510050_PERMIT FILE_20171231

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Murphy -Brown, LLC 4/2W 16Z:D 2822 Hwy 24 West
P. O. Box 856
Warsaw, NC 28398
NUTRIENT UTILIZATION PLAN
Growers):
Farm Name:
Mark & Laura Godwin
Eldridge farm; AWS510050
Johnston
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Wean to Feeder
Wean to Finish
Feeder to Finish 4896
Gilts
Boars
Storage Period:
Application Method:
Anaerobic
>180 days
Irrigation
The waste from your animal facility must be land applied at a specified rate to prevent pollution
of surface water and/or groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops In the fields where the waste
Is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed
before each application cycle. Annual soil tests are strongly encouraged so that all plant
nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that if 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 none 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 fitter 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 DWR regulations.
5. Wind conditions should also be considered to avoid drift and downwind odor
problems.
6. To maximize the value of the nutrients for crop production and to reduce the potential
for pollution, the waste should be applied to a growing crop or applied not more than
30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
1 of 11

n
This plan is based on the waste application method shown above. If you choose to change
methods in the future, you need to revise this plan. Nutrient levels for different application
methods are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. In some cases you may want to have plant analysis made, which could
allow additional waste to be applied. Provisions shall be made for the area receiving waste to
be flexible so as to accommodate changing waste analysis content and crop type. Lime must
be applied to maintain pH In the optimum range for specific crop production.
This waste utilization plan, If carded out, meets the requirements for compliance with 16A NCAC
21-1.0217 adopted by the Environmental Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR ( gallons, fe, tons, etc.):
Capacity Tvpe Waste Produced per Animaleta
Farrow to Wean
3203 gallyr
gayrr
Farrow to Feeder
3861 gallyr
gallyr
Farrow to Finish
10476 gallyr
gatlyr
Wean to Feeder
191 gavyr
gallyr
Wean to Finish
776 gallyr
gallyr
4898
Feeder to Finish
927 gallyr
4,638,692 gallyr
Gilts
1015 gavyr
gatlyr
Boars
2959
Totell 4,0111AN pVyr
AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (Ibs):
capachy Type n Prod r Animal TOW
Farrow to Wean
3.84 IbW
Ibslyr
Farrow to Feeder
6.95 Ibalyr
tbslyr
Farrow to Finish
18.86 ibslyr
Ibw
Wean to Feeder
o.34 IbW
ms/yr
Wean to Finish
1A Ibslyr
Ibslyr
48M
Feeder to Finish
1.67 Ibslyr
8,176 Ibslyr
Gilts
1.83 lbelyr
Ibslyr
Boars
5.33
tb
Total 6,i 8 1 r
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a limey manner.
LAND UTILIZATION SUMMARY
The following table desalts the nutrient balance and land utilization rate for ibis facft
Note that the Nitrogen Balance for Crops indicates the ratio of the amount of nitrogen produced
on this facility to the amount of nitrogen that the crops under Irrigation may uptake and utilize
In the normal growing season.
Total Irrigated Acreage: 43.43
Total N Required 1st Year. 10412.94
Total N Required 2nd Year. 0.00
Average Annual Nitrogen Requlr+emertof Crops: 10.412.94
Total Nitrogen Produced by Farm: 8,176,32
Nitrogen Balance for Crops: (2,236.62)
The fallowing table describes the specifications of the hydrants and f+aids that contain the crops
designated for utilization of the nitrogen produced on this facility. This chart describes the airs,
soil characteristics, and uptake rate for each crop in the specified crop rotation schedule for this
facility.
2 of 11

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This plan does not Include commercial fertilizer. The farm should produce adequate plant
available nitrogen to satisfy the requirements of the crops listed above.
The applicator Is cautioned that P and K may be over applied while meeting the N requirements.
In the future, regulations may require farmers in some parts of North Carolina to have a nutrient
management plan that addresses all nutrients. This plan only addresses nitrogen.
In Interplanted fields (i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will 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 attage just before headrng as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted -in the fall.
The ideal time to Interplant small grain, etc, is late September or early October. Drilling is
recommended over broadcasting. Berrnudagrass should be grazed or cut to a height of
about two Inches before drilling for best results.
CROP CODE LEGEND
Crop Code
Crop
Description -Harvested As
A
Barley
Grain Crop
B
Grazed Hybrid Germudagrass
Pasture/Grazed
C
Hybrid Bermudagrass Hay
Hay
B/C
Comb. Hybrid Bermudagrass
Graze/Hay Combination
D
Corn - Grain
Grain Crop
E
Corn - Silage
Silage
F
Cotton
Colton Lint
G
Grazed Fescue
Pasture/Grazed
H
Fescue Hay
Hay
I
Oats
Grain Crop
J
Rye
Grain Crop
K
Grazed Overseed
Pasture/Grazed (Seeded In Bermudagrass)
L
Overseed Hay
Hay (Seeded In Bermudagress)
M
Grain Sorghum
Grain Crop
N
Wheat
Grain Crop
O
Soybean
Grain Crop
P
Pine Trees
Pine Trees
S
Small Grain
Grain Crop/ Hay (After Grain Crop)
CC
Cover Crop
Not Harvested; Burned/Disked In
Acres shown in the preceding table are considered to be the usable acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas
not receiving full application rates due to equipment limitations. Actual total acres in the fields
listed may, and most likely will be, more than the acres shown In the tables.
See attached map showing,the fields to be used for the utilization of animal waste.
4of11

SLUDGE APPLICATION:
The following table describes the annual nitrogen accumulation rate per animal
in the lagoon sludge
Farm Specifications PAS
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Wean to Feeder
Wean to Finish
4896 Feeder to Finish
Gilts
Boars
-/animal Farm Totallyr
0.8
0.96
3.0
0.07
0.27
0.34 1664.64
0.39
0.55
The waste utilization plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient rich and will require precautionary measures to
prevent over application of nutrients or other elements. Your production faality will produce
approximatety 1664.64 pounds of plant available nitrogen per year and will accumulate in the lagoon
sludge based on the rates of accumulation listed above.
If you remove the sludge every 5years, you will have approximately 8323.2 pounds of plant
available nitrogen to utilize. Assuming you apply this PAN to hybrid bwnuds grass hayland at the
rate of 300 pounds of nitrogen per acre, you will need 27 screas of land. If you apply the sludge
to can at a rate of 126 pounds per acre, you will need 613.5856 acres of land. Please note that these
are only estimates of the PAST produced and the land required to utilize that PAN. Antral values
may only be determined by sampling the sludge for plant available nWogen content prior to application
Actual utilization rates will vary with sal type, crop, and realistic yield expectations for the specific
application fields designated for sludge application at time of removal.
APPLICATION OF WASTE BY IRRIGATION:
The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation
such that runoff or ponding occurs. This rate Is limited by initial soll moisture content, soil
structure, ad texture, water droplet size, and organic solids. The application amount should not
exceed the available water holding capacity of the sal 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 property
Irrigate the acres shown in the preceding table. Failure to apply the recommended rates and
amounts of nitrogen shown In the tables may make this plan invalid.
'This is the maximum application amount allowed for the soil assuming the amount
of nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because of the nitrogen fimitation. The maximum
application amount shown can be applied under optimum soil conditions.
Your facility is designed for >180 days of temporary storage and the temporary storage must
be removed on the average of once every 6 months. In no instance should the volume of the
waste stored In your structure be within the 25 year 24 hour storm storage or one foot of
freeboard except in the event of the 26 year 24 hour storm.
n is the responsibility of the producer and waste applicator to ensure that the spreader equipment
is operated property to apply the correct rates to the acres shown In the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid.
Call your technical specialist after you receive the waste analysis report for assistance In
determining the amount of waste per we and the proper application prior to applying the waste.
5of11

Application Rate Guide
The following is provided as a guide for establishing application rates and amounts.
soil
Application Rate
Application Amount
Tract
Hydrant
T
Cme
Inlhr
"Inches
T11533
1
Uchee
B
0.46
1
Ti1533
2
Uchee
B
0.45
1
T11533
3
Uchee
B
0.45
1
T11533
4
Uchee
B
0.45
1
T11533
5
Autryville
B
0.6
1
T11633
6
Autryville
B
0.6
1
T11533
7
Autryville
B
0.6
1
T11533
8
Autryville
B
0.6
1
T11533
9
Autryville
B
0.6
1
New
10
Autryville
B
0.6
1
New
11
Autryville
B
0.6
1
New
12
Autryville
B
0.6
1
New
13
Autryville
B
0.6
1
T11533
Sub 1.4
Uchee
B
0.45
1
T11533
Sub 5
Autryville
B
0.6
1
T11533
Sub 6-9
Autryville
8
0.6
1
New
Sub 10-13
Autryville
B
0.6
1
8of11

Additional Comments:
This plan revised to reflect the new s ra field addition to update the preduction
and application rates to the current rates as listed on the NCSU Nutrient
Management websits, and to recalculate the wetted acres based on a new
GPS maA of the fields. This also shows the 1000' setback from the poultry
houses.
Sub acres are those acres not covered by the traditional Irrigation equipment
but can be covered by use of an oennray or horsey wagon_
7 of 11

NUTRIENT UTILIZATION PLAN CERTIFICATION
Name of Fanm: Eldridge farm; AWS610050
Owner. Mark & Laura Godwin
Manager:
Owner/Manager Agreement:
11we understand and will follow and Implement the specifications and the operation and
maintenance procedures established In the approved animal waste nutrient management
plan for the farm named above. IMre know that any expansion to the existing design capacity
of the waste treatment and/or storage system, or construction of new facilities, will require a
new nutrient management plan and a new certification to be submitted to DWR before the new
animals are stocked.
I/we understand that I must own or have access to equipment, primarily Irrigation equipment,
to land apply the animal waste described in this nutrient management plan. This equipment
must be available at the appropriate pumping time such that no discharge occurs from the lagoon
in the event of a 25 year 24 hour storm. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates which produce no runoff.
This plan will be filed on site at the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDWR upon request.
Name of Facility Owner. Mark & Laura Godwin
Signature: L. 2 q .1 l
Date
Name of Manager (if different from owner):
Signature:
Date
Name of Technical Specialist:
Affiliation:
Address:
Telephone:
Signature:
S of 11

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application.
Any discharge of waste which reaches surface water is prohibited.
2 There must be documentation in the design folder that the producer either owns or has an
agreement for use of adequate land on which to properly apply the waste. If the producer
does not own adequate land to properly dispose of the waste, he/she shall provide
evidence of an agreement with a landowner, who is within a reasonable proximity,
allowing him/her the use of the land for waste application. It is the responsibility of the
owner of the waste production facility to secure an update of the Nutrient Utilization Plan
when there is a change in the operation, Increase in the number of animate, method of
application, recieving crop type, or available land.
3 Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic
crop yields based upon soil type, available moisture, historical data, climatic conditions,
and level of management, unless there are regulations that restrict the rate of applications
for other nutrients.
4 Animal waste shalt be applied to land eroding less than 5 tons per acre per year. Waste
may be applied to land eroding at more than 5 tons per acre per year but less than 14 tons
per acre per year provided grass fitter strips are installed where runoff leaves the field
(See USDA, MRCS Field Office Technical Guide Standard 393 - Filter Strips),
5 Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the land application field.
6 When animal waste is to be applied on acres subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to flooding (See 'Weather and Climate in North Carolina" for
guidance).
7 Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offelte or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control odor and
flies.
8 Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
9of11

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

NUTRIENT UTILIZATION PLAN
REQUIRED SPECIFICATIONS
17 A protective cover of appropriate vegetation will be established on all disturbed areas (lagoon
embankments, berms, pipe nuns, etc.). Areas shall be fenced, as necessary, to protect the
vegetation. Vegetation such as trees, shrubs, and other woody species, etc., are limited to areas
where considered appropriate. Lagoon areas should be kept mowed and accessible. Berms and
structures should be inspected regularly for evidence of erosion, leakage, or discharge.
18 if animal production at the facility Is to be suspended or terminated, the owner Is responsible for
obtaining and implementing a "dosure,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 an crops for direct human consumption, It should
only be applied pre -plant with no further applications of animal waste during the crop season.
21 Highly visible markers shall be installed to mark the top and bottom elevations of the temporary
storage (pumping volume) of all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will be required to mark the maximum
storage volume for waste storage ponds.
22 Waste shall be tested within 60 days of utilization and soil shall be tested at least annually at crop
sites where waste products are applied, !Nitrogen shall be the rate -determining nutrient, unless
other restrictions require waste to be applied based on other nutrients, resulting In a lower
application rate than a nitrogen based rate. Zinc and copper levels in the soil shall be monitored
and alternative crop sites shall be used when these metals approach excessive levels. pH shall be
adjusted and maintained for optimum crop production. Soil and waste analysis records shall be
kept for a minimum of five years. Poultry dry waste application records shall be maintained for a
minimum of three years. Waste application records for all other waste shall be maintained for a
minimum of five years.
23 Dead animals will be disposed of in a manner that meets North Carolina regulations.

Mark & Lou ra Godwin
Eldridge Farm
AWS510050
Irrigation Add't
Scale: 1.a4W
S ecifications: Pulls
Real Rain 1025 Traveler
w/WedsOn 100 Big Gun
w/0.93' Nozzle ® 60 Ps
164 GPM, 275' WD
1W Lane Spodng (TYP)
S ecifications: PiRe
TB TFtrust Blodc
AV At Vent
xc Existing Hydrants
2 New Hydrants (4)
-- New 6 pass 160 PVC
(Approx. 9501
is
AV
Totd Rd 10-43 - 17.14 Ao.
WOW - 13M Aa
rx7b
T4Ad Rd t-4 s I&= Aa
RAW - 10.11 Am
told rld d - 9.s3 AcL
tMdt.d - 1.7a Am or t O
z sr
T�
wBWbaalo.
Nauw

Ott
NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory
Govemor
Lora E. Godwin
Godwin Farm
1177 Eldridge Road
Newton Grove, NC 28366
Dear Lora E. Godwin:
Water Quality Programs
Thomas A. Reeder
Director
November 25, 2013
John E. Skvarla, III
Secretary
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS510050
Gpdwin Farm
Animal Waste Management System
Johnston County
The Division of Water Resources (Division) received your sludge survey information on
November 15, 2013. With the survey results, you requested an extension of the sludge survey
requirement for Lagoon No. 2152 at the Godwin Farm. Due to the amount of treatment volume
available, the Division agrees that a sludge survey for this lagoon is not needed until December
31, 2018.
However, due to the amount of treatment volume available at Lagoon No. 2199, the Division
agrees.that a sludge survey will be needed for this lagoon before December 31, 2014.
Please call the Animal Feeding Operations Branch staff at [phone] if you have any
questions.
Sincerely,
Christine B. Lawson
Acting Supervisor
Animal Feeding Operations Branch
cc: Regional Office, Water Quality Regional Operations Section
WQROS Central Files (Permit No. AWS510050)
1636 MaN Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: wwricwaterquality,om
An Equal Opportunity 1 Affirmative Action Employer

NCDEN
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
July 17, 2009
s i
Mark Godwin :
Godwin Farm U t ' JUL 2 029
1177 Eldridge Rd I
Newton Grove, NC 28366
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS510050
Godwin Farm
Animal Waste Management System
Johnston County
Dear Mark Godwin:
The Division of Water; Quality, (Division) received your sludge survey information,oh,July 7,
2009. With the,survey results; -you requested an extension of.the sludge survey requirement for,
the two.lagoons at the Godwin Farm•.facility.. Due to the amounts of treatment volume,°available,
the`,Division agrees that a sludge -survey is not needed until- 2012,for both lagoons. r.`.
Thank you for,:your attention to this matter.: if you have any..questions; please call me.lat.(919)
715-6937.
Sincerely,
Miressa D. Garoma
Animal Feeding Operations Unit
cc: Raleigh Regional Office, Aquifer Protection Section
Central Files
..t
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location; 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] i FAX: [phone] Customer Service: 1-877-623-6748 Nort-hCarolina
Internet: www.a)cwaierquaiity.arg ��������` /�,
An Equai Opportunity 4Flm A;ative Action Employer j✓/

m
FAX COVER SHEET
Awo- *" Av
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT
NCDENK AND NATURAL RESOURCES
Raleigh Regional Office
woprTM Cm
rt„,,,,o,,.i0,.1628 Mail Service Center
.,o K,u..�
Raleigh, NC 27699-1628
Pages, including cover sheet
TO: 90 FAX: —(0 y? GL
FROM: r1,e_ _ _ 1� �' �� _ DATE:
SUBJECT:
MESSAGE:
If you do not receive all pages, ca11919, T21,4200 or fax back to q i 4 -- 788 - 7 r 59
THE FAX NUMBER REMAINS THE SAME

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12.
N lrs. f3f,-r•nard.
4pologizc. i)-tis has taken so long, but we have experience,J
rc uUl c: ,v:itfa our land line, First it was AT&T, then. it was. ADT,
and ba,; : LE f H forrt:ll. Hotv-eti r'!', we can fax. now 50 he -re are the
accessary to rcrm��vc, 1..�3r�r sand I as OIC's f'oi• T'muier
I , .'Mark T. Godwin, certification number 18379, wish.to be
.;.',.r ,l() (-.'(l (,;-is vii OIC; for Tanner Farm (821•bfi 11) cATc-ctive 9.1 l:h,11..
.M,ark T. Godwin
I

J. .1
Hclio Mrs. Bcmard,
Hclx: is the nil-,)tification necessary, to rernove Lomas an OIC for
I ., Lorafi',. Godwin, certification number 18378., . wish to be
f("MCOVIDd as rin OIC for Ta-Pner Farm (82,411) effecitive 9.10.12.
.Lora ('Tcjd�vj n
ell

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 21, 2007
Correction Issued September 19, 2007
Mark Godwin
Godwin Farm
1177 Eldrigde Road
Newton Grove, NC 28366
Coleen H. Sullins, Director
Division of Water Quality
RAj SEP 2 1
2007
1QENR RhEIGH REGIOI`4,�L OFFICE
e_---
Subject: Sludge Survey Testing
Certificate of Coverage No. AWS510050
Godwin Farm
Animal Waste Management System
Johnston County
Dear Mr. Godwin:
The Division of Water Quality (Division) received your sludge survey information on March 1,
2007, and your request for an extension in the frequency of the sludge survey for the lagoons at
Godwin Farm facility on June 7, 2007. This letter is being issued anew so as to coincide with
your recent switch from the NPDES general permit to the State general permit. Due to the
amounts of treatment volume available, the Division agrees that a sludge survey is not needed
until 2009. The results of the 2W8 2009 sludge survey should be submitted by March 1, 2010.
Please contact me at 919-715-6629 if you have any questions.
cc: Jay Zimmerman, Raleigh Regional Office
AFOU Central Files
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterguality.org Location: 2728 Capital Boulevard
An Equal OpportunitylANirmative Action Employer— 50% Recycletif l0% Post Consumer Paper
Best Regards,
1IN � M. J� MAO
Thomas Slusser, L.G.
Animal Feeding Operations Unit
Nortt Carolina
Naturally
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

Michael F, Easley, Governor
W A
r�
August 21, 2007
Mark Godwin
Godwin Farm
1177 Eldrigde Road
Newton Grove, NC 28366
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Subject: Sludge Survey Testing
Certificate of Coverage No. AWS510050
Godwin Farm
Animal Waste Management System
Johnston County
Dear Mr. Godwin:
The Division of Water Quality (Division) received your sludge survey information on March 1,
2007, and your request for an extension in the frequency of the sludge survey for the lagoons at
Godwin Farm facility on June 7, 2007. This Ietter is being issued anew so as to coincide with
your recent switch from the NPDES general permit to the State general permit. Due to the
amounts of treatment volume available, the Division agrees that a sludge survey is not needed
until 2009. The results of the 2008 sludge survey should be submitted by March 1, 2010. Please
contact me at 919-715-6629 if you have any questions.
cc: Jay Zimmerman, Raleigh Regional Office
AFOU Central Files
Aquifer Protection Section 1636 Mail Service Center
Intemet: www.ncwater uali �.org Location: 2728 Capital Boulevard
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Best Regards,
Thomas Slusser, L.G.
Animal Feeding Operations Unit
A§",arolinafali
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
V r
•��� Il
July 1, 2007
Mark T Godwin �6 JUN 272007
Godwin Farm
1177 Eldridge Rd
---
Newton Grove, NC 28366-8611 lfi+tal,EIGH REGI014I1 OFFICE
Subject: Certificate of Coverage No. AWS510050
Godwin Farm
Animal Waste Management System
Johnston County
Dear Mark T Godwin:
In accordance with your application received on 13-Jun-07, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Mark T Godwin, authorizing the operation of the subject animal
waste management system in accordance with General Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste. Management
Plan (CAWMP) for the Godwin Farm, located in Johnston County, with an animal capacity of no greater
than the following swine annual averages:
Wean to Finish: 0 Feeder to Finish: 4896 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 0 Farrow to Feeder: 0
If this is a Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows.
Where boars are unneccessary, they may be replaced by an equivalent number of sows. Any of the sows
may be replaced by gilts At a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until September 30, 2009 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition III.19 does not apply.
Pursuant to this COC, you are authorized and required to operate the system in conformity with the
conditions and limitations as specified in the General Permit, the facility's CAWMP, and this COC. An
adequate system for collecting and maintaining the required monitoring data and operational information
must be established for this facility. Any increase in waste production greater than the certified design
capacity or increase in number of animals authorized by this COC (as provided above) will require a
modification to the CAWMP and this COC and must be completed prior to actual increase in either
wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Enclosed for your convenience is .
a package containing the new and revised forms used for record keeping and reporting. Please pay
careful attention to the record keeping and monitoring conditions in this permit,
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwateraualitv.ore Location: 2728 Capital Boulevard
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NviNaCarolina
turally
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 02T .01 I 1(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within'30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection staff may be reached at 919-7914200, If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Johnston County Health Department
Johnston County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS510050

