640006_PERMIT FILE_20171231

4
Type of Visit: P Co lance Inspection U Operation Review U Structure Evaluation Q Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: - -f Arrival Time: Departure Time: �County: Region:
Farm Name: dr- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: it I Gzlyl z- Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Certification Number:
Location of Farm: Latitude: Longitude:
Wean to Finish
La er
V)
I Dai ry Cow
Wean to Feeder
Nan -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
D .i Poult , ,
,Capack
.H .
pop.,
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
—Turkeys
Turkey Poults
Other
Other
{
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 0❑
NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
El YesgNo
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) [] Yes
❑ NA
❑ NE
2. is there evidence of a past discharge from any part of the operation?
[] YesrNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
[] NA
❑ NE
of the State other than from a discharge?
Page I of 3 214,12015 Continued

Faeility Number: IDate of Inspection: Zp
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ZNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes eNo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environments rest, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ONo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buft'ers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 13 0yt S
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? []Yes 0 N ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes V ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes VNo❑ 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?
ID Yes o ❑NA ❑NE
❑ Yes 2 No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[] Yes dN4!(❑
NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YesVNo
❑ 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 ZNo
❑ 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 InspectirNo
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes❑
NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes❑
NA
❑ NE
Page 2 of 3 21412015 Continued

Fici lity Dumber: - jDate of Inspection: --
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes C3 No [:IN A ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yesg>No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes [] No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as requiredby the ❑ Yes [:]No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
0 NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Reviewer/Inspector Name: J
Reviewer/Inspector Signature: �`-
Phone: 9 t+ ( Z zoo
-
Date:
Page 3 of 3 21412015

(Type of Visit: WC 'acre Inspection V Operation Review Q Structure Evaluation O Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: ❑ County: Region:
Farm Name:'I %'� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: % a Title:
Onsite Representative: ( Call I e Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Certification Number:
Latitude: Longitude:
Wean to Finish
I
NJ
I Layer
I
Dairy Cow
Wean to Feeder
I
INon-Layer
I
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Design
Dr, P,oultr, C.a aci
Current
P,o
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Turke s
Turkey Poults
Other
Beef Brood Cow
other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes N P NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes [] NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system`? (If yes, notify DWR) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes L.JyNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [] No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: Date of Inspection:
Waste Collection & Treatment
/
4. Is storage capacity (structural plus storm storage plus heavy rainlall) less than adequate`?
❑ Yes
_ _
I �1Va ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard'?
❑ Yes
❑ NA
V
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): rJ
Observed Freeboard z �7Z 4
(in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental hreat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
PNo ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
ElYes
fa ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
No ❑ NA
❑ NE
maintenance or improvement'?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No NA
❑ NE
maintenance or improvement`?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved
Area
12. Crop Type(s): s6
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑Yes
N ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes❑
ZNo NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
N ❑ NA
❑ NE
I S. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available'?
❑ Yes
❑ NA
gNo
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ NA
❑ NE
the a ro riate box
pp p
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 4No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfer ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facilit Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑YesVNNo
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes �No[]
NA ❑ NE
27, Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
0 No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[] No
[] NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[] No
0 NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explainany YES answers and/or any additional recommendations oriany other comments
Use drawings'offacility to befeir. explain=situations (use additional pages as necessary).:
Reviewer/Inspector Name:
Reviewer/Inspector Signature: is _ (j?�� J
Page 3 of 3
Phone: -2 I r V2 00
Date: 8 ''�� �l '%
21412015

Type of Visit: ,40 Com nee inspection O Operation Review 'Structure Evaluation Q Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: r �?� County:
Farm Name: /� cy t (2- Owner Email:
Owner Name: L4 Q I( Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative
Certified Operator:
Back-up Operator:
Location of Farm:
A-r 60 , e,
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current Design Current
Swine Capacity P. Wet Poultry Capacity Pop.
Wean to Finish JLayer I
Design Current
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -La er
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
Dr. P,oultr. Ca aci P,o
Layers
Non -Dairy
Farrow to Finish
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turke Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ YesgNo❑ 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 i NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes � ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Facili Number: 641 1 Date of Ins ection: - y
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: i9�2_—
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑-Iles No�ONA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 0 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): Q r 1" 2�
13. Soil Type(s): /
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�NoNA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
CZNo ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ❑ NA [] NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ Yes PNo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. []Yes No ❑ NA' ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Weather Code
❑ Rainfall ❑ Stocking[] Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

r
Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes WNo NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes VNo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes•NA❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes [:]No ❑NA ❑NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any.other comments.: ;
Use drawings of facility to better explain situations (use additional pages as necessary). }
Reviewer/Inspector Name:
Phone: '7q / — q 2d v
Reviewer/Inspector Signature: Date:
Page 3 of 3
21412014

Reason for Visit: ORoutine 0 Complaint 0 Follow-up 0 Referral 0
0 Other 0 Denied Access
Date of Visit: I _!�: 9/ -L f 1 Arrival Time: Departure Time: County:
Farm Name: 04 '%�t (--' — Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Phone:
Phone:
Integrator: &!—
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Region:
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle
Finish La er Dai Cow
Feeder Non -La er Dai Calf
Design Current
Capacity Pop.
o Finish
Dai Heifer
o Wean
E
Design Current D Cow
D . P.oultr. Ca aci P,o Non -Dairy
La ers Beef Stocker
o Feeder
o Finish
Non -La ers
Beef Feeder
Pullets
Beef Brood Cow
Turkeys
Other Turkey Pouets
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes �Noo NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes 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) ❑ YesVIV[:1NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters [3 Yes NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

5
Facili Number: - D Date of Inspection: =Z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes JZ No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes o ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): 2-0 Cr
Observed Freeboard (in): (0 0 r(
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental Ofiat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes VNo
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 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 Types): 5�or t k +�- �J'�►^ w� 5 g f f} r Jr
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ON .NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes❑
VNo NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
jNo
❑ NE
18. Is there a tack of properly operating waste application equipment?
❑ Yes
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
jNo
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 1-11
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes eNo ❑ 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
Page 2 of 3 21412014 Continued

Facili Number: &- Date of Inspection: 2 :.S
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? 0 Yes ❑ No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ❑ No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments'(refer=to question #) Explain any;YER="answers and/or. any;additional"«recominendations�or nny other comments , a
Use drawings of facility to better explain situations (use additional pages as necessary).
l K 4►'t/3 �[� r �'! i" r e C"�P
� 3
A-n J ; -�- w' 7 ��� A-h le � 6 e r'lo se_J 'r
Reviewer/Inspector Name:
Reviewer/Inspector Signature: S" 740X l(,/tz. ( �
Page 3 of 3
Phone: %g/ t12oo
Date: . - Z/ — l
21412014

(Type of Visit: 1D CorVffance Inspection V Operation Review Q Structure Evaluation U Technical Assistance I
Reason for Visit: 50 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Arrival Time: Departure Time: County: Region:
Farm Name: � f Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Phone:
Phone:
Integrator:
T t
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design
Swine Capacity
Wean to Finish
C*arrant
Pop.
Design Current
Wet Poultry Capacity Pop.
La er
Design Current
Cattle Capacity Pop.
DairyCow
Wean to Feeder
Nan -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design Current
I)r. P,oultr. Ca aci P,o
Layers
D Cow
Farrow to Feeder
Farrow to Finish
Non -Dairy
Beef Stocker
Gilts
Non -Layers
113eef Feeder
Boars
Pullets
Beef Rrnnd Cow
Other
Other
Turke 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?
❑ Yes ffNo ❑ NA ❑ NE
❑ Yes N ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesFNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

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

Facility Number: C�� Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? El Yes 4� FloNA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o ❑ NA ❑ NE
Other issues
28, Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No [DNA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comtnents (referrto .question #) Explain -any YES answers and/or any additional recommendations: or any other comirients.
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
Phone
] d — ��Date
7�/ r ZO n
712_ Tj I t(
21412011

jType of Visit: '�/O- Com ce Inspection U Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergencv O Other O Denied Access
Date of Visit:
Arrival Time: IQ3t7
Departure Time: County:
Farm Name: _
t cy
F--A P_`,
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Phone:
Integrator:
Certification Number:
Certification Number:
.vocation of Narm: Latitude: Longitude:
Region:
Design Current I Design Current
Swine oultrsy Capacity Pop.
3.
Cattle
Design C►urrent
Capacity Pop.
Wean to Finish
airy Cow
Wean to Feeder
airy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Design Current
Dr, Poultr Ca acit P;o
Dairy Heifer
Dry Cow
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
I
Pullets
Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [3 Yes [] NA [] NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes 11 ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: fo - 0 Date of Inspection - S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): C t'
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA
❑ NE
waste management or closure plan?
t, notify DWQ
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environM]NA
7. Do any of the structures need maintenance or improvement? ❑ Yes NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes
❑ 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
[:3NE
maintenance or improvement? tZ
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes o ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, et .
n PAN ❑ PAN > l0% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): � r "1,, 4 i SMQj
13. Soil Type(s): /
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box
❑ Yes ❑ N ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
[:]Yes No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ NA
gjNo ❑ NA
❑NA ❑NE
No ❑ NA ❑ NE
❑ NE
❑ NE
❑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 o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: Co t - O Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Zr
N ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [] Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes o NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ONE
❑ NA ❑ NE
Comments (refer to question #): Explain, any YES answers and/or any additional recommendations or any, other .;6rniuints. �,.� r �
Use drawings of facility to better explain situations (use additional pages as necessary).
�\) 0 D
11(s 0
s 41 L < n et � -[,-) Gvea (y rr a dy-)-1^ j s
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
R u ,54 e. R- r'a ww.e— I /
Phone: I Il ­ YZ-O D
Date: 1 /s / 3
21412011

Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: pf Arrival Time: Departure Time: County: Region:
Farm Name: ____ &0 W e z j f�77 rr l ,f ate Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: S
Back-up Operator:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = o = 0 i5 Longitude: ❑ o = 1 =
11
Design
wine Capacity
Current
Population
i
._ . ,. _ , , rbeiii',
tt` Design: w"C•urrent Current
R'e pl�try Capra ty PoF atton? Cattle ii Population
❑ Wean to Finish
❑ Wean to Feeder
Ia
00
Dairy Cow
I
Dairy Calf
El Feeder to Finish
Dry Poultry
❑ ha ers
,1
%'. $
'
❑Dai Heifer
❑ Dry Cow
; ❑Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Beef Stocker
❑ Gilts
❑Non -La ers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑Beef Feeder
❑ Boars
❑Beef Brood Cow
Other
t
i
Number of�Structures:'�
❑ Other ❑ Other
I
I
Disc harges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made'?
❑ Yes
❑ NA
;No
El NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes❑
NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
ElFNo
❑NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
❑ NA
❑ NE
other than from a discharge?
12128104 Continued

Facility Number: —p Date of Inspection /3
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
❑ Yes 0 <No❑ NA ❑ NE
❑ Yes �IN6❑ NA ❑ NE
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ONo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ZE1
4 El NA El NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yes NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit'? ❑ Yes ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes o ❑ NA ❑ NE
26. Did the facilityfail to have an actively certified operator in charge? ❑Yeso ❑ NA ❑ NE
P g
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes d ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
f 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
Additio a1�Co nments ifi'd/or
12128104
12128104

Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ NA El NE
a. If yes, is waste level into the structural freeboard? ❑ Yes�'­'O[INA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 10 '
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): t
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 th at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes V
❑ NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes❑ 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 [I NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 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)s r �. k . cJr4 , S n..�, �} 1 r► -_'
13. Soil type(s) 1�
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
❑N El NA El NE
Ld No ❑ NA ❑ NE
F❑ o
❑ ❑NA NE
o NA ❑NE
No ❑ NA ❑ NE
.� k• � ''..a t .k.. '�,
Comments ( ef1 r to,question�#) Explain any.�YES answers;and/or anytrecomm�endptIans or any, other comments.
Use drawingsafactliltyto better explain�sifuations' ,(useaddttional pagesAMVIW
as�necessar>y).
ReviewerA nspecto r Name
Reviewer/Inspector Signature: G
x
�a; z .n ,X, .
TRW Z//
Phone:
Date:
12128104
Continued

of Visit Q Cogiptiance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
u ni i u ■ ■rrrirlYYri 11 un
F cility Number a Date of Visit: !7 G Time: U
Q Not O erational Q Below Threshold
ermitted ©jCe�rttified 0/ Conditionally Certified 0 Registered Date Last Operated or Above
vee Threshold: .........................
FarmName: .....L.�t uf. 1.........,Ld✓..!'f 5............................................................ County:.......�� /'.4.....................................................
OwnerName: ..................................... .............
MailingAddress: ....................................................................................................
Facility Contact:
Title:
Onsite Representative:...........................................................................................................
Certified Operator:......��/.......1............................. ......................
Location of Farm:
Phone No:
Phone No:
Integrator:......................................................................................
Operator Certification Number:
❑ Swine ❑ poultry ❑ Cattle ❑ Morse Latitude • 4 �4 Longitude • ' "
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 gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier- /� v
❑ Yes
❑ Yes!J tvo
❑ Yes
❑ Yes R<0
❑ Yes
t
❑ Yes No
❑ Yes o {i
Structure 6
....a ......-- ........... ........,... s....................I................................................................ ................................... ................... I ...... I........
Freeboard (inches): h �_
12112103 Continued

Facilhy Number:
Date of Inspection /� p
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?
S. 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? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type &j P' A-n do -.i
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?
Odor 15sues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
A;. r1„ 1;", ,.e...e.e., r.,r;.,e
❑ Yes
❑ Yes ;�O�
[:]Yes No
❑ Yes;;o
o
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes f>No
❑ Yes
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes o
❑ Yes o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [:]No
C .I N: •!L fi :a':" Nth' kN r:.:L` ;h1;4 bA iC X :r '4.;`'"z ^In EhL KrtcG at it ..,f l,ktr .§ „ Limit, ; RitFr ,d„ U:-0.'W"'IAT 33.:--'� �' iu€ pr p �ii,
.Comments`y(refer, to, uestEon'#):gjEk' Wifi°atty,YES answers andlar ai y:recam:ner�dalfaons ar a y;other.commen �1,;e p . �€ jj , e rt: :;;;
f 3 !! p. %•;....,:<;r.: ..,.<< r xs»ara, s, a„e, a yrr< e. :.ro.a rweer.. rx� i .s.s, :::,..uslr, i.,r: .,.itEl�;,�.8,.,t:?i{ !. as€ r< C�€ 3 --�! 3i.
i , t ] t [ ,e: i ift `6N+i{ P.@ 8i t; VI M e �8B i �3€i € i i €d3 i x.Pe. k:.... I < 'El t € €}3
t
Use drawings 'of,mci ityltoiiietter,explwn srtuauons' {ase additional pages as' necessat gy ❑ Field Copy inal Notes
'!, _ tii# ? I i a •f - i., N x u ,ff 4 a {c H+ p {pF uy
r., . 16 r . ....,r '." �:, a_f,.:: �4' %'L ` eS '�la S� i "9°d }: ,. �Ai..rt, °:'14."a?.'Tir >' ?N.t17x i?,1 � 9i#"1i (t'?'I'.:L� er;' :i�- �i�•z.!-":` ,� I't ±fir= "s• a `,
f
-.}!:� �z✓Z}A.9 i ��/J,yji.�� i77 s°� € y,
Reviewer/Inspector N
�
Reviewer/Inspector Signature: !F Date:
12112103 Continued

i
Facility Number: .. D
Date of Inspection j
Rc uired Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Oe/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After I" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes
❑ Yes 0
❑ Yes No
❑ Yes CrN
❑ Yes No
ElYes
ElYes No
El Yes
El Yes o
�Yes❑ No
ElYes
❑ Yes o
❑ Yes
❑ Yes o
❑ Yes o
12112103

t
Number Date of Visit: Time: L.L.-
Fa '
'ItNotODerational 0 Below Threshold
Permitted 0 Certified O Conditionally Certified [3Registered Date Last Operated or Above Threshold:
Farm Name: o' S j.-_- - County:
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator: D t /�6I-e-i -C
Location of Farm:
Title:
Phone No:
Phone No:
Integrator:..;rr1-r�c/P_ /
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 06 0" Longitude • O1 •.
Design Current
Swine Capacity Po ulatioi
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number o1`Lago ns
�` Design Current Design Current
PoyCa Capacity Population Po ulation Cattle Capacity Population
La er EON!,on-Dairy
Dairy
❑ Nan -La er
❑ Other
Total Design Capacity
Total SSLW
IL I Subsurface Drains Present BUJ Lagoon Area U Spray Field Area
❑ No Liquid Waste Management System s
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
a t Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure S
Identifier: _
Frceboard (inches): S
05103101
❑ Yes 0 No
❑ Yes No
❑ Yes No
❑ Yes ZN
❑ Yes
❑ Yes No
❑ Yes o
Structure b
Continued

r
Facility Number; a — d Date of Inspection 'f D
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes o
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?. ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes o
Waste plication
10. Are there any buffers that need maintenance/improvement? El Yes o
11. Is there evidence of over application? ElExcessive Ponding ❑ PAN ❑ Hydraulic Overload ElYes
12. Crop type V JSJ { A' I . < — 9 V )W, 4- .s
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (iel 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?
❑ Yes �No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes El NNoo
❑ Yes I,GN0
❑ Yes ,�1Vo
El Yes 1d'IVo
El Yes iQN0
❑ Yes VrV1
El Yes
El Yes
❑ Yes No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. / I
yourP x=..::. ❑FieldCopy ld tie 0Q14r's' plainaituations. {use add�ttonal_ pages as necessary) x> f- inal Notes
Use drawin s of facili to better+ex
d C.p-,s� . ��� r�g4* rL6'V' Jr' �r�� h- � fc cam.. � 4-C .
Reviewer/Inspector Name „: r
Reviewer/Inspector Signature: Date:
05103101 Continued

Factli umber b Date of Inspection 2v�
Time of Inspection s'p p 24 hr. (hh:mm)
ermitted © Certified /E3 Conditionally Certified [3Registered JE3 Not Operational I Date Last Operated:
Farm Name: [:,0.X/Zr 6?g-rz.......... County:... AJ'1........................................................
..........................
y
Owner Name: lam.(...... `i /r..r. Phone No:.... Z S�.Z... y ....� Y7 S../..........................
Facility Contact: ..........'``.'............................................. Title:............................ Phone No:
.......................................................................................
43
MailingAddress:.. .0...............`.......1...`....rc..............'� ......� /G..............v..`............................................. I.......................................... ..........................
I `' � f
Onsite Representative: C1......�/!".� -r .. Integrator:...1�..L......'¢°!t..'................................................................................. ...... ...
Certified Operator:........................................................... Operator Certification Number:... .......................................
Location of Farm:
........................................................................................................................................................................................................................................................
Latitude 0 ' " Longitude
Destgn Current Destgn Cure
elation £ PoultrY> . Ca" ai it , Populai
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
jff:Eayer p
❑ Non -Layer
q ❑-Other
Dischartees & Stream Impacts
1. 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 0
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) El Yes
c. If discharge is observed, what is the estimated Flow in gal/min?
d. Dees discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes 01�io
2. Is there evidence of past discharge from any part of the operation? ❑ Yesr-No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes o
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure
Identifier:
Freeboard (inches): ........................ t oZ C� /i
....I .............................................. ...............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ yes No
seepage, etc.)
3/23/99 Continued on back

..
Facility Number.& Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type riR_ r r w 19, S" M d , -j
UP IF
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?
t8. 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 facilityequire a follow-up visit by same agency?
25. W� y additional problems noted which cause noncompliance of the Certified AWMP?
�: �'�i� •Yiol��it�n�s:o� dirfc�eucies •vt�re pQte�1• �iH:t�g ���s:v�s�t; • :Y:oi� wi1�•>ree�iye �o fu4-thgr • "
corresPoridence: about this :visit: .................................... .
❑ Yes
❑ Yes o
❑ Yes Vo
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes [31�0
❑ Yes ;�o
❑ Yes i~d'� o
❑ Yes No
❑ Yes UKj'
❑Yes bNo
❑ Yes
❑ Yes ii
❑ Yes
❑ Yes No
❑ Yes o
❑ Yes No
❑ Yes
❑ Yes 5No
❑ Yes
Reviewer/Inspector Name
Reviewer/Inspector Signature: /���, 7_.-,-_y7,-„P��r Date:

acility Number: — r7 Date of .inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes M,VOz
❑ Yes No
❑ Yes o
❑ Yes o

acility Number: — I Date of inspection �J
Printed on: 4/24/2000
1 Q yjolatigns'oi* deficieneies* -'( e'nMed ii ri#tg•fl��s vi5i(.• yeii'Will. teeoiy�-�q �tl -r
..6irespondenice about this.visit.... .
❑ Field Notes ❑ Final Copy 6 c _ c G
r y i t� .- s �v x'f�„ r: �
Reviewer/Inspector Name � Y ?� "' _
,.
Reviewer/Inspector Signature: Date:

1vlsion'of Water Quality, `s�i itli
Q Division of Soil and-WaterCon'servation
QAgency.
_. �
•. .. 'Other Agencyy :
. i
Type of Visit Com nce Inspection O Operation Review O Lagoon Evaluation
Reason for Visl" Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
ber 4
Dale of Visit: I
tacit' um
P41
ermitted 0 Certified /13 Conditionally Certified © Registered
Farm Name: .. f.Qr:� 1. (. rY/ S 17)11z-.41 . ...................
Owner Name: ............................
Facility Contact: ...................
Mailing Address: .......................................
I irne: j7_dj Printed an: 10/26/2000
Q Not Operational Q Below Threshold
Date Last Operated or Above Threshold: .........................
County:.....................................................................................
........................................................................ Phone No:.......................................................................................
...Title:................................................................ Phone No:...................................................
OnsiteRepresentative:.�%............................./...................................................................
Certified Operator ......... !�h .............................. < s
Location of Farm:
.................................................................................. ..........................
Integrator: .... ............./f?i
......................................................
Operator Certification Number: ..........................................
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 ° 46 Longitude 0 1 «
Design Current
Swine Canacitv Panulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poul Capacity_Population Cattle Capacity Population
Layer 140 ❑ Dairy
❑ Non -Layer 10 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
L
Number of Lagoons ❑ Subsurface Drains Present ❑ t.,agoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. 11' discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. II' discharge is observed, what is the estimated flow in gal/rain?
(i. Does discharge bypass a lagoon system? (If yes, notify I)WQ)
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
StRICturc I f� Structure j Structure 3 Structure 4 Structure 5
/� r
lclentificr: �. 1.......................................................................................................................
Freeboard (inches):
5100
❑ Yes J.1"'
❑ Yes .fib
[]Yes o
❑ Yes P'No
❑ Yes 4I ""'
❑ Yes ❑l."o
[]Yes, ❑ No
Structure 6�/
................................... i r
Continued on back

iF'acilit:'Number: —fj Date of Inspection / Printed on: 10/26/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ,'No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes No
{If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
❑ Yes P40
❑ Yes o
❑ Yes o
❑ Yes .0.
❑ Yes JGTNo
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require main ten ancelimprovement?
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
/, i
12. Crop type �5�/.
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? 11
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
yiola�igris;oi- d fciencies vv re noted daring this;visit!• Y;oo Wiil•>�-eoeiye lid ruffte ;
correspondence. a out this visit..... • .
❑ Yes r-N
El Yes
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 10
❑ Yes
es ❑ No
❑ Yes ❑ No
❑ Yes
❑ Yes ld��o
El Yes No
❑ Yes U<0
❑ Yes '""
❑ Yes )�No
"0
❑ Yes
Comments {refer tn;quest<on #} ;;Explaru any YES answers andlor any recamn endations or any other coirtme
f .. 3 -�.. . 'r i,
Use drawing of I ad i to better explain situations. (use additional pages as necessary} ,f .
t3
aJ3
Reviewer/Inspector Name
Reviewer/Inspector Signature:
WMAN" !1

