordinator, Division of Soil and Water Conservation
38W Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 60% recycled/ 10% post -consumer paper

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