rpF WATF9Q Michael F. Easley, Governor
G William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
0 -C Colleen H. Sullins, Director
Division of Water Quality
June 19, 2007
Mark Godwin
Godwin Farm
1177 Eldrigde Road
Newton Grove, NC 28366
Subject: Sludge Survey Testing
Certificate of Coverage No. NCA251050
Godwin Farm
Animal Waste Management System
Johnston County
Dear Mr. Godwin:
The Division of Water Quality (Division) received your sludge survey information on March 1,
2007, and your request for an extension in the frequency of the sludge survey for the lagoons at
Godwin Farm facility on June 7, 2007. Due to the amounts of treatment volume available -the
Division agrees that a sludge survey is not needed until 2008. The results of the 2008 sludge
survey are 'to be submitted by March 1, 2009.
Please note that while this facility is currently permitted under the NPDES General permit, you
have applied for a State Permit upon expiration of the NPDES General Permit, which. expires on
July 1, 2007. At that time the facility is expected to be covered by the State COC. Thank you
for your attention to this matter, Please contact me at 919-715-6629 if you have any questions.
cc: Jay Zimmerman, Raleigh Regional Office
AFOU Central Files
Best Regards,
Thomas Slusser, LG.
Animal Feeding Operations Unit
Nam` Carolina
Ivaturally
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterguality.org Location: M8 Capital Boulevard
An Equal OpportunitylARirmaWe Action Employer— 50% Recycled110% Post Consumer Paper
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
April 7, 2005
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RECEIPT # 7002 2410 0003 0274 3641
Mr. Mark Godwin
Godwin Farm
1177 Eldridge Road
Newton Grove, NC 28366
RE: Sludge Survey Testing Dates
Facility # 51-50
Johnston County
Dear Mr. Godwin:
Alan W. Klimek, P.E. Director
Division of Water Quality
APR I ? 2Z :!
AT:, L i.:ri
The Division of Water Quality (DWQ) received your survey information on February 24,
2005. With your results you requested an extension of the sludge survey requirement for the
lagoons at the Godwin Farm until 2006. Due to the amount of treatment volume available, DWQ
agrees that a sludge survey extension is not needed until 2006. The results of the 2006 sludge
survey are to be submitted with the Annual Certification Form that will be due on March 1,
2007.
Thank you for your attention to this matter. If you have any questions, please call me at
[phone].
Sincerely,
Keith Larick
Animal Feeding Operations Unit
cc: File# 51-50
John Hunt, Raleigh Regional Office
W" Carolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet; h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
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o f NArFR Michael F. Easley, Governor
Q William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j Alan W. Klimek, P. E., Director
Division of Water Quality
April 9, 2003
Mark & Lora Godwin
Godwin Farm
1177 Eldridge Rd
Newton Grove NC 28366
Subject: Certificate of Coverage No. NCA251050
Godwin Farm
Swine Waste Collection, Treatment,
Storage and Application System
Johnston County
Dear Mark & Lora Godwin:
On March 14, 2003, the North Carolina Division of Water Quality (Division) issued an NPDES General
Permit for swine facilities. The General Permit was issued to enable swine facilities in North Carolina to
obtain coverage under a single permit that addresses both State and Federal requirements.
In accordance with your application received on February 20, 2003, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Mark & Lora Godwin, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with NPDES
General Permit NCA200000. The issuance of this COC supersedes and terminates your COC Number
AWS510050 to operate under State Non -Discharge Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Godwin Farm, located in Johnston County, with an animal capacity of no
greater than an annual average of 4896 Feeder to Finish 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 July 1, 2007. Pursuant to this COC, you are
authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed General Permit. - Since this is a new joint State and
Federal general permit it contains many new requirements in addition to most of the. conditions contained
in the current State general permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please 12ay careful attention to the record keeping
and monitoring conditions in this permit. The Devices to Automatically Stop Irrigation Events Form
must be returned to the Division_ of Water Quality no later than _120 days following receipt of the
Certificate of Covers e. The Animal Facility Annual Certification Form must be corn leted and returned
to the Division of Water Quality by no later than March lst of each year.
M
Non -Discharge Permitting Unit Internet httpJm2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone 1 80D 623-7748
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If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current MRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C, the Clean Water Act and 40 CFR1122.41 including civil penalties, criminal
penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration
y y p p� tion 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 NPDES Permit by contacting the staff member listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this COC
or the General Permit, please contact Michelle Barnett at [phone] ext. 544.
nn �❑� Sincerely, lJ W IE
t� + APR 2 3 20D3
U -
i DENR RALEIGH REGIONAL OFFICE. for Alan W. Klimek, P.E.
Enclosures (General Permit NCA200000, Record Keeping and Reporting Package)
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 NCA251050
Permit File AWS510050
NDPU Files

v
99
PRODUCER: (`( c t—y,
LOCATION: 1 [-I'T Eldridge Rd.
Newton Grove, NC 28366
TELEPHONE: (910) 594'�.t�2�
TYPE OPERATION: Feeder - Finish
NUMBER OF ANIMALS: 4896
(Design Capacity)
The waste from your animal facility must be land applied at a specified rate to prevent pollution
of surface and/or groundwater. The plant nutrients in the animal waste should be used to
reduce the amount of commercial fertilizer required for the crops in the fields where the waste is
to be applied. This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle. Annual soil tests are strongly encouraged so that all
plant nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe
manner. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize. Soil types are
important as they have different infiltration rates, leaching potentials, cation exchange
capacities, and available water holding capacities. Normally waste shall not be applied to land
eroding at greater than 5 tons per acre per year. ith special precautions, waste may be
applied to land eroding at up to 10 tons per yeartr/regulations.
D not apply waste on saturated soils, when it
is raining, or when the surface is frozen. f these conditions may result in runoff to
surface waters which is not allowed under Wind conditions should also be
considered to avoid drift and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste should be applied to a
growing crop or applied to bare ground not more than 30 days prior to planting. Injecting the
waste or disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content for
this type of facility. Acreage requirements should be based on the waste analysis report from
your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for analysis.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
21-1.0217 adopted by the Environmental Management Commission.
Page 1

I
`15�i 6"s 75'7z: '4caa g r, __�f. iY�9.. .-"yµ - yh ..:.���:;.'�_�r�•-.,.�rc,r�.. "Uti :•r�•^: ::;;ge'jz �. St "x"}���.: �n`�;y�:-j '34�1 r
� ir"�;, �.s„s.-3 ff S..�i tKK N . _ .F � �'s,t • �iM.l.S— s,- ,11y1 �jp4 v � II {{t �.i 7 (7 yQ ( j1Ji � � 1 �`uJ P � ,.t; �r t� � -Lt i.�.� i Fs'.� �.�
,�.; 73 �.?Z�:it ���. » tz i«.p:. , t, ..s.�..'�4.9.£.^n.� L i �-'� •1 ��'l.�'7,f ."! �j.�: O.-�;,I��� ��'.L � ; �S."7;, .d�. rr.�i'., .
E
4,896 animals X J. 2 (tons) wastelanimallyear =
Amount of Plant Available Nitrogen (PAN) Produced Per Year
4,896 animals X 22 lbs. PAN/animal/year =
Guide Std. 633)
9,302 (tons) waste/year.
11,261 lbs. PAN/year. (PAN from N.C.
Tech
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner
The following acreage will be needed for waste application based on the crop to be grown and
surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field* Soil Crop Lbs. N Acres Lbs. N Month of
# No. Tvoe Per Acre Utilized Application
T11533
2
AuA
Bermuda H
275
1.34
368.5
April - August
T11533
-2
AuA
Small Grain
100
1.34
134
S-N ; F-March
T11533
4
AuA
Bermuda H
275
1.72
473
April - August
T11533
-4
AuA
Small Grain
100
1.72
172
S-N ; F-March
T11533
5
AuA
Bermuda H
275
4.13
1135.75
March - Sept.
T11533
-5
AuA
Small Grain
50
4.13
206.5
Sept. -April
T11533
717A
AuA
Bermuda H
275
15.43
424325
March - Sept.
T11533
-717A
AuA
Small Grain
50
15.43
771.5
Sept. - April
T11533
un9
BnB
Bermuda G
180
15.00
2700
April - August
T11533
-un9
BnB
Small GrainAGI
75
15.00
1125
S-N ; F-March
Total 1 37.521 11,329.5Q
*This N is from animal waste only. If nutrients from other sources such as commercial fertilizer are
applied, they must be accounted for. N must be basptj on realistic field„Wegtation.
NOTE. The applicator is cautioned that P and K may be over applied while meeting the N
requirements. Beginning in 1996 the Coastal Zone Management Act will require farmers in some
eastern counties of North Caroline to have a nutrient management plan that addresses all nutrients. -
This plan only addresses Nitrogen.
Page 2

MiTir
Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only If operator does not own adequate land [see
Required Specification 21)
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
See footnote for Table 1.
ype Per Acre* ItIlIzed Application
Totals from above Tables
Acres Lbs. N
Utilized
Table 1 37.62 11,330
Table 2 0.00 -
Total 37.62 11,330
Amount of N Produced 11,261
Surplus or Deficit 69
NOTE. The Waste Utilization Plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient rich and will require precautionary measures to prevent over
application of nutrient or other elements.
Page 3

See attached map showing the fields to be used for the utilization of waste water.
Field Soil Type
No.
Application of Waste by Irrigation
Crop Application Application
Rate (In/Hr) Amount (In.)
2,4,5,7
AuA
Bermuda
0.6
.5-1
un9
BnB
Bermuda
0.6
.5-1
THIS TABLE IS NOT NEEDED IF WASTE IS NOT BEING APPLIED BY IRRIGATION, HOWEVER A SIMILAR TABLE
WILL BE NEEDED FOR DRY LITTER OR SLURRY.
Your facility is designed for JN days of temporary storage and the temporary storage must
be removed on the average of once every $ MONTHS. In no instance should the volume of
waste being stored in your structure exceed Elevation "see goondesian.
Call the local Natural Resources Conservation Service (fonrlerfy Soii Conservation Service) or Soil
and Water Conservation District office after you receive the waste analysis report for assistance in
determining the amount per acre to apply and the proper application rate prior to applying the
waste.
Narrative of operation:
Acres shown are 'wetted' acres, based on measurements, etc... supplied by the grower.
Fields 2 and un9 may be grazed.
Page 4

REQUIRED SPECIFICATIONS
Animal waste shall not reach surface waters of the state by runoff, drift,' manmade
conveyances, direct application, or direct discharge during operation or land application.
Any discharge of waste which reaches surface water is prohibited.
2 There must be documentation in the design folder that the producer either owns or has an
agreement for use of adequate land on which to properly apply the waste. If the producer
does not own adequate land to properly dispose of 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.
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.)
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.
Page 5

REQUIRED SPECIFICATIONS
(continued)
9 Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 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
discharge or by over -spraying. Animal waste may be applied to prior converted wetlands
provided they have been approved as a land application site by a "technical specialist".
Animal waste shall not be applied on grassed waterways that discharge directly into water
courses, and on other grassed waterways, waste shall be applied at agronomic rates in a
manner that courses 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.
Page 6

REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced as necessary to
protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc.,
are limited to areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Berms and structures should be inspected regularly for evidence of
erosion, leakage or discharge.
18 If animal production at the facility is, to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills. A regular maintenance checklist should be
kept on site.
20 Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption it should only be applied pre -plant with no further applications 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 soil shall be monitored and alternative crop sites
shall be used when these metal 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 7

Name of 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 Division of Environment Management (DEM) before the
new animals are stocked. I (we) also understand that there must be no discharge of
animal waste from: this system to surface waters of the state from a storm event less
severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the farm
office and at the office of the local Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner: L,..s ,n
(Please print)
Signature: �?Z— Date:
Name of Manager (If different from owner):
Signature: Date:
Name of Technical Specialist: (Please prino Kraig A. Westerbeek
Affiliation: Murphy Family Farms
Address (Agency): P.O. Box 759
Signature:
Rose Hill, NC 28458
Date: I
Page 8

WUP AMENDMENT FOR KENNETH ELDRIDGE FARM
This document is intended to serve as a CAWMP Amendment for the farm above for the
Fall 1 Winter 2002-2003 only.
The current CAWMP for this facility, the producer is required to plant a winter cover
crop following bermuda. After reviewing the current lagoon level on this farm, and
taking this into consideration, I feel that the producer may choose not to plant the Winter
cover crop during this season only. The producer should have no need to irrigate on
these fields until the beginning of the bermuda application window in March 2003.
This amendment is for the above stated purpose only. All other requirements of the
original CAWMP should be followed during the time this amendment is valid and
afterwords.
Toni W. King
Technical Specialist
Owner
C-� d 0�;k
DateL
0/ 0 -
Date

Sheetl
IRRIGATION SYSTEM DESIGN PARAMETERS----
Landowner/Operator Name: Kennith eldridge County: Sampson
Address: 11800 Eldridge rd.
Newton Grave, NC 28366 Date: 5/30101
Telephone: [phone]
Table 1 - Field Specifications
Approximate Maximum
Maximum Maximum Application
Useable Size Application per Irrigation
Field of Field Rate Cycle
Number (acres) Soil Tvoe Slooe % CroD(S) (In/hr) (inches) Comments
2
1.34
AuA
<5
Bermuda
0.6
.5-1
Pu112
4
1.72
AuA
<5
Bermuda
0.6
.5-1
Pull
5
4.13
AuA
<5
Bermuda
0.6
.5-1
Pull4,5
7/7A
15.43
AuA
<5
Bermuda
0.6
.5-1
Pull6-11
un9
15-
BnB
<5
Bermuda
0.6
.5-1
Pull12,13
"Acreage calculated based on 25%
of gross field
acreage from previous
plan.

Sheet2
TABLE 2 - Travelling Irrigation Gun Settings
Make, Model and Type of Equipment: Reel Rain 1025 Traveller
Feld No. Travel Application TRAVEL LANE Wetted Nozzle Operating Operating
and Speed Rate Effective Effective Diameter Diameter Pressure Pressure Arc
Hvdrant No (ft/min) fin/hr.) Width(ft.) Lenath(ft) (feet) (Inches) at Gunbsi) at reel(Dsil Pattern Comments - Acres Der null
F2,H2
2.22
0.54
194
150
275
0.93
60
100
220
1.34
F4,H3
1.85
0.39
247
125
275
0.93
60
100
330
1.72
F5,1-14
1.85
0.39
228
265
275
0.93
60
100
330
2.55
F5,H5
1.85
0.39
228
150
275
0.93
60
100
330
1.58
F7,H6
2.22
1 0.54
150
345
275
0.93
60
100
220
1.90
F7,H7
1.85
0.39
180
375
275
0.93
60
100
330.
2.48
F7,148
1.85
0.39
165
660
275
0.93
60
100
330
3.37
F7,149
1.85
0.39
170
675
275
0.93
60
100
330
3.50
F7,H10
1.85
0.39
190
475
275
0.93
60
100
330
2.70
F7,1-111
1.85
0.39
220
185
275
0.93
60
100
330
II AB
TOTAL ACRES =
22.62

Sheet3
TABLE 3 - Solid Set Irrigation Gun Settings
Make, Model and Type of Equipment
Operating Parameters
Field No Wetted Hydrant Spacing(ft) Application Nozzle Operating Operating
and Number of Diameter Along Between Rate Diameter Pressure Time

Sheet4
TABLE 4 - Irrigation System Specifications
Traveling
Solid Set
Irrigation Gun
Irrigation
Flow Rate of Sprinkler (gpm)
164
Operating Pressure at Pump (psi)
#DIV/O!
Design Precipitation Rate (in/hr)
0.33
Hose Length (feet)
xxxxx xx
Type of Speed Compensation
xxxxxxXX
Pump Type (PTO, Engine, Electric)
Pump Power Requirement (hp)
#DIV101
TABLE 5 - Thrust Block Specifications
THRUST BLOCK
LOCATION
AREA (sq. ft.)
90 degree bend
#DIV/01
Dead End
#DIV/01
Tee
#DIVI01
Gate Valve
#DIV101
45 degree bend
#DIV/01
Page 10

Name:
Company:
Address:
Phone:
Sheets
IRRIGATION SYSTEM DESIGNER
Required Documentation
The following details of design and materials must accompany all irrigation designs:
1. A scale drawing of the proposed irrigation system which Includes hydrant locations, pipelines, thrust block locations and buffer areas where applicable.
2. Assumptions and computations for determining total dynamic head and horsepower requirements.
3. Computations used to determine all mainline and lateral pipe sizes.
4. Sources and/or calculations used for determining application rates. _
5. Computations used to determine the size of thrust blocks and illustrations of all thrust block configurations required in the system
B. Manufacturers specifications for the irrigation pump, traveler and sprinkler(s).
7. Manufacturers specifications for the irrigation pipe and/or USDA-NRCS standard for IRRIGATION WATER CONVEYANCE.
a. The information required by this form are the minimum requirements. It is the responsibility of the designer to consider all relevant factors at a particular site and
address them as appropriate.
9. Irrigation pipes should not be installed in lagoon or storage pond embankments without the approval of the designer.
NOTE: A buffer strip of 25' or wider must be maintained between the limits of the Irrigation system and all
perennial streams and surface waters per NC Statutes.

Sheet?
CALCULATIONS
,9prinkler Specifications
Sprinkler Type: Nelson SR100
Nozzle Size:
0.93 inches
Sprinkler Pressure:
60 psi
Flowrate(GPM):
164 gpm
Wetted Diameter:
Lane Spacings
275 feet
Desired Spacing (%):
70 %
Design Spacing(feet):
192.5 *PVC irrigation pipe normally comes in 20' pieces,
so round to the nearest multiple of 20.
Actual Spacing (feet):'
190 feet
Actual Spacing (%):
69 %
Application Rate
Application Rate =(96.3xFfowrate)1(3.1415x(.9xradius)squared)
Design App. Rate =
0.33 in/hr
300 degree arc =
0.39 in/hr
220 degree arc =
0.64 in/hr
180 degree arc =
Traveller Speed
0.66 In/hr
Travel speed = 1.605 x
Flowrate / Desired application amount x Lane Spacing
Desired app. (in.) =
0.75 inches
300 degree arc =
1.85 ft/min
220 degree arc =
2.22 ft/min
180 degree arc =
Mainline
3.69 ft/min
VelocU
Velocity = .408 x Flowrate / pipe diameter squared feet/sec.**
"For buried pipelines, velocity should be below 5 feet per second
Pipe size:
inches
Velocity=
#D1V/01 ft/sec.
Page 13

Sheet?
MaXimum Mainline Friction Loss
Most distant hydrant:
Total distance: feet
Friction Loss is figured using Hazen/William's Equation
Friction Loss= #DIV/01 feet/100 feet
Max. Mainline Loss = #DIV/01 feet or #DIV/01 psi
Total DvRa,mic Head
Sprinkler Pressure:
60 psi
Loss through traveller:
psi
Elevation head:
psi
Mainline loss:
#DIV/01 psi
Suction head and lift:
psi
5% fitting loss:
#DIV/01 psi
TOTAL(TDH) =
#DIV/O! psi or #DIV/O! feet
Horsepower Required
Horsepower = Flowrate x TDH(feet) / 3960 / Pump effeciency
Pump Description:
Pump Efficiency: %
orsepower Required: #DIVIO! Hp
Thrust Blockina
Thrust Block Area = Thrust / Soil Bearing Strength
Thrust: feet
Soil Bearing Strength: feet
End Cap: #DIV/01 ft2
90 degree elbow: #DIV101 ft2
Tee: #DIV101 ft2
45 degree elbow: #DIV/O! ft2
Pipe Pressure -Rating Check
Pressure Rating of Pipe to be Used: psi
Max. Pressure on system when -running: #DIV/01 psi
70% of Pressure Rating: 0 psi
If Max. Pressure on system is less than 70% of Pressure Rating, OK
Page 14

Wettable Acres Determination Certification
Name of Facility: (_77C jJ'� n �,( rv� Facility Number: J 1- 5C)
Owner(s) Name: iy o v`t- l—Zro_ CTO L. ► n_ Phone No: LRko `ja - 0Lor6-1
Mailing Address: 11-1"1.\�r'_
By signing this form, the facility owner and Technical Specialist acknowledge the completion of the
Wettable Acres Determination. All necessary Wettable Acre Determination Field Data Sheets and
calculations were completed to conduct a Wettable Acre Determination. The facility's Waste
Utilization Plan has been amended as necessary to reflect actual wetted acreage. A copy of all
worksheets, calculations, and other Wettable Acres Determination documents, along with the
applicable Waste Utilization Plan and Wettable Acre Determination Certification will be fled with
the local Soil and Water Conservation District. A copy will also be kept on site with the Certified
Animal Waste Management Plan. Any future modifications must be approved by a technical
specialist and filed with the Soil and Water Conservation District prior to implementation. If any,
modifications to the existing irrigation system or any new irrigation equipment was required to
adequately address the waste management needs of this facility, an-- T igation Specialist or
Professional Engineer has certified the design and installation below.. ° -
Owner Name: T'k
Owner
Technical Specialist Name: ts, r C
Technical Specialist Signature: Date: J� — i —0
If assisted by an Irrigation Specialist or Professional Engineer please read and sign below:
Animal waste application equipment has been designed or modified to apply waste as necessary to
accommodate the waste management plan and according to NRCS Standards. Animal waste
application equipment has been installed according to NRCS Standards and is ready for use.
Irrigation Specialist/PE Name:
Irrigation Specialist/PE Signature: Date:
Submit this form to:
Attn: Sonya Avant
Non -Discharge Compliance Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
WADC — 7/99

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Jaynes B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Mark & Lora Godwin
Godwin Farm
1177 Eldridge Rd
Newton Grove NC 28366
Dear Mark & Lora Godwin:
1 • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES —
December 30, 1999
i
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 5L SU,,
Johnston —County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRR1, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ) "
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincerely
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
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

DRAFT
Draft - Revised January 20, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number -&I- S
Farm Name: Goow,A/FwAj0GE FAQ
On -Site Representative: MAV-r_ Gobw. „r
Inspector/Reviewer's Name: J 1-1 J 4 r
Date of site visit: `t _
Operation is flagged for a wettable
acre determination due to fail re of
Part 11 eligibility item(s) F1 F3
Operation not required to secure WA
determination at this time based on
exemption El E2 E3 E4
Date of most recent WUP: Anrival farm'PAN deficit: I 1 zo pounds
Irrigation Systern(s) - circle ard-hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system W/portable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary gun system wlportable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part 1 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 111. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part II. Complete eligibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part 111).
PART H. 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_X_ , illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part 111.