Facility Number: — Q Date of Inspection „/� Printed on: 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
J2<o ,
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
a
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)
ZO,/
29, Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
N
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?
Additional Uomments andlor Drawings: , P
❑ Yes ❑
AL
5100

e - -': •
Type of Visit {Comp' ce 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 Date of Visit: Time:2E�2 Printed on: 7/21/200C
O Not O erational O Below Threshold
13 Permitted Certified O Conditionally Certified D Registered Date Last Operated or Above Threshold: ..................
Farm Name: 1..... %���4-c J........ f `.`�Z� ...................................... County: .............................................................. ...................
OwnerName: .......................... Phone No:.......................................... ..-
FacilityContact: .............................................................................. Title:....................................................... Phone No:
MailingAddress..............................................................................
Onsite Representative:........................................................................ ........
Certified Operator:n
Location of Farm:
Integrator:........... ................... .....
Operator Certiiicration Number
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • ° 64 Longitude 0 t
Design Current Design Current Design Current
Swine Capacity Population Poul Capacity Population Cattle Capacity Population
❑ Wean to Feeder Layer 116, ❑ hairy
❑ Feeder to Finish ❑ Non -Layer CYNon-Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons 10 Subsurface Drains Present ❑ Lagnmn Area 10 Spray Field Area
Holding Ponds / Solid Traps 10 No Liquid Waste Management System
Discharccs & Stream Impact~
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. II'discharge is observed, was the conveyance man-made?
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
❑ Yes �l
❑ Yes
❑ Yes
c. Ii' discharge is observed. what is the estimated [low in gal/min'?
d. Does'discharge bypass a lagoon system'? (If yes, notify IIWQ) ❑ Yes
2. Is there evidence of past discharge from any part of the operation? ❑ Yes
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Slrutiturc I 511'uClurc; 2 Slru4lurc
I�
ldcntitier : ............ I.fut..:'......... .............. .....................................
❑ Spillway ❑ Yes
Structure 4 Structure 5 Structure
Frccbnard (inc:hcs):

Facility Number:,/, — Date of Inspection_ Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ YesUN-0seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes o
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? 94es ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes o
9- Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste ApRilication
10. Are there any buffers that need maintenance/improvement? ❑ Yes
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes o
12. Crop type
13. Do the receiving crops differ with Ls'
designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ON
14. a) Does the facility lack adequate acreage for land application? ❑ Yes
b) Does the facility need a wettable acre determination? ❑ Yes
c) Ibis facility is pended for a wettable acre determination? ❑ Yes t
15. Does the receiving crop need improvement? ❑ Yes N
16. is there a lack of adequate waste application equipment? ❑ Yes No
Required Records & Document_%
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes 004
1.8. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes
19. Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes
20. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes
24. Does facility require a follow-up visit by same agency? ❑ Yes N
25. -Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
o •yiQlaitgos'ol• dgf eiettc;es Wf!re itafed- dtrritng �hls'visit: - :Y;oit will •ireeeiye 06 CU ... . .
- cories' oriderr ' e' about: this :visit: : ' '
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
m k S ILA ' ]ems -. �� n .,e e � � � � �-1 �., � �- � v r •
Review er/lnspector Name
Reviewerllnspector Signature: Date: s/Ofl

' Uiuisiiin of Water Quality
Facility Number - ® Division of Sail and Water Conservation
DQ ©ther Agenncy
type of visit: oCompliance 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: 110,-'24,1111 Arrival Time: /G = Departure Time: / _' C County: y"-r4/ Region:
Farm Name: A I t d//Y Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Design Current
Capacity Pop.
Design Current
Wct Poultry Capacity Pop.
Layer
Design Current
Cattle Capacity Poon
p.
Dai Cow
Wean to Feeder
Non -La er
Design Current
Dr, P■oultr, C•_a acit P■o
Dai Calf
Feeder to Finish
Farrow to Wean
airy Heifer
D Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turke Poults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes �No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes J ' o
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes J[3"�o
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes E No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes Jallo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes �o
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
E No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
jD"NVo
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 112-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
2�`No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
�' o
❑ 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
�' o
❑ NA
❑ NE
S. Do any orthe structures lack adequate markers as required by the permit?
❑ Yes
�rNo
❑ 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
ZNo
❑ NA
❑ NE
maintenance or improvement'?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
E3"No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate
Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved
Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes P40 ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ONo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ZNo ❑ NA ❑ NE
acres determination?
t7. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes ID'No ❑ NA ❑ NE
❑ Yes 2rNo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
;2`&o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
�'No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis.
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l" 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 21412011 Continued

Facilfi Number: - Date of Inspection: /O 2//
424. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes LErl Io ❑ 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 PNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes '[ 1` o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30, Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/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 P3'& ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes 2!rNo ❑ NA ❑ NE
❑ Yes FZTNo ❑ NA ❑ NE
❑ Yes
ZrNo
❑ NA
❑ NE
❑ Yes
[2 No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional, recomrtiendattions or a.ny other comments'!_' ,
Use drawings.of facility to better explain situations (use addition as necessar}): t
M
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
21412011

Type of Visit R(Compliance Inspection 0 Operation Review Q Structure Evaluation 0 Technical Assistance
Reason for Visit )a Routine O Complaint O Follow up O Referral Q Emergency O Other ❑ Denied Access
Date of Visit: 3 rrh iC� Arrival Time:: Departure Time: County., ��� Region:
Farm Name: L[_7yiC' �� pfwr�s f °-/&e Furl` Owner Email:
Owner Name: �o�ve�! Arri`f 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: = = = Longitude: = o = ' =
Design C a ge wtj Design .11gent Design C►urrent
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑ Layer ❑ DairyCow
❑ Wean to Feeder
❑ Non -Layer
❑ DairyCalf
❑ Feeder to Finish
❑ DairyHeifer
❑ Farrow to Wean
Dry Poultry ❑ D Cow
❑ Non -Dairy
❑ Layers
El Beef Stocker
El❑Gilts El Non -Lay ers
Pullets ❑ Beef Feeder
❑ Beef Brood Cow
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Boars
El Turkeys
❑ Turkey Poults
❑ Other
Number of Structures:
(Other
❑ 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 ONo ❑ NA ❑ NE
❑ Yes
O'No
❑ NA
❑ NE
❑ Yes
2No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
ZNo
❑ Yes
;'%o
❑ NA
❑ NE
❑ Yes
ZNo
❑ NA
❑ NE
Page I of 3 12128104 Continued

Facility Number: ("Y — Date of Inspection
aste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �2Mo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes eNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .L. f
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ;2 o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes 2rNo ❑ 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 2rNo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Zo ❑ 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 9No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes 0-No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metais (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
RNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
120'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
0" No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
;rNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
Ko
❑ NA
❑ NE
to,questton#) �ExplaynlanyYESanswer;
Reviewer/inspector Name Phone �fy� LGc
Reviewer/inspector Signature: f Date: 3 /0?"—/G
Page 2 of 3 12128104 Continued

Facility Number: 6-,LY — G Date of Inspection 7 lrJ
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 appropriate box. ❑ WUP ❑ Checklists ❑ Maps Other
❑ Design p ❑
❑ Yes 12'No ❑ NA ❑ NE
❑ Yes 0"No ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification .
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
rJ No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ONo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
Q-fgo
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
JCR'l�io
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ONo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
Plo
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes )nNo ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ZNo
❑ 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
ONo
❑ 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
�TNo
❑ 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
ONo
❑ NA
❑ NE
Additional Comments and/or Drawingsq � r � ; ,; '; ;a � �r � a 4�� � „ � t � � a, , al _
Now
Ak
Page 3 of 3 12128104

•r"
Type of Visit .compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit .Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
/
Date of Visit: /Y�IG Arrival Time: /d "Lii Departure Time: County: eS{ Region: �[
Farm Name I� LCL.'0// &"y', Owner Email:
Owner Name: A � Cc//,,P Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Title: Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = 0 = 4 = « Longitude: = o =, 0 {1
Design Current Design : C*urgentIIIID
Swine Cap i Population Wet Poultry Capacity Population
esign Current
Cattle Capacity Population
❑ an to Finish
❑ La er
❑ Dairy Cow
❑ an to Feeder
❑Non -La er
❑ Dai Calf
❑ Feeder to Finish
Dray Poultry
❑ Dairy Heifer
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Dry Cow
❑ Non -Dairy
❑ Layers
❑ Non -Layers
❑ Farrow to Finish
❑ Beef Stocker
❑ Gilts
El Beef Feeder
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
❑ Boars
❑ Beef Brood Cow
Other
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
JZ 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
�2No
❑ 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
P�4o
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
gNo
❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104
Continued

Facility Number: Or — ( Date of Inspection
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 .0 No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �f Z
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Z­No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.) ,�
6. Are there structures on -site which are not properly addressed and/or managed El Yes )E No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes E No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 43'110 ❑ 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 Ai mlication
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 Fz o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[]PAN ❑ PAN > 10% or l O lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
.0'No
[2 f�o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
P-IVo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
ONNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
9No
❑ NA
❑ NE
Yz 3 7
Reviewer/Inspector Name ;�G�y - o ° `'f; �' p4 Phone:
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

r Facility Number: t( — Date of Inspection %2
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes P'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 El Maps El 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 ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22,
Did the facility fail to install and maintain a rain gauge'?
❑ Yes
JfjNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
F,�_-rNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
[2'No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit'?
❑ Yes
ErNo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ZNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
ONo
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
0 No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
9No
❑ NA
❑ NE
and report the mortality rates that were higher than normal'?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
ZNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
P 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
21 No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
4No
❑ NA
❑ NE
Additional Comtnents and/or Drawings:, t ;:
Page 3 of 3 12128104

Type of Visit Q Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit P Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other/ ❑ Denied Access
�
Date of Visit: 3` 16-G I I Arrival Time: Il p Departure Time: I G County: �GSh Region: G
Farm Name: It 1�617 P-1111-V Owner Email:
Owner Name:
Mailing Address:
Physical Address: _
Facility Contact:
Onsite Representative:
Certified Operator: _
Back-up Operator: _
Phone:
Title: Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: 0 0 0 6 = Longitude: 0 ° =
Design Current
Design
Current Design
C►urrent
Swine
Capacity Population
Wet Poultry Capacity
Population C►attle Capacity
!� ❑ DairyCow.
Population
❑ Wean to Finish
❑ La er
❑ Wcan to Feeder
❑Non -La er
❑ Dai Calf
❑ Feeder to Finish
❑ DairyHeifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
❑ Non -Dairy
❑ Farrow to Feeder
❑ Farrow to Finish
❑ La ers
❑ Beef Stocker
Gilts
rs
❑ Beef Feeder
EBoars
❑Pullets
❑ Beef Brood Cow
❑ Turke s
(911
❑ Other
❑ Turkey Points
El Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
O No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
�lo
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
❑ Yes
O'�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
eNo
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
eNo
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
Z No
❑ NA
❑ NE
other than from a discharge?
Page 1 of 3
12128104
Continuer!

Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes 0
'No ❑ NA ❑ NE
❑ Yes JE No ❑ NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes CI -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 Ej"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 RrNo ❑ 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 ETNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ON o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ,'No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 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
ON
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ETNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
El No
❑ NA
[__1 NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
EJ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
ON
❑ NA
❑ NE
Reviewer/Inspector Name I Z'Cn rJ Phone:
Reviewer/]nspector Signature: Date:
Page 2 of 3 12128104 Continued

y Facility Number: 6""Y — �' Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes �3No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes Z'No ❑ NA ❑ NE
the appropiiate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
ONo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I"
Rain Inspections
El
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
�I lvo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ONo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
ato
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
,'No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge'?
❑ Yes
[;�No
/[�Xo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes .❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
PNo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
Z 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
46No
❑ 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
e
El NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes�Zo
❑ NA
❑ NE
AdditipualComrnent$and/orDrawmgs,� )t,=:r ,� �3 , +
A
Page 3 of 3 12128104

spa,(*
Type of Visit 4 Compl' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 12Wbud Arrival Time: Departure Time: County:
11
Farm Name: h o to e i ( t 4*w is Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: I Title:
L�T7 Onsite Representative: LJ 2 I Z&e' L.E
Certified Operator:
Back-up Operator:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: [= o = I = Longitude: [= ° =' = id
Design Current
Swine Capacity Pnpulation
Design Current
Wet Poultry Capacity Population
Design C►urrent
Cattle C•apactty Population
❑ Wean to Finish
❑ Layer
❑ DairyCow
❑ Wean to Feeder110
Non -Layer
❑ DairyCalf
❑ Feeder to Finish
❑ DairyHeifer
❑ Farrow to Wean Dry Poultry
❑ Farrow to Feeder
❑ Farrow to Finish ❑ Layers
Gilts ❑ Non -Layers
❑ Pullets
Boars
FE3+
❑ Turkeys
Other ❑ Turkey Poults
❑ Other ❑ Other
❑ D Cow
ElNon-Dairy
❑ Beef Stocker
❑ Beef Feeder
El Beef Brood Cow
Number of Structures:
Discharp_es & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
N NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
No ❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104 Continued

Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No A ElNE
a. If yes, is waste level into the structural freeboard'? ❑ Yes o ❑ 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 No NA ElNE
(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 orquestions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat tfy DWO
7. Do any of the structures need maintenance or improvement? ❑ Yes L.d'No ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes o ❑ 7NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need Ely es No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes —[:,-td0 1 NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) �i[ '% ! i 5 Aq ai Y44 r 17 J
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ONo NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
o NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
'NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
PV l7 fit j 0li
Reviewer/Inspector Name Phone: '7!/-yZC) D
Reviewer/Inspector Signature: Lc. Qi Date:
Page 2 of 3 12128104 Continued

• . .
Facility Number: rp — p Date of Inspection 1
Required Records & Documents
19, Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes -NA El NE
20, Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ Yes:N�o ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l" Rain Inspections ❑ Weather Code
22.
23.
Did the facility fail to install and maintain a rain gauge?
If did facility fail install
❑ Yes
No ❑ NA
❑ NE
selected, the to and maintain rainbreakers on irrigation equipment?
El Ye
Vo NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
Yes
NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes
NA
io
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ NA
El NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
-1NNA
2o
l_I
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional:Comments and/or Drawings: +�:
�( ! �r
.GC G � LLcJ '0q S L Gr `'t� SG� ✓�y
1
Page 3 of 3 12128104

Division of Water Quality �' t i O 7
Fad ity Number 0 Division of Soil and Water Conservation
0 Other Agency
F
of Visit Co lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
on for Vis out
0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 0 Arrival Time: ®!�. Departure Time: County:
Farm Name: �U r✓ 0 t I f4`t rr;s' I - I- / !g F1q en— Owner Email:
Owner Name: Phone: _
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative:
- `/ Integrator:
Certified Operator:1( fill . �'r, G-S _ Operator Certification Number:
Back-up Operator:
Location of Farm:
ij
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Other
❑ Other
Back-up Certification Number:
Region:
Latitude: = c ❑ 6 ❑ Longitude: ❑ o = 6 = 41
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
_ ❑ La er
❑ Non-Layet
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures: El
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 [TNo NA ❑ NE
❑ Yes ElNA ❑ NE
❑ Yes/No❑NA ❑ NE
❑ Yes LIXONA ❑ NE
❑ Yes No ❑ NA ❑ NE ;
❑ Yes ❑ No ❑ NA ❑ NE
t
12128104 Continued
11.

Facility Number: Q C Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): l� i
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes N NA ❑ NE
Cl Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes 2rNo NA ❑ NE
❑ Yes o ❑ NA ElNE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes o NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes /No
NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application`? If yes, check the appropriate box below. ❑ YesNA [I 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 Drifl ❑ Application Outside of Area
12. Crop type(s) -49, S'A-4 'tom'
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
lZ No NA
El NE
15. Does the receiving crop and/or land application site need improvement`?
El Yes
o NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
o NA
El NE
17. Does the facility lack adequate acreage for land application?
El Yes
o ❑ NA
El NE
18. Is there a lack of properly operating waste application equipment?
El
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: ?ip (]
Reviewer/Inspector Signature: Date: ?y► D
12128104 Continued

-r
Facility Dumber: — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes o ' NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes:No
NA El NE
the appropirate box. El El Checklists
El Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑Yes ❑ NA El
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes FNo
NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ElNA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes
NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? El Yes NA ❑ NE
Other issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (iel 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
nal Comments and/or Drawings:
12128104

Gr6ivision of Water Quality �(0
Faci4ty NUmber 0 Division of Soil and Water Conservation
6 - '0 Other Agency'':
Type of Visit 0 Com ce Inspection O Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit.- Routine Q Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: I b�l hS�OG� I Arrival) Time: ® Departure Time: County:
Farm Name: Lh i-f r r/i [ ram+ s Owner Email:
Owner Name: _,
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: L-
Certified Operator: L-p uc
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Region:
Operator Certification Number:
Back-up Certification Number:
Latitude: [= 0 0 6 Longitude: 0 o 0,
Design Current
Swine= Capacity Population 1 e ltr3
>.a
❑ Wean to Finish La er
❑ Wean to Feeder ILI Non -Layer
❑ Feeder to Finish
❑ Farrow to Wean Dry Poultry
❑ Farrow to Feeder
] Farrow to Finish
] Gilts
] Boars H
Other
P
Design Current4
'Capacity Population
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cowl
I
Number of Structures
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes [ffNo ❑ NA
❑ NE
❑ Yes N ❑ NA
❑ NE
❑ Yes No NA
❑ NE
❑ Yes NA
❑ NE
NA
ElYesrNo
El NE
El Yes NA
❑ NE
12128104 Continued
•..

FAcility *umber: —04 Date of inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ALI
i
❑ Yes , No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ZfNo 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 thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes N NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs El 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 ❑4No
NA El NE
16. Did the facility tail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes No A ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
';Comments (refer to question #): Explain any YES�_answers and/or any recommendations orany,-'other.,comments.
'U§e drawings of facility to better explain situations.4use additional pages as n&essa"ry):
Reviewer/Inspector Name Phone: _ 2'W--PZ-L;'7
Reviewer/Inspector Signature: Date: d
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 ,6o./jE3NAN❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes No NA ❑ NE
the appropriate box. El W­Up ElChecklists ❑ Design El Maps El 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 ❑ 'ather 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 PNAI
NA El NE
24. Did the facility fail to calibrate waste application equipment as required by the permit'? El YesNA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? El Yes
NA El NE
26. Did the facility fail to have an actively certified operator in charge? El Yes NA El
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? El Yes NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or. Drawings:
AL
H,
Page 3 of 3 12128104

t.F' E Division of Soil and Water Conservation Oper.►fion Review i, i 2 �_
ii 4 �D1V O SoII 1nd;Water Conservation CORlphanCC Inspection E ` f el s r I'
€ md i� III SP E t 3 9 z� f
_ iAslon of Water Qllaltty 'Copllanc Jnspection
€ i
Otl1CC Age c}( OpL'rat1011, eVleW i, s i ,
Routine 0 Cam laint Q Follow-u of l)W ins ection O Follo►+•-u r of DSWC review Q Other
Facility Nuinber Bate of Inspection j
'Fimc of Inspection I lj—bo24 hr. (hh:mm)
[3Permitted Certified A[3 Conditionally Certified © Registered [3Not O erational Date Last Operated:
Farm Name: .'....( .P� �"?���'-- County i S ...................................................
....................... i��1.. %/........
Owner Name, ..................... Z
Phone Nu:
...........................................................I............................. ��...........................��,�7..........u7 S�C.........
Facility Contact: ... •B, C. ��,¢y—ri S 1'itic: Phone No ....................................................
.......................... ............................
Mailing Address: ... :2.......... i? D.X... /x.y...........�.Tit...... ......... 1'�.��r....1�............................................. ..........................
Onsltc Representative: 4-:4 r ..[�.,F-f,rr....,�....... ....... Intel;ralor:..�C�%..� �+.!1..-Qr-
I..
Certified Operator:.,.,,,,, .....
' L rr,'Li. ............................... Operator Certification Number:..........................................
..........................................
Location of Farm:
_._...
Latitude F-7-F—�a 7-7Longitude i ]. I —7, 1
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
try Capacity Population Cattle Capacity Population
Layer «A D00 ❑Dairy
Non -Layer ❑Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds 1 Solid Traps ❑ No Liquid Waste Management System
Dischart!es & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
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 Waters ❑ Waters of the State
c. ll' discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon syslcni?
2. Is there evidence of past discharge from any part of theoperation?
3. Were there any adverse impacts'to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes 6 No f
i
❑ Yes o
❑ Yes 5� o
❑ YesWN
❑ Yes
❑ Yes No /
❑ Yes )j No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): �� tt i �I d L1
1/6/99 Continued on back

Fa Date Nbmber: — 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'?
S. 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 top of dike, maximum and minimum
liquid level elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes o
Yes
❑
o
❑ Yes
❑ YesONo
❑ Yes
No
❑ Yes
No
11. Is there evidence of over application? ❑ Ponding ❑ Nitrogen ❑ Yes o
12. Crop type ........................................... ..........................................................................................................I...........
13. Do the receiving crops differ w{ith those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
14. Does the facility lack wettable acreage for land application? (footprint) ❑ Yes Io
15. Does the receiving crop need improvement`? ElYes No
16. Is there a lack of adequate waste application equipment? ❑ Yes
Rectuired
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
ZrNo
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑Yes
No
19.
Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
No
20.
21.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
Did facility fail have in
El Yes
Yes
No
No
the to a certified operator responsible charge?
❑
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ disch�freeboad proh[ems, over application}
❑Yes
o
23.
Did Revir fail to discuss review/inspection with on -site representative?
El Yes
24.
Do acility require a follow-up visit by same a�,ency7
❑ Yes
o
� YNo.viodattons •or clef ciencies .were noted daring .this.visit:. Y•ou -.vtll:reueive nor further . . .
e6rresp6cidehee' about; this visit.: ::: :..::::.: ::: .. ....... .. .. . :
1 /6/99

lr - 1�111 -
YOy
Brivm1sion
on of Soil and Water Conservation ❑ Other Agency
of Water Quality
Itlioutine O Complaint O Folio %v-up of DIVO inspection O Hollow -up of DMVC review O Other I
Date of Inspection �V�
Facility Humber d -
Time of inspection 24 hr. (hh.mm)
13 Registered Certified © Applied for Permit 13 Permitted Not O erational Date Last Operated:.........
Farm Name:... 9...... . ......,.� i.r r r S Pb.!. ..7/Z.`{. I i,E%+ County:...N�................................ .......................
/L_ G�}I
Owner Namc: � .�1� G..T ram, 1 .. PhoneNo:..:..T,......5' .-- .%..,,*/4 _ 4
Facility Contact: tail r YY•s i✓ ..........................................,...............................
.....�........................... .........................,. Title:.,....,............................... Phone No:
Mailing Address: iaF ...Q..... a,X. C.%...,`......5
.............. ... I......... ....................................... ............................ ..........................
! r.
Onsite Representative:. !�.o..W..L,.......l�f..`...�.................................... Integrator (9 ........ �J..........................................
Certified Operator;::...+�'�. !'+'' 1' . Operator Certification Number, ..................
Location of Farm: 7 12 / 4, % V
........................................................................................ .................... ................ .......... ......... .................................................................. .........................................................
, -
Latitude Longitude �• �� �"
°y Destgti Current> a
� Des ; Current . , Des n Current,
Capacity': Popula on°
Poul
;::
Capacity Papulat�ony Cattle Capacity I?kopu anon,
,Somme"
;;
t`
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Layer O G ❑ Dairy
❑ Non Layer ❑Non -Dairy
�. v ,
El Farrow to Feeder
❑Other
Nw
❑ Farrow to Finish
'
` Total Design Capacity,
y°'
�
El Gilts
;
a z �°
❑Boars
T
P Number agoon/Holding Ponds ❑Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
.
o Liquid Waste Management System ❑
General
1. Are there any buffers that need maintenancelimprovement? ❑ Yes
2. Is any discharge observed from any part of the operation? ❑ Yes No
Discha ge originated at: ❑ Lagoon El Spray Field El Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes I�lvo
b. if discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) El Yes o
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
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes o
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7I25197 Continued on back

Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes �No
and plus storm
Pits, etc.)
9t Is storage caructures pacity (freeboard I',iln.ci� f,��
S. o i n _ „s,..
p storage) less than adequate? ❑ Yes No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Pf n+�4iGy ..... .................................... ...., L..`........................................................I............................................................
... ..............
Freeboard (ft):
10. Is seepage observed from any of the structures? ❑ Yes No
l 1. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes l "I ro
12. Do any of the structures need main ten ance/improvement? ❑ Yes 0
(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 LI�No
Waste_ Application
14. Is there physical evidence of over application? El Yes
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type �-? ..... Q--.
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes o
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes No
18. Does the receiving crop need improvement? ❑ Yes �No
19. Is there a lack of available waste application equipment? ElYes No
20. Does facility require a follow-up visit by same agency? ❑ Yes No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
22. Does record keeping need improvement? ❑ Yes Q No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑Yes No
24, Were any ad nal problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
25. W e any additional problems noted which cause noncompliance of the Permit? ❑ Yes o
No.vidlatiotts-oi deficiencies. were noted-durifig this.visit.- Y06.4ill, i&e' ive.ito:ftirther; :
correspoOdehce About -this'.visit:, ' � ;
r+..r
Reviewer/Inspector Name ; VX ABL.1 .,
Reviewer/Inspector Signature: I$L411,G L&U,-A vi Dale:

r
10 Routine O Complaint O Follow-up of DW2 insrection O Follow-up of DSWC review O Other
� ■ �■r�ru�rr_ww�r■■ mr■ua
Facility Number Date of Inspection rzb 27 9$
Time of inspu tion 1 0830 124 hr. (hh:mm)
13 Registered [3 Certified ® Applied for Permit © Permitted 0 Not Operational Date Last Operated: ..........................
Farm Natne:.i A....!L.Q ti..FL.L-......H .R .....P..A.GtGTR ...�19!?M County:...., /, sfl�.............................................................
Owner Name: wSI / ... Phone No:..., z:f 2- y 3 `� 7S y
Facility Contact: ,Lowe// ....................HTitle:......................................
.......................... Phone iVo•
MailingAddress: ................................................... .............................................................................................................. �/...I..............`'........... .:'...
Onsite Representative:.......................................................... . Integrator:................ �..... ....................
Certified Operator;............................................................................................................... Operator Certification Number................. ..
......
Location of Farm:
...................................I..................................................... ............... .........................................................................................
= .
Latitude • 6 fic Longitude ' 46
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes 10 No
2. Is any discharge observed from any part of the operation? ❑ Yes 5d No
Discharge originated at: [I Lagoon [I Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenanceli mprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
;M No
❑ Yes
53 No
❑ Yes
® No
❑ Yes Q No
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes 14 No
Continued on back

1
Facility Number: 6 y
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.Holding Ponds. Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
Identifier: L ?� 3
.............. .............................................................
Freeboard(ft):.............412.........................'.:.0..op.......................�.�..............
10. Is seepage observed from any of the structures?
❑ Yes C4 No
❑ Yes 0 No
Structure 4 Structure 5 . Structure 6
❑ Yes ® No
11. Is erosion, or any other threats to the integrity of any of the structures observed? I❑ Yes ® No
12. Do any of the structures need maintenance/improvement? ❑ Yes ® No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes ® No
Waste 4pplication
14. Is there physical evidence of over application? ❑ Yes ® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ........... Ir! !fi t........ e4f.....................................................................................................................................................................
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 Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violations or deficiencies. were noted during this:visit.' You:will receive ho further•
correspondehO about this:visit:- .:: ;
ci) I z B T
❑ Yes 9 No
❑ Yes [5j No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes 0 No
❑ Yes ® No
7125/97
Reviewer/Iaspector Name
Reviewer/Inspector Signature: _ fj� -�,� �� Date: a Z

tx�SWC Animal Feedlot Operation Review
OWQ Animal Feedlot Operation Site Inspection
E=,%)TQRoutine. O,.(,om laint O,Follow:.0 ).of1},= inspect ion�-0,Ft)lloci;-u.of])S'1VC.revieiv—,O. )they
Date: of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
Total Titne (in fraction of hours
Farm Status: registered ❑ Applied for Permit (:ex:I 25 for 1 hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection (includes travel and processing)
0 Not O peralional I Date Last Operated: ................................................................................
.. ......... ...............
Farm Name:....../ ':.......... 1.���. ............ 14-oq ... � � .,. Counts .....................................t�................................
l
OwnerName............................................................................................... Phone No:.......................................................................................
Facility Contact: ...............................................................................Fitle:................ .. Phone No:
1-1:uling address:.......................................................................................................................................................................................................... .... I .........
......,.....
lel
Onsite Representative.. Integrator: ,,,,,,,,,,,,,,,,, f ����%L................... .. .............................. ......................,
Certified Operator:................................................................................................................ Operator Certification Number:...............
Location of Farm:
Latitude Longitude
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h. If'discharge is observed, did it reach Surface Water'? (If yes, notify DWQ)
c. Ifdischau-ge is observed, what is the estimated flow in ga]/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste nianagement system (other than lagoons/holding ponds) require
4/30/97 rnai ntenanceitn4provernent?
❑ Yes VrNo
❑ Yes feNo
❑ Yes VNO
❑ Yes No
❑ Yes �No
❑ Yes L� No
❑ Yes ,L1 No
r
Continued on back

Facility Number: —
6. Is facility not yin —compliance with any applicable setback criteria in effect at the time of design? ❑ Yes �No
7. Did the €acility fail to have a certified operator in responsible charge? ❑ Yes ,'No
$ Are.there lagoons.or storage ponds on site which need to be properly closed? ❑ Yes No
��ni.nf � Y �.F .yyq M Y .� y}F,F �y �whISM ,X -Tt� y..p. 1a�„r1i'•.....-$: '" .c;3, •i {'jar rr �'�i�'�'"`'�F $''.°Yi'F.:.- -, .. .. r .--,..,�- .. .- _ .....
- � � .P4 �•.�' si .i�5: .1.'?ii I,o �.�.. fi`'!•'M �i+� ��v .� "�N,N+ n �' t (Ir,. fJ�14lb1E."$.r • '.. -
Structures (Lagoons andlof Bolding fonds)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ YesNo
Freeboard (ft): Structure I ructur� 2 Structure 3 Structure 4 Structure 5 Structure 6
..........................�................ ......................a...t........... ....................................... .............. ........................
..................................... ..
10. Is seepage observed from any of the structures?
❑ Yes o
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
12. Do any of the structures need maintenance/improvement?
/IAO
Ayes ❑ 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?
Xyes ❑ No
Waste Application
14. Is there physical evidence of over application'?
❑ Yeslo
(If in excess of WMP, or runoff ent ng waters of the State, notify DWQ)
15. Crop type ......�.r.. V.�......................................................................................................................................................................................
16. Do the receiving crops differ pvjth thosej�%ted i th Ar imal Waste Management Plan (AWMP)?
h�T
❑ Yes �10
17. Does the facility have a lack of adequate acreage for and application?
❑ Yes ❑ No
18. Does the receiving crop need improvement?
❑ Yes ONo
19. Is there a lack of available waste application equipment?
❑ Yes VNo
20. Does facility require a follow-up visit by same agency?'
❑ Yes ZNo
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes/dNo
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes ❑ No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
24. Does record keeping need improvement? ❑ Yes ❑ No
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Reviewer/Inspector Name
Reviewerlinspector Signature:
Date:
cc: Division of Water Quality, WaterQualiy Section, Facility Assessinent Unit 4/30/97

I.FacUity Number:
l ide of Inspection 0
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State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
DEHNR
DIVISION OF WATER QUALITY
February 28, 1997
Mr. Lowell Harris
P.O. Box 114
Red Oak, North Carolina 27868
Subject: Compliance Evaluation Inspection
Facility # 64-06
Harris Poultry Farm
Nash County
Dear Mr. Harris:
On February 27, 1997, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is part of the Division's efforts to
determine compliance with the State's animal waste nondischarge
rules.
The inspection determined that the poultry operation was not
discharging wastewater into waters of the State and that the waste
lagoons had the required amount of freeboard. As a result of the
inspection, the facility -was found to be in compliance with the
State's animal nondischarge regulations.
Effective wastewater treatment and facility maintenance are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. Accordingly, illegal discharges of wastewater to
surface waters of the State are subject to the assessment of civil
penalties and may also result in the loss of deemed permitted
status, requiring immediate submission of a waste management plan.
This office would also like to take this opportunity to remind you
that you are required to have an approved animal waste management
plan by December 31, 1997. This plan must be certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District office.
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, North Carolina 27609 Ni� . c An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

Lowell Harris
page 2
The General Assembly recently passed Senate Bill 1217 which will
require all animal waste management systems to designate an
"Operator in Charge". It shall be the responsibility of this
individual to oversee the operation and maintenance of the animal
waste management system and to have control over waste application
activities. Currently classes are being held for operators of
swine facilities and training is being developed specifically to
address dairy and liquid poultry operations. For more information
please contact either your local Soil and Water Conservation
District of Cooperative Extension Service Office.
The Raleigh Regional Office appreciates -your cooperation in this
matter. If you have any questions regarding this inspection please
call Mr. Buster Towell at [phone].
Sincerely,
��
Ju y Garrett
Water Quality Section Supervisor
cc: Nash County Health Department
Mr. Terry Best, Nash Soil and Water Conservation District
Mr. Steve Bennett, Regional Coordinator, DSWC-RRO
DWQ Compliance Group
RRO Files

} ❑ DSWC Animal F`ee-diot Operations Review
`' DWQ Animas Feedlot Operation Site Inspection ,
outine [3Complaint 13 State employee call [3 Follow-up of DWQ inspection 0 Follow-up of DSWC review
Date of Inspection — q
Facility Number t/. j�� Time of Inspec6ba. Use 24 hr. time
Total Time'.(in hours) Spent oaRevzew
Farm Status: ---•- or InspectioOincivaes travel and processing) a/ft
Farm Name:
County:
Owner Name: ij-ULLI ��� _... �. Phone No: —1.J -w S_Y
Mailing Address:
Onsite representative: Q,r( 1r.!.—r_r� integratar:I'r.'F n _
Certified Operator Name: _ .La I a1�'
Location of Farm:
Latitude LJ•l f`�" Longitude �• �� �"
113 Not Operational Date Last Operated:
Type of Operation and Design Capacity
Swine r'' ' 7 �'Nuaiber
' Po
Number
Cattle Number
4
,
❑ Wean to Feeder
La
t?
❑ Da'ry
❑ Feeder to Finish
❑Non -La er
Beef
Farrow to Wean
.�
Farrowto 1: ceder
n Zt
!`
1' R1..;.�.j. p a' 'E•i0.C.5.. M X,f' T S uY
��-..x .
Farrow to Finish
� :- ..:...a�ii...::...., :, •.,�..;.a.
❑Other Type of Livestogk
,�.g
x � � 4
.13
Number of Lagoons f Holding Ponds :. Subsurface Drains Present
€„ ±',_'
- 0 LaQ40a Area Spray Field Area
Cal�tra 1
1. Are there any buffers that need maintenancerimprovement? ❑ Yes 21 20
2. Is any discharge observed from any part of the operation? ❑ Yes�a is observed, was the conveyance N '
a. If disc ante man-made? ❑ YesNO-
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Y
3. Is there evidence of past discharge from any part of the operation? ❑ Yes NN
4. Was there any adverse im acts to the waters of the State other than from a disch e? ❑ Yes L�J�No
P �g911
S. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes
maintenance/improvement?
Continued on bark

6. facility not in compliance with any applicable setback criteria?
7. Did the facility fail to have a certified operator in responsible cha4e (if inspection alter l/l/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures [Laeoons and/ar Holding Pondst
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon 1 La;oo�, 2 Lagoonn
Ito 3.0
10. Is seepage observed from any of the structures? (94wp .
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ) '
13. Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application _
14. Is there physical evideoce of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes , o
❑ Yes , 'u
❑ Yes
❑ Yes ffNo
Lagoon 4
❑YesNo
❑ Yes Ef o
❑ Yes;Zo
❑ Yes o
❑ Yes
1S. Crop type P 04n�—UA71--- ]__—....-
16. Do the active crops differ with those designated in the Animal Waste Management Plan? 1" Pool' Y 4rr f ❑ Yes ❑ No
17. Does the facility have a lack of adequate acreage for land application?
I S. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities Onlv
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge?
❑ Yes ❑ No
❑ Yes No
❑ Yes 2 o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Cotnmeats (refer to question 0):. Explain any YES answers and/or any recommendations or any other, comrneats._
.Else drawings of facility to,better explain situations:;{use additionaI'pages as accessary) _r
a
Reviewer/Inspector Name
Reviwer/Iaspector Signature: Date: Z
��ir.r/Cty�,./G�'
rr- ArWnr.. M-1;w WY f— n-- n, Fnriliry Arse,S,rment Unit 11114196

Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number Operation is flagged for a wettable
Farm Name: I—oAlx_gZ acre 4etermination due to failure of
On -Site Representative: Pa II eligibility item(s) F1 F2 F3 F4
Inspector/Reviewer's Name: /` Operation not required to secure WA
h' b
*
Date of site visit: 3 `l7/
determrnatron at
rs time ased on
exemption E1 E2 E3 E4
Date of most recent WUP: 9 Annual farm PAN deficit: pounds
Irrigation System(s) - circle #:;per
and-hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w nt i tationary sprinkler system w/portable pipe;
6, stationary g n system wlpermanent pipe; 7. stationary gun system w/portable pipe
PART I. W Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D2ID3 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 III. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part Ili).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of info rmationlmap.
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 III.

J.. `;'.
vilify Number - o G
Revised January 22, 1999
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD COMMENTS'
NUMBER NUMBER', 21 IRRIGATION I ACRES ACRES %
SYSTEM
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°/a 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 'I
by irrigation system.

31jL---14-199S 15: 2e PROt'l DEht WATER QUAL I TY SECT I ON TO
Site Requires Imrnediate Attendor-
Facihty No.
DMSION OF ENVIRONMENTAL MANAGEMENT
ANRAA.L FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: r�� 1995
Time:
Farm Name/Owner—
Mailing Address: P
Counry:
Integrator:
On Site Representarive:
Physical Addrgss/Lgcat
19.
Phone:
0�
Type of Operation: Swine Poultry Cattle _ �~
Design Capacity: Ilde 62C,?0 Number of Animals on Site;
DEM Certification Number: ACE DEM Cerdficadon Number: A W
Latitude: 6 - 0 3 . � $ .. Longitude: 272 " 51 ' ? Elevation:2�eet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of I Foot -+- 25 year 24 hour stvrrn event
(apprt7xirraately 1 Foot t 7 inches} es r No Actual Freeboard: Inches
Was any seepage obsery d froth the lagoon(s)? Yes or�"C Was any erosion observed? Yes orN
Is adequate land available for spray? l/ or No Is the cover crop adequate? -dor No
Crop(s) being-iiiilizsd: l/
Does the facility meet SCS mi.nitnum setback criteria'? 200 Feet from Dwellings?las or No
100 Feet from Wells? ' or No
:-:e withal waste stockpiled within 100 Feet of USGS Slue Line Stream? Yes or No
animal waste land applied or spray irrigated within 25 Feet of a liSGS Map Blue Line? Yes or Eio
animal waste dischargezl into waters the state by man-made ditch, flushing system, or other
,lTr,:iar man-made d1fr'geea? Yes o _ If Yes. Please Explain.
+i �s the facility izaimain adequate waste tnaztagerrlcnt records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop0 Yes 06-01
Additional Comments:
_ c
Signature
cc: Facility Assessment Unit Use Attachments if Needed.
TOTAL P.02

PAT MCCRORY
Governor
Water Resources
ENV3RONMEN rAL. QUA LII Y
Sidney A. Collie
Sidney A. Collie Farm
5801 Taylors Store Road
Nashville, NC 27856
Dear Sidney A. Collie:
DONALD R. VAN DER VAART
Secretm_r
S. JAY ZIMMERMAN
Direclor
March 18, 2016 3 1L6�.�4
kr� ,
MAR 2 4 2016
NC DENR Raleigh Regional omce
Subject: Permit No. AW1640006
Sidney A. Collie Farm
Animal Waste Management System
Nash County
In accordance with your permit renewal application received March 17, 2016, we are hereby forwarding to
you this corrected Permit issued to Sidney A. Collie authorizing the operation of the subject animal waste
management system. You had requested to drop the animal population at this facility to zero until such
time as the waste storage lagoon at this facility is properly closed, as you no longer wished to maintain it
as an active poultry farm.
This approval shall consist of the operation of this system including, but not limited to, the management of
animal waste structures on the Sidney A. Collie Farm, with an annual capacity of no greater than an
annual average of zero (0) poultry layers.
The Permit shall be effective from the date of issuance until February 28, 2021 and replaces the COC No.
AWI640006 issued August 11, 2010. You are subject to the conditions of this permit until the closure of
all waste storage basins and the rescission of this permit. You must submit a letter to the Division of Water
Resources to request rescission of the Permit by providing documentation of closure of all containment
basins.
The issuance of this Permit does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, or federal) nor convey any property rights in either real
or personal property.
Please be reminded that as per Condition 11.13 of this permit the facility must have at least one of
the following items at all times: (a) adequate animal waste application and handling equipment, (b) a
lease, or other written agreement, for the use of the necessary equipment, or (c) a contract with a
third party applicator capable of providing adequate waste application -
Per 15A NCAC 2T. 0111(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-ft separation shall
be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a.spray
field.
State of North Carolina I Environmental Quality I Water Resources
1636 Mail service Center j Raleigh, North Carolin:i27699-1636
9l9 K07 6464

it
Please be advised that any violation of the terms and conditions specified in this Permit may result in
revocation of this Permit or penalties in accordance with NCGS 143-215.6A through 143-215.6C, the
Clean Water Act, and 40 CFR 122.41, including civil penalties, criminal penalties, and injunctive relief.
if you wish to continue the activity permitted under this Permit after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
This Permit is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office 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 Program staff at [phone].
Sincerely,
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
cc: Raleigh Regional Office, Water Quality Regional Operations Section
Nash County Health Department
Nash County Soil and Water Conservation District
WQROS Files (AWI640006)

i
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
INDIVIDUAL POULTRY ANIMAL WASTE MANAGEMENT SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Sidney A. Collie
Nash County
FOR THE
continued operation and maintenance of an animal waste management system for the Sidney A. Collie
Farm, located in Nash County, consisting of zero (0) layer poultry and the application to land as specified
in the Facility's Certified Animal Waste Management Plan (CAWMP).
This permit shall be effective from the date of issuance until February 28, 2021 and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The animal waste management system operated under this Permit shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of pollutants
to surface waters, wetlands, or ditches. Application of waste to terraces and grassed
waterways is acceptable as long as it is applied in accordance with Natural Resources
Conservation Service (NRCS) Standards and does not result in a discharge of waste to
surface waters, wetlands, or ditches. If the Facility has a. discharge of waste that reaches
surface waters or wetlands resulting from a storm event more severe than a 25-year, 24-
hour storm, it will not be considered to be in violation of this Permit, as long as the
Facility is in compliance with its CAWMP and this Permit.
No discharge of waste shall result in a violation of the Water Quality standards established
for receiving waters as per Title 15A, Subchapter 213, Section .0200 of the North Carolina
Administrative Code (NCAC) and Title 15A, Subchapter 2L of the NCAC.
The facility's CAWMP is hereby incorporated by reference into this Permit. The CAWMP
must be consistent with all applicable laws, rules, ordinances, and standards (federal, state
and local) in effect at the time of siting, design, and certification of the Facility.
4. Any proposed increase or modification to the annual average that exceeds the thresholds
set by North Carolina General Statues (NCGS) 143-215.1013(1) will require a modification
to the CAWMP and the Permit prior to modification of the Facility.

L
5. Animal waste shall not be applied within one hundred (100) feet of any well, with the
exception of monitoring wells. The allowable distance to monitoring wells shall be
established on a case -by -case basis by the Division.
II, OPERATION AND MAINTENANCE REQUIREMENTS
The collection, treatment, and storage facilities, and the land application equipment and
fields shall be properly operated properly and maintained at all times.
A vegetative cover shall be maintained as specified in the Facility's CAWMP on all land
application fields and buffers in accordance with the CAWMP. No waste shall be applied
upon areas not included in the CAWMP.
Soil pH on all land application fields must be maintained in the optimum range for crop
production.
4. Land application rates shall be in accordance with the CAWMP. In no case shall land
application rates exceed the agronomic rate of the nutrient of concern for the receiving
crop. In no case shall land application rates result in excessive ponding or any runoff
during any given application event.
If manure or sludges are applied on conventionally tilled, bare soil, the waste shall be
incorporated into the soil within two (2) days after application on the land. This
requirement does not apply to no -till fields, pastures, or fields where crops are actively
growing.
6. Pesticides, toxic chemicals, and petroleum products shall not be disposed of in the animal
waste management system.
Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be
discharged into the animal waste management system. Washdown of stock trailers owned
by and used to transport animals to and from the Facility only will be permissible as long
as the system has been evaluated and approved to accommodate the additional volume.
Only those cleaning agents and soaps that are EPA -approved according to their labels, will
not harm the cover crop, and will not contravene the groundwater standards listed in 15A
NCAC 2L may be utilized in the Facility covered by this Permit. Instruction labels are to
be followed when using cleaning agents and soaps.
8. Disposal of dead animals resulting from normal mortality rates associated with the Facility
shall be done in accordance with the Facility's CAWMP and the North Carolina
Department of Agriculture and Consumer Services (NCDA&CS) Veterinary Division's
statutes and regulations.
9. Unless accounted for in temporary storage volume, all uncontaminated runoff from the
surrounding property and buildings shall be diverted away from the waste lagoons/storage
ponds to prevent any unnecessary addition to the liquid volume in the structures.