DRAFT
Draft - Revised January 20, 1999
Facility Number S1 - So
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER' 2
TYPE OF
IRRIGATION
SYSTEM
TOTAL
ACRES
CAWMP
ACRES ,
FIELD
%
COMMENTS'
IS 33
t
?
i,�-S
a
K
Vr S
'
{�
• 2'�
17
5
�-
Z.
' 4
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
.Tune 26, 1998
Mark & Lora Godwin
Godwin Farm
1177 Eldridge Rd
Newton Grove NC 28366
'T- _T_T
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissuance of Certificate of Coverage
No.AWS510050
Godwin Farm
Swine Waste Collection, Treatment, Storage and
Application System
Johnston County
Dear Mark & Lora Godwin:
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on February 9, 1998. In accordance with the issuance of the revised General Permit, we are
forwarding this Certificate of Coverage (COC) to Mark & Lora Godwin, 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 Godwin Farm, located in Johnston County,
with an animal capacity of no greater than 4896 Feeder to Finish and the application to land as specified
in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003, and shall hereby void
COC No AWS510050 dated February 9, 1998. 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 III.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 AWS510050
Godwin 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 J. R. Joshi at [phone] ext. 363.
Sincerely,
for 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

State of North Carolina
Department of Environment
,,and Natural Resources
f,
'Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
MEMORANDUM
&T4
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 23, 1998
TO: Raleigh Regional Water Quality Supervisor
FROM: Sue Homewood
SUBJECT: Notification of Facility Number Change
14�Pq�
�TB 2 4 I 'DEJ�
44R .i_EiGH R€GlNAL OFFICE '
The following changes have been made to the Animal Operations Database. Please make
appropriate changes in your files.
Facility number 51-50 and 51-114 were combined under one facility number; 51-50.
Facility number 51-114 was deleted from the animal operations database.
If you have any comments or questions please feel free to call me at [phone] ext 502.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Kenneth & Lora Eldridge & Godwin
Eldrdge Farm #1
1800 Eldridge Road
Newton Grove, NC 28366
Farm Number: 51 - 114
Dear Kenneth & Lora Eldridge & Godwin:
• •
A
kj
February 13, 1998�
14 615
i DENP R'„ti��4GH REGIO L 0r
You are hereby notified that Eldrdge Farm #1, in accordance with G.S. 143-215. IOC, must apply
for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your.farm has
sixty (60 days to submit the attached application and all supporting documentation. In accordance
with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any
owner or operator who fails to submit an application by the date specified by the
Department SHALL NOT OPERATE the animal waste system after the specified date.
Your application must be returned within sixty (60) days of receipt of this letter. Failure to submit the
application as required may also subject your facility to a civil penalty and other enforcement actions for
each day the facility is operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package. The
signed original application, one copy of the signed. application, two copies of a general location map, and
two copies of the Certified Animal Waste Management Plan must be returned to complete the application
package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Katharine Keaton at [phone]
extension 533 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely,
�r A, Preston oward, Jr., P.E.
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Mark Godwin
Godwin Farm
1177 Eldridge Rd
Newton Grove NC 28366
Dear Mark Godwin:
v
February 9, 1998 1,
rM 1 619P� i .a j
DEI�IJR ;,LEiGi� REGIONAL OFH',E �
Subject: Certificate of Coverage No. AWS510050
Godwin Farm
Swine Waste Collection, Treatment, Storage
and Application System
Johnston County
In accordance with your application received on September 11, 1997, we are forwarding this
Certificate of Coverage (COC) to Farm No. 51-50, 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
manaaement of animal waste from the Godwin Farm, located in Johnston County, with an animal capacity
of noygreater than 4896 Feeder to Finish and the application to a minimum of 46.86 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.
In accordance with General Statue 143-215.10C, Animal Waste Management Plans shall include
the following components-
- A checklist of odor sources and best management practices to minimize these sources.
- A checklist of insect sources and best management practices to minimize these sources.
- Provisions set forth for acceptable methods of disposing of mortalities.
- Provisions regarding emergency action plans.
Your existing Certified Animal Waste Management Plan must include the above elements, by
December 31, 1998. Documentation of the certification must be available to inspectors onsite. Submittal
of the amended certification statement shall be required upon renewal of your permit coverage in 2001.
Please be advised that any violation of the terms and conditions specified in this COC, the General
Pen -nit or the CAWMP may result in the revocation of this COC.
P.O. Box 29535, Raleigh. North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Emptoyer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS510050
Mark Godwin y
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 J R Joshi at [phone] ext. 363.
Sincerely,-
G`
,/—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

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
July 23, 1998
Lenard/Timrny Hudson
Lenard and Timiny Hudson Farm
3906 Woods Crossroads
Benson, NC 27504
ED E N Fi
SUBJECT: Acknowledgment Receipt Letter
Lenard and Timmy Hudson Farm
Farm# 51-82
Case No. O V 97-50
Johnston County
Dear Mr. Hudson:
This letter is to acknowledge receipt of your check No. 3.117 in the amount of
$500.00 received from Lenard and Timmy Hudson Farm on July 23, 1998.
This payment satisfies in full the civil assessment levied against Lenard and Timmy
Hudson Farm and this case has been closed. Payment of this penalty in no way. precludes
further action by this Division for future violations of the State's environmental laws.
If you have any questions please call Shannon Langley at [phone]
extension 581.
Sincerely,
eff Poupart, Supervisor
Non -Discharge Compliance/Enforcement Unit
SL/ky
cc: T eiff-f egioi al_Offc
Enforcement/Compliance Files
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
December 1l, 1997
Mark T. Godwin
Mark and Lora Godwin Farm
1177 Eldridge Road
Newton Grove NC 28366 !
Subject:
Dear Mark Godwin:
�EHNR
Farm No. 51-50
Additional Information Request
Mark and Lora Godwin Farm
Johnston County
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject
application. Additional information is required before we can continue our review. The lagoon volume
(749, 385 cu.ft.) specified on your permit application for Fac # 51-50 appears low for the 4896 Feeder to
Finish operation. Please verify that this includes all the lagoons and all temporary and permanent storage
volume available on the farm. Please include appropriate design calculations and paramenters used in
arriving the above volume.
Please reference the subject farm number when providing the requested information. All
information should be signed and submitted to my attention by January 11, 1998 at the address below.
Please note that failure to provide this additional information on or before the above requested date can
result in your application beinyg returned as incomplete.
If you have any questions regarding this request, please call me at [phone], extension 363.
Sincerely,
J.R. Joshi
Sol] Scientist
Non -Discharge Permitting Unit
cc-. Raleigh Regional Office, Water Quality
Permit File
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Mark T. Godwin
Mark and Lora Godwin Farm
1177 Eldridge Road
Newton Grove NC 28366
Dear Mark Godwin:
4,
IDEHNR
September 29, 1997 I _ -
,I
OCT l 1997
L
__
DEHNR RALEIGH REGIONAL OFFICE
Subject; Farm No. 51-50
Additional Information Request
Mark and Lora Godwin Farm
Johnston County
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject
application. Additional information is required before we can continue our review. The signature page of
the waste utilization you faxed on 9/26/97 should have both your and a technical specialist's
signatures. The technical specialist's signature is missing and should be completed and sent to this office
by October 29, 1997.
Please reference the subject farm number when providing the requested information. All
information should be signed and submitted to my attention at the address below. Please note that failure to
provide this additional information on or before the above requested date can result in your application
being returned as incomplete,
If you have any questions regarding this request, please call me at [phone], extension 363.
Sincerely,
v�
J.R. Joshi �~
Soil Scientist
Non -Discharge Permitting Unit
cc: Raleigh Regional Office, Water Quality
Permit File
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

r-Q C1 State of North Carolina
Department of Environment, Health and Natural
\ Division of Water Quality
on -Discharge Permit Application Form / Surv`l' r? D,
A�QFF�(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) Ischarge
psi+ irfq
�---'General Permit -Liquid Animal Waste Operations
The following questions have been completed utilizing information on rile with the
Division. Please review the information for completeness and make any corrections
which are appropriate. If a question has not been completed by the Division, please
complete as best as possible. Do not leave any question unanswered.
Application Date: � — 1
I. REQUIRED ITEMS CHECKLIST
WATER Q
Re r es�SSc17pN
11997
Please indicate that you have included the following n4quired items by signing your initials in the space provided next to each
item,
Applicants Initials
3 I. One completed and signed original and one copy of the application for General Permit - Animal
"kPh0.f Waste Operations; 6-
2. T_wn_aaPigs of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is disposed;
3. Two p'es 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: _Godwin Farm
2. Print Land Owner's name: Mark & Lora Godwin _.
3. Land Owner's Mailing address: 1177 EldridgeRR¢
City: Newton Grove NQ _ Zip: -28366
Telephone Number: 910--D4-2162
4. County where farm is located: John,Ston _
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): On north side of 5R 1122, approx. 0.8 miles east of SR
1124, or approx, I milp west of Hwy.50.
6. Print Farm Manager's name (if different from Land Owner):
7. Lessee's 1 Integrator's name (if applicable; please circle which type is listed):. Murphy Family Farms
51 - 50
FORM: AWO-G-E 2/26/97 Pagel of 3

III. OPERATION INFORMATION: ,
I . Farm No.: 51-50
Operation Description: Swine operation
Feeder to Finish
4896 - Certified Design Capacity --7%i %5 ;S C6 r r&14 70uj_j 4 SP/�
Is the above information correct? EZ yes; no. If no, correct below using the design capacity of the facility
Type of Swine No. of Animals Type -of Poultry No. of Animals Type of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
�� � "`►.,r��.._ �' ,+'ant.. ' �5s y-, � t:�� � t-`'�
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
3. Acreage cleared and available for application: -I0:2H^f % -; Required Acreage (as listed in the CAWMP): Ll
I ' �t0
4. Number of Lagoons: I ; Total Capacity: �9 3 o � Cubic Feet 3) Z� Z
t- 3
1� o-z'fr
Number of Storage Ponds: ; Total Capacity: Cubic Feet (ft3)
5. Is animal waste being applied on any field which has subsurface drains? YES or NO (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? ES or NO (please circle one)
IV. APPLICANT'S CERTIFICATION:
I, 1 ' l of r`' C3— n r,
(Land Owner's name listed in question II.2), attest that
this application for Lr(, CA 43.1 t, 1_C' r-Q�21 _ (Farm name listed in question II.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete. ,
Signature
Date. � — t:�Y / _
V . MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
I, (Manager's name listed in question II.6), attest that this
application for (Farm name listed in question II.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 NUMBER: [phone]
FORM: AWO-G-E 2/26/97 Page 2 of 3

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WATER UAE7Y RECEIVED
SEP f 1 199/
Non-Discharae Permithnrr
F A M i L V F A R M S
June 7, I996
Department of Environment, Health and Natural Resources
Division of Environmental Management
Water Quality Secron, Planning Branch
P. O. Box 29535
Raliegh, NC 27626-0535
Attn: Mr. Steve Tedder, Chief
RE: Eldridge Farm #2 - Swine Facility Certification
Johnston County, NC
Dear Mr. Tedder:
Enclosed is the certification form for the above referenced swine farm. By this letter, the Owner
certifies that the following crops will be planted or sprigged within 180 days of the stocking
date of the farm. Stocking Date: 61zo,
Barley __Rye
✓8erruuda Grass (Graze/H_y/Pasture; /Small Grain (Graze/ Hay)
^Corn (Grain/Silage) —Sorghum
_Cotton _Wheat
_,___Fescue (Graze/Hay/Pasture) ,.,Oats
_Other(Explain)
The lagoon eftIuent will be applied to the crops listed above by
Center Pivot irrigation (Installed/Not Installed)
_Solid Set Irrigation (Instated/Not Installed)
_ Traveling Gun/Reel Irrigation (Owned/Not Owned)
Third Party Applicator
,,,Other (Explain) oave.OcE /�[�G.QTie.r PiP� wrr� RrsE� S
Name of Technical Specialist: M. Kevin 'N esfon
Signature:_ . .cJ. a 7 Date:_ZAT110'l�
Name of band O er: Kenneth Eldridge
signature: _J. �. _ _ Date _-�— -�
cc: I:enneth Eldridge
Tore King, Murphy Family Farris LNM Department
Post Office Box 759, Rose Hill, North Carolina 28458, (910) 289-211.1, FAX [phone]

�u
r
3 ' Ahi.mal Waste Management Plan -Cerdfieation
(Please tvne or print all information that does not require a signature)
•j•' Name of Farm: Rna n 2 Facility No:
Owner's Name: Phone No:
{: 'Mailing Address: 1800
,aM
' Farm Location: Fourteen Digit Hydrologic Unit: oso zo zo i ieoovo
`1^.. 35° 17' 05" / 78° County: Latitude and Longitude: 5�. Q� Coun Jchr-stxn
Please attach a copy of a county road map with location identified and describe below
' (Be specific: road names, directions, milepost, etc.): 1,1;n7R Rose HiIL treks, -I--10 w, M& ed L
i' 341 ar-id fDI..1_CX+I w 5Q N- rn 2 - 9 mi and t-i Tr n Left m" � (b 1. 2 a. - to farm Fnt-mnm rn
Operation Description: Right.
Type of Swine No ofAnimals Type of PoultryNo ofAnimals Type of Cattle No ofAnimals
_ Wean to Feeder _ Layer _Dairy
x Feeder to Finish 3672 Pullets Beef
Farrow to Wean —
_ Farrow to Feeder
_ Farrow to Finish Other Type of Livestock: Number of Animals:
att�ltxt ` O ratio 7x11 t > .....
r i
�iiQu.S .1♦7�Sl�fl ��Q(�i ��a> iCSY�}Yk.•lr^rf a 2�G[LU�Q1+����.� L�,i`_�.�.�.-�..,.���,.��.�,•.�,rre 4?#r �:
T� 'c't:�rr, . is f .d:. < r: i. <$; F: v . >'f?:` - v:2'^" .g}: C.'<\:'N • ir'',.� . t. ' ` ti'� J.�y�. Sff
:'sus �"so-:i::^a::�°:.. .:.t�...• ;.<•},:.:..: Ica?:c6c# '}�+?:
F,xxs�17[r, and Esc��
:•`O :'h`.,'.`•,::+- `'-.
F�:wN.k' :3.
,Kegrs�ra!r6tt F$f� �� �. yx < <�:> . tx `(f3..:.:::. •:
Acreage Available for Application: _ yG. aG Required Acreage:. •�G: ��
Number of lagoons/Storage Ponds: l Total C2N(
ity: 749385 Cubic Feet (fts)
Are subsurface drains present on the farm: YES or (please circle one)
************s**x**s**s**s���*-�sx*
Owner /Manager Agreement
I (we) verify that all the above information is correct and will m updated upon changing. I (we)
understand the operation and maintenance procedures established in the approved animal waste
management plan for the farm named above and will implement these procedures. I (we)'1oiow that
any expansion to the exisfing design capacity of the waste treatment and'stomge system or construction
of new facilities will require a new certification to be submitted to the. Division of Environmental
Management before the new animals are stocked. I (we) understand that there must be no discharge of
animal waste from the storage or application system to surface waters of the state either directly
through a man-made conveyance or from a storm event less severe than the 25-year, 24-hour storm .
and there must not be run-off from the application of animal waste. -I (we) understand that run-off of
pollutants from lounging and heavy use areas must be minimized using technical standards developed, '
by the Natural Resources Conservation Service. The approved plan will be -filed at the farm and at the "
office of the local Soil and Water Conservation District. I (we) know that any modification must be
approved by a technical specialist and submitted to the Soil and Water. Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new'
certification (if the approved plan is changed) within 60 days of a title transfer.
Name of Land Owner: Yamat1
Signature:
Name of Manager (if different from owner):
Signature:
AWC -- April 24, I996
Date:
Date:

Technical Specialist Certification
I As a technical specialist designated by North Carolina Soil and Water Conservation Commission
pursuant to I5A NCAC GF .0005, I certify that the animal waste management system for the farm -
named above has an animal waste management plan that meets or exceedsstandards and specifications
of the Division of Environmental Management (DDM) as specified in 1 SA NCAC 2H.0217 and the
USDA -Natural -Resources Conservation Service (NRCS) and/or the North Carolina Soil and Water
Conservation Commission pursuant to 15A NCAC 211.0217 and I5A NCAC GF .0001-.0005. The
following elements are included in the plan as applicable. While each category designates a technical
specialist who may sign each certification (SD, SI, WUP, RC,1), the technical specialist should only
certify parts for which they are technically competent.
II. Certification of Design
A) Collection, Storage, Treatment System
Check the appropriate box
❑ Existing facilitywithout retrofit_ (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent
with waste utilization requirements.
2 New ex anded or retrofitted facfl (SD)
Animal waste storage and treatment structures, such as but no limited to collection
systems, lagoons and ponds, have been designed to.meet or exceed the minimum
standards and specifications.
Name of Technical Specialist (Please Print): J. N�al TudkEr
Affiliation: q!�L Ew�Y Farm
Address"(�ge�y):ic NC 28458 Phone No.: 910 2
Signatu Date:
B) Land Application Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land
waste utilization; chosen crop is suitable for waste management; hydraulic and
nutrient loading rates.
Name of Technical Specialist (Please Print): M- IL:w n z
Affiliation: Nliz IX ZE L y n=E _
Address (Agency) : Phone No.: (91 rn289=CA3a act_ _
Signature: _ W " 'Date:
C) Runoff Controls from Exterior Lots
Check the appropriate box
❑. Facility without exterior -lots (SD or WUP or RC).
This facility does not contain any exterior lots.
❑ Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas
have been designed in accordance with technical standards developed by MRCS.
Name of Technical Specialist (Please Print):
Affiliation:
Address (Agency):
Signature:
AWC--April 24, 1996
Phone No.:
Date:

D) Application and Handling_ Equipment
Check the appropriate Box
❑ Existing facility, with existing waste application equipment (WUP or 1).
Animal waste application equipment specified in the plan has been either field • .
calibrated or evaluated in accordance with existing design charts and tables and is
able to apply waste as necessary to accommodate the waste management plan:
(existing application equipment can cover the area required by the plan'at rates not
to exceed either the specified hydraulic or nutrient loading rates, a schedule for
timing of applications has been established; required buffers can be maintained and
calibration and adjustment guidance art contained as part of the plan).
f" New or expanded facility-, or existing facility without existing waste application
equipment (1)
Animal waste application equipment specified in the plan has been designed to
apply waste as necessary to accommodate the waste management plan; (proposed
application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates; a schedule for
timing of applications has been established; required buffers can be maintained;
calibrations and adjustment guidance are contained as part of the plan).
Name of Technical Specialist (Please Print): M. Kin
Affiliation: Marini rmii1v
Address (Agency): PO Phone No.: (910)2B9-Fi439 EXt. 4629
Signature: _ �I a ZJ• _ Date: 6L�P
'sEE A-rr,4c ,4M EN -r
III. Certi rica Iron Of _Installation
A) Collection, Storage, Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but no limited to
lagoons and ponds, have been installed in accordance with the approved plan to.
meet or exceed the minimum standards and specifications.
For eaashng facilities without retrofits, no ceitb cation is necessary.
Name of Technical Specialist (Please Print): M. ievin 9tgb�a .
Affiliation: Ujg l�r fly Praia
Address (Agency): FO 759 Phone No. 9�139__
Signature: _ .A�_ ' f�.�-a� Date: ! /.: �
AWC -- April 24, 1996

B) band Application Site (WUP)
Check the appropriate box
p The cropping system is in the place on all land as specified in the animal waste management plan.
0 Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping
system as specified in the waste utilization plan has not been established and the owner has
committed to establish the vegetation as specified in the plan by
(month/day/year); the proposed cover crop is appropriate for compliance with the waste
utilization plan.
❑ Also check this box if appropriate
if the cropping system as specified in the plan can not be
established on newly cleared land within 30 days of this
certification, the owner has committed to establish an
interim crop for erosion control;
Name of Technical S cialist (Please Print): M. YeAn Wastm
Affiliation: ' FwUy Famm
Address (Agency) :1O 1� 759 Rxe Hill, l NC 2B458 Phone No.: 910 289-C439
Signature: - 7�%,od.� Date: G 3/y6
This following signature block is only to be used when the box for conditional approval in III. B above
has been checked.
I (we) certify that I (we) have committed to established the cropping system as specified in my (our)
waste utilization plan, and if appropriate to establish the interim crop for erosion control, and will
,submit to DEM a verification of completion from a Technical Specialist within 15 calendar days
following the date specified in the conditional certification. I (we) realize that failure to submit this
verification is a violation of the waste management plan and will subject me (us) to an enforcement
action from DEM.
Name of Land Owner.
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
Q Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
Methods to minimize the run off of pollutants from lounging and
heavy use areas have been installed as specified in the plan.
Far facibfies without exterior lots, no certirication is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address (Agency); Phone No.: W
Signature: Date:,
AWC -- April 24, 1996

D) _Application and Handling F ui mcnt Installation (WUP or 1)
Check the appropriate block
6__ Animal waste application and handling equipment specified in the plan is on site and ready
for use; calibration and adjustment materials have been provided to the owners and are
contained as part of the plan.
© Animal waste application and handling equipment specified in the plan has not been
installed but the owner has proposed leasing or third party application and has provided a
signed contract; equipment specified in the contract agrees with the requirements of the
plan; required buffers can be maintained; calibration and adjustment guidance have been
provided to the owners and are contained as part of the plan.
❑ Conditional approval: Animal waste application and handling equipment specified in the
plan has been purchased and will be on site and installed by
(month/day/year); there is adequate storage to
hold the waste until the equipment is installed and until the waste can be land applied in
accordance with the cropping system contained in the plan; and calibration and
adjustment guidance have been provided to the owners and are contained as part of the
plan.
Name of Technical Specialist (Please Print): M. grin Wesbct
Affiliation: 04EIk Finrini ROM
Address (Agency): lO Bzc 759 PcEe HU1 1C 28458 Phone No.:
Signature: %I. , _ Date:
MU
The following signature block is only to be used when the box for conditional approval in -III D above .
has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling .
equipment as specified in my (our) waste management plan and will submit to DEM a verification of
delivery and installation from a Technical Speciglist within IS calendar days following the date specified
in the conditional certification. I (we) realize that failure to submit this certification is a violation of the
waste management plan and will subject me (us) to an enforcement action from DEM.
Name of Land Owner:
Signature: Date: _
Name of Manager.(if different from owner):
Signature: _ Date:
Please return the completed form to the Division of Environmental Management at the following
address:
Department of Environment, Health, and Natural Resources
Division of Environmental Management
Water Quality Section, Compliance Group
P. O. Box 29535
Raleigh, NC 27626--0535
Please also remember to submit a copy of this form along with the complete Animal Waste Management
Plan to the local Soil and Water Conservation District Office and to keep a copy in your files with your
Animal Waste Management Plan.
AWC -- April 24, 1996

Animal. Waste Management Plan ' Certification
ATTACHMENT A
to
FORMAWC -- APRIL 24�_I996
General Information:
Name of Farm: Eldridge Fann #2 Facility No: -
Owner(s) Name: Yam-laffi Rlr dd3IS Phone No: (910)594--0687
Mailing Address:.18W E14� Fted Na4m cue. IC 28366
1I. Certification of Design
D.) Application and Handling Equipment
New or expanded facility; or existing facility without existing waste application
equipment (WLTP or I)
Animal waste application equipment specified in the plan has been either field
calibrated or evaluated in accordance with existing design charts and tables and is able
to apply waste as necessary to accommodate the waste management plan: (application
equipment can cover the area required by the. plan at rates not to exceed either the
specified hydraulic or nutrient loading rates, a schedule for tinning of applications has
been established; required buffers can be maintained_and calibration and adjustment
guidance are contained as part of the plan).
Name of Technical Specialist (Please Print): n'I- Fev n wiz
Affiliation: Kz#v Farli1y F-Im6
Address (Agency) : PO Bc*c 759 � Hill , W- 28458
Phone No.. _ (910) 289^6439 Ect. 4629_
Signature:
Date:
If the technical specialist chooses to use this Attachment to certify the design of a new
or expanded facility, or existing without -existing waste application equipment, it must
be attached to the completed Animal Waste Management Certification Form (AWC-
April 24, 1996). The technical specialist must also write in the words "See
Attachment" in Part II. D. Of the Certification Form to notify the review agencies that
the Attachment has been used
This Attachment will not be acceptable past the effective date of the new NCRS
Technical Standards.
AWC - May 3, 1996

SEP-26-1997 17:07 FROM NEKTON GROVE 919 594 1130 TO 19197330719 P.02
N6� ry r-" ........ .
ANIMAL WASTE UTILIZATION PLAN
Producer: 014pK -C V aaw t%
Location: 1800 ELDRIDGE ROAD
XB"ON GROVE 11C 28366
Telephonat 910 594-0687
Type operation: Existing Feeder to rinish swine
Number of Animals: 4896.00 hogs
(Design Capacity)
810RAaE STRveTUREt Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied. ,
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crap can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
avai \ble water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tans 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 conaitionS
may result in runoff to surface waters which is not allowed
under DEM regulations.
Pages I

ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
4896 hogs x 1.9 tons waste/hogs/year = 9302.4 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
4896 hogs x 2.3 lbs PAN/hogs/year = 11260.8 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
Page: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
11533
1
BnA
BC
3-8
150
0
1.68
�252
I
APR-SEP
11533
1�1
1
IIG
I1 150
10-��68
SEP-MAY
11533
2
BC
4.7
0
JAUA
I
�235
I
11.9
1446.5
APR-SEP
11533
SG
1
0
1-2
1
I
�50
11.9
195
SEP---MAY
11533
UN9
BC
3-8
0
jBnA
I
1150
1
118.9
12835
APR-SEP
11533
--UN9
SG
1
0
I
150
118.9
1945
SEP-MAY
11533
7A
AuA
BH
5.5
275
0
I
1
1
16.27
11724.25
APR-SEP
11533
7
BH
5.5
275
0
JAUA
I
I
I
110.8
12970
APR-SEP
11533
5
BH
5.5
275
0
JAUA
I
I
15.05'11388.75
APR-SEP
11533
4
BH
5.5
275
0
2.26
JAUA
I
1621.5
APR-SEP
END
z
- Indicates that this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
TOTAL111362
Page: 3

ANIMAL WASTE UTILIZATION PLAN
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses nitrogen.
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
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: 5

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
HYBRID BERMUDAGRASS-CONTROLLED GRAZED
TONS
50
BH
HYBRID BERMUDAGRASS-HAY
TONS
50
SG
SMALL GRAIN OVERSEEDED
AC
50
TABLE 1
TABLE 2
TOTAL
*-A
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
46.86
11362
0
0
46.86
11362
* BALANCE
-101.2
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 6

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 1811.52 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 9057
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 30.192 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 72.4608 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 7

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
I I
I
IAppl.ication
RatelApplic. Amount
Tract
I Field I
I I
Soil Type
I Crop
I
I (in/hr)
I
I (inches)
11533
! 1 I
BnA
I BC
I .75
I *1
11533
i
1 2 !
AuA
I
I BC
I .5
I *1
11533
I I
! 4 I
AuA
I
I BH
I
I .5
I *1
11533
1 5 I
AuA
I BH
I .5
I *1
11533
! 7 I
AuA
I BH
I .5
! *1
11533
17A I
AuA
I BH
I .5
I *1
11533
I I
I UN9 I
BnA
I
I BC
I .75
I *1
11533
I --1 I
I SG
I .75
I *1
11533
I I
I ~2 I
!
I SG
!
I .5
1
I *1
11533
I I
I -UN9 I
I
I SG
!
I .75
I *1
Page: 8

ANIMAL WASTE UTILIZATION PLAN
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must be removed on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
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: 9

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

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

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 12

SEP-26-1997 17:07 FROM NEWTON GROVE 919 594 1130 TO 19197330719 P.03
ANIMAL WASTE UTILISATION PLAN
Name of Farm:KHNNETH EI.DRIDGE
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal wastes 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 now 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 owners &FNNETH ELDRIDGZ
(Please print) U _rK
sfgnnturee Date:
Name of Manager(If different from owner):_
signature: +J€ - Date: 1
Name of -'Person Preparing Plan: (Please print)Chris W. smith
Affiliation:NRCS Phoae NO, 919-989-5391
Address (Agency): 806 North street
Smithfield 40 7577
signature: bate:
page; 13
TOTAL P.03

ANIMAL WASTE UTILIZATION PLAN
ANIMAL WASTE UTILIZATION AGREEMENT
(Needed only if additional land has to be leased, etc.)
I, hereby give
permission to apply animal waste from his Waste Utilization System
on 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:
Waste Producer:
Date:
Date:
Technical Representative: Date:
SWCD Representative: Date:
Term of Agreement: ,19— to
(Minimum of Ten Years on Cost Shared Items)
(See Required Specification No. 2.)
Notary
Page: 14

ANIMAL WASTE UTILIZATION PLAN
Waste -Utilization - Third Party Receiver Agreement
I, hereby agree to apply waste
generated by in a manner that meets the
Waste Utilization Standard (633), or•use an alternative waste
utilization system that has been accepted in writing by the
Division of Environmental Management.
Third Party Receiver:
Date:
Term of Agreement: to
(Minimum Ten Years on Cost -Shared Items)
Notary
Page: 15

ANIMAL WNSTE UTILIZATION PLAN
WASTE UTILIZATION -FLAN AGREEMENT
W1 ISl
Name of Parm
Owner/Manager Agreement
I (we) understand and will follow and implement the speclfi.cations
and the operation and maintenance proc+adurou 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 biviaion of water Quality (NCDWQ) before the now
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25--year, 24-hour
storm. The approved plan will be tiled on -site at the farm office
and at -the office of the Zonal Soil and Water Conaervation piutrict
and will be available for review by NCDWQ upon request.
�eO lr K f''a
1
Name of Facility owner:
(Please prtnc)
Signature: Date: % Z-6
S A
Name of Manager(If different from owner):.
sfgnaturo: Data$ .
Name of Person Preparing Plan: (Please p,rint)Chris W, smitb
AffiliatiOnINRCB Phone Noe 919-989-5381
Address (Agency): god North street
Smithfield NC 27 7
/I)-,
signatures //2,Date:
Pager 13
Z EE01-E09+016+1 VN XVJ Holi AV Z: E fifll a6-6Z-.'V'0

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mark and Lora Godwin
1177 Eldridge Rd.
Newton Grove, NC 28366
IDEHNR
Division of Soil and Water Conservation
July 7, 1997
SUBJECT: Operation Review Summary and Corrective Action Recommendation .
Godwin Farm Facility No. 51-50
Johnson County
Dear Godwins,
On July 2, an Operation Review was conducted of Godwin Farm, facility no. 51-50. This Review,
undertaken in accordance with G.S. 143-215.1 OD, 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 observance was discovered and noted for corrective action or
response:
1. Vegetation needs to get established on the lagoon to prevent erosion increasing from the slight
channelization that has already occurred. During the interview, it was indicated that Felton Bullard
was hired to handle this. Please continue with your efforts regarding vegetation establishment.
As discussed, I have corrected some of the information on the registered farm list. The data base has
been updated to reflect the proper farm name, owner names, address, and phone number.
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.
Sincerely, .
Margaret 'Keefe
Environmental .Engineer I
cc: r Johnson Soil and Water Conservation District
�Judy.Garrett, Water Quality Regional Supervisor
DSWC Regional Files
3800 Barrett Drive, Suite 101, !' FAX [phone]
Raleigh, North Carolina 27609 N�� 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 13, 1996
Kenneth Eldridge
Kenneth Eldridge Farm
Rt 1 Box 84-B
Newton Grove NC 28366
SUBJECT: Operator In Charge Designation
Facility: Kenneth Eldridge Farm
Facility ID#: 51-50
Johnston County
Dear Mr. Eldridge:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincerely,
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 27687, ��y�
Raleigh, North Carolina 2761 1-7687 �� An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% 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
Kenneth and Barbara Eldridge
1800 Eldridge Rd.
Newton Grove, NC 28366
e��
IDEHNR
Division of Soil and Water Conservation
July 7, 1997
SUBJECT: Operation Review Summary and Corrective Action Recommendation
Kenneth Eldridge Farm #1 Facility No. 51-114
Johnson County
Dear Eldridges,
On July 2, an Operation Review was conducted of Kenneth Eldridge Farm #1, facility no. 51-114.
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 observance was discovered and noted for corrective action or
response:
1. Vegetation needs to get established on the lagoon to prevent erosion increasing from the slight
channels that have already occurred. During the interview, it was indicated that Felton Bullard was
hired to handle this. Please continue with your efforts regarding vegetation establishment.
As discussed, I have corrected some of the information on the registered farm list. The data base has
been updated to reflect the proper farm owner names and phone number.
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, concems or need
additional information.
Sincerely,
lG?z L ox/ _'k
Mar9 arwo'Keefe
Environmental Engineer I
cc: Johnson Soil and Water Conservation District
(Judy -Garrett, Water Quality Regional Supervisor
DSWC Regional Files
3800 Barrett Drive, Suite 101, 4* FAX [phone]
Raleigh, North Carolina 27609 N%4w C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

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Divisionoft sou es
e( i
��.,�� si�npuir �k€�E
IFaax� lumbr ;M ' Division t gti nd Water Cone anon
Type of Visit: Compliance Inspection 0 Operation Review p Structure Evaluation Q Technical Assistance
Reason for Visit: (9 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other Q Denied Access
Date of Visit: Arrival Time: 8 i Departure Time: County: {� Region: R�
Farm Name: (�Ad IP4) QL'11
Owner Name: Mork �nAG[ �Ir1
Mailing Address.,
Physical Address: J+ 1 D FU111
V
Owner Email:
Phone:
V � J
Facility Contact: H"k CoDd Wry Title: �W�`P/ Phone:
Onsite Representative: I Err coo�jyll { Integrator: MLR
Certified Operator: Hdr k 6t)1W 6 Certification Number: 837
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
IlI}��iIPi1i}
yygF�eggs g 111n}�
�W1
ine g achy
tl Eli1 i}I f i� li? I s'
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i�l!?SbiBYi €(Eii�l3}• jR �f?$�€�E§€ !€{AlliiflgE;'�E G i _ f
Pop.. Wet iPoultty tCapacity Pip. Cattle Capacity o g
I ii li§IuF $I 1IiiS?IEI§iill?!i!i€I! a ik3l $i ila I11ttt1, lliilitnu9i 4��14VIUIi9!
j
Wean to Finish
La er
;, Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf E
Dairy Heifer
1 ni € ui' rent? Dry Cow
Ca a 1 .� � .0 Non -Dairy
Beef Stocker
Feeder to Finish Q cl
Q
lt . }! ,
I
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Layers
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
ath ��s
Turkeys
[ "
i i € I
Turkey Points
Other
Other
� n€t €aFt}rc §€�aNlaur[x tn,as�=k3a aa.eF�zaw aeE <m€ itx
a�%t x.¢%ivs�ixa�iaau�e i m ,uaysnsesrs+asaarir
rx .............3eai�s
u<unm as s€€as�a�s�:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 54No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
[—]Yes
[—]No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
[—]Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
® No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
W No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continuer)

Facility Number: SI - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
[:]Yes
O No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
P-W.Cture 1 Structure 2 Structure 3 Structure 4
Identifier:
Structure 5
Structure 6
Spillway?:
Designed Freeboard (in):_
Observed Freeboard (in): 3 Q7�
5. Are there any immediate threatstothe integrity of any of the structures observed?
❑ Yes
WNo
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
®'No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
or environmental
threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
5' No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
15� 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 Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): WQtfal vJPfeuda .�6, Owe grindllaai�i
13. Soil Type(s): YYaly. Daft _
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 [5a No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes MC No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
❑ Yes TZNo ❑ NA ❑ NE
❑ Yes &fNo ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropriate box,
0
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
® NA
.❑ NE
Pine 2 of 3 21412015 Continued

Facilit Number: - Date of Inspection: d
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes R No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes g No [] NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
CR NE
❑ Yes
®-No
❑ NA
❑ NE
❑ Yes C3 No ❑ NA ❑ NE
❑ Yes U No ❑ NA ❑ NE
❑Yes NJNo ❑NA ❑NE
❑ Yes
[2 No
❑ NA
❑ NE
❑ Yes
NJ No
❑ NA
❑ NE
❑ Yes
Eg No
❑ NA
❑ NE
Comments refcrito`` uestioril Ex lamfau xYES:answeWand/or any additional recomr`nendations'or an oth► comments,'- "1 rlk
Use=drawings�of;fki1ityto!k tter expla nfsitua`tions;fuse additional pages as n ecessary)...:, +
ab- Mark has sv- fHcliht caif*v)� edhovu f vt)0W,
y
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'$ o ) n 6,, «c✓
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41h11�. WD01M $1�31P
&l l 1$ WOVTa�-1 j 5131117 ke.nne*� Odo' �� 6 vo* he, aidekas b
% Winq ks uv�b ad-e ,Goad, ?0fV1e_ cov
Reviewer/Inspector Name: �o[f� c�cjn e j A/
P I mr71 D tj rl�i`°q0 f Ohl,
� p�
Rica RT'e (a AP0 wf � Q�t0�Pa3
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woo la) 9
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907�7
`V usedup, 1..
ArfiffL"
Reviewer/Inspector Signature:
Page 3oj3
0 tr
Date: h1P "7 , d 01
21412015

hims Ors 0511-)
w Division of Water Resources
IFaeility Number 1 5-1 i- 5-0 1Division of Soil and Water Conservation
� Other Agency
Type of Visit: 9 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: GrRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: ��. Region: Pk
Farm Name: Gm mh Eft -- _ --
Owner Name: M orG0AW1)
Mailing Address:
Owner Email:
Phone:
Physical Address: no Eldn'dge 84L. JVeyvlp-s 6-mVIL
Facility Contact: Hark rjr wib Title: Owfi ' Phone:
Onsite Representative: t A k"_ _ _ _ Integrator: �-
Certified Operator: Mof k bodlyhl Certification Number: 1937?
Back-up Operator:
Location of Farm: Latitude:
Certification Number:
Longitude:
Design
Current
Design
Current
Design Current
Capacity
Pop.
Wet Poultry
Capacity
Pop.
CattleCacity Po
Finish
rFeeder
La er
Dai Cow
Feeder
Non -La er
Dai Calf
o Finish
Dai Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dr, P,oultr
Ca achy
Po P.
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layer
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
5d No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
[] No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system'? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
[!5No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili Number: 1ji- 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: alaIQQ-63 '5 01-JiD-Ey
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �'? 10^
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes N 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 LOU 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 to No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [5§ 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 RNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes tS No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [�t 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): CO&I 1 841da r-SIM114CA 6e_Pj
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes X No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ®No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �j 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 X No ❑ NA ❑ NE
❑ Yes ®"No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes U No DNA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available'? If yes, check ❑ Yes JR No ❑ NA 0 NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement`? If yes, check the appropriate box below. ❑ Yes R No
❑ 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. No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - 5-0 jDate of inspection: (311,411
24..Did the, facility fail to calibrate waste application equipment as required by the permit? ❑ Yes CR 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 50 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No [] NA r-NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes fo 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
[N 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
1K No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
M No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
YNo
❑ NA
❑ NE
Comments (refer to;question #):�Eiplain=any,YES,=answers wind/or any'additional recommendations' or airy other cpmments.° , ;.'
Use drawingsof facility to better, explamsituations ,(use additional pages as necessary:).. , ..
Mrs r.; i l hm c 0,`Kn L�i� ed by r a k d t s
S st►�es�Y01 �ma1llhQ" rlfO7.
�jt�W= Ioa aQi'`f`fi d r
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1trWmk, a set soil sal, d�er'� aoF aorp , dew I� e�$i
5_131 f r7 Iry oo�y� l �°
31a61I` W00000 j pleoe.CorrectMMr 1 �d 4vl ' CgyA1f0ro? IM as,
Ila�l�� hro0ROWg0 no a,s3.
lolllr �voo a © tao�� rvasa, ova rn . c7 Me- -ev#�� rve��eh d (
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7, � Ime., ry Bch bltf. s OA layer beta,
New f 4eirfI11i 1 m ll VVHl COA I ,
wtlli�9 is urioda4P,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:q "`%o
Date: 1+ 4
214015

a�1�s os �a
' �Ui'vision of Water Resources
Facility Number - 5� Division of Soil and Water Conservation
© Other Age�ncay
Type of Visit: & Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: (5Moutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: ',QO County: ohm Region:
Farm Name: bad )"n ;:7aix
Owner Name: Mai k Gad iyl^a
Mailing Address:
Physical Address: III) Epw1j
Owner Email:
Phone:
Facility Contact: Mack (20d ri n `,"��� Title: Ql~g� Phone:
Onsite Representative: MILE GMyin Integrator: f --•B
Certified Operator: Hp/ k Go Jt W I /� Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current
Design
Current
Design C•urrcnt
Swine
Capacity Pop.
Wet Pouity
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
La er
Dai Cow
Wean to Feeder
Non -Layer
Dai Calf
Feeder to Finish
Q
Dai Heifer
Farrow to Wean
k.
Design
Current
Dr Cow
Farrow to Feeder
D111
r. P,oulfr
@a aci
P■o
Non -Dairy
Farrow to Finish
Layers ers
Beef Stocker
Gilts
Beef Feeder
Boars
llets
Beef Brood Cow
rke s
Other
rke Poults
Other
her
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?
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 O No ❑ NA ❑ N E
❑ Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
[:]Yes Z No
❑ Yes Cff No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Page 1 of 3 21412015 Continued

Facili Number: 51 - 5V jDate of Inspection: (}$
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
P No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure 1 2 Structure 3 Structure 4
Structure 5
Structure 6
rStructure
Identifier: 3 JIt14��
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):=-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[R 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
[RNo
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
®No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
n 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
[2 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
�R No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
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?
l 8. Is there a lack of properly operating waste application equipment?
Required Records & Documents
❑ Yes
C'No
❑ NA
❑ NE
❑ Yes
[XNo
❑ NA
❑ NE
❑ Yes
[0 No
❑ NA
❑ NE
❑ Yes 2 No ❑ NA ❑ NE
D Yes [,2 No ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
® No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
(2 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
4q No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
� NA
❑ NE
Page 2 of 3 21412015 Continued

Facilit Number: t Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes B No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes R 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 [DNA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NA [' NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes ® No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes M No [DNA ❑ NE
❑ Yes W No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [Z 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?
D Yes ®No ❑ NA ❑ NE
Comments (refer to question #): Explain any:YES answers; and/or_ any additional recommendations or any other comments:
Use drawings of facili to betfeir ex lain situations' use additional, a es4s;necessa
g ty p ( P_ s; tY
a5, SI+d eS.4vP trf Vp1VIV2 / Ll e 110j ar,. SMaIIL4V 00.7
C41; 6r4los9f';7, Matek
4 G0E1 kd- 5LO36-3
(1511� �, a.a6 Yvd084Fe 53
315r1r� 1,�9 i-` �o0sas`� C+�°�e^4-2?aC levels orejWd
lal3alrs w00y137 Oogk -�vnew-fte[d, LimenvdsorAhVa
"aX 53 t1!'vj1W&197 �,�eaid
62It rr a-110 1,q9 V`'00� �vQIJ s �s
^ v�� ,sorneel�rfatr�i a��, O��en,�w�;Z ajdt: Gaps
N-e v ��1-�. �l o� �a�d +� cE �9 �s Zvi
PA 4-s ra. seasc�� e- made oli�&/n j m rok'&004
Cod f�cords 1
Reviewer/Inspector Name: Q l P
Reviewer/Inspector Signature:
Page 3 of 3 M r Schn'e'er(3_ nccknrl0V
Phone: IN- -Rt-�a3y
Date: A V a
2 412015

Ajmc '-v� 01►V-
" Division of Water Resources
Facility Number ©- ppSQ 0 Division of Soil and Water Conservation
Q Other Agency
Type of Visit: Compliance Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: ISMoutine Q Complaint 0 Follow-up Q Referral 0 Emergency Q Other 0 Denied Access
Date of Visit: Arrival Time: IOp Departure Time: County: rQ
Farm Name: 6M t 6 &Llj' Owner Email:
Owner Name: Hk k (092 V "o Phone:
Mailing Address:
Physical Address: ) IT) e lIf I d ae W wfa, Gfnve
Facility Contact: HA,, (emd win Title: Oy✓ el Phone:
Onsite Representative: M o/ k G phi iv t� Integrator:
Certified Operator: J�( k 604w,� Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region: 0 & -
PSwine
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop,
Wean to Finish La er
Design Current
Cattle Capacity Pop.
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
Dt. P.oultr. Ca aei P,o
I Layers
Dry Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Ot
Other
Turke s
ey Poults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes 5'No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
[:]Yes [:]No
❑ Yes ® No
❑ Yes C' No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412014 Continued

' Facili Number: - Date of Ins ection:
Waste Collection & Treatment
t71�j
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
El No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
Yes
❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: St%LL61fa eq)
Spillway?:
Designed Freeboard (in);
Observed Freeboard (in): 3 ��
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
�_X 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
U 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
a No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Co 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
5rNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
P No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes P 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): C40A-6 1 bor - 4-4-n Gro')e sn j vmi ©yh
13. Soil Type(s): utiyyint S 8 /Ltd& S
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
® No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[2 No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
R No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[,�Z No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[5� 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? If yes, check the appropriate box below.
❑ Yes
[RNo
❑ 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
[RNo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
[;3 NA
❑ NE
Page 2 of 3
21412014 Continued

f_Facility'7Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
[:]Yes
[5d No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
E,;� No
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
® No
❑ 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?
24. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
[R 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
CffNo
❑ 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
Cg 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).
Q6, Ma, k rif?d s � howls rrD�`fin��l� Pd- ioy -he � of-h ls yeaa
QT,SIvdje-5ijfve� �x�s�o, a,S4VII lar', l�� vmcI ellt�amg,SIv6SVjj �4Oil aasl�
ay, Ca #; bV o, la Iagl 1 y . I Or yP�i J aoo w ld, �'T �I.t'fir a A�1,73
Ana Sis &3[ e 6qy2'2 #)Sa;� 4s-- 603�353 to Irqs-, Pro Co e,
6 j 1sp-
115 w osq aJO . 1' 4q �� ��
315115 ludo 540� � 1,30 1, q8' M c cre QK
�).agIf V W003,r17 I, qg 1�67
9Ia3Jf4 VV001-751
00ah woa-Is5,0
-7 Prod roc- � � )V�x4e t� �q S`-�r I I so j esf4`I`1
15, PoAvles Iwlt_seta74 (�joh �6r s f y m14-a,-A aid loBk() t 1A rn ost(to
la(es,
14, Please. have- Plat m�r'�� "'ojimth9 ai most f irM, Nay har t t �,7 cad`,
PANS t"$e ne+ f1cc eV(
T 6r jle�+ fty baclrvf c.far Lora or L ken nej� F 1dricl9�
�i 1"NA isIJ
Reviewer/inspector Name: taa , &h)) )?r Phone:
Reviewer/Inspector Signature: Date:Q�t a'
Page 3 of 3 l �eift`® Yee dtnr, c Q V 21412014