10. A protective, vegetative cover shall be established and maintained on all earthen
lagoon/storage pond embankments (outside toe of embankment to maximum pumping
elevation), berms, pipe runs, and diversions to surface waters or wetlands. Trees, shrubs,
and other woody vegetation. shall- not be allowed to grow on the lagoon/storage pond
embankments. All trees shall be removed in accordance with good engineering practices.
Lagoon/storage pond areas shall be accessible, and vegetation shall be kept mowed.
IL At the time of sludge removal from a lagoon/storage pond, the sludge must be managed in
accordance with the CAWMP. When removal of sludge from the lagoon is necessary,
provisions must be taken to prevent damage to the lagoon dikes and liner.
12. Lagoons/storage ponds shall be kept free of foreign debris including, but not limited to,
tires, bottles, light bulbs, gloves, syringes or any other solid waste.
13. The Facility must have at least one of the following items at all times: (a) adequate animal
waste application and handling equipment, (b) a lease, or other written agreement, for the
use of the necessary equipment, or (c) a contract with a third party applicator capable of
providing adequate waste application.
14. No waste shall be applied in wind conditions that might reasonably be expected to cause
the mist to reach surface waters or wetlands.
15. The Pemzittee shall maintain buffer strips or other equivalent practices as specified in the
Facility's CAWMP near feedlots, manure storage areas, and land application areas.
16. Waste shall not be applied on land that is flooded, saturated with water, frozen, or snow
covered at the time of land application.
17. Land application of waste is prohibited during precipitation events. The Permittee shall `-
consider pending weather conditions in making the decision to land apply waste.
18. Land application activities shall cease on any application site that exceeds a Mehlich 3
Soil Test Index for Copper of greater than 3,000 (108 pounds per acre) or Zinc of greater
than 3,000 (213 pounds per acre).
19. Any major structural repairs to lagoons/storage ponds must have written documentation
from a technical specialist certifying proper design and installation. However, if a piece of
equipment is being replaced with a piece of equipment of the identical specifications, no
technical specialist approval is necessary [i.e. piping, reels, valves, pumps (if the gallons
per minute (gpm) capacity is not being increased or decreased), etc.] unless the
replacement involves disturbing the lagoon/storage pond embankment.
III. MONITORING AND REPORTING REQUIREMENTS
An inspection of the animal waste collection, treatment, and storage structures, and runoff
control measures shall be conducted and documented at a frequency to insure proper
operation For example, lagoons/storage ponds, and other structures should be inspected for
evidence of erosion, leakage, damage by animals or discharge.

It
2. Highly visible waste -level gauges shall be maintained to mark the level of waste in each
lagoon/storage pond that does not gravity feed through a free flowing transfer pipe into a
subsequent structure. The gauge shall have readily visible permanent markings. The
waste level in each lagoon with a waste level gauge shall be monitored and recorded
weekly on forms supplied by, or approved by, the Division.
A representative Standard Sail Fertility Analysis, including pH, phosphorus, copper, and
zinc, shall be conducted on each application field receiving animal waste at least every
three (3) years. An analysis of the animal waste shall be conducted in accordance with
recommended laboratory sampling procedures as close to the time of application as
practical and at least within sixty (60) days (before or after) of the date of application.
This analysis shall include the following parameters:
Nitrogen Zinc
Phosphorus Copper
4. The Permittee shall record all irrigation and land application event(s) including hydraulic
loading rates, nutrient loading rates and cropping information. The Permittee shall also
record removal of solids and document nutrient loading rates if disposed on -site or record
the off -site location(s). These records must be on forms supplied by, or approved by, the
Division.
5. If, for any reason, there is a discharge from the animal waste management system
(including the land application sites), to surface waters or wetlands, the Permittee is
required to make notification in accordance with Condition III. 9. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of
the volume discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste. Also, an estimation of the
volume discharged.
b. Time of the discharge: The length of time of the discharge, including the exact dates
and times that it started and stopped, and if not stopped, the anticipated time the
discharge is expected to continue.
c. Cause of the discharge: A detailed statement of the cause of the discharge. If caused
by a precipitation event, detailed information from the on -site rain gauge concerning
the inches and duration of the precipitation event.
d. All steps being taken to reduce, stop and cleanup the discharge. All steps to be taken
to prevent future discharges from the same cause.
Analysis of the waste: A copy of the last waste analysis conducted as required by
Condition III. 3.
A copy of this Permit, the Facility's permit, certification forms, lessee and landowner
agreements, the CAWMP, and copies of all records required by this Permit and the Facility's
CAWMP shall be maintained by the Permittee in chronological and legible form for a
minimum of three (3) years.

7. Within fifteen (15) working days of receiving the request from the Division, the Permittee
shall provide to the Division one (1) copy of all requested information and reports related
to the operation of the animal waste management system. Once received by the Division,
all such information and reports become public information, unless they constitute
confidential information under North Carolina General Statutes (NCGS) 132-1.2, and shall
be made available to the public by the Division as specified in Chapter 132 of the NCGS.
The Division may require any additional monitoring and reporting (including but not
limited to groundwater, surface water or wetland, waste, sludge, soil, lagoon/storage pond
levels and plant tissue) necessary to determine the source, quantity, quality, and effect of
such waste upon the surface waters, groundwaters or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems,
shall meet all applicable Division requirements.
Regional Notification:
The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than twenty-four (24) hours following first
knowledge of the occurrence of any of the following events:
a. Any discharge to ditches, surface waters or wetlands.
b. Failure to maintain storage capacity in a lagoon/storage pond greater than or equal
to that required in Condition V. 2. of this Permit.
C. Over applying waste either in excess of the limits set out in the CAWMP or where
runoff enters surface waters or wetlands.
d. Failure of any component of the animal waste management system resulting in a
discharge to surface waters or wetlands.
C. Any failure of the animal waste management system that renders the Facility
incapable of adequately receiving, treating or storing the waste and/or sludge.
Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
For any emergency, which requires immediate reporting after normal business hours,
contact must be made with the Division of Emergency Management at 1-800-858-0368.
The Permittee shall also file a written report to the appropriate Division Regional Office
within five (5) calendar days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to correct the problem and to ensure
that the problem does not recur. The requirement to file a written report may not be
waived by the Division Regional Office.

.y
10. In the event of a discharge of 1,000 gallons or more of animal waste to surface waters or
wetlands, the Permittee must issue a press release to all print and electronic news media that
provide general coverage in the county in which the discharge occurred setting out the
details of the discharge. The press release must be issued within forty-eight (48) hours after
it is determined that the discharge has reached the surface waters or wetlands. A copy of
the press release and a list of the news media to which it was distributed must be kept for at
least one (1) year after the discharge and must be distributed to any person upon request.
11. In the event of a discharge of 15,000 gallons or more of animal waste to surface waters or
wetlands, a public notice is required in addition to the press release described in Condition
11I 15. The public notice must be placed in a newspaper having general circulation in the
county in which the discharge occurred and the county immediately downstream within ten
(10) days of the discharge. The notice shall be captioned "NOTICE OF DISCHARGE OF
ANIMAL WASTE". The minimum content of the notice is the name of the facility, location
of the discharge, estimated volume of waste entering state waters, time and date discharge
occurred, duration of the discharge, identification water body that was discharged into
including creek and river basin if applicable, actions taken to prevent further discharge, and
a facility contact person and phone number. The owner or operator shall file a copy of the
notice and proof of publication with the Department within thirty (30) days after the notice
is published. Publication of a notice of discharge under this Condition is in addition to the
requirement to issue a press release under Condition 1II.10.
12. If a discharge of 1,000,000 gallons or more of animal waste reaches surface waters or
wetlands, the appropriate Division Regional Office must be contacted to determine in what
additional counties, if any, a public notice must be published. A copy of all public notices
and proof of publication must be sent to the Division within thirty (30) days after the notice
is published.
IV. INSPECTIONS AND ENTRY
1. The Permittee shall allow any authorized representative of Department, upon the
presentation of credentials and other documents as may be required by law and in
accordance with reasonable and appropriate biosecurity measures, to:
Enter the Permittee's premises where the regulated Facility or activity is located or
conducted, or where records must be kept under the conditions of this Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this Permit;
c. Inspect, at reasonable times any facilities, equipment (including monitoring and control
equipment), practices, or operations regulated or required under this Permit; and,
d. Sample or monitor, at reasonable times, for the purpose of assuring permit compliance,
any substances or parameters at any location.

V. GENERAL CONDITIONS
1. The issuance of this Permit shall not relieve the Permittee of the responsibility for
compliance with all applicable surface water, wetlands, groundwater and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.
2. The maximum .waste level in lagoons/storage ponds shall not exceed that specified in the
Facility's CAWMP. At a minimum, maximum waste level for lagoons/storage ponds
must not exceed the level that provides adequate storage to contain a 25-year, 24-hour
storm event plus an additional one (1) foot of structural freeboard except that there shall be
no violation of this condition if. (a) there is a storm event more severe than a 25-year, 24-
hour event, (b) the Permittee is in compliance with its CAWMP, and (c) there is at least
one (1) foot of structural freeboard.
3. Any containment basin, such as a lagoon or a storage pond, used for waste management
shall continue to be subject to the conditions and requirements of this Permit until properly
closed. When the containment basin is properly closed in accordance with the Natural
Resource Conservation Service (NRCS) North Carolina Standard for Closure of Waste
Impoundments, February 2005 or any subsequent amendment, the containment basin shall
not be subject to the requirements of this Permit. The Pemuttee must submit a letter to the
Division to request rescission of the Permit by providing documentation of closure of all
containment basins.
Closure shall also include a minimum of 24 hours pre -notification of the Division and
submittal of the Animal Waste Storage Pond and lagoon Closure Report Form to the
address identified on the form within fifteen (15) days of completion of closure.
4. Failure of the Permittee to maintain, in full force and effect, lessee and landowner
agreements, which are required in the CAWMP, shall constitute grounds for revocation of
its COC to operate under this Permit.
5. This Permit is not transferable. In the event there is a desire for the Facility to change
ownership, or there is a name change of the Permittee, a Notification of Change of
Ownership form must be submitted to the Division, including documentation from the
parties involved and other supporting materials as may be appropriate.
b. The issuance of this Permit does not prohibit the Division from reopening and modifying
the Permit, revoking and reissuing the Permit, or terminating the Permit as allowed by the
appropriate laws, rules, and regulations.
7. The Groundwater Compliance Boundary is established by 15A NCAC 2L and 15A NCAC
02T .0111(c). An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to the requirements of 15A NCAC 2L and the Division in
addition to the penalty provisions applicable under the NCGS.

ti
VI. PENALTIES
Failure to abide by the conditions and limitations contained in this Permit; the Facility's
CAWMP; and/or applicable state law; may subject the Permittee to an enforcement action
by the Division including but not limited to the modification of the animal waste
management system, civil penalties, criminal penalties, and injunctive relief.
2. The Permittee must comply with all conditions of this Permit. Any Permit noncompliance
constitutes a violation of state law and is grounds for enforcement action; for Permit
coverage termination, revocation and reissuance, or modification; or denial of Permit
coverage renewal application.
3. It shall not be a defense for a Permittee in an enforcement action to claim that it would
have been necessary to halt or reduce the permitted activity in order to maintain
compliance with the conditions of this Permit.
This Permit issued the 18th day of March, 2016
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
J
for 5. Jay Zimmerman, P.G. Director
North Carolina Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number AWI640006

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, ill
Governor
November 21, 2014
Sidney A Collie
Sidney A. Collie Farm 2 ft
5801 Taylors Store Rd
Nashville, NC 27856
NC DENR Raleigh Regional Office
Re: Renewal of the Expired permit
Permit No.: AWI640006
Nash County
Dear Sidney A Collie:
Your facility was approved for operation under one of the Animal Waste Operation Individual Non -
Discharge Permits, which expired on 9/30/2014. Our records indicate that the Division has not received a
completed renewal application form from your facility to date. In order to maintain coverage under the
current Permit, please complete one of the following actions:
1. Please indicate if your facility is depopulated and the lagoon(s) or storage pond(s) at your facility
have been properly closed according to the NRCS standards. In that case, you may send us a request
to rescind this permit by submitting a completed and the permit is rescinded. A blank Lagoon &
Waste Storage Pond Closure Form can be found at: http://portal.nedenr.oreweb/wqlaps/afo/report
2. Please submit a renewal application form that must be completed, signed and returned to DWR. The
application form for the State or NPDES Individual Pen -nit for Existing Operations can be found at:
http://portal.ncdenr.or web/wqlaps/afo/apes. Please include two (2) copies of your most recent
Waste Utilization Plan along with the field maps, if your facility is still active.
3. If you are a cattle facility that has gone below the threshold animal numbers (< 100), you may request
the rescission of your permit provided if the average size of the confined cattle herd at the cattle
facility, calculated on an annual basis during the three years prior to the request for rescission, is less
than one hundred confined cattle.
Please submit the requested information within thirty (30) days of receipt of this letter to the following
address:
NCDENR—DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
Continued...
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone]Internet: http:llwww.ncdenr.nov/
An Equal Opportunity 1 AtiUmalive Action Employer — Made in part by recycled paper

Failure to request renewal of your coverage under a permit within the time period specified may result in
a civil penalty. Operation of your facility without coverage under a valid permit would constitute a
violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to $25,000 per day.
If you have any questions about this request, please feel free to contact the Animal Feeding Operations
Program staff at 919-807-6464.
Sincerely,
J. R. Joshi, Soil Scientist
Animal Feeding Operations and Ground
Water Protection Branch
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Enclosures
cc (w/o enclosures): Raleigh Regional Office, Water Quality Regional Operations Section
Nash County Soil and Water Conservation District
WQROS Unit Central Files - AWI640006

AdI
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 11, 2010
Sidney A. Collie
Sidney A. Collie Farm
5801 Taylors Store Road US 13 nin
Nashville, NC 27856
Subject: Permit No. AWI640006
Sidney A. Collie Farm
Animal Waste Management System
Nash County
Dear Mr. Collie:
In accordance with your March 10, 2009 Notification of Change of Ownership, we are hereby forwarding
to you this corrected Permit issued to Sidney A. Collie authorizing the operation of the subject animal
waste management system. You had requested to drop the animal population at this facility to zero until
such time as the waste storage lagoon at this facility is properly closed, as you no longer wished to
maintain it as an active poultry farm.
This'approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the Sidney A. Collie Farm, with an annual capacity of no greater than an
annual average of zero (0) poultry layers.
The Permit shall be effective from the date of issuance until September 30, 2014 and replaces the Permit
No. AW1640006 issued October 5, 2009. You are subject to the conditions of this permit until the closure
of all waste storage basins and the rescission of this permit. You must submit a letter to the Division of
Water Quality to request rescission of the Permit by providing documentation of closure of all
containment basins.
The issuance of this Permit does not excuse the Permittee from the obligation to comply with all
applicable laws, rules, standards, and ordinances (local, state, or federal) nor convey any property rights
in either real or personal property.
Please be reminded that as per Condition 11.13 of this permit the facility must have at least one of
the following items at all times: (a) adequate animal waste application and handling equipment, (b)
a lease, or other written agreement, for the use of the necessary equipment, or (c) a contract with a
third party applicator capable of providing adequate waste application.
Per 15A NCAC 2T. 0111(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-ft separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
1636 Mail Service Center, Ralegh, North Carolina 27699-1636
Location: 2728 Capital Blvd„ Raleigh, North Carolina 27604 One
Phone: [phone] FAX: 919-71"5881 Customer Service: 1-877-623-6748 NorthCarolina
Internet www.ncwaterquality.org %� /%I
An Equal Opportunity 1 Affirmative Action Employer �'+ /]' tryrally

Please be advised that any violation of the terms and conditions specified in this Permit may result in
revocation of this Permit or penalties in accordance with NCGS 143-215.6A through 143-215.6C, the
Clean Water Act, and 40 CFR 122.41, including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under this Permit after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
This Permit is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection Staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
-- -,4, '
for Coleen H. Sullins
cc: Nash County Health Department
Nash County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
Notebook File AW1640006
Permit File AW1640006

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
INDIVIDUAL POULTRY ANIMAL WASTE MANAGEMENT SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Sidney A. Collie
Nash County
FOR THE
continued operation and maintenance of an animal waste management system for the Sidney A. Collie
Farm, located in Nash County, consisting of zero (0) layer poultry and the application to land as specified
in the Facility's Certified Animal Waste Management Plan (CAWMP).
This permit shall be effective from the date of issuance until September 30, 2014 and shall be subject to
the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The animal waste management system operated under this Permit shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of pollutants
to surface waters, wetlands, or ditches. Application of waste to terraces and grassed
waterways is acceptable as long as it is applied in accordance with Natural Resources
Conservation Service (NRCS) Standards and does not result in a discharge of waste to
surface waters, wetlands, or ditches. If the Facility has a discharge of waste that reaches
surface waters or wetlands resulting from a storm event more severe than a 25-year, 24-
hour storm, it will not be considered to be in violation of this Permit, as long as the
Facility is in compliance with its CAWMP and this Permit.
No discharge of waste shall result in a violation of the water quality standards established
for receiving waters as per Title 15A, Subchapter 2B, Section .0200 of the North Carolina
Administrative Code (NCAC) and Title 15A, Subchapter 2L, of the NCAC.
3. The facility's CAWMP is hereby incorporated by reference into this Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards
(federal, state and local) in effect at the time of siting, design, and certification of the
Facility.
4. Any proposed increase or modification to the annual average that exceeds the thresholds
set by North Carolina General Statues (NCGS) 143-•215.1 OB(1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.

4
5. Animal waste shall not be applied within one hundred (100) feet of any well, with the
exception of monitoring wells. The allowable distance to monitoring wells shall be
established on a case -by -case basis by the Division.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. The collection, treatment, and storage facilities, and the land application equipment and
fields shall be properly operated properly and maintained at all times.
2. A vegetative cover shall be maintained as specified in the Facility's CAWMP on all land
application fields and buffers in accordance with the CAWMP. No waste shall be
applied upon areas not included in the CAWMP.
Soil pH on all land application fields must be maintained in the optimum range for crop
production.
4. Land application rates shall be in accordance with the CAWMP. In no case shall land
application rates exceed the agronomic rate of the nutrient of concern for the receiving
crop. In no case shall land application rates result in excessive ponding or any runoff
during any given application event.
If manure or sludges are applied on conventionally tilled, bare soil, the waste shall be
incorporated into the soil within two (2) days after application on the land. This
requirement does not apply to no -till fields, pastures, or fields where crops are actively
growing.
b. Pesticides, toxic chemicals, and petroleum products shall not be disposed of in the animal
waste management system.
7. Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be
discharged into the animal waste management system. Washdown of stock trailers
owned by and used to transport animals to and from the Facility only will be permissible
as long as the system has been evaluated and approved to accommodate the additional
volume. Only those cleaning agents and soaps that are EPA -approved according to their
labels, will not harm the cover crop, and will not contravene the groundwater standards
listed in 15A NCAC 2L may be utilized in the Facility covered by this Permit.
Instruction labels are to be followed when using cleaning agents and soaps.
Disposal of dead animals resulting from normal mortality rates associated with the
Facility shall be done in accordance with the Facility's CAWMP and the North Carolina
Department of Agriculture and Consumer Services (NCDA&CS) Veterinary Division's
statutes and regulations.
9. Unless accounted for in temporary storage volume, all uncontaminated runoff from the
surrounding property and buildings shall be diverted away from the waste
lagoons/storage ponds to prevent any unnecessary addition to the liquid volume in the
structures.

10. A protective, vegetative cover shall be established and maintained on all earthen
lagoon/storage pond embankments (outside toe of embankment to maximum pumping
elevation), berms, pipe runs, and diversions to surface waters or wetlands. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the lagoon/storage pond
embankments. All trees shall be removed in accordance with good engineering practices.
Lagoon/storage pond areas shall be accessible, and vegetation shall be kept mowed.
11. At the time of sludge removal from a lagoon/storage pond, the sludge must be managed
in accordance with the CAWMP. When removal of sludge from the lagoon is necessary,
provisions must be taken to prevent damage to the lagoon dikes and liner.
12. Lagoons/storage ponds shall be kept free of foreign debris including, but not limited to,
tires, bottles, light bulbs, gloves, syringes or any other solid waste.
13. The Facility must have at least one of the following items at all times: (a) adequate
animal waste application and handling equipment, (b) a lease, or other written agreement,
for the use of the necessary equipment, or (c) a contract with a third party applicator
capable of providing adequate waste application.
14. No waste shall be applied in wind conditions that might reasonably be expected to cause
the mist to reach surface waters or wetlands.
15. The Permittee shall maintain buffer strips or other equivalent practices as specified in the
Facility's CAWMP near feedlots, manure storage areas, and land application areas.
16. Waste shall not be applied on land that is flooded, saturated with water, frozen, or snow
covered at the time of land application.
17. Land application of waste is prohibited during precipitation events. The Permittee shall
consider pending weather conditions in making the decision to land apply waste.
18. Land application activities shall cease on any application site that exceeds a Mehlich 3
Soil Test Index for Copper of greater than 3,000 (108 pounds per acre) or Zinc of greater
than 3,000 (213 pounds per acre).
19. Any major structural repairs to lagoons/storage ponds must have written documentation
from a technical specialist certifying proper design and installation. However, if a piece
of equipment is being replaced with a piece of equipment of the identical specifications,
no technical specialist approval is necessary [i.e. piping, reels, valves, pumps (if the
gallons per minute (gpm) capacity is not being increased or decreased), etc.] unless the
replacement involves disturbing the lagoon/storage pond embankment.
t
III. MONITORING AND REPORTING REQUIREMENTS
An inspection of the animal waste collection, treatment, and storage structures, and
runoff control measures shall be conducted and documented at a frequency to insure
proper operation For example, lagoons/storage ponds, and other structures should be
inspected for evidence of erosion, leakage, damage by animals or discharge.

ti
2. Highly visible waste -level gauges shall be maintained to mark the level of waste in each
lagoon/storage pond that does not gravity feed through a free flowing transfer pipe into a
subsequent structure. The gauge shall have readily visible permanent markings. The
waste level in each lagoon with a waste level gauge shall be monitored and recorded
weekly on forms supplied by, or approved by, the Division.
3. A representative Standard Soil Fertility Analysis, including pH, phosphorus, copper, and
zinc, shall be conducted on each application field receiving animal waste at least every
three (3) years. An analysis of the animal waste shall be conducted in accordance with
recommended laboratory sampling procedures as close to the time of application as
practical and at least within sixty (60) days (before or after) of the date of application.
This analysis shall include the following parameters:
Nitrogen Zinc
Phosphorus Copper
4. The Permittee shall record all irrigation and land application event(s) including hydraulic
loading rates, nutrient loading rates and cropping information. The Permittee shall also
record removal of solids and document nutrient loading rates if disposed on -site or record
the off -site location(s). These records must be on forms supplied by, or approved by, the
Division.
If, for any reason, there is a discharge from the animal waste management system
(including the land application sites), to surface waters or wetlands, the Permittee is
required to make notification in accordance with Condition III. 9. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of
the volume discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste. Also, an estimation of
the volume discharged.
b. Time of the discharge: The length of time of the discharge, including the exact dates
and times that it started and stopped, and if not stopped, the anticipated time the
discharge is expected to continue.
c. Cause of the discharge: A detailed statement of the cause of the discharge. If caused
by a precipitation event, detailed information from the on -site rain gauge concerning
the inches and duration of the precipitation event.
d. All steps being taken to reduce, stop and cleanup the discharge. All steps tobe taken
to prevent future discharges from the same cause.
e. Analysis of the waste: A copy of the last waste analysis conducted as required by
Condition lll. 3.
6. A copy of this Permit, the Facility's permit, certification forms, lessee and landowner
agreements, the CAWMP, and copies of all records required by this Permit and the
Facility's CAWMP shall be maintained by the Permittee in chronological and legible
form for a minimum of three (3) years.

Within fifteen (15) working days of receiving the request from the Division, the
Permittee shall provide to the Division one (1) copy of all requested information and
reports related to the operation of the animal waste management system. Once received
by the Division, all such information and reports become public information, unless they
constitute confidential information under North Carolina General Statutes (NCGS) 132-
1.2, and shall be made available to the public by the Division as specified in Chapter 132
of the NCGS.
The Division may require any additional monitoring and reporting (including but not
limited to groundwater, surface water or wetland, waste, sludge, soil, lagoon/storage pond
levels and plant tissue) necessary to determine the source, quantity, quality, and effect of
such waste upon the surface waters, groundwaters or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems,
shall meet all applicable Division requirements.
Regional Notification:
The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than twenty-four (24) hours following first
knowledge of the occurrence of any of the following events:
a. Any discharge to ditches, surface waters or wetlands.
Failure to maintain storage capacity in a lagoon/storage pond greater than or
equal to that required in Condition V. 2. of this Permit.
C. Over applying waste either in excess of the limits set out in the CAWMP or
where runoff enters surface waters or wetlands.
d. Failure of any component of the animal waste management system resulting in a
discharge to surface waters or wetlands.
e. Any failure of the animal waste management system that renders the Facility
incapable of adequately receiving, treating or storing the waste and/or sludge.
f. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
For any emergency, which requires immediate reporting after normal business hours,
contact must be made with the Division of Emergency Management at 1-800-858-0368.
The Permittee shall also file a written report to the appropriate Division Regional Office
within five (5) calendar days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to correct the problem and to
ensure that the problem does not recur. The requirement to file a written report may not
be waived by the Division Regional Office.

IV. INSPECTIONS AND ENTRY
1. The Permittee shall allow any authorized representative of Department, upon the
presentation of credentials and other documents as may be required by law and in
accordance with reasonable and appropriate biosecurity measures, to:
a. Enter the Permittee's premises where the regulated Facility or activity is located or
conducted, or where records must be kept under the conditions of this Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this Permit;
c. Inspect, at reasonable times any facilities, equipment (including monitoring and
control equipment), practices, or operations regulated or required under this Permit;
and,
d. Sample or monitor, at reasonable times, for the purpose of assuring permit
compliance, any substances or parameters at any location.
V. GENERAL CONDITIONS
1. The issuance of this Permit shall not relieve the Permittee of the responsibility for
compliance with all applicable surface water, wetlands, groundwater and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.
2. The maximum waste level in lagoons/storage ponds shall not exceed that specified in the
Facility's CAWMP. At a minimum, maximum waste level for lagoons/storage ponds
must not exceed the level that provides adequate storage to contain a 25-year, 24-hour
storm event plus an additional one (1) foot of structural freeboard except that there shall
be no violation of this condition if. (a) there is a storm event more severe than a 25-year,
24-hour event, (b) the Permittee is in compliance with its CAWMP, and (c) there is at
least one (1) foot of structural freeboard.
Any containment basin, such as a lagoon or a storage pond, used for waste management
shall continue to be subject to the conditions and requirements of this Permit until
properly closed. When the containment basin is properly closed in accordance with the
Natural Resource Conservation Service (MRCS) North Carolina Standard for Closure of
Waste Impoundments, February 2005 or any subsequent amendment, the containment
basin shall not be subject to the requirements of this Permit. The Permittee must submit a
letter to the Division to request rescission of the Permit by providing documentation of
closure of all containment basins.
Closure shall also include a minimum of 24 hours pre -notification of the Division and
submittal of the Animal Waste Storage Pond and Lagoon Closure Report Form to the
address identified on the form within fifteen (15) days of completion of closure.

Failure of the Permittee to maintain, in full force and effect, lessee and landowner
agreements, which are required in the CAWMP, shall constitute grounds for revocation
of its COC to operate under this Permit.
This Permit is not transferable. In the event there is a desire for the Facility to change
ownership, or there is a name change of the Permittee, a Notification of Change of
Ownership form must be submitted to the Division, including documentation from the
parties involved and other supporting materials as may be appropriate.
6. The issuance of this Permit does not prohibit the Division from reopening and modifying
the Permit, revoking and reissuing the Permit, or terminating the Permit as allowed by the
appropriate laws, rules, and regulations.
The Groundwater Compliance Boundary is established by 15A NCAC 21, and 15A
NCAC 02T .01 11(c). An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to the requirements of 15A NCAC 2L and the Division
in addition to the penalty provisions applicable under the NCGS.
VI. PENALTIES
1. Failure to abide by the conditions and limitations contained in this Permit; the Facility's
CAWMP; and/or applicable state law; may subject the Permittee to an enforcement
action by the Division including but not limited to the modification of the animal waste
management system, civil penalties, criminal penalties, and injunctive relief.
2. The Permittee must comply with all conditions of this Permit. Any Permit
noncompliance constitutes a violation of state law and is grounds for enforcement action;
for Permit coverage termination, revocation and reissuance, or modification; or denial of
Permit coverage renewal application.
3. It shall not be a defense for a Permittee in an enforcement action to claim that it would
have been necessary to halt or reduce the permitted activity in order to maintain
compliance with the conditions of this Permit.
This Permit issued the I Ith day of August, 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
North Carolina Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number AW1640006

CDGN
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
R. Lowell Harris
R. Lowell Harris Poultry Farm
P. O. Box 114
Red Oak, NC 27868
Dear Mr. Harris:
Division of Water Quality
Coleen H. Sullins
Director
October 5, 2009
Subject: Permit No. AWI640006
R. Lowell Harris Poultry Farm
Animal Waste Management System
Nash County
Dee Freeman
Secretary
In accordance with your March 10, 2009 permit application, we are hereby forwarding to you this
corrected Permit issued to R. Lowell Harris authorizing the operation of the subject animal waste
management system. You had requested to drop the animal population at this facility to zero until such
time as the waste storage lagoon at this facility is properly closed, as you no longer wished to maintain it
as an active poultry farm.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the R. Lowell Harris Poultry Farm, with an annual capacity of no greater
than an annual average of zero (0) poultry layers.
The Permit shall be effective from the date of issuance until September 30, 2014 and replaces the COC
No. AWP640006 issued previously. You are subject to the conditions of this permit until the closure of
all waste storage basins and the rescission of this permit. You must submit a letter to the Division of
Water Quality to request rescission of the Permit by providing documentation of closure of all
containment basins.
The issuance of this Permit does not excuse the Permittee from the obligation to comply with all
applicable laws, rules, standards, and ordinances (local, state, or federal) nor convey any property rights
in either real or personal property.
Please be reminded that as per Condition 11.13 of this permit the facility must have at least one of
the following items at all times: (a) adequate animal waste application and handling equipment, (b)
a lease, or other written agreement, for the use of the necessary equipment, or (c) a contract with a
third party applicator capable of providing adequate waste application.
Per 15A NCAC 2T. 0111(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-ft separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Blvd., Ralen i. North Carolina 27604 Ope
Phone: [phone] FAX: [phone] l Customer Service: 1-877-623.674E N orthCarollrla
Internet; www.ncwaterquarity.org � �f�� /[�
An Equal Opponuni€y i Affirmative Aennn oyaj/at'1i
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Please be advised that any violation of the terms and conditions specified in this Permit may result in
revocation of this Permit or penalties in accordance with NCGS 143-215.6A through 143-215.6C, the
Clean Water Act, and 40 CFR 122.41, including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under this Permit after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
This Permit is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
This facility is located in a county covered by our Raleigh Regional Office, The Regional Office Aquifer
Protection Staff may be reached at [phone]. 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 (Record -Keeping Forms Package)
cc: Nash County Health Department
Nash County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
Notebook File AWI640006
Permit File AW1640006

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
INDIVIDUAL POULTRY ANIMAL WASTE MANAGEMENT SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
R. Lowell Harris
Nash County
FOR THE
continued operation and maintenance of an animal waste management system for the R. Lowell Harris
Poultry Farm, located in Nash County, consisting of zero (0) layer poultry and the application to land as
specified in the Facility's Certified Animal Waste Management Plan (CAWMP).
This permit shall be effective from the date of issuance until September 30, 2014 and shall be subject to
the following specified conditions and Iimitations:
1. PERFORMANCE STANDARDS
The animal waste management system operated under this Permit shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of pollutants
to surface waters, wetlands, or ditches. Application of waste to terraces and grassed
waterways is acceptable as long as it is applied in accordance with Natural Resources
Conservation Service (MRCS) Standards and does not result in a discharge of waste to
surface waters, wetlands, or ditches. If the Facility has a discharge of waste that reaches
surface waters or wetlands resulting from a storm event more severe than a 25-year, 24-
hour storm, it will not be considered to be in violation of this Permit, as long as the
Facility is in compliance with its CAWMP and this Permit.
2. No discharge of waste shall result in a violation of the water quality standards established
for receiving waters as per Title 15A, Subchapter 2B, Section .0200 of the North Carolina
Administrative Code (NCAC) and Title 15A, Subchapter 2L of the NCAC.
The facility's CAWMP is hereby incorporated by reference into this Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards
(federal, state and local) in effect at the time of siting, design, and certification of the
Facility.
4. Any proposed increase or modification to the annual average that exceeds the thresholds
set by North Carolina General Statues (NCGS) 143-215.10B(1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.

Animal waste shall not be applied within one hundred (100) feet of any well, with the
exception of monitoring wells. The allowable distance to monitoring wells shall be
established on a case -by -case basis by the Division.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The collection, treatment, and storage facilities, and the land application equipment and
fields shall be properly operated properly and maintained at all times.
2. A vegetative cover shall be maintained as specified in the Facility's CAWMP on all land
application fields and buffers in accordance with the CAWMP. No waste shall be
applied upon areas not included in the CAWMP.
Soil pH on all land application fields must be maintained in the optimum range for crop
production.
4. Land application rates shall be in accordance with the CAWMP. In no case shall land
application rates exceed the agronomic rate of the nutrient of concern for the receiving
crop. in no case shall land application rates result in excessive ponding or any runoff
during any given application event.
5. If manure or sludges are applied on conventionally tilled, bare soil, the waste shall be
incorporated into the soil within two (2) days after application on the land. This
requirement does not apply to no -till fields, pastures, or fields where crops are actively
growing.
Pesticides, toxic chemicals, and petroleum products shall not be disposed of in the animal
waste management system.
Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be
discharged into the animal waste management system. Washdown of stock trailers
owned by and used to transport animals to and from the Facility only will be permissible
as long as the system has been evaluated and approved to accommodate the additional
volume. Only those cleaning agents and soaps that are EPA -approved according to their
labels, will not harm the cover crop, and will not contravene the groundwater standards
listed in 15A NCAC 2L may be utilized in the Facility covered by this Permit.
Instruction labels are to be followed when using cleaning agents and soaps.
Disposal of dead animals resulting from normal mortality rates associated with the
Facility shall be done in accordance with the Facility's CAWMP and the North Carolina
Department of Agriculture and Consumer Services (NCDA&CS) Veterinary Division's
statutes and regulations.
Unless accounted for in temporary storage volume, all uncontaminated runoff from the
surrounding property and buildings shall be diverted away from the waste
lagoons/storage ponds to prevent any unnecessary addition to the liquid volume in the
structures.

10. A protective, vegetative cover shall be established and maintained on all earthen
lagoon/storage pond embankments (outside toe of embankment to maximum pumping
elevation), berms, pipe runs, and diversions to surface waters or wetlands. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the lagoon/storage pond
embankments. All trees shall be removed in accordance with good engineering practices.
Lagoonlstorage pond areas shall be accessible, and vegetation shall be kept mowed.
11. At the time of sludge removal from a lagoon/storage pond, the sludge must be managed
in accordance with the CAWMP. When removal of sludge from the lagoon is necessary,
provisions must be taken to prevent damage to the lagoon dikes and liner.
12. Lagoons/storage ponds shall be kept free of foreign debris including, but not limited to,
tires, bottles, light bulbs, gloves, syringes or any other solid waste.
13. The Facility must have at least one of the following items at all times: (a) adequate
animal waste application and handling equipment, (b) a lease, or other written agreement,
for the use of the necessary equipment, or (c) a contract with a third party applicator
capable of providing adequate waste application.
14. No waste shall be applied in wind conditions that might reasonably be expected to cause
the mist to reach surface waters or wetlands.
15. The Permittee shall maintain buffer strips or other equivalent practices as specified in the
Facility's CAWMP near feedlots, manure storage areas, and land application areas.
16. Waste shall not be applied on land that is flooded, saturated with water, frozen, or snow
covered at the time of land application.
17. Land application of waste is prohibited during precipitation events. The Permittee shall
consider pending weather conditions in making the decision to land apply waste.
18. Land application activities shall cease on any application site that exceeds a Mehlich 3
Soil Test Index for Copper of greater than 3,000 (108 pounds per acre) or Zinc of greater
than 3,000 (213 pounds per acre).
19. Any major structural repairs to lagoons/storage ponds must have written documentation
from a technical specialist certifying proper design and installation. However, if a piece
of equipment is being replaced with a piece of equipment of the identical specifications,
no technical specialist approval is necessary [i.e. piping, reels, valves, pumps (if the
gallons per minute (gpm) capacity is not being increased or decreased), etc.] unless the
replacement involves disturbing the lagoon/storage pond embankment.
III. MONITORING AND REPORTING REQUIREMENTS
An inspection of the animal waste collection, treatment, and storage structures, and
runoff control measures shall be conducted and documented at a frequency to insure
proper operation For example, lagoons/storage ponds, and other structures should be
inspected for evidence of erosion, leakage, damage by animals or discharge.

Highly visible waste -level gauges shall be maintained to mark the level of waste in each
lagoon/storage pond that does not gravity feed through a free flowing transfer pipe into a
subsequent structure. The gauge shall have readily visible permanent markings. The
waste level in each lagoon with a waste level gauge shall be monitored and recorded
weekly on forms supplied by, or approved by, the Division.
3. A representative Standard Soil Fertility Analysis, including pH, phosphorus, copper, and
zinc, shall be conducted on each application field receiving animal waste at least every
three (3) years. An analysis of the animal waste shall be conducted in accordance with
recommended laboratory sampling procedures as close to the time of application as
practical and at least within sixty (60) days (before or after) of the date of application.
This analysis shall include the following parameters:
Nitrogen Zinc
Phosphorus Copper
4, The Permittee shall record all irrigation and land application event(s) including hydraulic
loading rates, nutrient loading rates and cropping information. The Permittee shall also
record removal of solids and document nutrient loading rates if disposed on -site or record
the off -site location(s). These records must be on forms supplied by, or approved by, the
Division.
If, for any reason, there is a discharge from the animal waste management system
(including the land application sites), to surface waters or wetlands, the Permittee is
required to make notification in accordance with Condition 111.9. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of
the volume discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste. Also, an estimation of
the volume discharged.
b. Time of the discharge: The length of time of the discharge, including the exact dates
and times that it started and stopped, and if not stopped, the anticipated time the
discharge is expected to continue.
c. Cause of the discharge: A detailed statement of the cause of the discharge. If caused
by a precipitation event, detailed information from the on -site rain gauge concerning
the inches and duration of the precipitation event.
d. All steps being taken to reduce, stop and cleanup the discharge. All steps to be taken
to prevent future discharges from the same cause.
e. Analysis of the waste: A copy of the last waste analysis conducted as required by
Condition III. 3.
A copy of this Permit, the Facility's permit, certification forms, lessee and landowner
agreements, the CAWMP, and copies of all records required by this Permit and the
Facility's CAWMP shall be maintained by the Permittee in chronological and legible
form for a minimum of three (3) years.

7. Within fifteen (15) working days of receiving the request from the Division, the
Permittee shall provide to the Division one (1) copy of all requested information and
reports related to the operation of the animal waste management system. Once received
by the Division, all such information and reports become public information, unless they
constitute confidential information under North Carolina General Statutes (NCGS) 132-
1.2, and shall be made available to the public by the Division as specified in Chapter 132
of the NCGS.
The Division may require any additional monitoring and reporting (including but not
limited to groundwater, surface water or wetland, waste, sludge, soil, lagoon/storage pond
levels and plant tissue) necessary to determine the source, quantity, quality, and effect of
such waste upon the surface waters, groundwaters or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems,
shall meet all applicable Division requirements.
4. Regional Notification:
The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than twenty-four (24) hours following first
knowledge of the occurrence of any of the following events:
a. Any discharge to ditches, surface waters or wetlands.
b. Failure to maintain storage capacity in a lagoon/storage pond greater than or
equal to that required in Condition V. 2. of this Permit.
Over applying waste either in excess of the limits set out in the CAWMP or
where runoff enters surface waters or wetlands.
d. Failure of any component of the animal waste management system resulting in a
discharge to surface waters or wetlands.
e. Any failure of the animal waste management system that renders the Facility
incapable of adequately receiving, treating or storing the waste and/or sludge.
f. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
For any emergency, which requires immediate reporting after normal business hours,
contact must be made with the Division of Emergency Management at 1-800-858-0368.
The Permittee shall also file a written report to the appropriate Division Regional Office
within five (5) calendar days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to correct the problem and to
ensure that the problem does not recur. The requirement to file a written report may not
be waived by the Division Regional Office.

IV. INSPECTIONS AND ENTRY
The Permittee shall allow any authorized representative of Department, upon the
presentation of credentials and other documents as may be required by law and in
accordance with reasonable and appropriate biosecurity measures, to:
a. Enter the Permittee's premises where the regulated Facility or activity is located or
conducted, or where records must be kept under the conditions of this Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this Permit;
Inspect, at reasonable times any facilities, equipment (including monitoring and
control equipment), practices, or operations regulated or required under this Permit;
and,
d. Sample or monitor, at reasonable times, for the purpose of assuring permit
compliance, any substances or parameters at any location.
V. GENERAL CONDITIONS
The issuance of this Permit shall 'not relieve the Permittee of the responsibility for
compliance with all applicable surface water, wetlands, groundwater and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.'
2. The maximum waste level in lagoons/storage ponds shall not exceed that specified in the
Facility's CAWMP. At a minimum, maximum waste level for lagoons/storage ponds
must not exceed the level that provides adequate storage to contain a 25-year, 24-hour
storm event plus an additional one (1) foot of structural freeboard except that there shall
be no violation of this condition if: (a) there is a storm event more severe than a 25-year,
24-hour event, (b) the Permittee is in compliance with its CAWMP, and (c) there is at
least one (1) foot of structural freeboard.
3. Any containment basin, such as a lagoon or a storage pond, used for waste management
shall continue to be subject to the conditions and requirements of this Permit until
properly closed. When the containment basin is properly closed in accordance with the
Natural Resource Conservation Senjice (NRCS) North Carolina Standard,for Closure of
Waste Impoundments, February 2005 or any subsequent amendment, the containment
basin shall not be subject to the requirements of this Permit. The Permittee must submit a
letter to the Division to request rescission of the Permit by providing documentation of
closure of all containment basins.
Closure shall also include a minimum of 24 hours pre -notification of the Division and
submittal of the Animal Waste Storage Pond and Lagoon Closure Report Form to the
address identified on the form within fifteen (15) days of completion of closure.

4. Failure of the Permittee to maintain, in full force and effect, lessee and landowner
agreements, which are required in the CAWMP, shall constitute grounds for revocation
of its COC to operate under this Permit.
This Permit is not transferable. In the event there is a desire for the Facility to change
ownership, or there is a name change of the Permittee, a Notification of Change of
Ownership form must be submitted to the Division, including documentation from the
parties involved and other supporting materials as may be appropriate.
The issuance of this Permit does not prohibit the Division from reopening and modifying
the Permit, revoking and reissuing the Permit, or terminating the Permit as allowed by the
appropriate laws, rules, and regulations.
7. The Groundwater Compliance Boundary is established by 15A NCAC 2L and 15A
NCAC 02T .0111(c). An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to the requirements of I SA NCAC 2L and the Division
in addition to the penalty provisions applicable under the NCGS.
VI. PENALTIES
I . Failure to abide by the conditions and limitations contained in this Permit; the Facility's
CAWMP; and/or applicable state law; may subject the Permittee to an enforcement
action by the Division including but not limited to the modification of the animal waste
management system, civil penalties, criminal penalties, and injunctive relief.
The Permittee must comply with all conditions of this Permit. Any Permit
noncompliance constitutes a violation of state law and is grounds for enforcement action;
for Permit coverage termination, revocation and reissuance, or modification; or denial of
Permit coverage renewal application.
It shall not be a defense for a Permittee in an enforcement action to claim that it would
have been necessary to halt or reduce the permitted activity in order to maintain
compliance with the conditions of this Permit.
This Permit issued the 5th day of October, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
North Carolina Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number AWI640006

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue ; Coleen H. Sullins Dee Freeman
Governor Director Secretary
Z I f VW May 12, 2009
Mr. R. Lowell Harris ' _ R. Lowell Harris Poultry farm
P O Box 114
Red Oak, NC 27868-0I 14
Subject: Additional Information Request
Application No. AWP640006
R. Lowell Harris Poultry farm
Nash County
Dear Mr. Harris:
The Animal Feeding Operation Unit of Division of Water Quality's Aquifer Protection Section has
completed a preliminary review of your renewal permit application package. Additional information is
required before we may continue our review. Please address the following items within 30 (thirty) days
of receipt of this letter:
Missing Waste Utilization Plan:
You were requested to submit two copies of your facility's Waste Utilization Plan (WUP) or,
Nutrient Management Plan (NMP). Our records show copies of the waste plan are missing in your
permit application we received. Please submit missing copies of your current WUP or NNW to my
attention at the Mail Service Center address given on at the bottom of the first page of this letter.
A blank copy of the Animal Waste Management Plan Certification can be downloaded from the following
web link:
http://h2o.enr.state.nc.uslaps/afou/documents/Animal W asteManagementSystemCertification Form091806.doe
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are still the
responsibility of the applicant. In addition, any omissions made in responding to the above items shall
result in future requests for additional information.
Please reference the subject application number when providing the requested information. All revised
and/or additional documentation shall be signed, sealed and dated, with two (2) copies submitted to my
attention at the address below. Please note that failure to provide this additional information on or before
the above requested date may result in your application being returned as incomplete.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ilcwatcrquality.org Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper
I- 11 Caro -
tura)Iy
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

Failure to request renewal of your coverage under a general permit within the time period specified may
result in a civil penalty. Operation of your facility without coverage under a valid general permit would
constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to
$25,000 per day.
If you have any questions regarding this letter, please feel free to contact melt [phone].
Sincerely,
Larry W. Wade PE
Environmental Engineer I
Animal Feeding Operations Unit
cc: Raleigh Regional Office, Aquifer Protection Section
Nash County Soil and Water Conservation District
Cal Maine Foods, Inc. (3320 Woodrow Wilson Dr,, Jackson MS 39209)
APS Files- AWP640006

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January 5, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
R. Lowell Harris
R. Lowell Harris Poultry Farm
P O Box 114
Red Oak, NC 27868
Michael F. Easley, Governor
William G, Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W, Klimek, P.E. Director
__ Uiyision.of Water Quality
JAIL 8 2007 f
'OENR RALEIGH REGIONAL OFFICE;
Subject: Application for renewal of General
Permit/Waste Utilization Plan
R. Lowell Harris Poultry Farm
Certificate of Coverage No. NCA464006
Animal Waste Management System
Nash County
Dear R. Lowell Harris:
The Division of Water Quality (Division) received your application for the renewal of coverage for
expiring NPDES general permit. However, you did not include two (2) copies of your most recent waste
utilization plan with the application form as requested by the Division by a letter dated Dec. 1, 2006. The
Division considers your application as incomplete as long as all the required documents are not included
in your application. Please submit two copies of your most recent waste utilization plan within fifteen
(15) days to the following address:
Miressa D. Garoma
Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
If you have any questions, please do not hesitate to contact me at [phone].
cc: Raleigh Regional Office, Aquifer Protection Section
Central Files
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterauality,gm Location: 2728 Capital Boulevard
An Equal OpportunitylAffirmative Action Employer— 50°% Recydedl10% Post Consumer Paper
Sincerely,
Miressa D. Garoma, PhD
Soil Scientist
o"`
Nwhcarolina
turlltrl(t
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