Type of Visit: IUCompliance Inspection 0 Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: 1"outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1!6 11&11 � I Arrival Time: q;Q Departure Time: Q; County:
Farm Name: God IvIb �Drm Owner Email:
Owner Name: Mork T, &Cd W Ili Phone:
Mailing Address:
Region:
Physical Address: ,cog KPon, ra)y'E'
Facility Contact: Title: Phone: 410-37q-87�o (t}
Onsite Representative: HOf k (0,JW 1 6 Integrator: M ,B
Certified Operator: Hoge (o w,'o Certification Number: Ig��
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
esign Current
` t'Design
Current DesignSwMENpacity
Pop.
Wet Poultry
sW..
Capacity Pop. Cattle Capacity Pop.
an to Finish
La er
Dai Cow
an to Feeder
Non -La er
Dai Calf
der to Finish
a
Dai Heifer
row to Wean
tF
Design Current
D Cow
row to Feeder
Dr. P,oultr
Ca acit $o
Non -Dairy
row to Finish
La ers
Beef Stocker
ts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turke Poults
Other
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
P No
[]NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[]Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does 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
to No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
Eg No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: IDate of Inspection: a,
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: a ISd. a t g q
�No ❑NA ❑NE
❑No ❑NA ❑NE
Structure 6
Spillway?:
Designed Freeboard (in): I C(_
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes
No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environm�
1 threat,
notify DWQ
7. Do any of the structures need maintenance or improvement? ® Yes
Wo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes
�R 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
U No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
C' No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes
t'No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved
Area
12, Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
[0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
® No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
f�J'No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
'ER No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
U No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
allo
❑ 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
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ RainfaIl ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
[Z No
❑ NA ❑ NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[] No
E,;2'NA ❑ NE
Page 2 of 3
21412011 Continued

Facili Number: jDate of Inspection: '5
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [3 No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes [,;g No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes [53 No ❑ NA ❑ NE
❑ Yes U No ❑ NA ❑ NE
❑ Yes (53 No ❑ NA ❑ NE
❑ Yes U No ❑ NA ❑ NE
[] Yes N No ❑ NA ❑ NE
[:]Yes ® No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
�Z No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
C@ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes
ffjNo
❑ NA
❑ NE
Comments (refer to question ft Explain anyYES answers and/or any additional recoinmendations or any other commentsJ�
Use"dtawingsbf facility to better explain situations (use additional pages as necessary).
6 hens CCYrnIn t w uc+'61 dl- 00 Ia -31 rr's.,
s6d L exonoo, an small Iu1�, (.at sa a Ey} un-h ►Dec. aoiS, s1yd,9e 5,,,,,e �'or h�
s +o be. 40\e, b � hl
{ a� oar ��ed y �e�d � t s Y-e ar .
ay, Ca(+ tAo, due.b odey ,ear , ao►a, caLE Wto) ���9�"� aoof--I`
r
71 La c o�- �Pd� i �n�J�Jem�'�, �1�2`�r n� has beep s�rPad �� coW �ryi,w�
0� belts w h ij j hel i� E a is o s.� we rb*,, ha
a i, N i c rnarm�rl`%i ek 1`ec0r& . 7
15~ lFfe lw(re
s ra s + br�`F-hl -fir r a ��
. rd {�r Qm mi'b Iva toff
erked a a+h t 4S,
QI, Yvon a�QIS wlJe� a, s a• 4e 6)1o�i3 rvDQ�15T 1,67� ),73
So
1 o 1a5- 113. C000 'Pa-
W005V1 a.�0 a.(1 �ijsa f k sL �1a`i33
i IYOO 3qa? a•' a '30 3ims.
�
104010 1n W'ss 1, td) 1131
Pe1m i+ -(>� are_ o f +o dallf .
Reviewer/inspector Name:
Reviewer/Inspector Signature:
Phone:
Date:
Page 3 of 3 21412011

- 1)i�ision of Watcr Quality
Facility Number - 5 Division of Soil and Watcr Conservation
DQ Other Agency
Type of Visit: C mpliance 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:
Farm Name:
Arrival Time: Departure Time: County: y h15P/V Region:C7
Owner Email: F1'1 T �r arr�.� 1 �I„ (�^x &ezr , G'_O`rl�l
Owner Name: GO dLAJ ►' n F Old'` wm Phone: jf4q - j 9 y — -3 I C? Q
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: Mmy- `Td tJ 1, n
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number: U09 t 83 r) 9
Certification Number:
Longitude:
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Finish La er
Design Current
Cattle Capacity Pop.
DairyCow
Feeder
Non -La er
DairyCalf
o FinishDai
Heifer
o Wean
Design Current
fir, P,oultr, Ca aci P,o
D Cow
to Feeder
Non -Dairy
BeefStocker
pFoedertoFinish
to Finish
La ers
Non -La ers
Beef Feeder
Pullets
Beef Brood Cow
urke s
Turke Poults Other
Discharees 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)? _
M
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 I/,'I No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [] No
❑ Yes �No
[:]Yes JVNo
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
Page I of 3 21412011 Continued

Facilit Number: 3- Date of Inspection: /
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes eNo ❑ 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 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 ONo ❑ 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 J�:rNo ❑ 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 P�'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 2fNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
,® No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
VNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
ONo
❑ NA
❑ NE
acres determination'?
17. Does the facility lack adequate acreage for land application?
[:]Yes
JZNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment'?
❑ Yes
PE(No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
�No
[] NA
❑ NE
20. Does the facility fail tjQ have, all components of the CAWMP readily available? If yes, check
❑ Yes
❑ No
❑ NA
❑ NE
the appropriate box. 5- 51-0
❑ WUP ❑Checklists [:]Design [:]Maps [—]Lease Agreements ❑Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. []Yes O—No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22, Did the facility fail to install and maintain a rain gauge? ❑ Yes ZT)Vo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes &No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 21412011 Continued

Facili Number: jDate of Inspection: 77
24. Did the facility fail to calibratrr� to application equipment as required by the permit? ❑ Yes ZNo ❑ NA ❑ NE
25. Is the facility out of com�ance with permit onoitions related to sludge? If yes, check ❑ Yes �o ❑ NA ❑ NE
the appropriate box(es) below. 00e- + $ �Ot/\,
❑ Failure to complete annual sludge survey U❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon ,
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to property dispose of dead animals with 24 hours and/or document
and report mortality rats that were higher than normal?
24. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes gVo ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
❑ Yes �NO
❑ Yes 2(No
❑ Yes ["No
[:]Yes 2� No
❑ Yes 0 No
❑ Yes o
❑ Yes No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑NA []NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #) .Ezplatnany YES answers and/or, any;additional recommendations ar,any other cornments". 14,
Use drawn s'of faeili to better explain situations use additional p -'as nOce§say $ B ca ; . '6 ; h ?
g p (. pages tY)•:no.
01041 O r ! Ce rKp!e_ / a- � � 9 —1 � C p p � e—c,n�c�l-�,,.�. o�..car.( s ► r e' r.� .�t.�Qvr +^c.B
l it H 139 -3,14 -a$ —� 1 S /a-F
a'-o `I E 8/0
I 7 r, fv 4 a a -ci 3 'a ti- �f S I 9­3
CUMAWUMcF- -Gym /d
ao1s170/
Reviewer/inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
.4% — d
Phone: ' / 7 aC ti7
Date:
2/4 011

14198 Nc Highway 39, Zebulon, NC 27597 to 8868 Friendship Church Rd, Middlesex, N... Page 1 of 2
Directions to 8868 Friendship Church Rd,
GOOSI-e Middlesex, NC 27557
3.3 mi — about 8 mins
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,. @2012 Google -
littp:Hmaps.google.com/maps?f=d&source=s—d&saddr=l 4198+Nc+HIghway+39,+Zebulo... 7/16/2012

4 _ . 14198 Ne Highway 39, Zebulon, NC 27597 to 8868 Friendship Church Rd, Middlesex, N... Page 2 of 2
14198 Nc Highway 39, Zebulon, NC 27597
1. Head southwest toward N Carolina 39 S
go 0.1 mi
total 0.1 mi
3� 2. Turn left onto N Carolina 39 S
go 0.8 mi
About 2 minis
total 0.9 mi
3. Take the 1st left onto Earpsboro Rd
go 1.7 mi
About 3 mins
total 2.6 mi
4. Turn right onto Driver Rd
go 0.7'mi
Destination will be on the right
total 3.3 mi
About 2 mins
Bi 8868 Friendship Church Rd, Middlesex, NC 27557
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause
conditions to differ from the reap results, and you should plan your route accordingly. You must obey all signs or notices regarding your
rontc,.
Map data (D2012 Google
Directions weren't right? Please find your route on maps.google.com and click "Report a problem" at the bottom left.
http://maps.google.com/maps?f=d&source=s—d&saddr=14198+Nc+Highway+39,+Zebulo... 7/16/2012

rype of Visit: W Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: :S�vj-,46 Region:
Farm Name:
Owner Name: 'Y(a ('k (•rori t of A
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Title:
Owner Email:
3 q q -- F 9 0 ,.
Phone:
Integrator: fJ f } nfi a Q! ba-in U =0_
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design
C*urrent
Design
Current
Design Current
Swine
Capacity
Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
Layer
Dai Cow
Wean to Feeder
Non -La er
Dai Calf
Dai Heifer
Feeder to Finish
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
Dr. P,oultr, ;
C•a aci
P■o P.
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turke Poults
Other
Other
Discharses and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: _
a. Was the conveyance man-made?
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 ff No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
C] No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[ZrNo
[DNA
❑ NE
❑ Yes
No
❑ NA
❑ NE
Page 1 of 3 21412011 Continued

Facility Number: 1 - �5 Q jDate of inspection: 1
24. Did the acility faiill too calibrate waste application equipment as required by the permit? ❑ Yes ZrNo ❑ NA ❑ NE
ao 25. Is the facility out of coat i�ance with permit conditions related to sludge? If yes, check ❑ Yes [No ❑ NA ❑ NE
the appropriate box(es) below, tyzrplo LVNX-t ,( ao 1 19.
❑ 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 [2fNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document []Yes PNo ❑ 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 ENo ❑ 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
KNo
❑ 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
XNo
❑ 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 �Aq
Use drawings of facility to better explain situations (use additional pages.as necessary).`.
OAr -
Reviewer/Inspector Name:
Reviewer/Inspector Signatun
Page 3 of 3
Phone: 719 1�
Date: 41,9 9&
21412011

L
Facili Number: - Date of Ins ection:
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 2 No ❑ NA ❑ NE
a. If qSS14tu're
ts le i t le structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
3 I St c re 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: C1 a 199
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
lop-
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 2rNo ❑ 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 C7rVo ❑ 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 eN0 ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes E]"No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ZNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes 2j"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):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes 121"No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
C] Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes WNo
❑ 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 ;yNo
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
,Ej No
❑ NA ❑ NE
20. Does the facility fail to have ll co ponents of the CAWMP readily available? If yes, check
S 31
❑ Yes
PNo
❑ NA ❑ NE
the appropriate box. 10
❑ WUP Checklists ❑ Design ❑ Maps ❑ Lease Agreements
[]Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
[a Yes
❑ No
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and V Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
No
9No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ NA ❑ NE
Page 2 of 3
21412011 Continued

Permit: Phone: 914
Name / Contact: ajl jK &(Z) p La - I � p
Integrator: rN Lai" (PY1Y3[X1Designed: � L�;( �Le�Ad�Size:— `7 D 9� _
On Line
Samples:
Sludge
Survey:
Calibration:
Notes:
Extension:

Iq'f C, /)1) -)l;qaa
3-3--11 446794
1 -5-- 11 --P LIS90
poo3 -- 9 ,Cl 00y _ a y \
0003-a-a 0004; a,3 �
10-L(--)o J�b aS?S 0003 = I .'? OaQti _ 1 $ - - 5 - ) 0
(0-10-10 -a 131a0 om 30 = 000,9-1 a.9 / $�� i a
to - 1.0-1 0 4 -aSar 000
s-1-Ta
lo b©9'9 0001 0Ccv
v0

Type of Visit XCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 91 Routine 0 Complpint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: //a((/ V Arrival Time: Departure Time: County: v Region:
Farm Name: 11
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Owner Email:
Phone:
Phone No:
Integrator: Mufmfw 4 m __L e_c—,
Operator Certification Number:
Back-up Certification Number:
Latitude: F7 o n 6 n fl Longitude: n° n 1 n 6{
C
1
•• ► C
Design Current Design
Swine Capacity Population Wet Poultry Capacity
Current Design Current
Population Cattle C*apacity Population
❑ Wean to Finish
❑ Layer
❑ DairyCow
❑ Dair Calf
❑ Wean to Feeder
❑ Non -Layer
eeder to Finish
❑ Farrow to Wean
Dry Poultry
Layers
Non -La ers
rPullets
❑ Turkeys
❑ Turkey Poults
❑ DairyHeifer
❑ D Cow
El Non
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
❑ Boars
Other
❑ OtherMM9
❑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?
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 ,0<o ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
):�No
❑ NA
❑ NE
❑ Yes
FIo
❑ NA
❑ NE
Page I of 3 12128104 Continued

Facility Number: —
Date of inspection
7�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
0 No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier;
Spillway?: Uzal
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
JP -No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
�ZNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement'?
❑ Yes
ZNo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
E3/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
eNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
0No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
R(No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13, Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
[]Yes
.❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
PNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
,KNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application'?
❑ Yes
�2rNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[3 No
❑ NA
❑ NE
Comments (refer. #) ,Explain any ES?answers ,and/or any recommendations nr any, othertcom�nents ` .;g4. {p64.
Use drawings of faeillty to: hitter; explain situations (use additional pages as°necessary). r' t * x +r
a ; . n s -' � a{.3 N'6 x„z x kv. x .��ra �'°� �xAs.;� s.�� :�ai�_�.t �-�a �•.
A,
7
„ ��.# C O`
Reviewer/inspector Name , . F � Phone:
Reviewer/Inspector Signatur . A-CIL r Date:
P 2 2 12IJ8104 Continued

L;1
B
Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes f No [:INA ❑ NE
20, Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes L]-iqo ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes )Er -No
❑ NA ❑ NE
❑ Yes ZNo
❑ NA ❑ NE
❑ Yes 4E5No
❑ NA ❑ NE
❑ Yes JZ'No
❑ NA ❑ NE
❑ Yes PNo
❑ NA ❑ NE
❑ Yes ONo
❑ NA ❑ NE
❑ Yes 2No ❑ NA ❑ NE
❑ Yes _�Xo ❑ NA ❑ NE
❑ Yes E No ❑ NA FINE
❑ Yes J�YNo ❑ NA ❑ NE
❑ Yes ,rNo ❑ NA ❑ NE
❑ Yes [2 No ❑ NA ❑ NE
pDno�w-
Uand/or Drawings � + �� :�: � � � s .r r �� r �� `�t fr yr a71x. ;� scru.,�-eel c-n "'4
I✓v 0 <�g a p WC) C, a C1 9— r va G f or)
PLA-U 'b PCA/v
Jago 3 of 3
12128104

y:
Facility Number
Division of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
L
f Visit C mpliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
n for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access Date of Visit: Arrival Time: Departure Time: County ? Region <9/�
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: [= o [= A= Longitude: =° 0 4
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
❑ Non -Layer
EHJ
❑
Wean to Finish
❑
Wean to Feeder
❑
Feeder to Finish
- 1.3/0
❑
Farrow to Wean
❑
Farrow to Feeder
❑
Farrow to Finish
❑
Gilts
❑
Boars
Other
❑ Other
A Dry Poultry
Other
Poults
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?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Da Cow
❑
Non-Dai
❑
Beef Stockei
❑
Beef Feeder
❑
Beef Brood Cowl
I
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
,11
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes �;Ko ❑ NA ❑ NE
❑ Yes �To ❑ NA ❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment VNo
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ElYes ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ''P No El NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes JZ?4o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes P No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement'? ❑ Yes 7No ❑ 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 VfNo ❑ NA ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
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
[;�Vo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑
Yes
2 No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application'?
❑ Yes
ONo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
0No
❑ NA
❑ NE
,, r�x + . MX„,
'Comments {refe}aquestion . #)Ex lain an ES;answers and/or,an -recommendations oothero m ,
nt . xv,
Llse drawings of faetltty3to,better explain situations.'{useiaddrtional pageslasinecessary,)• a
;a =' r:rf . t I ~fi. i.Xi i `Uri �Fe�t�t;.:;s�i
a
Reviewer/Inspector Name �� Phone: `off
Reviewer/Inspector Signatur Date: 122
Page 2 of 3 ,/ 12128104 - Continued

Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design [I Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes OrNo ❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes
VNo
❑ NA
❑ NE
❑ Yes
No
El NA
El NE
❑ Yes
CCNo
❑ NA
❑ NE
❑ Yes
XN o
❑ NA
❑ NE
❑ Yes
VN o
❑ NA
❑ NE
❑ Yes
Y(No
❑ NA
❑ NE
❑ Yes
[/No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
�] No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
eat C&WAajgM o$dypecx y o�qp m a.c-t-
Page 3 of 3 12128104

- : ? / 02 $� fINlCLIINt r : o o
Type of Visit /11 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ �Denied Access
�'j
Date of Visit: MlffZyArrival Time: Departure Time: County:: n v Region: L
Farm Name: Owner Email:
Owner Name• C-:-n6u ),�n 'T' CQJYY�t1_ Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: = e = i = Longitude: = e ❑ 4 = 4f
Discharges & 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?
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. 1s there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes. <0 ❑ NA ❑ NE
❑ Yes ,❑/ No ❑ NA ❑ NE
❑ Yes 21 No ❑ NA ❑ NE
❑ Yes ETNo ❑ NA ❑ NE
❑ Yes No ❑ NA El NE
❑ Yes �No ❑ NA ❑ NE
12178104 Continued

r
Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ko ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes P No ❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier;
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes E!�No
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ZNo
❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ;Y�o
❑ 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 ONo
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes /No
❑ NA ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes RNo
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14, Do the receiving crops differ from those designated in the CAWMP?
❑ Yes No
Ail
❑ NA
[I 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
XNo
❑ NA
[I NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
LdNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
VNo
❑ NA
❑ NE
Reviewer/inspector Name 1 li Phone: `
Reviewer/Inspector Signature: Date:
Page 2 of 3 7 121281 Continued

Facility Number: Date of Inspection I ' _44y
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
❑ YesNo ❑ NA [INE
El Yes r �fNo ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes _ No
❑ NA
❑ NE
ElWaste Application ❑ Weekly Freeboard ElWaste Analysis [ISoil Analysis ❑ Waste Transfers Mnnual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V
Rain Inspections ❑
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes ,0 No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes WNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes [ErNo
❑ NA
❑ NE
25.
Did the facility fail to cond ct a sludge survey as required by the permit?
❑ Yes ,� No
❑ NA
❑ NE
26.
o
I5id the facility fail to have an actively certified operator in charge?
❑ Yes RTNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes PNo
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fait to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31, Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes oNo ❑ NA ❑ NE
❑ Yes .[2 No ❑ NA ❑ NE
❑ Yes L. 4o ❑ NA ❑ NE
❑ Yes [�No ❑ NA ❑ NE
❑ Yes VfNo ❑ NA ElNE
❑ Yes ❑ No ❑ NA ❑ NE
_.—-`D2.1 `
i,3rar -a' +a aft
Additional_;Commenis &and/or rawi,:ea,° 1
Pm
�aU � (V
"CV0�TT3 rf 3 l S' Q o Q3 = j d 0Ya o?r
it v11a7
&a1o_-) r
1
3 of 3 1 12128104

am
S f -r6
';`�'7o�sleeEellfhedelail9itha�mrteavls€taiaon�trie9scraer`t se`tha PrEnt'llnk ���i;
a r > riaxt to else map. t t fil
?,e
v a
50
j
,Foos he�� 4 gc�onv�llo
_MOaBtlW
,67
a.� � � , �= �``v��� , _��r � rj' � t.a>R°R`tt � �� ' bOk Rtl � �,� ,� Qa��•
Y ` f
t i nka RA''Alomb ' 4 j � - ,xj4
F't ��' --.',•�:. 88 t }'� ti� . 3€ t t��`�,�� y F; i . ' , , ` r I ', , �• .
tom, j ! I tl
1kirA, � �t -�' � �� 4 Gf - � R �' � ', F�✓.
3 5-
\� ' Harpof
�! �E _ 'I� S�' ,y • tee. i�'C-T�" 'i- "l � b 4 .f • - r".� �t e. F , t . -.�
B ^TartTnun Rd — 9� tom, €W �q4p� F
rutak&i Ln 1 �:i: gLilorrvwndl.. 9<;
y' N 1eMon o f
�t
t Blutknlixt 5� �� 1�biri' °�'��
•F _ Qe �"" Mils"'--== 62008 Googleep data 02008 N VTEQ��'Tt rrsts oil .e
3800 Barrett Dr
�
Raleigh, NC 27609
Drive: 47.2 mi — about 49 mins
1. Head west on Barrett Dr toward Haworth Dr
®
348 ft
_.M _ _ . ......_.__�•�•.•_ •... MMMw_.._.w_._.�...,__..__w•...._.....M_,__
2. Turn right at Six Forks Rd
—�—
..,.,_,_.............
®
-.-_I___
0.4 mi
3. Turn right onto the 1-44011nner Beltline ramp
®
0.2 mi
4. Merge onto 1-440 E
_
®
............................._...,..._......_.....,.......__.._.._....
7.3 mi
5. Take exit 16 to merge onto 1-40 E toward Benson[Wilmington
_
32.9 mi
6. Take exit 334 for NC-96 toward Meadow
0.3 mi
_......._....._._..._.._... ._..._..... __... _......
7: Turn right at NC-961NC-96 S
0.7 mi
8. Turn left at NC_-501NC-50 S
4.3 mi
9. Turn right at Eldridge Rd _-__- —
�1.1 mi
t3 35.283100,-78.419200
Eldridge Rd
These directions are for pfanning purposes only. You may find that unstruction projr:cts, traffic, or other events may cause road conditions to
differ from the map results.
1 of 2 7/8/2008 2:42 PM

a
I
Facility Number
6;bivision of Water Quality
Q Division of Soil and Water Conservation
0;Other Agency
Type of Visit �ompliance Inspection 0 Operation Review Q Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: �r Departure Time: 97 �T_] County-1-oh.
h.
Farm Name: t CkC' Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone No:
Regio
Onsite Representative:
+ ` Integrator: Q [�
Certified Operator:r9rn 0 ;11 C J Operator Certification Number: U ,�
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
Back-up Certification Number:
Latitude: = o = 1 �" Longitude: = ° = ` "
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
j ❑Non -La er
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ 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?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non-Dai
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures:
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 f (No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes
W(No
❑ NA
❑ NE
Cl Yes
j dNo
❑ NA
❑ NE
ElYes
/No
ElNA
❑ NE
❑Yes
❑ NA
❑ NE
12128104 Continued