State of North Carolina
Department of Environment
and Natural Resources
Raleigh Regional office
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Division of Water Quality
��. May 1, 2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. R. Lowell Harris
P.O. Box 114
Red Oak, North Carolina 27868
Dear Mr. Harris:
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Subject: Notice of Deficiency
R. Lowell Harris Poultry Farm
COC AWP640006
Nash County
On April 18, 2002, Mr. Buster Towell of the Raleigh Regional Office conducted an inspection
of the subject poultry layer operation. The inspection revealed the following deficiency of your
General Permit and Certified Waste Management Plan:
Your lagoons need some maintenance with regards to burrowing rodents. Several muskrat holes
were observed in and around your secondary lagoon. This problem has not been noted in any of
the past inspections of your facility. Since these burrowing rodents are just starting to move into
your lagoons, now is the perfect time to work towards removing these potentially harmful
animals from your premises so that more serious damage does not occur to any of your waste
structures.
If you have any questions concerning this Notice you should call Buster Towell at (919) 571-
4700.
Sincerely,
Kenneth Schuster, P.E.
Regional Water Quality- Supervisor
cc: Nash County Health Department
Nash Soil & Water Conservation District
DWQ Nondischarge Compliance Group
RRO Files
1628 Mail Service Center, Raleigh, NC 27699-1628 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper

210 - �s
ANIMAL WASTE UTILIZATION PLAN
Producer:
Location:
Telephone:
Type Operation:
Number of Animals:
(Design Capacity)
STORAGE STRUCTURE:
APPLICATION METHOD:
,(
DENR RALEIGH REGIONAL OFFICE
R. LOWELL HARRIS
P O BOX 114
RED OAK NC 27868
252-443-4754
Existing Layer
110000.00 bird
Anaerobic Waste Treatment Lagoon
Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when -the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
S. 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.)
110000 bird x 25.373 tons waste/bird/year = 2791030 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
110000 bird x 0.084 lbs PAN/bird/year = 9240 lbs. PAN/year
.# Wash- ana/psis sl`ao'l Qi least w ;-5% reduct'oti X 7Sa (ZSA
in Af1N ,n i�6G .SCGO&Caaf V ia50e0L fron' - Jke Ipr.'n.cv� la�au.�, 6430 lbs. P/1N/V,,
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

i
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
6.1
N
TIME
3356
A
NoB
BH
305
0.00
1.11
338.55
I
APR-SEPT
3356
�_A
NOB
3356
1
NOR
3356
1-1
NOB
3356
2
NOB.
I
3356
�_2
NoB
i
3356
3
NOB
3356
P
NoB
3356
4
NoB
3356
1-4
NOB
3356
5
NOB
3356
1-5
NoB
3356
6
NOB
3356
-6
1 NOB
50.0
j50
1.11
IG
I
�0.00
KEPT -MAR
BH
6.1
I
�305
�0.00
12.67
1814.35
APR-SEPT
SG
50.0
I
�50
�0.00
12.67
�133.5
SEPT-MAR
BH
6.1
I
�305
10.00
�3.73
�1137.65
APR-SEPT
SG
50.0
I
150
�0.00
�3.73
�186.5
SEPT-MAR
BH
6.1
I
�305
10.00
�3.88
�1183.4
APR-SEPT
SG
50.0
I
�50'�0.00
�3.88
�194
SEPT-MAR
BH
6.1
I
�305
10.00
�2.53
�771.65
APR-SEPT
SG
50.0
I
150
10.00
12.53 �126.5
SEPT-MAR
BH
6.1
I
�305
�0.00
�0.77 �234.85
APR-SEPT
SG
50.0
I
�50
10.00
10-.77
138.5
SEPT-MAR
BH
6.1
I
�305
�0.00
�1,31
�3_99.55
APR-SEPT
SG
50.0
�50
�0.00
�1.31
�65.5
I
SEPT-MAR
Page: 3

{rr
4
ANIMAL WASTE UTILIZATION PLAN
3356
3356
3356
3356
7 NoB
-7 NoB
10 NoB
_10 I NOB
END
BH
j6.1
I
}
1305
SG
50.0
I
150
BH
6.1
305
I
SG
50.0
50
I
I
0.00
13.00
1915
APR-SEPT
0.00
13.00
1150
SEPT-MAR
0.00
10.91
�277.55
APR-SEPT
�45.5
0.00
0.91
SEPT-MAR
TOTAL17068.05
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 4

f
r
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 Jess 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

I
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
BH
SG
BERMUDAGRASS - HAY
SMALL GRAIN OVERSEEDED
TONS
BU
50
1.0
TABLE 1
TABLE 2
TOTAL
**
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
19.91
7068.05
0
0
19.91
7068.05
* BALANCE
- t 38. oS
*** 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 5720 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 28600
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 95.3333333333 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 228.8 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
j
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
3356
1
NOR
BH
0.50
*1.00
3356
10
NOR
BH
0.50
*1.00
3356
2
NoB
BH
0.50
*1.00
3356
3
NOD
BH
0.50
*1.00
3356
4
NOB
BH
0.50
*1.00
3356
5
NoB
BH
0.50
*1.00
3356
6
NoB
BH
0.50
*1.00
3356
7
NoB
BH
0.50
*1.00
3356
A
NoB
BH
0.50
*1.00
3356
'1
NOB
SG
0.50
*1.00
3356
'10
NOR
SG
0.50
*1.00
3356
"2
NoB
SG
0.50
*1.00
3356
NoB
SG
0.50
*1.00
3356
"4
NoB
SG
0.50
*1.00
3356
"5
NoB
SG
0.50
*1.00
3356
NoB
SG
0.50
*1.00
3356
"7
NoB
SG
0.50
*1.00
3356
"A
NoB
SG
0.50
*1.00
* 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
Page: 8

Mr. Harris is going to plant Sorghum -Sudan Grass on pulls A, 1 and 2. The yield for
Sorghum -Sudan is 6.0 Tons/acre. The nitrogen fertilization rate is 50 lbs./Ton. The
uptake period is from May -July.
Pull A 1.11 ac. X 6.0 Ton/ac X 50 lbs./Ton = 333.00
Pull 1 2.67 ac. X 6.0 Ton/ac X 50 lbs./Ton = 801.00
Pull 2 3.73 ac. X 6.0 Ton/ac X 50 lbs./Ton = 1119.00
2253.00 lbs. N
The farm produces 6930 lbs. N /Year.
The nutrient balance will be a—100.50.

ANIMAL WASTE UTILIZATION PLAN
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

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:R. LOWELL HARRIS POULTRY FARM
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: R. LOWELL HARRIS
(Please print)
Signature:1 Date:
Name of Manager(If different from owner):
Signature:
Date:
Name of Person Preparing Plan: (Please print)J. Edward Long
Affiliation:Nash Soil and Water Conservation District Phone
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Nashville NC 27656
Signature: Date:
Page: 13

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Govemor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
February 3, 1999
R. Lowell Harris
R. Lowell Harris Poultry Farm
PO Box 114
Red Oak NC 27868
IT llww
ilk
/ • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE50URCES
Subject: Application No. AWP640006
Additional Information Request
R. Lowell Harris Poultry Farm
Animal Waste Operation
Nash County
Dear Lowell Harris:
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application. Additional
information is required before we can continue our review. Please address the following by March 5, 1999:
Please provide documentation stating the date when the lagoons and houses were sited. Be sure to include
any site evaluations, wetland determinations, or hazard classifications that may be applicable.
2. Best Management Practices (BMPs) that are to be implemented at this facility should be identified (check
the appropriate BMPs) on the Insect Control Checklist, Odor Control Checklist and Mortality Management
Checklist.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. Please
reference the subject permit application number when providing the requested information. All information should be signed,
sealed, and submitted in duplicate to my attention at the address below. The information requested by this letter, must be
submitted on or before March 5, 1999 or the Division will return your application as incomplete in accordance with 15A
N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation of North
Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental Management
Commission.
If you have any questions regarding this request, please call me at [phone], extension 571.
cc:_Raleigh.Regional-Off"tce, Water"Qu'ality " l
Permit File
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Sincerely, �Q
Sonya Avant r '� F, [i''
Environmental Engineer -
FFR
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
R. Lowell Harris
R. Lowell Harris Poultry Farm
PO Box 11411
Red Oak NC 27968
Dear R. Lowell Harris:
,1kT0.W;W'A
IT 0 0
A&4 2
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT :AN—o—N Yr-uRAL-RESOURCES
s
December 30, 1999�1
r
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 64,6a
vNassh-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
Nash County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
Lowell Harris
R. Lowell Harris Poultry Farm
PO Box 114
Red Oak NC 27868
Dear Lowell Harris:
•
WSW
NCDEN.R
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL -RESOURCES
O,
June 11, 1999 LO
O'
Z
Subject: Certificate of Coverage No'*A'
R. Lowell Harris Poultry Farm
Poultry Waste Collection, Treatment,
Storage and Application System
Nash County
In accordance with your application received on August 18, 1998, we are forwarding this
Certificate of Coverage (COC) issued to R. Lowell Harris, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with State General
Permit AWG300000. This approval shall consist of the operation of this system including, but not
limited to, the management of animal waste from the R. Lowell Harris Poultry Farm, located in Nash
County, with an animal capacity of no greater than 110000 Layer and the application to land as specified
in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COG
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the -CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and
injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycledt 10% post -consumer paper

Certificate of Coverage AWP640006
R. Lowell Harris Poultry Farm
Page 2
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality
Staff may be reached at (919) 5714700. If you need additional information concerning this COC or the
General Permit, please contact Sonya Avant at [phone] ext. 571.
Sincerely,
Cx
err T. Stevens
cc: (Certificate of Coverage only for all cc's)
Nash County Health Department
Raleigh Regional Office, Water Quality Section
Nash County Soil and Water Conservation District
Permit File

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality w
Non -Discharge Permit Application Form -"
(THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Existing Liquid Animal Waste Opqqt�o�
The following questions have been completed utilizing information on file with the Division. Please
review the information for completeness and make any corrections which are`appr6priate. If a
question has not been completed by the Division, please complete as best as possible. Do not leave
any question unanswered.
1. GENERAL INFORMATION:
1.1, Facility Name: R. Lowell Harris Poultry Farm
1.2 Print Land Owner's name: R. Lowell Harris
1.3 Mailing address: PO Box 114
City, State: Red Oak NC
Telephone Number (include area code): 919-443-4754
1.4 County where facility is located: Nash
_ Zip: 27868
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a
copy of a county road map with the location of the farm identified): Sr 1414 0.5 miles E. of SR 1004 Griffins
1.6 Print Farm Manager's name (if different from Land Owner):
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed):
1.8 Date Facility Originally Began Operation: 01/01/78
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: _64 (county number); 6 (facility number).
2.2 Operation Description Poultry operation
Layer
110000- Certified Design Capacity
Is the above information correct? j yes;. no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maxim m num er or which the waste management structures were designed.
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
Wean to Feeder Layer Dairy
Feeder to Finish Non -Layer Beef
Farrow to Wean (# sow) Turkey
Farrow to Feeder (# sow)
Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
1
FORM: AWO-G-E 5/28/98 Page 1 of 4 64 - 6

1
2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 55 ; Required Acreage (as listed in the AWMP): 32.6
2.4 Number of lagoons/ storage ponds (circle which is applicable): _ e-7`
2.5 Are subsurface drains present within 100' of any of the application fields? YES or go
(please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
YES or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited?
What was the date that this facility's land application areas were sited?
3. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
Applicants Initials
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit
application for animal waste operations.
The CAWMP must include the following components:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
injection, etc.)
3.3.3 A map of every field used for land application.
3.3A The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications.
3.3.10 A site schematic.
3.3.11 Emergency Action Plan.
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.I4 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/28/98 Page 2 of 4 64 - 6

Facility Number: 64 - 6
Facility Name: R. Lowell Harris Poultry Farm
4. APPLICANT'S CERTIFICATION: -
I, (Land Owner's name listed in question 1.2), attest that
this application for L o tuF CLi¢z.Q%Z ,LS .,, y e!5� (Facility name listed in question 1. l )
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
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
11
(Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5/28/98 Page 3 of 4 64 - 6

t Plan
eoni�O.n m ` 0!J #Pase type or all information does not require a signat
1998 �
Yistin or 'New 'or Expanded (please circle one)
General Information
Name of Farm: R_ Lowell Na.r,,s Pa Jt,,4 Ftxe&_% Facility No:
Ow ner(s) Name: a. l Q we11_ Narks _ _ Phone No: 9l 9 - Y y3 1/ 25 V
Mailing Address: & Q, 136x 11 y Red D4k A/C 278A8 0I/ 11
Farm Location: County Farm is located in: ^/p-3 k
Latitude and Longitude: 3 6 a 0 y ` 0/ 770 98 ' / Y '
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): 1 N o S mve o f 5n i oo v ,t
Qperation Description:
Type ofSivine No. ofAnimals
3 Wean to Feeder
7 Feeder to Finish
7 Farrow to Wean
3 Farrow to Feeder
7 Farrow to Finish
Type of Poultry No. of Animals Type of Cattle No. ofAnimals
2FLayer 110,000 _ O Dairy
0 Pullets D Beef
Other Type of Livestock. Number of Animals:
Expanding Operatian Only
Previous Design Capacity: Additional Design Copactty
Total Design Ca acin-:
Acreage Available for Application: _f A Required Acreage: 3;Z. 6
Number of Lagoons / Storage Ponds : 3 Total Capacity: I I $a 913. 6 Cubic Feet (ft3)
Are subsurface drains present on the farm: YES orb (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before she 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 64 days of a title transfer.
Name
Signa
Name of Manager(if different from owner):
Signature:
AWC -- January 1. 1997
Date:

Technical Specialist Certification
L Asa technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6F .0005. 1 certify that the animal waste management system for the farm named above. has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management (DEM)
as specified in 15A 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 2H.02I7 and 15A NCAC 6F .0001-.0005. The
following elements are included in the plan as applicable. While each category designates a technical specialist who may
sign each certification (SD, SI, WUP, RC. 1), the technical specialist should only certify parts for which they are technically
competent.
IL Certification of Design
A) Collection, Storage, Tfgatment3System
Check the appropriate box
Ja Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
Z2 New. Cxoanded ar retrofittCd facility (SD)
Animal waste storage and treatment structures, such as but not 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):,�r;�,��-
Affiliation: Cow eruai� 0 5
Address(Agency):n- n" A- C�wfer aerue- viIIe_ AIC anjs PhoneNo.: 919-yf5-Y��S
Signature:_ AWC_ Date:
B) Land Anolipatio t_& a (IIVP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): & a Led Gcn
Affiliation:Na-ij, se; I4-wa.tce
Address(Agency). gn roe 44C��.ter N4.sAo:lle ,ye &7jrjs Phone No.:_9/Z- y59- s11i5,
Sisrttature- G7. � -'� Date: ///&/f 7
C) Runoff Controls-fr
Check tire appropriate box
10 Facility wilbout axterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
ZI Facility witjLextgrigr 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 NRCS.
Name of Technical Specialist (Please Print): S; Eo�ward Le..
AMlint ion:-h LL�k .5oi14 [Dater Cymreiyaf�oti 941r;d
Add ress(Agency): Rn, z7fff Phone No.: 2/9- 1/39_ t///S
Signature: Date: -08/2d/97
A«'C -- January 1, 1997 2

D). Application -and Handling ,gi nib sent
Check the appropriate box
Q Exi„5tin ar expanding facility with existing waste application equipment (WUP 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: (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 ire contained as part of
the plan).
U New, expended. or cxisting facility _without existing waste a ltnn •catigi equipment for spray
iatian. (I)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to,exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Q New, expanded, oLexistingfag1ily without existing waste agplication,gautpmeat for land
spreadi a u (WUP or i)
Animal waste application equipment specified in the plan has been selected 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; calibration and adjustment guidance are
contained as part of the plan).
Name of Technical Specialist (Please Print): 1, E1,0arc1 1­0n9
Affiliation: (mask Soi 1 4 .water Cons e.udtio.%- p;sferaf'
Address(Agency): R►, 107 A CeR+te pr;rt. Alai kv;14 ,✓C I.? C5 V Phone No.: 919 - y59'yII s
Signature: _--� _ Date:
E) Odor Control. Insect Cgkttrol. N joostality t1anagement and Emergcncy Action Plan (512.
SL ANI
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect Control
Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and 'insects
have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): S, Fotwo-, C=
Affiliation: A/-,sk So;( 4„tiafce i S:Le-e-t
Address(Agency): Ra. 101 r r.'.r ,t/a3AOW s Phone No.: =-1/5
Signature:_ �,_ G-7d.. ..1 4,-7 Date:819-D 197
F) Written tie Tew or Expanding Snj=
The following signature block is only to be used for new or expanding swine farms that begin construction after June
21,1996. if the facility was built before June 21,1996, when was It constructed or last expanded
I (►►•e) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street. or highway from this new or expanding swine farm. The notice was in
compliance with the requirements of NCGS 106.805. A copy of the notice and -.a list of the property owners notified is
attached.
Name of Land Owner:
Signature: Date:
Name of Manager(if different from owner):
Signature Date:
AIVC -- January 1,1997 3

III. Certification of Installation
A) Collection, Storage, Treatment Installation
ew, a ded or retro[MCd facility.(SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed in
accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Addreis(Agency):_ Phone No.:
Signature: Date:
B) Land Application Site (%YUP)
Check the appropriate box
3 The cropping system is in place on all land as specified in the animal waste management plan.
Q 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 wasteutilization plan.
❑ Also check' this box if appropriate
if the cropping system as specified in the plan can riot be established on newly cleared land within 30 days
of this certification, the owner lias committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print):.
Affiliation: YAI& .Sad
Address(Agenc ): A C e vc Phone No.: q!g-` 1-YN3
Signature: Date: t/ - /9 — 9 7
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 establish 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:
AWC -- January 1, 1997 4

- Q runoff _Controls from Exte Lots (RC)
Facility with exteri rp lots
Methods to minimize the run off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address(Agency): Phone No.:
Signature: Date:
D) Application and Handling Equipment Installation (WUP or I)
Check the appropriate block
® 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): T. Ed"Xxted Lon*
Affiliation: wale. COnlerll—ill.. (3;5¢.;c-f
Address(Agency): Rn, /07 A-5 c �...f�r A�� �� _ L✓�s�.-,1�= .✓c Z2 y.s c _Phone No.:. 9
S
-7-
The following signature block is —only to be used when the box for conditional approval in III D
above has been checked.
1 (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 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 Aianager(if different from owner):
Signature: Date:
E) Oftr Control. Ingect C&Utrol and Mortality Alanagement WUP, RC o
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print):
Affiliation:
Address(Aeency): Phone No.:
Sicnature:
AwC -- ' Januarx. I. 1997 5
Date:

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ANIMAL WASTE UTILIZATION PLAN
Producer:
Location:
Telephone:
Type Operation:
Number of Animals:
(Design Capacity)
STORAGE STRUCTURE:
APPLICATION METHOD:
R. LOWELL HARRIS
PO SOX 114
RED OAK NC 27868
252-443-4754
Existing Layer
110000.00 bird
Anaerobic Waste Treatment Lagoon
Irrigation
<�
i
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
5. wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
110000 bird x 25.373 tons waste/bird/year = 2791030 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
110000 bird x 0.084 lbs PAN/bird/year = 9240 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
3356
UN1
NoB
BH
6.1
305
0.00
9.0
2745
I
APR-SEPT
3356
F UN1
NOB
3356
1
NOB
3356
1
NOB
3356
2
NOB
3356
�-2
NOB
3356
3
�NrB
3356
3A
NrB
3356
14
INrS
END
G
50.0
I
150
10-00
�9.0
1450
SEPT-MAR
EH
6.1
I
1305
10.00
17.0
12135
APR-SEPT
SG
50.0
I
I
150
�0.00
17.0
1350
SEPT-MAR
BH
6.1
I
I
1305
10.00
17.0
12135
APR-SEPT
SG
50.0
I
150
10.00
17.0
1350
SEPT-MAR
FH
3.5
175
0.00
I
I
I
I
12.6
1455
SEPT-NOV
WA
50
I
I
150
10.00
15.9
1295
SEPT-MAR
WA
50
I
150
�0.00
�10.0
1500
I
SEPT-MAR
I
TOTAL19415
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
Page: 3

ANIMAL WASTE UTILIZATION PLAN
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
or
-------
APPLY
iRESID.
APPLIC
METH
N
TIME
END
TOTAL 10
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
50
BH
BERMUDAGRASS - HAY
TONS
FH
FESCUE - HAY
TONS
50
SG
SMALL GRAIN OVERSEEDED
BU
1.0
WA
WINTER ANNUALS
BU
1.0
TABLE 1
TABLE 2
TOTAL
**
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
41.5
9415
0
0
41.5
9415
* BALANCE
-175
*** 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 5720 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 28600
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 95.3333333333 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 228.8 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25°s depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 7

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
3356
1
NoB
BH
0.50
*1.00
3356
2
NoB
BH
0.50
*1.00
3356
3
NrB
FH
0.40
*1.00
3356
3A
NrB
WA
0.40
*1.00
3356
4
NrB
WA
0.40
*1.00
3356
UN1
NoB
BH
0.50
*1.00
3356
NOB
SG
0.50
*1.00
3356
"2
NoB
SG
0.50
*1.00
3356
NoB
SG
0.50
*1.00
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 6.00
months. In no instance should the volume of the waste be stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Page: 8

ANIMAL WASTE UTILIZATION PLAN
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
Mr. Harris can also apply waste on fescue hay from February - April.
In fields 3A and 4, a three year cropping system of first and second year conservation
tilled crops followed by third year conventionally planted row crops. A cover crop will
be planted after each crop for waste application.
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.
15. 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 Go days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 12

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:R. LOWELL HARRIS POULTRY FARM
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on --site at the farm office
and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: R. LOWELL HARRIS
(Please print)
Signature:+ Date:
Name of Manager (If different from owner) :
Signature:
Name of Person Preparing Plan:
Date:
(Please print)J. Edward Long
Affiliation:Nash Soil and Water Conservation District Phone
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Nashville NC 27856
Signature. Z. Date:
Page: 13

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U.S. DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
SOIL MAP LEGEND
Legend
Map Soil name
symbol
AaA jAltaviata sandy loam, 0 to 3 percent slopes
AhA Altavista -Urban Land complex, 0 to 3 percent slopes
AUB lAutryville loamy sand, 0 to 6 percent slopes
Bb jBibb loam, frequently flooded
BnB JBIanton loamy sand, 0 to 6 percent slopes
BoB 18onneau loamy sand, 0 to 4 percent slopes
Co lCongaree fine sandy loam, frequently flooded
DoA IDothan loamy sand, 0 to 3 percent slopes
FaB IFaceville loamy sand, 1 to 6 percent slopes
GeB IGeorgeville loam, 2 to 6 percent slopes
GeC lGeorgeville loam, 6 to 10 percent slopes
GeE lGeorgeville loam, 10 to 25 percent slopes
GgB IGeorgeville gravelly loam, 2 to 6 percent slopes
GgC lGeorgeville gravelly loam, '6 to 10 percent slopes
GgE lGeorgeville gravelly loam, 10 to 25 percent slopes
GoA IGoldshoro fine sandy loam, 0 to 2 percent slopes
GrB lGritney sandy loam, 2 to 6 percent slopes
GrC 10ritrney sandy loam, 6 to 10 percent slopes
GuS jOeorgeville-Urban Land complex, 0 to 6 percent slopes
He6 (Helena coarse sandy loam, 2 to 6 percent slopes
Me IMeggett loam, frequently flooded
NaC INankin sandy loam, 2 to 10 percent slopes
NnB INason loam, 2 to 6 percent slopes
NnC INason loam, 6 to 10 percent slopes
NoA lNorfolk loamy sand, 0 to 2 percent slopes
NOB (Norfolk loamy sand, 2 to 6 percent slopes
NpB Norfolk -Wedowee complex, 2 to 6 percent slopes
NrB INorfolk, Georgaville, and Faceville soils, 2 to 8 percent slopes
NUB iNor£olk-Urban Land complex, 0 to 6 percent slopes
Ra }Rains fine sandy loam
Rb Rains -Urban Land complex
To )Tomotley fine sandy loam
Ud jUdorthents, loamy
Ur jUrban Land
w (water
WeB 1Wedowee coarse sandy loam, 2 to 6 percent slopes
WeC lWedowee coarse sandy loam, 6 to 10 percent slopes
Wh lWehadkee loam, frequently flooded
WkA lWickham fine sandy loam, 0 to 3 percent slopes
WoA lWorsham loam, 0 to 2 percent slopes
PAGE 1 OF 1
08/11/98

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Page 1 of 3
North Carolina AgricuIturaI E: tension Service
Agri —Waste
Bidoer.d and En0resring North QM71f za stafe Liniatrsitr�
ISVS= Y= SAXM=. AN LlSIS Alm rALCUL=QN
OF 1= AP'.0_1ZCAA0N aar�s
1eme5 C. Barker*
I. RAM-r COLr.EC."aa
A.. Semi -Solid lot Manure
i. Scwaped directly from lot into spreader
a. From loaded spreader, collect abauz 2 lbs of mans=e 1rom
df=erear locations using na=ataLic collectors.
Li. From storage
a. Collect about 2 lbs of mantra tom under the su=-'=a a---ast
avoiding bedding mararials and using na=etal?ic eollec :ors.
B. Limed Naaure Slurry
i. Undar-slocted-floor pit
a. Extend a 1/20 ao=etallic conduit open on both ends into
manure to pit floor.
b. Seal upper and of conduit (e.g., by placicg a thumb over and
of conduit) xp ing manure that has entered lower and, r essove
and empty slump into plastic bucket or noametaliic coaraimer. .
c. 'lake subsa®ples -om 5 or more locations or a= least 1 quart.
d. Him and add about 3/4 pint to ==atal].ic sample cacrainer.
U. iacr.arior storage basin or rack
a. Make arse manure bar been veli n:ised with a liquid ma`nsrre
chopper-agiracor p=p or propaller agitator.
b . Take subsamplas from about 5 pit locations, ff= agi :=tor pump
or mom amass* spreader and place in a plastic bucket.
* Professor and Ex-cension Spacialist, Biological and Ag_+cultural Engineering
Depart cnt, Nosh Carolina State Universi-_7, Ralaigh, NC.

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

Attachment B
Page 3 of 3
II. SAMPLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed. Rinsa
residues from container with clean water but do not use disinfectants,
soaps, or -treat in any ocher way.
B. Pack sample in ice, refrigerate, freeze, or transfer._ro lab quickly.
C. Hand -delivery, is most reliable way of sample transfer.
D. If mailed, protect sample container with packing material such as
newspaper, box or package with wrapping paper, and tape.
E. Commercial sample containers and mailers are also available. Contacts:
i. A.&L Eastern Agricnitaral Lab, Inc. iii. Polyfoam Packers Corp.
7621 Vhitepine Road 2320 S. Foster Avenue
Richmond, VA 23237 wheeling, IL 60090
Ph: [phone] Ph: [phone]
ii. Fisher Scientific Co. iv. NASCO
3315 'Tinton Road 901 Janesville Avenue
Raleigh, NC 27604 Fort Atkinson, V1 53538
Ph: [phone] Ph: [phone]
F. Private analytical labs are available, but sample analyses are costly.
G. The NCDA provides this service for Forth Carolina residents.
i. Address: North Carolina Department of Agriculturs
Agronomic Division
Plant/iTasta/Sole=ion Advisory Section
Blue Ridge Road Center
P.O. Box 27647
Raleigh, AC 27611
Ph: [phone]
Attu: Dr. Ray Campbell
ii. Forward $4 along with the sample.
iii. Include the following identification information with sample:
a. Livestock, species (dairy, swine, turkey, etc.)
b. Livestock usage (swine -nursery, finishing; turkey -breeders,
brooderhouse, grower, number flocks grown on littar; etc.)
c. pasta type (dairy -lot scraped manure, liquid slurry; swine -pit
slurry, lagoon liquid, sludge; broiler -house litter, stockpile
iv. Routine analyses performed on all samples: Sp P, K, Ca, Is, sat
S , Fe, Mn. Zu. Cu, B
v. Additional analyses performed upon request: DX. No, Cd, Ni, Pb

l7 0, `
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NASHVILLE FIELD OFFICE
0.3 B o4 0.4 0. 4 0. 3q
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top•

n
C/,c.c,k of &xis h, .. s C c-po.c; 1 c0
THIS DESIGN IS FOR A SINGLE STAGE LAGOON (LAYER)
1- -19 oo & A
CLIENTS NAME Lowel Harris
COUNTYNash County, North Carolina
TODAYS DATE November 26, 1996
DISTANCE TO NEAREST NONFARM RESIDENCE => 1000 FEET
NUMBER OF LAYERS60000
DEGREE OF ODOR CONTROL
(minimum 2.5 cu. ft. per lb SSLW)
(maximum 4.0 cu. ft. per lb SSLW)
NUMBER OF YEARS OF SLUDGE ACCUMULATION >
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION =_-_--__=_>
SEASONAL HIGH WATER TABLE ELEVATION =__>
LAGOON BOTTOM ELEVATION
Depth of Permanent Water 9.5
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
SIDE SLOPES
Permanent Volume Required 600000.0
Permanent Volume Provided 657298.7
ADDITIONAL DRAINAGE AREA IN SQUARE FEET>
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE
GALLONS OF FRESH WATER ADDED DAILY =___>
EXCESS RAINFALL ABOVE EVAPORATION
25YR/24HR STORM RAINFALL
FREEBOARD
Temporary Storage Volume 155812
Top of Dam Elevation =
Inside Dimensions of Lagoon at
Length = 420.0 feet Width
Begin Pumping Elevation =
Stop Pumping Elevation =
2.5
0.0 YEARS
405.5 FEET
204.5 FEET
44.8 FEET
34.0 FEET
35.3 FEET
feet
2.5:1
cubic feet
cubic feet
0 SQUARE FEET
180 DAYS
0 GALLONS
7.7 INCHES
6.6 INCHES
1.0 FEET
7 cubic feet
47.7 feet
Top of Dam
219.0 feet
46.1 feet
44.8 feet

1. STEADY STATE LIVE WEIGHT
60000 LAYERS X 4 POUNDS - 240000 lbs
TOTAL STEADY STATE LIVE WEIGHT (SSLW) = 240000 lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.160 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in layers.
Years of sludge accumulation in design? 0.0
Sludge Volume = 0.0 cubic feet
3. REQUIRED LIQUID VOLUME OF LAGOON
Design for 2.5 cu. ft. per pound SSLW
Total Volume = (SSLW * Design factor) + Sludge Volume
Total Volume = 600000.0 cubic feet
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 44.8 feet
Construct lagoon bottom elevation 35.3 feet
Lagoon size for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
2.5 2.5 2.5 2.5 9.5
AREA OF TOP
LENGTH * WIDTH =
405.5 204.5
AREA OF BOTTOM
Lb * Wb -
358.0 157.0
AREA OF MIDSECTION
(Lm * Wm) _
82924.8 (AREA OF TOP)
56206.0 (AREA OF BOTTOM)
381.8 180.8 69001.3 (AREA OF MIDSECTION)
CU. YD. = [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
82924.8 276005.2 56206.0 1.583
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL = 657298.7 CU. FT.

► VOLUME NEEDED = 600000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 405.5 FEET LONG BY 204.5 FEET WIDE
5. DIKE
Place spoil as a continuous dike to elevation 47.7 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width -
420.0 219.0 91980 square feet
Additional Drainage Area
0 square feet
TOTAL DA 91980 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume = 240000 SSLW * 0.008 gallon/lb. SSLW/day * 180 days
in the pumping cycle / 7.48 gallons per cu. ft.
Volume = 46203.2 cubic feet
6B. Volume of excess water.
This is the amount of excess water usage (see tech. guide 633-83)
Volume = 0 gallons/day * 180 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume = 0.0 cubic feet
6C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) = 7.7 inches
Volume = 7.7 inches * DA / 12 inches per foot
Volume = 59020.5 cubic feet

6D. Volume of 25 year - 24 hour storm
Volume = 6.6 inches * DA / 12 inches per foot
Volume = 50589.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
GA.
46203.2
cubic
feet
6B.
0.0
cubic
feet
6C.
59020.5
cubic
feet
6D.
50589.0
cubic
feet
TOTAL TEMPORARY STORAGE 155812.7 cubic feet
7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
Depth required = Volume of temporary storage divided by surface
area of lagoon.
Depth required = 155813 cu. ft. / 82925 sq. ft.
Depth required = 1.9 feet
Normal lagoon liquid elevation = 44.8 feet
Depth required = 1.9 feet
Freeboard = 1.0 feet
Top of Dam = 47.7 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 47.7
ARE 420.0 FEET BY 219.0 FEET
8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
GA. 46203.2 cubic feet
6B. 0.0 cubic feet
6C. 59020.5 cubic feet
TOTAL PUMPED VOLUME = 105223.7 cubic feet
Depth required = volume of pumped storage divided by surface
area of lagoon at normal water level.
Depth required = 105223.7 cu. ft. / 82924.75 sq. ft.
Depth required = 1.3 feet
DESIGNED BY: APPROVED BY:
DATE: DATE:

4
Check of 8xisfi�� +.Pcc�fcJ
THIS DESIGN IS FOR A SINGLE STAGE LAGOON (LAYER)
L-5aow 3
CLIENTS NAME __________________________> Lowell Harris
COUNTYNash County, North Carolina
TODAYS DATE November 26, 1996
DISTANCE TO NEAREST NONFARM RESIDENCE => 1000 FEET
NUMBER OF LAYERS50000
DEGREE OF ODOR CONTROL
(minimum 2.5 cu. ft. per lb SSLW)
(maximum 4.0 cu. ft. per lb SSLW)
NUMBER OF YEARS OF SLUDGE ACCUMULATION >
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION ===-----==>
SEASONAL HIGH WATER TABLE ELEVATION
LAGOON BOTTOM ELEVATION =------------=->
Depth of Permanent Water 13.2
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
SIDE SLOPES
Permanent Volume Required 500000.0
Permanent Volume Provided 656294.1
ADDITIONAL DRAINAGE AREA IN SQUARE FEET
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE
GALLONS OF FRESH WATER ADDED DAILY ====>
EXCESS RAINFALL ABOVE EVAPORATION
25YR/24HR STORM RAINFALL
FREEBOARD
Temporary Storage Volume 128592
Top of Dam Elevation =
Inside Dimensions of Lagoon at Top of
Length = 420.0 feet Width =
Begin Pumping Elevation =
Stop Pumping Elevation =
2.5
0.0 YEARS
405.5
FEET
165.5
FEET
44.8
FEET
30.0
FEET
31.6
FEET
feet
2.5:1
cubic feet
cubic feet
0 SQUARE FEET
180 DAYS
0 GALLONS
7.7 INCHES
6.6 INCHES
1.0 FEET
7 cubic feet
47.7 feet
Dam
180.0 feet
46.1 feet
44.8 feet

1. STEADY STATE LIVE WEIGHT
50000 LAYERS X 4 POUNDS = 200000 lbs
TOTAL STEADY STATE LIVE WEIGHT (SSLW) = 200000 lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.160 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in layers.
Years of sludge accumulation in design? 0.0
Sludge Volume = 0.0 cubic feet
3. REQUIRED LIQUID VOLUME OF LAGOON
Design for 2.5 cu. ft. per pound SSLW
Total Volume = (SSLW * Design factor) + Sludge Volume
Total Volume = 500000.0 cubic feet
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 44.8 feet
Construct lagoon bottom elevation 31.6 feet
Lagoon size for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
2.5 2.5 2.5 2.5 13.2
AREA OF TOP
LENGTH * WIDTH =
405.5 165.5
AREA OF BOTTOM
Lb * Wb R
339.5 99.5
AREA OF MIDSECTION
67110.2 (AREA OF TOP)
33780.2 (AREA OF BOTTOM)
(Lm * Wm) _
372.5 132.5 49356.2 (AREA OF MIDSECTION)
CU. YD. = [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
67110.2 197425.0 33780.2 2.200
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL = 656294.1 CU. FT.

r
VOLUME NEEDED = 500000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 405.5 FEET LONG BY 165.5 FEET WIDE
5. DIKE
Place spoil as a continuous dike to elevation 47.7 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * width =
420.0 180.0 75600 square feet
Additional Drainage Area
0 square feet
TOTAL DA 75600 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume = 200000 SSLW * 0.008 gallon/lb. SSLW/day * 180 days
in the pumping cycle / 7.48 gallons per cu. ft.
Volume = 38502.7 cubic feet
6B. Volume of excess water.
This is the amount of excess water usage (see tech. guide 633-83)
Volume = 0 gallons/day * 180 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume = 0.0 cubic feet
6C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) = 7.7 inches
Volume = 7.7 inches * DA / 12 inches per foot
Volume = 48510.0 cubic feet

6D. Volume of 25 year - 24 hour storm
Volume = 6.6 inches * DA / 12 inches per foot
Volume = 41580.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A.
38502.7
cubic
feet
6B.
0.0
cubic
feet
6C.
48510.0
cubic
feet
6D.
41580.0
cubic
feet
TOTAL TEMPORARY STORAGE 128592.7 cubic feet
7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
Depth required = Volume of temporary storage divided by surface
area of lagoon.
Depth required = 128593 cu. ft. / 67110 sq. ft.
Depth required = 1.9 feet
Normal lagoon liquid elevation = 44.8 feet
Depth required = 1.9 feet
Freeboard = 1.0 feet
Top of Dam = 47.7 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 47.7
ARE 420.0 FEET BY 180.0 FEET
8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
6A. 38502.7 cubic feet
6B. 0.0 cubic feet
6C. 48510.0 cubic feet
TOTAL PUMPED VOLUME = 87012.7 cubic feet
Depth required = Volume of pumped storage divided by surface
area of lagoon at normal water level.
Depth required = 87012.7 cu. ft. / 67110.25 sq. ft.
Depth required = 1.3 feet
DESIGNED BY: APPROVED BY:
DATE: DATE:

LCa300-- ( -)
t'R•Sfr�S Cc-paa:�7y
LENGTH=====> 341 . 0(§y y, y
Too yv, N
WIDTH======> 105.0 .
ar/n so•'X
DEPTH======> 14.2-
;z
SIDE SLOPES> 2.5.1
AREA OF TOP
35805.0 FT.SQ.
AREA OF BOTTOM
LENGTH *
WIDTH
270.0
34.0
AREA OF MIDSECTION
LENGTH *
WIDTH
305.5
69.5
VOLUME
11387.5 CU.YD
307463.1 CU.FT.
9180.0
84929.0
e
fnl y:c-i�'!1
A 1990
hr V3 "dif:1J
4/29/97

roi togoort- (C�
-1-
f, b
LENGTH=====> 333 . 0
WIDTH======> 97.0
DEPTH======> 12.6
SIDE SLOPES 2.5:1
AREA OF TOP
32301.0 FT.SQ.
AREA OF BOTTOM
LENGTH * WIDTH
270.0 34.0
AREA OF MIDSECTION
LENGTH * WIDTH
301.5 65.5
VOLUME
9370.2 CU.YD
'2�52995_4
9180.0
78993.0
.t,,sidc TOO I it 10S = 351803f'J436,0eq.544
(9 ele,). YW, y.
q
4/29/97

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5H-ver 3.0
Lowell Harris
Jao
Number ..... 01 i
� A G 00 •v ,q
Point Wo .
X Coora .
Y Coord .
a
4,3.23
-ibi .3i
GaSooti d r
3
2a.64
—53. a6
4
36.6i
-3c?. i-/
53.26
—i i . a i
i
465.95
45. E34
a
434.34
3S - 00
Y
43a . `Y3
30. 65
i v
465.60
—56 . y i
is
465.772
—i42.3Y
i3
443.4i
—i62.i2
14
433.9y
-i74.i4
i 5
333.44
--200 . 35
i6
24a.30
-ai5-84
i /
i00.58
-2i5. /6
iIB
53.7/
--icY9.'Y5
iY
45.72
-ia3.39
2
4.3.22
--i6i -5i
Distance from last paint to first paint........
Length of path from first paint to last paint..
Total perimeter Of the boundary ................
Total area within the boundary............
Total area within the boundary .................
i1/04/`76
P
0.0
reek
i,20i.i
feet
i , 20 i . i
feet
92, ii5i .4
aq.ft:
2.i
acres

N-ver
Lowell Harris
,goo Number .....
Oii
iiiG)4izx6
LAGUON Q
s.
Point
No. X Coord.
"r Goord.
La9opti d�
20
-268.66
24
- i 54 . 93
25
.3d.bti
27
­376.30
5C . 69
26
i i
7i.55
2i
-- -255. 3y -
i 4 i . 56
30
-234.06
i46.26
3i
-Ei7.55-
136.19
133
-i /.25
-i64. it)
CV
-3. 26
- 1 86. `Y %
ulszance from
last point
to first Joint..
... .. .
4.0 Tees
Length of path
from.-Y irst.-.-point-.to-- last
po.int.. -
i i@3.3 'feet
Total perimeter.
of the boundary ................
i , iG3..3 feet
Total area within the
boundary.. .... .. .
. . .
80, i25.a Sq.Tt.
Total area within
the
boundary .................
i,.0 acres
yao x (So

OH-Ver 3.0
Lowell maarr i s
joa i%iu oer . . . .. uiL i
1 1 i VL+/ `Yb
G AGoo.v C Pw. C,
Point
Wo . X Coord .
r Coord .
34
-372. 7 7
i 3. C ice,
-196. icy
-260.35
-IY`7'.k=b
-C74.Eb `
37
-246 . 0./
86
38
-2 7 6 . 35
-306 . yC
7j0• i
35
-306. 44
-255. ld
,}11
4 i
-430 . b /
-y'i . 4.3
42
-442 . 66
-54 . ,35
43
-440 . YC
-30 . @ 3
44
-43i . 74
-i5.CAB
34
-3 /C. J 7
13. l+C
Distance -from last point to Tirst point.. ......
Length of path from first paint to last paint..
Total perimeter of the boundary ................
Total. area within the boundary ............
Total area within the boundary .................
840.7
feet
840. 7
feet
.3Ciit1,1ijY.J
Z�q.TZ.
0.6
acres

iai1-iier �.0 rage i "rimeo mU41Yb un-vir d.0
i
Lowell Harris ii Lowell Harris _ -
SLHLti 1 inch = l�;0 feet� /�% SCALE: 1 inch -- 1OO feet
i. �v i
I
Computed overall length = 453 ft.

Producer: Lowell Harris
The purpose of this plan is to provide guidelines for'carrying out
the routine operation and maintenance work needed to keep this swine
waste management system functioning as planned. Routine maintenance
is considered to be normal good care of the system. Good
maintenance adds to beauty, usefulness, and permaner%ce.
A. Maintenanc
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and
side slopes: Fescue is
being established on these areas. Beginning in 1997 and
each year thereafter, the embankment should be fertilized
with 800 pounds of 10-10-10 per acre to maintain a vigorous
stand.
2. Control of brush and trees on the embankment. This may be
done by mowing, spraying, or chopping, or a combination of
all three. This will need to be done at least once each
year and possibly twice in years favorable to heavy growth
of vegetation.
Maintenance inspections of the lagoon should be made during the
initial filling of the lagoon and at least annually. Items to
be checked should include, as a minimum, the following:
1. Waste Inlet Pipes, Overflow Pipes
a. condition of pipes
(1) separation of joints
(2) cracks or breaks
2. Pool Area
a. undesirable vegetative growth
b. floating or lodged debris
3. Embankment
a. settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
C. erosion and rodent damage
4. Transfer Pump
01

B. Operation
Your animal waste management facility was designer# for a total
of 110,000' caged layers. The lagoon contains both permanent
and temporary storage. The permanent storage is not to be
pumped in order to ensure that anaerobic action will occur. The
design includes permanent storage of two and one-half cubic foot
per pound of steady state live weight.
The temporary storage portion of the lagoon includes capacity
for the volume of waste produced over 180 days, the amount of
rainfall in a 25 year 24 hour storm event, and rainfall in
excess of evaporation. Your facility is designed for 180 days
of temporary storage; therefore, it will need to be pumped
every six months. Begin pump -out of the lagoon when fluid level
reaches elevation 46.1 as marked by permanent markers. Stop
pump -out when the fluid level reaches elevation 44.8 .
The attached waste management plan should be followed. This
plan recommends sampling and testing of waste (see Attachment B)
before land application. The waste material should be analyzed
before each application cycle to determine its nutrient content.
A soil test of the area of application should be made annually
to insure the waste is applied as reasonably and practically
possible to recommended rates.
If this is a new lagoon, it is strongly recommended that the
treatment lagoon be pre -charged to 1/2 its capacity to prevent
excessive odors during start-up. Pre -charging reduces the
concentration of the initial waste entering the lagoon thereby
reducing odors. Solids should be covered with effluent at all
times.
If this is an existing operation that is being brought up to
modern day standards and specifications, usually the lagoon will
not have adequate storage for sludge acclamation. It is
recommended that the lagoon is agitated and sludge land applied
in an environmentally safe manner every 2-3 years.
The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing
this law.
2

s
`v�V,R'; Fv�� r`
EMERGENCY ACTION Pf4,� +Nory
j ts98
PHONE NUMBERS
DWQ 919-571- 4700
EMERGENCY MANAGEMENT SYSTEM 919-459- 7376
SWCD 919-459-4115
NRCS 9 I9- 4 5 9- 4115
This plan will be implemented in the event that wastes from
your operation are leaking, overflowing, or running off
site. You should not wait until wastes reach surface waters
or leave your property to consider that you have a problem. -
You should make every effort to ensure that this does not
happen. This plan should be eosted in an accessible
location for all employees at the facility. The following
are some action items you should take.
1. Stop the release of wastes. Depending on the
situation, this may or may not be possible. Suggested
responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
C. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B: Runoff from waste application field -actions
include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that
caused the runoff.
e. Evaluate the application rates for the fields
where runoff occurred.
C: Leakage from the waste pipes and sprinklers -action
include:
a. Stop recycle pump.
b. Stop irrigation pump.
C. Close valves to eliminate further discharge.