U
Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZN0' ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ yes 4No ❑ NA ❑ NE
the appropirate box. ❑ WUp ❑ Checklists ❑ Design El Maps ❑Other
21. Doe ecord keeping need im vement? If yes, check a appropriate bo elow. ❑Yes ❑ NA ❑ NE
aste Application We ly Freeboard Waste Analysis Soil alysis aste Transfers WAinnu 'Certification
Rainfall Stocking Yield 120 Minute Inspections Monthly and 1" Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ;�j N Q NA ❑ NE
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?
nal Comments and/or Drawings:
J-0— C..._ 9"
i o eLZ-ks A gj - ! -C)­7
woo g5 a.- - - - - _ _ C) 3 - - - ©�-!
LUCXD851- o% - --oa. Na.9 rv�a
i W`1.a
❑ Yes ;3"No
❑ Yes ;�No
❑ Yes WfiNo
❑ Yes jNo
❑ Yes R(No
❑ Yes ;TNo
❑ Yes ZNo
❑ NA ❑ NE
❑NA ❑NE
El NA ❑NE
El NA El NE
❑ NA ❑ NE
❑ NA ❑ NE
El NA ❑NE
❑ Yes gNo ❑ NA ❑ NE
❑ Yes XNo ❑ NA ❑ NE
❑ Yes
❑ Yes No
❑ NA ❑ NE
❑ NA ❑ NE
12128104

y 4
Facility Number: ti -- S01 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 PNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: C
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): t
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes O To ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes /No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes PC ❑ 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)
4. 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 e6o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes XNo ❑ 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
Wo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement'? ❑ Yes
�To
El NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
LtNo
ElNA
[I NE
17. Does the facility lack adequate acreage for land application? ❑ Yeso
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes V(No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
•
Reviewer/Inspector Name Phone-
Reviewer/Inspector Signature:17 At Date:
12128104 Continued

s O
� f ,� -�� °
�m"",RK4 A
Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 510050
Facility Status: Active Permit:
n
AWS510050 Denied Access
Inspection Type: OnerationsReview_
_ Inactive or Closed Date:
Reason for Visit: Routine
County: Johnston
Region: Raleigh
Date of Visit: 07/05/2007
Entry Time:09:00 AM Exit Time: 10:30 AM
Incident #:
Farm Name: Godwin Farm
Owner Email:
Owner: Mark T Godwin
Phone: [phone]
Mailing Addres ZtLdge-Rd
Newton
Grove NC 283668611
Physical AddreAJIL
41
Facility Status: E Compliant
❑ Not Compliant Integrator:
Location of Farm:
Latitude: 35°16j'
9" Longitude: 78°2�'09"
On north side of SR 1122, approx. 0.8 miles east of SR 1124, or approx. 1 mile west of Hwy. 50. 1 1
Question Areas:
Discharges & Stream Impacts
Waste Collection & Treatment
Waste Application
Records and Documents
Other Issues
Technical Assistance
Certified Operator: Kenneth L Eldridge Operator Certification Number: 20188
Secondary OIC(s):
On -Site Representative(s): Name Title
Phone
On -site representative
Mark Godwin
Phone:
Primary Inspector: John N Hunt
Phone: [phone]
Ext.238
Inspector Signature:
Date:
Secondary Inspector(s):
Inspection Summary:
7) has very poor soils, very wide lagoon top, but needs to continue efforts to establish vegetation and minimize erosion.
Lime has been applied
Very good records maintained for this facility.
24) Calibration performed 12/19/2006; 90.5 gpm (100gpm expected), 204' dai. (210'), 22psi @ gun 25) Sludge survey 9/17/2007; 1 -
5.00' LTZ, 2 - 7.89 ' LTZ; next survey due in 2008 per DWQ approval.
Page: 1

s,
Permit: AWS510050
Inspection Date: 07/05/2007
Waste Structures
Owner - Facility: Mark T Godwin
Inspection Type: Operations Review
Facility Number: 510050
Reason for Visit: Routine
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Lagoon 2152 34.00
Lagoon 2199 31.00
Page: 2

Type of Visit Q'Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit-1Routine Q Complaint 0 Fallow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: n � Arrival Time: 1 4 Departure Time: Coup — ' l u "Region:
Farm Name: �'`" "' �� �� Y'�"� Owner Email: ±1 r ! 7 d
Owner Name: G C Phone: 916
Mailing Address:
Physical Address:
Facility Contact: _ Title:
Onsite Representative: MC4f� �� � `� I
Certified Operator: t `+ A 04 �G T &o `^ w-)
Back-up Operator:
PhoneNo:
lntegrator:�J�� � " _AVI_V'"f a i `^�`J � �Yrns
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: =n =] ' = Longitude: =° =' ❑ «
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes o ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
[INA
❑ NE
❑ Yes
❑ No
❑ Yes Q No
❑ Yes o
r
Page 1 of 3 12128104
❑NA ❑NE
❑ NA ❑ NE
Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 9 No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: L 2A
19
Spillway?:
Designed Freeboard (in): ot
Observed Freeboard (in): 10M-L— '
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes I
No ElNA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes q 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 rof Wind Drift ❑ Application Outside of Area
12. Crop type(s) C v ?� J.COY') ����1
13. Soil type(s) -
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Comments re&r'to question # Ex lam any YES answers ;
Use, drawin(s of -facility, ) p Y and/or any or, any, other -comments
to better exp 3' g tyla►n s�tuahons (use acEditlonal pages;ns necessary)
e
�J ,3
7-�S3 2 3
Reviewer/Inspector Name ck Vy Phone: LS
Reviewer/inspector Signature: Date:

Facility Number: — Date of Inspection I X z
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes qM No ❑ NA ❑ NE
Wi
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewerhnspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
.Comments and/or Drawings:
d� j
011[3/.F
-G 01_ Ids
ElYes T No
❑ Yes No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes `?No
❑NA ❑NE
❑ NA ❑ NE
❑ NA gNI?
❑ NA ❑ NE
❑ NA ❑ NE
[I NA [I NE
❑ Yes
'T No
❑ NA
❑ NE
❑ Yes
Tlo
❑ NA
❑ NE
❑ Yes
r o
❑ NA
❑ NE
❑ Yes
y No
❑ NA
❑ NE
❑ Yes
.® No
❑ NA
❑ NE
❑ Yes No ❑ NA ❑ NE
Page 3 of 3 \ 12/28/04

E Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 510050 Facility Status: Active Permit: NCA251050 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Johnston Region: Raleiah
Date of Visit: 12/08/2006 Entry Time:11:45 AM _ Exit Time:
Farm Name: Godwin Farm
Owner: Mark T Godwin -
Incident #:
Owner Email:
Phone: [phone]
Mailing Address: 1177 Eldridge Rd Newton Grove NC 283668611__
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°16'59" Longitude: 78°25'09" _T
On north side of SR 1122, approx. 0.8 miles east of SR 1124, or approx. 1 mile west of Hwy, 50.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents © Other issues
Certified Operator: Mark T Godwin Operator Certification Number: 18379
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative Mark Godwin Phone:
24 hour contact name Mark Godwin Phone:
Primary Inspector: Joseph Gyamfi Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

Permit: NCA251050 Owner - Facility: Mark T Godwin
Facility Number : 510050
Inspection Date: 12/08/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
* WUP dated 6/5/2001
Crop yield records for 2006 available
` Waste analysis:
Date 2199 2152
10/3/06 1.6 1.4 '
7/14/06 1.4 1.4
3/08/06 2.3 2.3
* Soil test report dated 10/11/06, lime put out last week in Nov. 2006 as recommended
* PLAT completed 9/13/2005, no field received high rating
Lagoon sludge survey report dated 9117/2006:
ID Sludge thickness LTZ
2152 2.54' 5.11,
2199 1.90, 7.89'
* Reel calibration for 2006 to be completed by end of year
* Annual certification for 2006 available
` Reviewed waste application records - complete and balanced with weather codes and inspection initials
* Lagoon freeboard levels and rainfall recorded with initials for structural check
* Good records, farm is well managed.
Page: 2

Permit: NCA251050 Owner - Facility: Mark T Godwin
Inspection Date: 12/08/2006 Inspection Type: Compliance Inspection
Facility Number: 510050
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
O Swine -Feeder to Finish 4,896 4,635
Total Design Capacity: 4,896
Total SSLW: 660,960
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
on 2152 2
on 2199 2
Page: 3

Permit: NCA251050 Owner - Facility: Mark T Godwin Facility Number: 510050
Inspection Date: 12/08/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges_& Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ ■ ❑ ❑
2. Is there evidence of a past discharge from any part of the operation? ❑ ■ ❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a ❑ ■ ❑ ❑
discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ❑ ■ ❑ ❑
If yes, is waste level into structural freeboard? ❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.eJ large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑ ■
❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑ ■
❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑ ■
❑ ❑
improvement?
Waste Application
Yes No
NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑ ■
❑ ❑
improvement?
11. Is there evidence of incorrect application?
❑ ■
❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 4

Permit: NCA251050 Owner - Facility: Mark T Godwin
Facility Number; 510050
Inspection Date: 12/08/2006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%110 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
Coastal Bermuda Grass
(Pasture)
Crop Type 3
Small Grain Overseed
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.
Page: 5

. . 404
Permit: NCA251050 Owner - Facility: Mark T Godwin
Facility Number : 510050
Inspection Date: 12/08/2006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes
No
NA NE
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■
❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑
■
❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
❑
❑ ■
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■
❑ ❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■
❑ ❑
2T Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
❑ ❑
Other issues
Yes
No
NA NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■
❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
Page: 6

. .46
Permit: NCA251050 Owner - Facility: Mark T Godwin Facility Number. 510050
Inspection Date: 12108/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other issues Yes No NA NE
................................................
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑
33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
I
Page: 7

❑ Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 510050 Facility Status: Active Permit: ECA251050 ❑ Denied Access
Inspection Type: Inactive or Closed Date:
Reason for Visit: Routine __ County: Johnston ___ Region: Raleigh
Date of Visit: 04/04/2006 Entry Time:09:00 AM Exit Time: 11.20 AM Incident #:
Farm Name: Godwin Farm Owner Email:
Owner: Mark T Godwin
Phone: [phone]
Mailing Address: 1177 Eldridge Rd _ _ Newton Grove NC 283668611
Physical Address:
Facility Status: ■ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°16'59" Longitude: 78°25'09"
On north side of SR 1122, approx. 0.8 miles east of SR 1124, or approx. 1 mile west of Hwy. 50.
Question Areas:
Discharges & Stream Impacts Waste Collection 8 Treatment Waste Application
I� Records and Documents Other Issues Technical Assistance
Certified Operator: Mark T Godwin Operator Certification Number: 18379
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative Kenneth Eldridge Phone:
Primary Inspector: John N Hunt Phone: [phone]
Ext.238
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
7) Plans to use collected cattle waste with soil from feeding areas to improve bare areas. Soil erosion in spots needs particular
attention, especially on outside slopes.
15) Lime is strongly recommended for several fields. Bermuda is sensitive to pH and thus proper pH is needed to promote growth.
Field UN9 has poor coverage, discussed resprigging.
25) Letter to K. Larick (2-21-05) to request waiver for sludge evaluation; response (417105) indicates next sludge evaluation due in
2006.
Very well organized records; keep up the good work.
Page: 1

Permit: NCA251050 owner - Facl14: Mark T Godwin Facility Number : 510050
Inspection Date: 04/04/2006
Waste Structures
Inspection Type: Operations Review
Reason for Visit: Routine
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon 2152 29.00
agoon 2199 30A0
Page: 2

Permit: NCA251050 Owner -Facility: Mark T Godwin Facility Number : 510050
Inspection Date: 04/04/2006 Inspection Type. Operations Review Reason for VIsIt: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■
❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■
❑
❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
■
❑
❑
discharge?
Waste Collection, Storaqe & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
OECD
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? - ■ ❑ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
00011
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
001111
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: NCA251050 Owner - Facility: Mark T Godwin
Inspection Date: 04/04/2006 inspection Type: Operations Review
Facility Number: 510050
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
Coastal Bermuda Grass
(Pasture)
Crop Type 3
Small Grain
Overseed
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Autryville
Soil Type 2
Blanton
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 fall to have all components of the CAWMP readily available?
❑ ■ ❑
❑
If yes, check the appropriate box below.
Page: 4

Permit: NCA251050 Owner - Facility: Mark T Godwin
Facility Number : 510050
Inspection Date: 04/04/2006 Inspection Type: Operations Review
Reason for Visit: Routine
Records and Documents
Yes No NA
NE
WUP?
❑
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. aid the facility fail to install and maintain a rain gauge?
❑ ■ Cl
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ■ ❑
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ ■ ❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ ■ ❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑ ■ ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑ ■ ❑
❑
Other Issues
Yes No NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
Page: 5

Permit: NCA251050 Owner -Facility: Mark T Godwin Facility Number: 510050
Inspection Date: 04/04/2006 Inspection Type: Operations Review Reason for Visit: Routine
Other Issues Yes No NA NE
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑
32. Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑
33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
Page: 6

Permit: NCA251050 Owner - Facility: Mark T Godwin
Inspection Data: 04/04/2006 Inspection Type: Operations Review
Facility Number: 510050
Reason for Visit: Routine
Technical Assistance
Needed
Provided
34. Waste plan revision or amendment
❑
❑
35. Waste plan conditional amendment
❑
❑
36. Review or evaluate waste plan w/producer
❑
❑
37. Forms need (list in comment section)
❑
❑
38. Missing components (list in comments)
❑
❑
39. 2H.0200 re -certification
❑
❑
40. Five & Thirty day Plans of Action (POA)
❑
❑
41. Irrigation record keeping assistance
❑
❑
42. Organize/computerization of records
❑
❑
43. Sludge evaluation
❑
❑
44. Sludge or Closure plan
❑
❑
45. Sludge removal/closure procedures
❑
❑
46. Waste structure evaluation
❑
❑
47. Structure needs improvement
❑
❑
48. Operation & maintenance improvements
❑
❑
49. Marker check/calibration
❑
❑
50. Site evaluation
❑
❑
51. Irrigation calibration
❑
❑
52. Irrigation system design/installation
❑
❑
53. Secure irrigation information (maps, etc.)
❑
❑
54. Operating improvements (pull signs, etc.)
❑
❑
55. Wettable acre determination
❑
❑
56. Evaluate WAD certificationlrechecks
❑
❑--II
57, Crop evaluation/recommendations
❑
t_J
58. Drainage work/evaluation
❑
❑
59. Land shaping, subsoiling, aeration, etc.
❑
60. Runoff control, stormwater diversion, etc.
❑
❑
61, Buffer improvements
❑
❑
62. Field measurements (GPS, surveying, etc.)
❑
❑
63, Mortality BMPs
❑
❑
64. Waste operator education
❑
❑
65. Operation & maintenance education
❑
❑
66. Record keeping education
❑
❑
67. Crop/forage management education
❑
❑
68. Soil and/or waste sampling education
❑
❑
69, PLAT Assessment
❑
❑
70. Other
❑
❑
Page: 7

Permit: NCA251050 Owner - Facility: Mark T Godwin FacII4 Number : 510050
Inspection Date: 04/04/2006
Inspection Type: Operations Review
List Improvements made by Operation
Improvement 1
Improvement 2
Improvement 3
Improvement 4
Improvement 5
Improvement 6
Reason for Visit: Routine
Page: 8

Type of Visit jOrCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 104outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: +► Regio_
Farm Name: MNq.4- GOv,.,41 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: USMLL
Certified Operator:
Back-up Operator:
Phone:
Phone No:
Integrator: Lei aak *At
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: ❑ e = ❑ {1 Longitude: = ° ❑ 1 ❑
Design
Current
�� Design Current
�Desgn Current
Swine
Opacity
Population
Wet I?oultry Capacity Population
Cattle
Capacity Population
❑ Wean to Finish
❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
❑Non -La ei
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heife,
❑ Farrow to Wean
Yultr�� Y
Dr, 1'od$
❑ D Cow
El Farrow to Feeder
�
❑ Non -Dairy
❑ Farrow to Finish
❑
La ers
❑ Beef Stocker
❑ Gilts
❑
Non -Layers
El Beef Feeder
❑ Boars
❑
Pullets
❑ Beef Brood Cow
❑
Turkeys
Other. ;
❑
Turkey Poults
Number of Structures:
❑ Other
❑Other
Dischar2cs & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes 1zNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes ❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes ❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes ❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes No
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes �No
El NA
❑ NE
other than from a discharge?
/
12128104
Continued

F$cility Number: 5 Date of Inspection 7 �S
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes VNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes QNo ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: L+_lTL4-- 33.E
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes ❑ NA ❑ NE
through a waste management or closure plan?
IV
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?
Cl Yes
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
eg",No
�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
A
ElNA ElNE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
0 No
❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
1
12. Crop type(s) C., �3 .tnA l��t_ �' G L GR -2-'s
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
Yes
No
❑ NA ❑ NE
17, Does the facility lack adequate acreage for land application?
❑ Yes
VNo
❑ NA ❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
EfNo
❑ NA ❑ NE
S) C� �.f T� •r ✓� Ta �.J"a�l�c a� E S�AgLi �p}r iJ G 1lEoE T�•r i �-s c7..1 ata'1`C;�P�
Reviewer/Inspector Name �a:� t'�''•.: rlsi..a:' Phone: -1?.,j S71 c47aa
Reviewer/inspector Signature: Date:
12128104 Continued

Facility Number: S 3 — Date of Inspection
Required Records & Documents_
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
st
20. Does the facility fail to have all components of the (qWaP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
❑ Yes
ZNo
❑ NA
❑ NE
❑ Yes
;ZNo
❑ NA
[:1 NE
21.
Does record keeping nee4 'mpp: ement? If yes, ch k the appropriate box below. ❑ Yes PNo ❑ NA ❑ NE
r za I. theappropriate
Z.C' r%zs`�f
❑ Waste A�y�nation N1�eekly F Waste An"h�ysis ❑ Soil &!a is ❑ Waste Transfers ❑ Annual Certification
Y
o'ir=d"r
31 a O
C , a ltz
❑ R I] ❑ S�Xing ❑ C Yield ❑ 120 Minute lnsg tions ❑ Monthly and 1" Rain Inspections ❑
ZZ
Weaf ier Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes �No
El NA
El NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit? +6,f
❑ Yes ANo
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes XTNo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes gNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes Xj No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes XNo ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
RrNo
❑ 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
V 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
A[ dditlonalComments and/or Drawings erg; �4 �; (` ; };e 4i,
z�1 $4ut)E. S�jW JA�R�'9t"rC- GL►JT�'P �'r.L l�a"T�
!
S S g �.A, ``1 � u1 �—�raa"'7 a �jt�i J 14`► C�1-'f' a F. CA`T�e o�
'ZI) t tt `NG is j MV",Ay 7-U CAM{z.VL_-T_C I
� tt� s�.� c,�c
S �a�. `1
t'�
r.f�_
'C'11-�-
o R.,* � : � c+. �
C •. n � �_.
12128104

E
Type of Visit ZCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 1 O Date of Visit: ° Time: ' 3�
Q Not Operational O Below Threshold
.0fermitted MCertif"ied [3 Conditionally Certified p Registered Date Last Operated or Above Thr hold
Farm Name: A*.�! :!c..... .... �2 ..........................G-".D w ^� County:........ �. .''r.. .r a ....................................
OwnerName- ------------- -------------------- ------------ -- - ----- --------- ------ - ----- .. .. Phone No:
MailingAddress: .....................................................................................................................
Facility Contact:
Title:
Phone No:
r
Onsite Representative:.......,"L? Q( . Integrator:..... ............
Certified Operator:.......................................................................... Operator Certification Number.
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • & 66 Longitude • 4 44
Discharges & Stream Im acts
1. Is any discharge observed from any part of the operation?
❑ Yes 4No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Water of the, State? (If yes, notify DWQ) ❑ Yes l❑ No
c. If discharge is observed, what is the estimated flow in gal/min? T
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes A No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure
Identifier: ........................ ................................................................................ ......................................
........ .................................................. .......
Freeboard (inches): Z�
12112103 Continued

Facility Number: Date of Inspection 1.5
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes q
No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes No
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 maintenancelimprovement? totes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes KNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes K.
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ;2 No
11. is there evidence of over application? If yes, check the appropriate box below. ❑ Yes 0"No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Z'r i-M-
12. Crop type Cr ti3�,e� 4 t i 2, S C�� Z11�0 wn S_ .. too r -1 s
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes _J2rNo
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
.fNo
16. Is there a lack of adequate waste application equipment?
❑ Yes
t: No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below P-Ifes ❑ No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 0No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 'ONO
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 ❑ Yes ZNo
Air Quality representative immediately.
Reviewer/Inspector Name !
Reviewer/Inspector Signature:
Final Notes
Date: 1-0 -i 1 0
72112103
Cnntinuod

Facility Number: t — 'a Date of Inspection t 2
V
Reauired Records & Documents
21.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
5eNo
22.
Does the facility fail to have all components of the Certified Animal Waste anagement Plan readily available?
-,1 31
(ie/ WUP, checklists, design, maps, etc.) rm 1
❑ Yes
P'No
23.
Does record keeping need improve nt? If yes, check the appropriate box below.
❑ Yes�No
❑ Waste Apption ❑ Fre oard ❑ Waste/Analysis ❑ Soil Sampling
24.
Is facility not in compliance with any applU a setback crrteria in afect at a tim&f design?
❑ Yes
21 No
25.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
V1 No
26.
FaiI to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
No
27.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
28.
Does facility require a follow-up visit by same agency?
❑ Yes
No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
VNo
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
,Yes
❑ No
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ONO
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
ZNo
33.
Did the facility fail to conduct an annual sludge survey? 41 kg J'aA
❑ Yes
le:J No
34.
Did the facility fail to calibrate waste application equipment? '? 1 2:(1 0 3
❑ Yes
ONO
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
❑TTo
❑� Stog Form ❑ Crop Yi9KForm ❑ RaXall []Inspection After V Rain
/
❑ 120 Minute ispections ❑ Annual Certification Form
12112103

. r �. . y ��`` r., r + G 'l �-'�,^tea r • 47
i
b sion3Qf Water QUaht)
o
f"
O Division Snil and Water Conservation
Q Ot�ency
".� LAW - `:tee -At •«u `r:ad P 'Yi,_ f. :- ,
Type of Visit JOCompliance Inspection��'O Operation Review•• ' O Cagobn Evaluation
Reason for Visit, ;;32rRoutine O Complaint O Follow up 10 Emergency Notification Af '0thera r-• ❑ Denied Access
Facility'Number
I)atcot,Visit: Z3 Time:
Not 0 eiii'iJ6al'• • Below Tbresboldj,
Permitted /Certified 0 Conditionally Certified [3Registered Date Last Operated'or Above Threshold -..
Farm Name Ic. �ToD •` ..1 County:—.S�{-1 rJ S•f
Owner Name: Phone No:
i.71
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: e[LY Integrator: M
Certified Operator: + Operator Certification Number:
Location of Farm:
❑ Swine ElPoultry ❑ Cattle ❑ Horse Latitude Longitude
Design Current Design Current Design Current
PoultryCapaeltv PopkCaaciPoulation ulation t'. PulationSwine Ca aci ❑ Wean to Feeder ; ❑ Layer I I❑Dai i �..
❑ Feeder to Finish a ❑ Non -Layer Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons r_ /_ I ❑ Subsurface Drains Present ❑ La goon Area ❑ Spray Field Area
Holding Ponds / Solid Traps 10 No Liquid Waste Management System
Discharges' Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes [ "No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other ,�,/ t
a. If discharge is observed, was the conveyance man-made? El Yes I�' No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes'-0
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 ?NNo .
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from -a discharge? ❑ Yes" .ice No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑Yes 01 0
Structure t Structure 2 Structure 3 Structure 4 Structure 5 •. Structure 6
Identifier:
Freeboard (inches): 3� �-
05/0.3101 Continued