d. Repair all leaks prior to restarting pumps.
D: Leakage from flush systems, houses, solid
separators -action include:
a:. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs. ;
d. Stop all flows in the house, flush systems, or
solid separators.
e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. often
this is seepage as opposed to flowing leaks -
possible action:
a. Dig a small well or ditch to catch all seepage,
put in a submersible pump, and pump back to
lagoon.
b. If holes are caused by burrowing animals, trap
or remove animals and fill holes and compact
with a clay type soil.
C. Have a professional evaluate the condition of
the side walls and lagoon bottom as soon as
possible.
2. Assess the extent of the spill and note any obvious
damages.
a. Did the waste reach any surface waters?
b. Approximately how much was released and for what
duration?
c. Any damage noted, such as employee injury, fish
kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface
waters?
f. Could a future rain event cause the spill to reach
surface waters?
g. Are potable water wells in danger (either on or off
of the property)?
h. How much reached surface waters?
3: Contact appropriate agencies.
a. During normal business hours, call your DWQ
(Division of Water Quality) regional office; Phone
9 19571 - 4700. After hours, emergency number: 919-
733-3942. Your phone call should include: your
name, facility, telephone number, the details of

the incident from item 2 above, the exact location
of the facility, the location or direction of
movement of the spill, weather and wind conditions.
The corrective measures that have been under taken,
and the seriousness of the situation.
b. If spill leaves property or enterssurface waters,
call local EMS Phone number 919-459--7376.
C. Instruct EMS to contact local Health Department.
d. Contact CES, phone number 919-459 -9814;, local SWCD
office phone number 919-459- 4114 and local NRCS
office for advice/technical assistance phone number
919- 459- 4115.
4: If none of the above works call 911 or the Sheriff's
Department and explain your problem to them and ask
that person to contact the proper agencies for -you.
5: Contact the contractor of your choice to begin repair
of problem to minimize off -site damage.
a. Contractors Name:
b. Contractors Address:
C. Contractors Phone:
6: Contact the technical specialist who certified the
lagoon (NRCS, Consulting Engineer, etc.)
a. Name: NRCS/SWCD _
b. Phone:_L919) 459-4115
7: Implement procedures as advised by DWQ and technical
assistance agencies to rectify the damage, repair the
system, and reassess the waste management plan to keep
problems with release of wastes from happening again.
a.wd*1 . tUwonVwngwTpkm.d"
we 12.98

Poultry Layer Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Specific Practices
Farmstead • Poultry production 0 Vegetative or wooded buffers;
O Recommended best management practices;
0 Good judgment and common sense
Floor surfaces (walls + Wet dirty surfaces 0 Scrape manure, dust, feathers into collection
aisles) alleys;
0 Splash boards along upper ends of collection
alleys;
0 Proper ventilation
Cage manure dropping
•
Manure -covered surfaces
0
Scrape manure into collection alleys
boards
Manure collection alleys
•
Partial microbial decomposition
0
Frequent manure removal by flush or scrape;
El
Frequent checks and maintenance on waterers
and water pipes
Ventilation exhaust fans
•
Volatile gases;
0
Fan maintenance;
•
Dust
17
Efficient air movement
Indoor surfaces
•
Dust
O
Vacuum or washdown between flocks
Manure conveyors
•
Partial microbial decomposition
0
Keep mechanical equipment in good repair,
0
Remove manure accumulations promptly
Storage tank or basin
•
Partial microbial decomposition;
O
Bottom or midlevel loading;
surface
.
Mixing while filling;
l]
Tank covers;
•
Agitation when emptying
0
Basin surface mats of solids;
l7
Proven biological additives or oxidants
Manure slurry or. sludge
•
Agitation when spreading;
O
Soil injection of slurry/sludges;
spreader outlets
.
Volatile gas emissions
O
Wash residual manure from spreader after use;
O
Proven biological additives or oxidants
Uncovered manure
•
Volatile gas emissions while
O
Soil injection of slurry/sludges;
slurry or sludge on field
drying
0
Soil incorporation within 48hrs.
surfaces
Outside drain collection • Agitation during wastewater 0 Box covers
or junctyon boxes conveyance
AMOC - November 11, 1996, Page 6

Source Cause - BMPs to Minimize Odor Site Specific Practices
Lift stations a Agitation during sump tank 13 Sump tank covers
filling and drawdown
End of drainpipes at a Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level
Lagoon surfaces a Volatile gas emissions; 13 Proper lagoon liquid capacity;
Biological mixing;
* Agitation
O Correct lagoon startup procedures;
❑ Minimum surface area -to -volume ratio;
❑ Minimum agitation while pumping;
CI Mechanical aeration;
O Proven biological additives
irrigation sprinkler a High pressure agitation; ❑ Irrigate on dry days with little or no wind;
nozzles a Wind drift 13. Minimum recommended operating procedure;
❑ Pump intake near lagoon liquid surface;
13 Pump from second -stage lagoon
Dead birds a Carcass decomposition ❑ Proper disposition of carcasses
Dead bird disposal pits a Carcass decomposition ❑. Complete covering of carcasses in burial pits;
❑ Proper location/construction of disposal pits;
❑ Disposal pit covers tight fitting
Standing water around a Improper drainage; ❑ Grade and landscape such that water drains
facilities a Microbial decomposition of away from facilities
organic matter
Mud tracked onto public. e Poorly maintained access roads 0 Farm access road maintenance
roads from farm access
Additional Information : Available From:
Poultry Manure Management; 0200 Rule/BMP Packet NCSU, County Extension Center
Poultry Layer Production Facility Manure Management: High Rise, Deep Pit, EBAE-131-88 NCSU - BAE
Poultry Layer Production Facility Manure Management: Undercage Flush - Lagoon Treatment ; EBAE 130-89 NCSU - BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage ; EBAE 103-83 NCSU - BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU - BAE
Proper Disposal of Dead Poultry; PS&T Guide No. 19 NCSU - Poultry Science
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO 107, 1995 Conference Proceedings Florida Cooperative Extension
AMOC - November 11, 1996, Page 7

lnsect*Control Checklist for Animal Operations
Source Cause limps to Control Insects - Site Specific Practices —
Liquid Systems
l-hrsb cullers Accumulation of solids ❑ Flush system is designed and operaled
sufficiently to remove accumulated solids front
gutters as designed.
13 Remove bridging of accumulated solids #al
discharge
I.agocuas and fits Crusted Solids 17 Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the
crusting of solids to a depth of no more Than 6 -
8 inches over more than 300/a of surface.
Excessive Vegelalive • Decaying vegetation 1-J Maimaain vegetative control along hanks of
t lowlh lagoons and outer impoundments to prevent
accumulation of decaying vegetative ntaller
alone; walee's edge on impoundment's perimeter.
Fcc:J�e
I -cud Spillage n Design, afn:rale and maintain feed sy5tea IS (e.g..
hunkers and troughs) to minimize llte
accumulalion of decaying wastage.
Cl Clean up spillage on a routine basis (e.g., 7 - 10
day interval during summer; 15-30 clay inlervaf
during winter).
Duct! Siol age Accumulalions of feed residues ❑ Reduce nteeisttere accunuelalinu within and
around inunediatu periiueler of fued storage
reruns I.)y insuring drainage away fiom site;
anchor providing adequate conla ineuenl (e.g.,
covered bin fear lerewer's grain and similar high
naoisllare grain fernducls).
n Inspect lirr and remove or break up accunndaled
solids.in filter strifes around feed slurage as
needed.
A101C - November 11, 1996, Page I

Source Cause IiMPs to Control bisects. Site Specific Practices
Animal I folding Areas • Accumulations of animal wastes ❑ Eliminate tow areas ilmat trap moislure along
and feed wastage fences and other locations where waste
accumulates and disturbance by animals is
minimal.
Dry l.lanure I
Systccus
an
❑ Maintain fence rows and filter strips around
animal holding areas to minimize
accumulations of wastes (i.e., inspect for and
remove or break up accumulated solids as
wastes, ❑
Remove spillage on a routine basis (t - 10
day interval during summer, 15-30 clay interval
daring winter) where mature is loaded for land
application or disposal.
i3 Provide for adequate drainage around manure
stockpiles.
❑ Inspect for and remove or breakup accumulated
wastes in filter strips around stockpiles and
nmalnue handling areas as needed.
For more infunualion contact the Cooperative Extension Service, Depamimuent of Gnlontology, lox 7613, North Carolina Slate 11niversity,
Raleigh. NC, 27695-7613.
AAIIC - N+svember 11, 1996, Page 2

C
Mortality Management Methods
(check which method(s) are being implemented)
❑ Burial three feet beneath the surface of the ground within 24 hours after
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
❑ Rendering at a rendering plant Iicensed under G.S. 106-168.7 ;
❑ Complete incineration
❑ In the case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture
❑ Any method which in the professional opinion of the State Veterinarian would
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)
December 18, 1996

LAGOON
Distance. from:.nearest., residence ,: load' .'
r
Soils �.;. Number, of Animal [snits or Total.4&.
G
Type-.Lagoon!:-Kind of -'animals
` �Fo�me' lv a,_c:"o X _ /� ft.3 2� '; F; -, cu.
yds.
_Units
HOLDING VOLUME (was-te + rain + 257year storm)
Period 3 r„ 2_ Watershed acres
_
Waste _Psi cu..ydS. -normal rain less evaporation ' 3 9
cu..,.yA,e. ,
25-yr. storm
Total 3 raa cu...yds.
EERT'ILIZATION 5 SEEDING /. 's acres
Lime_ (toDo 16s _ ' Fertilizer l.Zvo (�_s /a7•�U-/(}
Seed &ArLi$AA_ �2Q:14 21 Mulch - Ala-
MAINTENANCE
The vegetative cover on the fill shall be maintained by fertilizing
when needed_.
Woody growth should..be prevented from developing by proper mowing.
Repair any
minor erosion that occurs.
t=`
Length 1f l Width 1 Top Width /Z
Top of fill - - - - e1ev._�D
Topes of holding . volume- - - - - elev. / G A
Top of lagoon volume - .. el,ev..�
Bottom of lagoon - =' - - - ' ' - - elev.
Emergency spillway. - - - - - elev. 1;91 -6
Interior side slopes Exterior side slopes ' '- /z 1
0 0 O o 3 X r '�- d 3_'
l/ M ti.
h
r it r L
Cone . FO D o
. ' � A: yak+ " � �' r . � • � .:;
,(1 of .5" Goer,/as7�►c�l4 �.
TEM �/ • -� EA 1?e uI { r ►��, A n a}.L�, i�lr� 3e S �r5 frr t
4 n O x S {` �,3 o�r� y 8Z n? -0 0 g L• Y i� Ci ' �. a v�I e r r i S
l
U S: DEPARTM M, OF AGRICULTURE
SOZ CONSZRVAnON`SERVICE
f„;y r '� j Ya i 7 5k �isarer,� 5z � ;y r?t ',.� Y r - yy Fr 1 �/-_�•,.�. ,y, son MF �� - +
iif- eN� eEte.,S -1 't "s-r w r.Y.w�`t 41""�-ti`' - itM+u7.S� �fi-+.Ia.2J..— �� r'-'Tr• _
�
-9yr�'rar� +,-��,r ,��i..r yr�5,. •v"4%rwi°A i sY i. : v�, x. sir r
: � x `xKi�'+#Sa,�,�� ^� '�"'�y+^rii. �
4 •� „�. a e y. q-� G Fi,� to k -.r t�', ��'�'-��—. :a`...,y r -
f. 7= kF' ;.[' • t - '";e �' a "" r„y�r..irt„ si'`,t„•�i, r-�:.�,6'� _ra.L11.1J - y'

27
Period 3:�np, 2,1 acres
Waste cit. yds., rain
LAND DISPOSAL total acres.

.7 �Ct ! � UU��� t, Y N •�
Poultry Layer Farm Waste Management Odor Con
Poultry i
-- 4-- i • <L 1 J�v
' -
Source' Cause BMPs to Minimize Odor Site Specific Practices; ,,i r;.
Farmstead • Poultry production J9 Vegetative or wooded buffers; �� s_s./i-� is �c
Recommended best management practices;
is .r Y /:nnr� iuinmanf an.1 wr..r..w.... s..nw -
Floor surfaces (walls • Wet dirty surfaces
-11V
Scrape manure, dust, feathers into collection
aisles)
alleys;
O
Splash boards along upper ends of collections'
alleys;
��• ,�5! ,•,;�; k 1 " �,
Proper ventilation
? r
- —
Cage manure dropping • Mani
boards;
Manure collection. alleys, : • Parti-,
Ventilation'exhaust fans.. '• Vola
• Dust
gases;
❑
Scrape manure into collection alleys
('.
Frequent manure removal by flush or scrape,1'•
Frequent ehecks and maintenance on waterers
z
afnd Water pipes : - = a.
r s ;' ".
�szr
.
Fan maintenance; '�
♦�.
+.�. r
+ rx�r�,� �" �� R
' ..�
4YY3
f -1;£
/;
Ak
Efficient air movement
Indoor surfaces
•
Dust
Vacuum or washdown between flocks
.�
Manure conveyors .,
•
Partial microbial decomposition
Cl
Keep mechanical equipment in good repair.
❑
Remove manure accumulations promptly"',"
i'-
#
Storage tank or basin
+
Partial microbial decomposition;
❑
Bottom or midlevel loading;
-
surface , '
•
Mixing while filling;D
Tank covers;
•
Agitation when emptying
Cl
Basin surface mats of solids;
❑
Proven biological additives or oxidants':-,-
Manure slurry or sludge
.
Agitation when spreading;
Q
Soil injection of slurry/sludges;
spreader outlets
.
Volatile as emissions
g
❑
Wash residual manure from spreader after use,
.:
x
:. . 3.
❑
Proven biological additives or oxidants , ; t
!r r ,;
..� �; �X
Uncovered manure ' '
• .
Volatile gas emissions while
IJ
Soil injection of slurry/sludges;
�a
slurry or sludge on field
drying
Y ; _-
.
❑
Soil incorporation within A81irs.�
';
, s
�r
surfaces
t , ��
Outside.drain collection
•
: Agitation during wastewater
❑
Box covers .
A.
or Junct;on boxes
conveyance
n"'r
...
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"
.,
yi• I,!'
- � sit � ��
AMOC - November 11, 1996,
Page 6

Source
Cause
BMPs to Minimize Odor Site Specific Practices
Lift stations '
• Agitation during sump tank
17
Sump tank covers • .
filling and drawdown
End of drainpipes at
•. Agitation during wastewater,
13
Extend discharge point of pipes underneath
-lagoon _. :...
= conveyance
lagoon liquid level
Lagoon SnffaCCT
• Volatile gas emissions;
Proper lagoon liquid capacity;
• Biological mixing;
,
Correct lagoon startup procedures;
Agitation
Minimum surface area -to -volume ratio; .
11
Minimum agitation.while pumping;
-
O
Mechanical aeration;
O
Proven biological additives - -
-Irrigation sprinkler
•- High pressure agitation;
Irrigate on dry days with little or no wind;
soaks
• Wind drift
Et
Minimum recotnmeadcd operating procedure;
Pump intake near lagoon liquid surface;
t�
Pump from second -stage lagoon
Dead birds
• Carcass decomposition
Proper disposition of carcasses
Dead bird disposal pits
• Carcass decomposition
-l�l.
Complete covering of carcasses in burial pits;
Proper location/construction of disposal pits;
Disposal pit covers tight fitting
Standing water around • Improper drainage; O Grade and landscape such that water drains ~'
facilities • Microbial decomposition of away from facilities
�. organic matter
Mud tracked onto public. • Poorly maintained access roads rjJ Farm access road maintenance
roads from farm access
Additional Information :
Available From:
Poultry Manure Management; 0200 Rule/BMP Packet
NCSU, County Extension Center
Poultry Layer Production Facility Manure Management: High Rise, Deep Pit; EBAE 131-88
NCSQ - BAE
Poultry Layer Production Facility Manure Management: Undercage Flush - Lagoon Treatment; EBAE 130-88
NCSU - BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83
NCSU - BAE
-w-Calibratio"f Manure -and Wastewater Application Equipment. ; EBAE Fact -Sheet _
NCSU - BAE
Proper Disposal of Dead Poultry; PS&T Guide No. 19
NCSU - Poultry Science
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO 107, 1995 Conference Proceedings
Florida Cooperative Extension
AMOC - November 11, 1996, Page 7

I
' a
i
I9V,11#'4yiyfj s=f}!i "' uyl`ic L w r .R •t,-,s. a ;- : -
- _ -
,
Rom. �i
insect Control
Checklist for Animal Operations
-
42.•£3 i�.j �A!`1�3p' � ��5 kfTx `.C. ; iA� �' �.}'
- .. •'
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_
V ;Source'? . -. '- = "Cause ` :
BMPs to Control insects Site Specific Practices
'
77
. ,
Liquid Systems -
Flush Gutters z •x ' Accumulation of solids -
Flush system is designed and operated
Sufficiently to remove accumulated solids from
guneta as designed. - -
%�•-- --i'' " i; '•
rr�Ytpxi''t. "y'-�
-' �'Remove bridging of accumulate! solids at -
��g p 9 Y rI i.
i'Yy rL a-Il:-.
-
..
Sri"�•`l{�',;-i�- r� .''rl.�,a
.I.��LaMe�
f agioous'and Pits , ` ,' • ,E Crusted Solids ,
J9 'Maintain lagoons. -sealing basins and pits where
'
i
pest breeding is apparent to minimize the
criuting of solids to a depth of no more than 6 -
e, ,r
8 inches over more than 3(rY. of surface.
,,,,
Excessive Vegetative,.. • Decaying vegetation
)I- Maintain vegetative control along banks of���
Groth;
lagoons and other impoundments to prevent .
1
accumulation of decaying vegetative matter
along waters edge on impoundment's perimeter.
Dry systems
Es�z `; ; ;•
heed Spillage
O Design, operate and maintain feed systems (e.g..
= 4 yak F,i irk�xFy �.
F
bunkers and'troughs) to minimize the
Z-jf
accumulation of decaying wastage.
Clean up spillagt"on a routine basis (e.g., T - 10'
day interval during summer; 15-30 day interval
during winter).
,r Feed Storage - •
' Accumulations of feed residues
O Reduce moisture accumulation within and
,,y r
around immediate perimeter of feed storage
i
areas by insuring drainage away from site
and/or providing adequate containment (e.g.,
covered bin for brewer's grain and similar high
moisture grain products).
O Inspect for and remove or break up accumulated
solids in filter strips around feed storage as
needed.
m.
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j:= "AMIC -,November 11,,.1996. Page I..

WortaLt�, Management Methods
(check which methods) are being implemented)
Burial three feet beneath the surface of the ground within 24 hours `after
knowledge of the death. The burial must be at least 300.feet from any flowing
stream or public body 'of -water..':
❑ Rendering at a 'rendering plant licensed under G.S. 'I06-I68.7
Complete incineration
V In the case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture' '
0 Any method which in the professional opinion of the State Veterinarian would
make possible the'.salvage,of part of a dead animal's value without endangering.
human or animal; health. (Written approval of the State Veterinarian musf be
attached)
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r � t .�`I �" }' /tiS. " '�'�T' r �,.'- �' ; L' i. .hx�—� r��'"Lf -✓r B 'f-r b � n���iA .k--;aZ,lk}� 1�1'r r of . \. i.� - ✓'• � ,.
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-
h ..:_ i• �r w dk"" � * 7'9 'S1' � !. •�55[ •A :7q Z`-+ 7C. M1-- a .•7'c .-Y"�'•'L fi;�. t , i^ ... _ '
"I99G December: I 8;

6'f -6
Mate of North Carolina I"
Department of Environment,
Health and Natural Resources 4
Division of Water Quality
� J
.lames B. Hunt, Jr., Governor
Wayne McDevitt, Secretary p E H N F�
Steve W. Tedder, Chairman
November 6, 1997 r
Robert L. Harris
PO Box 114
Red Oak NC 27868
Subject: Operator In Charge Designation
Dear Mr. Harris :
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission
on Agricultural Waste, was ratified by the North Carolina General Assembly on June 21, 1996.
This bill required that a properly certified operator be designated as the Operator in Charge for each
animal waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or
more horses, 1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste
management system.
The deadline for designating an Operator in Charge for animal waste management systems
involving cattle, horses, sheep, or poultry was January 1, 1997. Because a training and
certification program was not yet available for these systems, you were allowed to apply for and
were issued a temporary animal waste management certificate from the Water Pollution Control
System Operators Certification Commission (WPCSOCC). Because you applied for and were
issued a temporary certificate, you were allowed to be designated as the Operator in Charge of an
animal waste management system.
Your temporary certificate expires December 31, 1997, and is not renewable. Our records indicate
that you have not obtained a permanent animal waste management system operator certification. If
you intend to remain the Operator in Charge of the facility for which you were designated, you must
obtain a permanent animal waste management system operator certification of the appropriate type
before your temporary certification expires on December 31, 1997. To obtain a permanent
certification, you must be 18 years of age, complete ten hours of approved training, and pass an
examination. If you do not intend to remain the Operator in Charge, a properly certified animal
waste management system operator must be designated as Operator in Charge of the facility prior to
the expiration of your temporary certification.
This year's final training program for both Type A and Type B animal waste management systems
is scheduled for December 10 and 11, 1997, at the Hunt Horse Complex in Raleigh. If you would
like information about this training program, please contact your local cooperative extension agent
or call Dee Ann Cooper at 919/515-6968. For those enrolled in this training and registering with
Ms. Cooper prior to December 1, an exam will be offered at the Hunt Horse Complex on December
11, beginning at 1:00 pm.
Water Pollution Control System Operators Certification Commission
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

In addition to the training and testing at the Hunt Horse Complex, examinations for permanent
certification will be offered on December 11, 1997, in Williamston, Kenansville, Raleigh
(Wake Tech), Wentworth, Salisbury and Morganton. This examination date will be the last
opportunity to obtain permanent certification before your temporary certification expires. If you
need additional information or have questions concerning the examinations for certification, please
call Beth Buffington at 919/733-0026. For additional information about other training
opportunities, please contact your local cooperative extension agent or call David Crouse at
919/515-7302.
Sincerely,
)", 1)'X-q�
Joseph B. McMinn, Supervisor
Technical Assistance and Certification Unit
cc: Regional Office
Water Quality Files
shared folder/beth/animalwaste/tempcertfollowup

State of North Carolina
Department of Environment,
Health and Natural Resources ` XT?WAA
James i3, Hunt, Jr., Governor IDEF.HNF;Z
Jonathan B. Howes, Secretary
Steve W. Tedder, Chairman December 5,1996
R. Lowell Harris
R. Lowell Harris Poultry Farm
PO Box 114
Red Oak NC 27868
Subject: Operator In Charge Designation
Facility: R. Lowell Harris Poultry Farm
Facility ID #: 64-6
Nash County
Dear Mr. Harris:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge by January 1, 1997, for each animal
waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or more horses,
1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management system. Our
records indicate that your facility is registered with the Division of Water Quality and meets the requirements
for designating an OIC.
A training and certification program is not yet available for animal waste management systems involving .
cattle, horses, sheep, or poultry. Owners and operators of these systems will be issued temporary animal waste
management certificates by the Water Pollution Control System Operators Certification Commission
(WPCSOCC). The temporary certificates will expire December 31, 1997, and will not be renewed. To obtain
a permanent certification, you will be required to complete ten hours of training and pass an examination by
December 31, 1997. A training and certification program for operators of animal waste management systems
involving cattle, sheep, horses, and poultry is now being developed and should be available by the spring of
1997. The type of training and certification required for the operator of each system will be based on the nature
of the wastes to be treated and the treatment process(es) primarily used to treat the animal waste.
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. if you do not intend to
operate your animal waste management system yourself, you must designate an employee or engage a contract
operator to be the Operator in Charge. The person designated as the Operator in Charge, whether yourself or
another person, must complete the enclosed application form for temporary certification as an animal waste
management system operator. Both the designation form and the application form must be completed and
returned by December 31, 1996.
If you have questions about the new requirements for animal waste management system operators, please call
Beth Buffington or Barry Huneycutt at 9191733-0026.
Sincerely,
FOR Steve V. Tedder
Enclosures
cc: Raleigh Regional Office
Water Quality Files
Water Pollution Control System Voice 919-733-0026 FAX [phone]
Nt
Operators Certification CommlWon CAn Equal Opportunity/Afflrmative Action Employer
P.O. Box 29535 Raleigh, NC 27626-0535 50% recycled/10% post -consumer paper