[Facility h' Number: S1 —!;2 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, vere erosion,
seepa c, 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?
1.1; Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type S .G-
13. Do the receiving crops differ with those designated in the &rtifie Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or, oath r Permit readilyavailable?
18. Does the facility fail to have all components of the Cert�i eA Animal Waste N]11 1 m�ent Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) �►'L 3. L 3
�•� aso
-719. Does record keeping need improvement? (ic/ i Lion, fr�ard, was alysi sa z_ ports) ,
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?
(iel discharge, freeboard problems, over application)
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
P-Ves ❑.No.
❑ Yes W40
❑ Yes �No
❑ Yes [-110
❑ Yes 0 No
❑ Yes .CJ N
❑ Yes No-
0 Yes
hfo
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
-Yes
❑ No
❑ Yes
O No
❑ Yes ,E No
❑ Yes PN0
III3f 9ElYes �o
❑ Yes Ja<o
❑ Yes J2'540
❑ Yes 2<0
❑ Yes ONo
❑ Yes ZNo
[:]Yes ,fNo
Q No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments {refer togquestiU,, �Expinin�any YES answers'and/or any recommendations or any other comments.
se drawings of facill.'�
to bettetex ain situ..ations .(aF.se additional pages asynecessary} taw L _' ❑Field Conv ❑Final Notes * c
.
:.-' a1
z
""/�� 1 'sF P La'—, r Imo,, r � .,-� 3,31 Q, St�j ,t A)
�ItC
r
I
r ! l 03 c .,P a✓S Pl
rxa sF
o+v�lr. l C.a:{LN
rl=Q-� 'MiT� � 3RU}N�� AdA'LAB�� FdiL aJE2S�F� ,
ewer/lnspector Name rj >� U'n! r
7 I��ewerllnspector
ERevi
Signature: Date: tz a
05103101 1 Continued

Facility Number: Date of Inspection IZ at
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond.or lagoon fail to discharge at/or below
211yes
❑ 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
EllNo
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
ffNo
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
gTNo
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
PNo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
VNNo
32.
Do the flush tanks lack a submerged fill pipe or a permanenthemporary cover?
❑ Yes
❑ No
Additional Comments and/or Drawinlis:
C PJL C o U "Z-0 f
16 d 1
05103101

R�g.�t`'7t L ` �Y,�� � a6 <6 ' i 1 F `f � � ��i F if 2.. C i i; ••{i�,p t 3::i -� '€ it bl � Y �, k €:f�i.s'�t.a{4j i�j! t� { t� � 2'} _: `F 1 P L •�.E i ;� 9 k i tF_ � Y (-�
G +' r 4i t F �t.i` � F ,,r•�e� � � � �,[ r �- l n �,� � � � � �. a 4� � , �w 9 �
�'✓a�i,��� k,�,s3Y'�' € 'e i�� 37�p�'F( i ! a >a,�I�RUtiherA� C 4me riY' J,. r (" 'li , -��' u; i , j ( � i Yl �r - s
P... _ e ...: '. -d w`�...a .h W. Ir. c. ., z � i•� -i,i� �� t.s;i��cl .';�a dr4>sw N �9°,-a.Z.'Be,H �i,Y �. ��'x. �,i, l'.E;���.� , a � . � a,i kp s., . ,E a,-.,. r� l .. F .S t} z � i , !EE W�> ... �
Type of Visit ✓O Corppliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit ZRoutine O Complaint O Fallow up O Emergency Notification O Other ❑ Denied Access
Facility Number (late ot' Visit: Time: `t �' '�
10 Not O erational 0 Below Threshold
x ermitted 72 Certified 0 Conditionally Certified Registered Date Last Operated or Above Threshold:
T
Farm Name: 'iCox'L Gtr, , hy County: 41.1S
Owner Name:
Mailing Address:
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: rta T41r- i _ Integrator: A A-X9U) aa�..j
Certified Operator: Operator Certification Number:
Location of Farm:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude
Desi d,., Current Design sCurrent.i ; Y "''Design
'
"' ` Current '`
`''
Swine Ca acin , Pa ulahon ,, °,.Foultiv ,, ; ,'Ca achy Po ulatiou :Cattle: ��4. 7Ca aratv._�.Pa' ulation .
0 Wean to Feeder ILI Layer ! ❑Dai
I f
ICI;;❑ Non -La er ;'i ❑ Non-Dai
❑ Feeder to Finish F5x
E
�
El Farrow to Wean .
❑ Farrow to Feeder ❑ Other
YF f F - ki 1
❑ Farrow to Finish Total Djt jgn CapaCtty
j t ❑ Gilts
❑Boars ;ih' i,Fk. ,i,.lTUtaI'' SSLW_ rF:;
Number of Lagoons;.I!! Q Subsurface Drains Present ❑ Lagoon Area
ICSvrav Field Area 3
]
{7 3 EIp f F !31 }t'leS�i ;. (
lrSoiid Traps _�° (_' ❑ No Liquid Waste Management System
[ E
�:Haldin�Ponds „�;;�� i,
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
/
❑ Yes 2<0
Discharge originated at: ❑ Lagoon ❑ Sprav Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes ZNo
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
❑yesNo
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 ONo
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ;20<0
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes L2<0
Waste -Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes {�No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: _S;iIi IA,
Freeboard (inches): 3el zb
05103101
Continued

4' •
Facility Number: ,SI — c) Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ 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
1 S3 1
12. Crop type C- F VC7�e- k�{ C—j2Az*-D 5 s
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents yg
17. Fail to have Certificate of Coverage & General P�rZtn i?Iother Permit readily available?
18, Does the facility fail to have all components of the Urtifl dfAnimal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
��// ..1 s.0 i1 z7I.
19. Does record keeping need improvement? (ie/ irr n, fr�oard, vit 'te analyes & soil samp a re orts)
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?
J20Yes ❑ No
❑ Yes Z No
❑ Yes X No
❑ Yes ONO
❑ Yes ZNO
I.
❑ Yes XO
❑ Yes A No
❑ Yes 121'No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ONO
❑ Yes P40
❑ Yes !CI No
❑ Yes JQ No
❑ Yes ❑ No
❑ Yes ;51po
❑ Yes iNo
❑ Yes ;2'No
❑ Yes �No
❑ Yes ; 'No
❑ Yes 12<o
LPNo violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
�/..:..�iE.,..fY����9.y.{.e1.!Ff y{,{� ale.E�_WE N l��f E�.PV,rEl: . tll. nt Y�v'11.�.Y-.�iy.,�-.p.c.E$EaFt�R"a« t�[e�Mi�ipL.�i pmf:�fa��,1.>Y>YdfXBM�iY.Y.1f�ttt g (��.9�gyvgEE{.je„e
omnnents, (refer il: uestlan iT). q'lG lAla,:Wi answer%3attd/or an ,rect►mtmentlatiotts'or �b othernllifeEttS. n 9.> <::
eeE[=. [£ i ,:. q 9 6 - of eEL p3 d �,,
�j iVj1t p" {'tlN ♦ h �{ V �,.$J���.SlkYI
�i -".drawings of facility3to)�k6er &B'da�' 37LIif4{1SIL - YWMi yy INVSLNI pa VJ �O .yµr �r�j� I t° ES t f .' ❑ Field Conv ❑ Final Notes
1.
l smA-E, T ELMW,_ � 1'z�.�: ,aD J� AgPL--cAT' a S (rr S�o�
Vol . i22_`fr *� t� 117�0-+.-1/ty- SftSAD rJ�.� wr- .,rr ARPGi c-Ar S.,
>r � `t z; �.lcs- ►= � S r �.i�{�c" tk�.�-`� .w°r c .�.4+0.1� S Tt+*T A"-
5}
A, !oo`
1 �) In+aM a�.*ao 5�+�- �� U,:rrs-rt, � BP►t-k� '�`'�'� � +'W6- A4h-W.D
r
Reviewer/Inspector Name }, F E ➢ }t, }e€ ., �'(�'M� € = g E3 Yg E E> ' l
I d I E i 'tit ' '
..
Reviewer/Inspector Signature: Date: Lr e az—
05103101 r Continued

Facility Humber: S1 -S.5 Date of Inspection !�
Qjl_or 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?
L;Kes ❑ No
❑ Yes �No
❑ Yes [Po
❑ Yes PNO
❑ Yes tdo
❑ Yes ;21�o
❑ Yes J2KO
05103101

Type of Visit WCompliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit 011outine O Complaint, p Fonow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: b Time: 3J
Facility Number 1
Not Operational Q Below Threshold
®'Permitted 13tertified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold; .........................
Farm Name: ... N1P a' '.1`1...........................' �. .......................................................County:..........J.Q4:tE5;``?.^1.........................................
OwnerName:........................................................................................................................... Phone No:.......................................................................................
FacilityContact:.............................................................................. Title:
Phone No:
MailingAddress: ..................................................................................................................... ..................................................................................... ..........................
Onsite Representative:.....,r?!� FcT..% ......%. �...`-p. !.�.Uz ... Integrator:......p!� r ..........M.�`3...{``^.......
Certified Operator:.. .................................................
Location of Farm:
Operator Certification Number:
�Swlne ❑ Poultry ❑ Cattle ❑ Horse Latitude * ' " Longitude • 6 44
]Design„ Current
Capacity ',Population
❑ Wean to Feeder
❑ Feeder to Finish
q gU
q gaw
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Current, Design
y ; Population ; Cattle ;. Capacity:;
L❑ Non -Layer I I I. ID Non -Dairy I I
❑ Other
TotaUMsign Capacity ,F C
T166d:SSLW'
r J. Nt tuber' of Lagoons " ,. ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area ,
Hold6g Ponds 1 SolidTraps :: ? ❑ No Liquid Waste Management System
.I .71, 1
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 014
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes O Po
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes 1311�o
c. If discharge is observed, what is the estimated flow in gallmin'?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes E3<o
2. Is there evidence of past discharge from any part of the operation? [] Yes -ago
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes Pwo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway [:]Yes N
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .......................................................................................................................................................................................................................
Freeboard (inches):
5/00 Continued on back

.: Facility Number. $ I — 5 Date of Inspection 9 "I a
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
%;7S 1 @)� -j" 3 so
12..Crop type C,
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?r
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents b (Z4'M
17. Fail to have Certificate of Coverage & General P rmit readily available?
t_ 5 0l
18. Does the facility fail to have all components of the Certified Animaj� Wash Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) s)ys s
19. Does record keeping need improvement? (ie/ irrigation, freeboard, Aar to analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
�'�1Q yiQlp i tjs o �1 a e� wore jammed• 0irjA9 01smsit; • Yop �i1 > eer iye ti futt t$r'
corresporid6ie: abaiiif this v`ssit::
Iw) Ada:. tF%t4L— Q_' L_ SA Mf L'F_. S 1 0se'D mz. C!U%& XbW UM-'_ Ir- A
.WrYes ❑ No
❑ Yes ONo
❑ Yes XNo
❑ Yes gNo
❑ Yes�No
❑ Yes No
❑ Yes xfNo
❑ Yes�No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes P`90
❑ Yes 0 No
❑ Yes ;RNo
❑ Yes 0No
❑ Yes ,0 No
❑ Yes ;'No
❑ Yes 611�0
❑ Yes 0 No
❑ Yes PNo
❑ Yes P'I o
❑ Yes ;!(No
❑ Yes PNo
C-Ar?(...0 . I
5} 1<4i F++� L4-J(r -TEKr 1 lfa�+ uJ i VicCreiTiONi�L�� Pew 2� So:l a!� t- OdA} -s
�,,t.r; aJE 4�frJp�� ro SpAfC_ A40 �s•ro�c3c,rf fs- Jc�sTA�i,'aJ. t1As 1jAta („`n.i rr.�
�,` d C:G� `+ C µf ; �r• lit�EJzT13'- p 1 t G11 s Eeo Sv, l� �/1°M �L� s.iC 'S'rt1A't` rMP�i ra3 4.
p� Ca 4 Tt; 5 d r'-) 6- r-.4-CTTar4- .
�-) AAr soMr F&s'fM%._rr �a,�.u�s Oc-kb 045 la" 0'cA"rl ��-1S. Gvr s,"'reg fFw2 1=1
' i F ' . ✓ r , i � � '� a �� 1 as -^F �°� ti � mad r✓ � � �'fi� u -yW g � ��u+, b+ Ifl�.�rS �A- � o^�
Reviewer/Inspector Name �f 1a ii g r' . Nr p I [r r r
s �-+ F,t
t1 ll` .1�.i e .„7_ at
Reviewer/Inspector Signature: Date: q f r7 1U

. . r
Facility Number: — 5 Date of Inspection r7 a
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (ix: 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?
1�44cptjonal Coinments an or, Drawings : ; i; ' , 1
Z'6 7 3 Z. as (, ar.l6E1L V-EQ o �tLE0 Sy rb " J _ A 2 `�3 +�L`.
es ❑ No
❑ Yes 0
❑ Yes ONO
❑ Yes No
❑ Yes .F''o
❑ Yes4
'0.4'es ❑ No
5100
J

a Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number S Date of Inspection
Time of Inspection 24 hr. (hh:inm)
© Permitted © Certified [3 Conditionally Certified E3 Registered [3 Not O erational I Date Last Operated:
Farm Name: ........ ...................G.0o "iJ County: -a
............................................................................................................................................
Owner Name:.........3I Zo Phone No: ..................................................
Facility Contact:.............................................................................. Title:..........
MailingAddress:...............................................................................................
Onsite Representative:,js[�;I,ZV:.........
Certified Operator: .................................................... .............. I ................
Location of Farm:
Phone No:
Integrator:..... . t-A....Er..,-........................................
Operator Certification Number:.......
...........................................................................................................................................................................................................................................I.....................
.................. .......... .................................................... ... .......... ........ .....
Latitude F3 S • , b S9 «
' Design A urreE
,.,...'$ovine ' , Canaclty. `Pooulati
❑ Wean to Feeder
❑ Feeder to Finish
524 J�
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
Longitude 7-5 •
Design Current i
Poultry. Ca 'aci P6'"ulati6Y'
❑ Layer f
y Non -La er
❑ Other
W
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. -If discharge is observed, was the conveyance man-made?
b. If' discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (II' 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
❑ Yes F3 No
❑ Yes 0No
❑ Yes FNo
❑ Yes ,p No
❑ Yes XE�qo
❑ Yes g(No
❑ Yes �fl
Structure 6
Identifier: p
Freeboard(inches) . .............1:1.4. .......................................................................................
5. Are there any immediate threats to the integ t of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes / `-' No
seepage, etc.)
3/23/99 Continued on back

o.
Facility Number: 5 — So Date of Inspection 5 3i aA
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 ff
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? ❑ Yes �No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes [�Io
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes dN0
_Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes 00
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes 101�o
12. Crop type C . eg—M 0OA 0A + G¢+4��,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ZNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes Of4o
b) Does the facility need a wettable acre determination? ❑Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ,RM
15. Does the receiving crop need improvement? j'Stes ❑ No
16. Is there'a lack of adequate waste application equipment? ❑ Yes Q"No
Required
Records & Documents !-t (Tip
17.,
Pail to have Certificate of Coverage & General P it readily available?
❑ Yes ZN' o
18.
'Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes No
19.
Does record keeping need improvement? (ie/ irrigZon, 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)2�No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes ,(No
22,
Fail to notify regional DWQ of emergency situations as required by General Permit?
eNo
(ie/ discharge, freeboard problems, over application)
❑ Yes
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes E!(NO
24.
Does facility require a follow-up visit by same agency?
❑ Yes'01 0
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes 2No
ff��
N,O•YiOlAti#ijs.or-d011cj6npp$-were pQted d>rrift �hls,vsjt; Moir will tee�iye 0 fuljlhoe. • -;
..
• ctirresaoridence' a outw thi s visit: ............................... • ::. • . • .
,,.)
5) Go�f',.ic�� To a2lc. o,J �S�r�a�1SN.';11G ��G�,���;,o�y �,,,I jJAC E-A.V-oo
�fGE jS 5,mC CRoS �.,� <4wr ,JecoC A'[jE,1r,,0 J-
r) C 4?�AM V>7/11 �r�►.ri7
Reviewer/Inspector Name
Reviewer/Inspector Signature: ram. ,J . j_] 4, T- Date: :5) 31 / ma

r�
Facility Number: 5 j — Date of inspection
Odor Issues
26,
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
27,
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
PNo
2&
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
TZNo
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.)
❑ YesINo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
❑'No
`
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
�No
Addltlona omments and/or ' a,rawings:,
i
Mr

:4
bivisiion of Soil and Water Conservation - Operation Review
Dtvtseon of Soil and Water Conservation - Compliance Inspection
E3 DtvtsiosD of Water Quality - Compliance Inspection '
© Other Agency - Operation Review
.__.
101R
outine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Date of Inspectiorl 12 k1�j , oc)
Facility Number
Tina of Inspection 23 hr. (hh:mm)
13 Permitted. 0 Certified [] Conditionally Certified © Registered JE3 Not O crational Date Last Operated:
W
Farm Name- ... .............. ^'-.......t .t'%,(..../-C'....................................— c'ti-ount1:.. ..k�-j.:�..`.��.................. ... 11...... I'll ........
OwnerName: ............................................ ............... I ...... Phone No:...........,...........................................................................
Facility Contact: .............................................................................. Title:..................... .. I'lione No: ................
MailingAddress: ............................ .. �...........................,........................................... ..........................
Onsite Representative:.,�1I » ........... Integra or:.�G,.U��l�.�............... .1,...........................
Certified Operator: ................................................... ....................... ..................................... Operator Certification Number:..........................................
Location of Farm:
Latitude ' ° 4 Longitude 0 ° �•°
Design Current
Swine Canacitv Pouulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer I ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Dischar-aes & Stream fmnacts
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'?
h. If discharge is observed, did it reach Water of the State'? (If ycs, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/rain?
d. Does discharge bypass a lagoon system? (lf ycs, notify DWQ)
2. Is there evidence of past discharge from any part of the operation'?
1 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'? [I Spillway
Structure I Structure? Structure 3 Structure d Structure 5
A.
Y
❑ Yes No
❑ Yes :� No
❑ Yes No
❑ Yes �,❑ No
❑ Yes No
❑ Yes -17No
[:]Yes . ]dNo
Stl'uClure 6
Idcntil•icr: �3r/
hrcchoard (inches): ...... 3— ................ ..............
5. Are there any immediate threats to the integrity of any of the structures observed? 00 trees, severe erosion, ❑ Yes E� No
scenare, etc.) �-

}
Facility Number: Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination'?
15, Does the receiving crop need improvement?
16, Is there a lack of adequate waste application equipment?
Required Records & Documents
17, Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21, Did the facility fail to have a actively certified operator in charge'?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(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?
yiolhtigiis or &rjcieucies were hated. during •ti is:visit. • Yoi.t will •reaeiye lid further•
comes oride"e: about: this :visit« ' :: :::: ..... .
�. nae,axae3 ,Yi. ;.sue.. _ ry a.¢i t3 zr� _v�.1.:_',fi r:_„M._ ...�...,.,_. ____ .,... .. -, _ .1 ._ .. ...,. .,>>. ..:5'.i�e_s ',_.E6._, ., ..ua,. sue_. .. a,.•e.__..e_1
am' situations (iise addi
❑ Yes ❑INo
Yes ❑ No
❑ Yes 5,1'No
❑ Yes P No
❑ Yes ZNo
❑ Yes Cyfl�o
❑ Yes VNo
❑ Yes /Z No
❑ Yes No
❑ Yes YNO
o
❑ Yes
❑ Yes ❑ No
❑ Yes allo
❑ Yes ZNo
❑ Yes Ekf4o
❑ Yes PNo
❑ Yes � No
❑ Yes 7-
❑ Yes 7&0
❑ Yes [J'No
❑ Yes 0-'No
fi
r_4
v�i,� r�ncc� v� 2lPrz4P �,E_55 i h'�f�l J-es'r `I �g�
t o-/'t awl ro k.
Reviewer/Inspector Name D a�
E
viewer/Inspector Signature: %/A —,"/" _ %' Date: a- V, `�/

Facility Number:. — 5T Date of Inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
Yes
[:]No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
PNo
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
O
roads, building structure, and/or public property)
jTT
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
No
30.
Were any major maintenance problems with the ventilation fan(s) noted`? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
'No
31,
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
o
yl
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
[2'No
AJo 19dA;
15
!- ,LGs. /��-/x/ti6 AN i FZ)-

+ ,1
A' r °` tea °) `�� {�s s F E[DIy151on o Soil andmater,ConSBCVatlon-�t(�perdtlonkReylCWt
0 Division of Soil and Water Conservation -Compliance Inspection t 3
�rvisinn of Water Quality -Compliance Inspection
�3 ts, P Other.�Ageney: OperahonlRCWeew -ir `f k �I
outine 0 Complaint 0 Follow -lip of DWQ inspection 0 Follow -tip of DMVC review 0 Other
Facility Number ti aW«m. a Late of Inspection �3
p
'I'iine of Inspection 24 hr. (hh:mm)
10"Permitted y 0 g �] Not O erational Date'Last Operated: Certified ©Condit�onall � Certified Re istcred
C7 �l Q rJ F A Count 0 fs •-1 S Ta
Farm Mime. ................... ...!,l..i.............................................................................I...... y ...............,.......................................,.. •....... . .....
OwnerName:.{1.............................................:......................................................................... Phone No:......................................................................... ..........
FacilityContact: .............. .............:............... ................ ...................'l"itle:................................................................ Phone No:
Mailing Address:
C........................................................................................ ................ ................ .............................. I..............
OnsiteRepresentative:,MA[_ ���.. [+1,r�1i�T1� Ei'J.h�.?.U. Integrator:.... !1+►.r�............ .............. �... ......
Certified Operator:................................................................................................................ Operator Certification Number:.... .3. .................,
p .I
Location of Farm: r ILI
' y'
...................................................r.�..............1y................................ ............................................. .................. ....,........,.,.........................................r............................ _.
... ..... .......................... .......... .... .. qV
Latitude �' �' �" Longitude
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
f 8q,(,
6
❑ Farrow to .Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry a Capacity Population Cattle Capacity Population
❑ Layer I ❑ Dairy
❑ Non -Layer I I JE1 Non -Dairy
❑Other
Total Design Capacity
0
Total SSLW
Number of Lagoons Z ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds 1 Solid Traps ❑ No Liquid Waste Management System
Discharge & Stream Impacts
1. Is any discharge observed from any part of the operation (Il'yes, notify DWQ)? ❑ Yes ONo
Discharge originated aL' ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-madc? ❑Yes No
b. If dischargc is observed, did it reach: ❑ Surface Waters ❑ Waters of the State ❑ Yes No
c. if discharge is ohservcd. whist is the estimated flow in galhnin?
d. Does discharge bypass a lagoon system? ❑ Yes ,� No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment /
4. Is storage capacity (Freeboard plus storm storage) less than adequate? ❑ Yes "No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Z6 .................................... V
Frechoard (inches): .......G,f7................................................................
116/99 Continued on back

ice+. � ,ni•4.. _ " {!` -
Facilit Number: S I - $D Date of Inspection Cr
5. Are there any immediate thecats•to (lie integrity of any of the, structures observed? (ic/ trees, severe erosion, yes ❑ No
seepage, etc.)
6. Are there structures :on -site which are not properly addressed and/or managed through a waste management or
closure plan? li: ? ❑ Yes E14No
' (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 [�'N0
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes VNo
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level
❑ Yes
elevation markings?
CdNo
Waste Application
10.
Are there any buffers that need maintenance/improvement'?
❑ Yes
No
11,
Is there evidence of over application? ❑ Ponding ❑ NiErogen
❑Yes
No
12.
}
Crop type ........ �-:..'3. ..... �..��?Z ..� .�°A.�,.....1........ S M : G i_P.`.`.".........................................................................................
...... ............ ..
13,
Do (he receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
0 No
14.
Does the facility lack wettable acreage for land application? (footprint)
❑ Yes
2�No
15.
Does the receiving crop need improvement?
,fYes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
lJ2 No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
P1110
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
[J"No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
ONO
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
RNo
21.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
JO/No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
Ej No
23.
Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
❑ Yes
Q(No
24.
Does facility require a follow-up visit by same agency'?
❑ Yes
Wo
1p...- No.viaiations.tir. detieiiencies •were noted: during xhis,visit.. ,V. u �vitl:retLei . e na� further. : :
•
• bor'respottidenee: about; this visit.; ; ; • • • • • ' : • ; • :: :.:: • . • ..:.:.:.: • :: :: '
Comments (refer,to gttestion,:#)., Explain ariy YES answers and/or anyarecom�it endations or any other comments �: " i i
Use drawyngs, of facility to better °'eiplain situations. (use additional pages as necessary); ' t i �} jj
S) de_c� LA-4 aa� ! S `ski t>�alr art--S A.-JDAAS VIE"p C/}u ry �s-r�1�L;S GGzA�S
CA4@K )acre (.r f � ` b SrA¢ i't i -T4S SS Cisc���E
tS Jr1`� rlo� M9a1 1Sy$ T!�u1 S-6ak.r� 74_�nnca\ Q+� GeA2- ?,.JG w4,- coe,jt A9-,'
jg�,u6.15
�+� �a NFx� MerIT
R evi ewerA nspector Name c j V r'
Reviewer/Inspector Signature:,^�a1ti J , A �,, X _ Date: 4 1%3 7 11/6/99

Facility Number: Date of Inspection
WO JD
1
-; �� -► ��
A�
NIA
r s 33
(-7
Z.
�.�
z . �S
V rf �j
1 $ • i
� �
y
Z-z�
4/30/97

Fs�-f-V 1C4At__L
D Registered WCertlfled [3 Applied for Permit JZCrmitted 0 Not Operational � - Date Last Operated:
Farm Name:......�5?..?xl......4ri county: ......... il.ilhC1►?!1......................................
Owner Name: ... Phone No: ...................
FacilityContact: ... N.Gv.itle:................................................................ Phone No:...................................................
Mailing Address:.... ...3........91d.Y..asl. .ea...�......................................... ...... M.eu, .%tY...?.....6.ray..Q. ....... NX.411 .. .�v
Onsite Representative:/\kark ........6cdw Integrator: ......... Al.W.. ..F&M........
Certified Operator:........ L:Cya..6.:... A,v).............................................. Operator Certification Number;......................
Location of Farm:
iiiii iiiiiiiii C
C
Latitude ©• ®1 �« Longitude laTI• 4 EE�]"
Dcs�gn > Current a Design Currents Design "' Current i
Somme k <, ,Capacity; Population ;Poultry Capacity . Pnpuiatran` _Cattle Capacltyt Population
f
❑ Wean to Feeder
ry
K. ❑ Layer ❑ Dairy
w eeder to Finish
❑ Non Layer ::::d ❑Non Dairy
❑ Farrow to Wean.,
x
❑ Farrow to Feeder..
❑ Other
Farrow to Finish
,
Total Design Capacity
❑ Gilts
„z E
w�
❑soars"
., Total SSLW
_._ . .......... _..
Iss
Number of Lagoons / Holding Ponds < ❑ Subsurface Drains Present Lagoon Area
Spray Field Area
rr� F,
-
y: R ❑ No Liquid Waste Management System
r4
- Us
Y
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
,,``
62<o
2. Is any discharge observed from any part of the operation?
❑ Yes
QK
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, If discharge is observed, was the conveyance man-made?
❑ Yes
MKo
b. If discharge is observed, did it reach Surface Water? (If yes. notify DWQ)
❑ Yes
EJ Iqo
c. If discharge is observed, what is the estimated flow in gai/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
M Nb
3, Is there evidence of past discharge from any part of the operation?
Cl Yes
Emo
4. Were there any adverse impacts to the waters of the State other than, from a discharge?
❑ Yes
63,Ko
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
FTNo
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
�Io
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
("No
F.
7/25/97
Continued on back

-4
Facility Number: 5-5d
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes fd No
Structures (LagoonsMolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes 9No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: i�fQQ1
Freeboard (ft):...........�?.L7l�..............��
.................. ................................... .................................... .................................... ....................................
10. Is seepage observed from any of the structures? ❑ Yes WNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes 930 o
12. Do any of the structures need maintenance/improvement? ❑ Yes 14
(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 0fgo
Waste Application
14. Is there physical evidence of over application? ❑ Yes I'io
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ....!C+._....... �? ...... L�'tlri b-ttipll�r=Q ......................
............................... ...............................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes B- o
I7.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
LkNo
18.
Does the receiving crop need improvement?
❑ Yes
Eg"No
19.
Is there a lack of available waste application equipment?
❑ Yes
52-No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
+Q"No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
fiafgo
22.
Does record keeping need improvement?
❑ Yes
[�lo
For
-Certified or Permitted FacililigS Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
No
CT-No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
ddI NNoo
lia
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
No.violatioitsur deficiencies.were ntited-during this; visit.- You.vKiftreceive,iro-fdrtliei•-:
:. correspondence about this.visit.-
o a Q,�,rt- 3 r o tgl,Cu/ZJUy� , 1Pr'06_04 v�. cQ
AfCE>,4— V- j4 30 w� .Genes
7/25197
Reviewer/Inspector Name
Reviewer/Inspector Signature: �[/�,,��`�j,Vyxa� Date:

`AMA Division of Soil and Water Conservation ❑ Other Agency
0 Division of Water Quality
`•" ;� �.�'��• `, ,ems m ;,, ��J +� �;;� ,, .� �
Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number
%Time of Inspection [= 24 hr. (hh:mm)
© Registered [3 Certified 0 Applied for Permit D Permitted JCJ Not Operational Date Last Operated:
FarmName: .............................................................----- County:..: ... U7a..).4.1.V.`�...7 . U...................................
OwnerName: ........................................... Phone No:.................................................:.....................................
Facility Contact: .............................................................................. Tit. ...
Title: Phone No:
Mailing Address: ..................................................................................................................... ........................
..........
............
...................
..................
. .............
..........
a....L.��...
Ontiite Representative. fuv5'. ....!..� ..L2./LiSr g.P.....................................................
Certified Operator................................................................................................................ Operator Certification Number:.....................
Location of Farm:
C
C
Latitude • ' 66 Longitude ' 6 it
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
No
2. Is any discharge observed from any part of the operation?
❑ Yes
�] No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
E�No
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes
[/No
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
PNO
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
dNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
Yes
❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
XNo
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
7/25197
1UNo
Continued on back

Fifty Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed? F ❑ Yes ,,EfNo
Structures (LagoonsZoldine Ponds. Flush 1'1(5,.ck.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ONo
Structure ��i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ...... .%'� '..l!.................................................................................................................. ..... �......................... ..............................
Freeboard(ft):.."`"DL..'~......... .................................... ..................... .............. .................................... .................................... ............................. ......
10. Is seepage observed from any of the structures? ❑ Yes PfNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes Ef No
12. Do any of the structures need maintenance/improvement? (Yes ❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
9No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
PrNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
/ r
Crop type ...l..r�..1...1� `�........... ........... ...Q .V p A ...........................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
ONo
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
lJ No
18.
Does the receiving crop need improvement?
❑ Yes
ENo
19.
Is there a lack of available waste application equipment?
❑ Yes,1No
20.
Does facility require a follow-up visit by same agency?
❑ Yes Z No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes edNo
22.
Does record keeping need improvement?
❑ Yes
For
Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes PrNo
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
411*'es a/
25.
Were any additional problems noted which cause noncompliance of the Permit?
/
❑ Yes Id No
0 - No.vlo'lations•ox deficiencies: were noted [luring this:visit.- You:riill receive ino-ftirilier
:. correspbndeince atiout this visit: :.. ;
f 148-6 /3 C C /v ",) U ,e 0,1,V& d A) P RA c t E 0 L G- 1f-- 7-4 77
s /At c E \f f?X. Al C6-P T-6 c 57"9i 1-167,{
dn) / 44 E_ j9-9 E795 6VO X E CId G/X O� s 7-hl4..0 A ee
I�l�rF r
5-. jZ, ,,vcv 47m Div a-z S /" /3 & ; �✓G ew o� ig � u��v ,u � Lrn s
7- A
51/Z e� ►9 (iUGN !„� % 5-/ — // 4/ 7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature!///47_.,j, _4f5 /f` 7— 1/�( Date:

A
[� Division of Soil and Water Conservation ❑ Other Agency
[3 Division of Water Quality
R Routine O Complaint O Follow-up 6f DWQ inspection O Follow-up of DSWC review._0 Other��� i
Date of Inspection
Facility Number -
Time of Inspection �r��-� 24 hr. (hh:mm)
13 Registered [3 Certified - [3 Applied for Permit © Permitted JE3 Not Operational Date Last Operated:
� ..........................
Farm Name:... ->D. ,Q..tr Y..l'!............................I.................... County: f7.1.i......5......................................
OwnerName:........................................................................................................................... Phone No:..................................................................
Facility Contact: .............................................................................. Title: Phone No .
MailingAddress: .......................................................................................................................................................................................................... ..............
OnsiteRepresentative:/..:&lf-g ..........." :`.i ntegrator:A(/ P........................................
Certified Operator:............................................................................................................... Operator Certification Number:...................
Location of Farm:
Latitude ' 6 " Longitude ' ' "
Wean to Feeder
=< ❑Layer
❑ Dairy
E Feeder to Finish
❑ Non -Layer
- °
❑ Non-Dairy
I Farrow to Wean
f
Farrow to Feeder
❑ Other 't
Farrow to Finish
Total Design Capacity€
y T�,
x otal SSLW
Gilts
I Boars
f
imber of,agotia5111tildrrig Ponds< ❑Subsurface Drains PresentJJD Lagoon Area 10 Spray Field Area
❑ No Liquid Waste Management System
General dNo
1. Are there any buffers that need maintenance/improvement? ClYes�,/
2. Is any discharge observed from any part of the operation? ❑ Yes [2 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other 1
a. If discharge is observed, was the conveyance man-made? ElYes '14 No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes 0 No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ;dNo
3. Is there evidence of past discharge from any part of the operation? Cl Yes P(No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes A No
5. Does any part of the waste management system (other than lagoons/holding ponds) require Yes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes E�No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes EX No
7/25/97
Continued on back

FacMty Number: s —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagaons,Holdine.Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
Identifier: ............ ........ ....... . ...........
Freeboard (ft): ...............7
....I... ...... ....... .....� ..�.. . ..........................................................................
10. Is seepage observed from any of the structures?
I L' Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenancelimprovement?
(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)
❑ Yes 9�No
❑ Yes RfiNo
Structure 5 Structure 6
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
15. Crop type.....................................................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes ❑ No
17. Does the facility have a lack of adequate acreage for land application?
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 C, ertified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 No.violations•oc deficiencies.were,noted-during this.'AA - You:wi11 receive'-n' 6-ftirtlieir
:.•correspondeticeab"ouftnis:visit::.:,:,.,:..�::. ..: .,: •;:.� �.:�:_:::::.::.;::';:.'::
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [.j�No
;jXvs llrNo
❑ Yes J�No
am en s Cirefer R"hi on Eatglal' ariy YES answe�irs` °and%many recoriamerictatrnns n r y ail�ter ev en s.
::Us Id offnc lity to better' a ptatn situatio (use addifional pages
'S� SSE VE(r� T i �►�
E r �i5�fc� Srti�� T &' �s ,v_ls H &
IS F- 41;-S 1-dP e-V r I 5 74'i51_16,f}4 .
Jr 3 U r 7/25/97
H,
Reviewer/Inspector Name ROW
Reviewer/Inspector Signature: Date: G%
I

RE
[] DSWC An Feedlot Operation Review �ql14M��,�TIM
k�
>, a. b'bWQ Animal Feedlot Operation Site Inspection �}
i
rdf-
Routine O Complaint O Follow-u2 of DWQ inspection O Follow -tip of DSWC review 'O Other
Date -of Inspection
Facility Number S10
f Time of Inspection 24 hr. (hh:mm}
© Registered E Certified 0 Applied for Permit CIPermitted 0 Not Operational 11 Date Last Operated:
Farm Name .
j w ,.r F—r r-Z County: jo NS ......................
..... n..............................................................................................
Owner Name: ........... i'�.��.fG..g.1- ......... ..°.�c.'�;
.....,........,. �................................... Phone No: ..... q�.b.......... �.,T. ..'....Z.?! .......................
... ...........
Facility Contact: .........!."tart Go��a.w ....
................................................................Tilie:............:owNer- Phone No: �11D ..,�1..~,..2�1.?
il4ailing Address ........... U.1 .�: �...... r .i' N......f.�.�� ` ......,..#rC:.............. .....►8 4?6.....
...................................................... Z
Onsite Representative: ....... �.1.a.v-k........6cj 1.t4................................................Integrator: ........... n:i..tnr...hy................................................
Certified Operator . ............ ...., G.itA w .... Operator ator Certification Number;...... ...................................
l 0 r-t Goad w' .J
Location of Farm:
EA..........l..t.` .........UJ04e........"..•............................................................................................................................................................................................
Latitude a 1 64 Longitude • �° �49
Design Current Design Current Design.; Current =
Swine Capacity Population Poultry Capacity Population Cattle Capacity _Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
ff
Feeder to Finish y y El Non -Layer ❑Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total. Design Capacity.
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons/ Holding Ponds ID Subsurface Drains Present
❑ Ls►goon Area
ID Spray Field
❑ No Liquid Waste Management System
„
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
No
2. Is any discharge observed from any part of the operation?
❑ Yes
U lVo
DischarWe origlnatetl at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance. man-made?
❑ Yes
B`1CIo
b, If discharge is obsen:ed, did it reach Surface Water? (11' yes, notify DWQ)
❑ Yes
Imo
c. If discharge is observed, what is the estimated flow in gal/n►in?
cl. Does discharge bypass a lagoon Nystem? (II' Yes, notify DWQ)
❑Yes
ONo
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
o
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
No
mai n tenance/i in pro veme n t?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design'?
❑ Yes
9410
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
FR<o
7/25/97
Continued on back
I

11 �.
Facility Number: rI
8. Are there lagoons or storage ponds on site which need to be properly closed`
Structures (La=oons,Iloldi g Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3
Identifier:
.............................................................................................. .
Freeboardtft): ........3' 0.. ..............................................................................................
..........
10. Is seepage observed from any of the structures?
Structure 4 Structure 5
11. Is erosion, or any other threats to the integrity of any of the structures observed'?
F
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-I2 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
l3. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ............ O�k5j:A]............................................ry.�............. ..........................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application`!
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. yre any additional problems noted which cause noncompliance of the Permit'?
No.violations or. deficiencies were -noted huffing this.' visit. .You.wi11 receive no' ftirtkier
correspondence ah:out this.visit.-
❑ Yes O No
❑ Yes E�_No
Structure 6
...............................
❑ Yes �o
❑ Yes PNo
❑ Yes P o
❑ Yes 2<o
❑ Yes LR"No
.....................................
❑ Yes
0<0
❑ Yes
❑ Yes
ErNo
No
❑ Yes
❑ Yes
[" No
EO Nan
El Yes
19<0
❑ Yes
INNo
❑ Yes
❑ Yes
❑ Yes
No
No
No
7/25/97
Reviewer/InspectorName I��,�1
r �.
G
Reviewer/Inspector Signature: CA111L_ Date:

6,
W.
��� ❑ DSWC Animal Feedlot Operation Review �� ,�'���` %� �` ��
�DWQ Animal Feedlot Operation Site Inspeetion
�:��e`#.. 4 „"�,�� fix. .,..�_....,t.,x�.�1 ,... ..,......,.w,.,:.<.�»,o.,.—....�,..,«..,..w.�:�...,.,...,�.,... :.:.k.....,,,,..H,...:::: :.x-..:.:::.w.,::�..:,...->, ..::.,...d«.>,,:�,.M. U.>a . �•`1?�"��" #:,�. ..' � }2-s ,,., „`"`
lff Routine O Complaint O Follow-up of l)WO inspection O Follow-up of DSWC; review O Other
LDate of Inspection to
Facility Number ! )1 `I
Time of Inspection : Op 24 hr. (hh:mm)
Registered p'Certified [3 Applied for Permit E3 Permitted 3 Not Operational Date Last Operated:
Farm Name:....... .lr e + ►.ti ...... County: , A ws'laj
y...............................................................................................,........,..,...........
Owner Name• tle.,�,e Hl. K�R �� Q l V " d�
......................................:................`x...................� ...................... }hone No: ...��................
Facility Contact: '!......... r��'(y ............... Title: ............. L2 'r^r Phone No: �I d Jay Y -- a6�p 7.
Mailing Address: Wpq - rI - cc.. . ...... .A)C. 8
Onsite Representative.-. ........................... Integrator: ...... tMu.:............................ ...,.......................
Certified Operator;.......^!. ............ ..... rer?�✓"....... 1�. ��... Operator. CertificatiE�n Nunabi.r:.........................................
Location of Farm:
A
....................1..
............................... . .........` •........:.........................,...........................................,...,................................,.,.........,.................................................
Latitude Longitude
Swine
Capacity Population
El We to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow'to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer [] Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW '
Number'of Lagoons / Holding Ponds 0 Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenancehnip rove mGnt?
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 Watcr'? Oryes. notify DWQ)
c. If discharge is observed, what is the estimated flow in -al/min?
d. Does discharge bypass a lagoon system? M-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'?
7/25/97
❑ Yes 2<o
❑ Yes 2To
❑ Yes 21�0
❑ Yes g No
❑ Yes akl�o
❑ Yes [9-N"0
❑ Yes S<o
❑ Yes E3<0
❑ Yes r9<0
❑ Yes EIo
Continued on back

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes L7 <o
Structures (Lagoons.Holding Ponds, Flush_I'its, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes aNU
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: 5; �►t.�c�wS�... Cc2h, i? �...
Freeboard (ft):
10.
Is seepage observed from any of the structures?
❑ Yes
E No
11.
Is erosion, or any other threats to the integrity of any of the structures observed'?
❑ Yes
ErNo
12.
Do any of the structures need maintenance/improvement?
(] Yes
E 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
EJ<o
VVaste
A- Vplication
14.
Is there physical evidence of over application'?
❑ Yes
, ,
Imo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type ............ C� d..c............................ ....:........................................ ............. .:..............................................................
Y
......"..................................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
B<o
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
P N' o
18.
Does the receiving crop need improvement?
❑ Yes
2f0
19.
Is there a lack of available waste application equipment?
❑ Yes
L+IN'O
20.
Does facility require a follow-up visit by same agency?
❑ Yes
_
21.
Did ReviewerAnspector fail to discuss review/inspection with on -site representative?
❑ Yes
t� ,..
l�o
22.
Does record keeping need improvement?
El Yes
I,rvo
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
2<0
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
Yes
ElE
No
25.
Were any additional problems noted which cause noncompliance of the Permit'?
El Yes
��
t� No
No.violations or. deficiencies. were noted during this" visit. - .You:will receive no furtlier
correspondence about this: visit:
Comments; (refer toquestion' #): ;Explain anyry,YES answers and/or any reeommendattonsor aiiy other comanents3
Use drawEngs of faeiliEy to-
a better explain situations (use additional pages as °necessary} 4M
x.��.�v w- �;� . `..
S'o,, a
m., tv�,1r ion! dw �ce�.�
S� � e Ol'
SlAJ�if—
�or6s
7/25/97
Reviewer/inspector Name eLtT'r `es , _ i % f r [ -a
A, &S-i :?,
W �
Reviewer/Inspeetor Signature:
/2,11- �"
Date:
/A) 1 9L—

I
15:26 FROM DEM WATER DUALITY SECTION TO RRO P. 02/02
Site Requires Immediate A Eentior-
Facilitv No. S:
IMENT.
DIVISION OF ENVIRONMENTAL MANAGE
---:-ANIMAL; FEEDLOT OPERATIONS SrM VISITATION RECORD
DATE: (—)a' 1 .-511995
Time:
Fatra Namc/OviatT:'- 'kt 14 R
Mailing Address:
Counry: --- LICAliAl
Integrator: r Phone: V?
-,-On Site Remesentarive: Phone:
ho&jl-e 0.1 Sr
-4-*�',.,:-­�,Physical AddzwsA
-Type of Operation: Swine V Poultry Cattle
Design Capacity: ?ZNumber of.Animals on Site:
DEM Certification Number: ACE— DEM CzririficadonNumber: ACNEW_
- Latitude: Longitude Elevation:' _ Feet
Circle. Yes or No
-DOCS the A.RiMal,Wastc Lagoon have sufficient. freeboard of I Foot + 25 year 24 hour storm event
inches) -,e _ Inches
-"(approximately I.Fooc + 7fyorNn' o Actual Freeboard:
A Was any erosion observed? or No
'--Was any seepage observed from,rbe lagoon(s Yes or,
Is.adequate land available for spray? or No is the .cover crop adequate? or No
Crop(s) being utilized: W$5
Does the facility meet SCS minimuni setback criteria? 200 Feet from Dwellings? 0 or NO
100 Feet -from Wells? or No
.—he animal waste stockpiled within 100 Feet of USES Blue Line Stream?
or(
a;t mal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line. Yes or
animal waste discharged into waters of the state by man-made ditch, flusbingaysmin, or other
;iTnillar man-made de -vices? -Yes or(If Y-cs. Please Explain.
thu racility maintain adequate waste niaaagement records (volumes of ruaLnure, land applied.
spray "gated on specific acreage With cover crop)? Yes or No
Additional Comments: thrr-c Weee
e 5 an 4 e 15- f T[e of 74 .0 1 ..Ocw ev'o;
t oad
uzewr
cc. Faciliry Assessment Unit
111Q
SignacLv�'
Use Attachments if Needed.
TQTPL P. 02

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
MEMORANDUM
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE50URGE5
February 23, 1998
TO: Raleigh Regional Water Quality Supervisor
FROM: Sue Homewood
SUBJECT: Notification of Facility Number Change
The following changes have been made to the Animal Operations Database. Please make
appropriate changes in your files.
Facility number 51-50 and 51-114 were combined under one facility number; 51-50.
Facility number 51-114 was deleted from the animal operations database.
If you have any comments or questions please feel free to call me at [phone] ext 502.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%a post -consumer paper