640039_PERMIT FILE_20171231

Type of Visit: (5 Com nee Inspection (j Operation Review O Structure Evaluation Q) Technical Assistance
Reason for Visit: Routine Q Complaint Q Fallow -up Q Referral Q Emergency Q Other Q Denied Access
Date of Visit: %% __ rrival Time: Departure Time: County:
Farm Name: 0 G"��� rZ.� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
OnsiteRepresentative: Cmrk, Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Design Current
Design Current
Swine Capacity Pop.
We=1011try
a�paac1 Pop.
Cattle Capacity Pop.
Wean to Finish
I
ILayer
I
Dairy Cow
Wean to Feeder
Non -La er
I
I
I Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
Di, P,oultr.
Ca aei P,o
Non -Dairy
Farrow to Finish
Layers
Reef Stocker'
Gilts
Non -Layers
Beef Feeder
Roars
Pullets
Beef Brood Cow
Turke s
Other
Turke Poults
Other
Othex
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 2fNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
o ❑ NA
ONE
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 [DNA
❑ 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 ❑ 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):
ff
Observed Freeboard (in): � L
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 threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
S. 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 buffers, setbacks, or compliance alternatives that need ❑ Yes VNo [] 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): /" l d.I- 4-A 1!W-7 —a:+
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 ETNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
ff�No
❑ NA
❑ NE
IS. Is there a lack of properly operating waste application equipment?
❑ Yes
j(No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ 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 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ YesYNo
o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

i
[Facility Number: - Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes TD`N'o�
""❑ 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 to provide documentation of an actively certified operator in charge? ❑ Yes VN.
❑ 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 property 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?
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 ors any other comments g ,
Use. draiwings:of`facility to better explain situations,:(use additional pages as necessary). _ T
Reviewer/Inspector Name:
Reviewer/Inspector Signature: Co tJ e
Page 3 of 3
Phone: +%'q,�.. `� - ra
Date:
T
21412011

(Type of Visit: OrCom ' ce Inspection Q Operation Review O Structure Evaluation 0 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: ( �� �7/4 j G►�t lop r Owner Email:
Owner Name: ��J —(�j f r lri rr'rr(�j� Phone:
Mailing Address: 1 ! ( I rr)m -7 ?1? 2--'
Physical Address:
Facility Contact: Title: Phone: 22- —50'2— 7 b:d
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
Current
DesignNIF
Swine Capacitop.
Wean to Finish
Wet Poultry
La er
Design Current Design Current
Capacity Pop. Cattle C►apacity Pop.
DairyCow
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Non -Layer
DairyCalf
DairyHeifer
Design Current D Caw
Ca aci P.o Non -Dairy
Dr. l;oult ,
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Turke s
Turkey Poults
Other
Beef Brood Cow
Qther
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA D 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 D 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? ❑ YesFNoo
NA CDNE
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 21412015 Continued

Facility Numbe Date of Inspection: �b —
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No NA
❑ NE
a. if yes, is waste level into the structural freeboard?
❑ Yes;No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
/
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environments hreat, notify DWR
7. Do improvement? Yes 7 NE
any of the structures need maintenance or
❑
❑ NA
❑
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
WNo❑ 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 Aaolication
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No ❑ NA
❑ NE
maintenance or improvement?
11. 1s 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): I &e Y' fWt, do-
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design'or wettable
❑ Yes WNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes o
[] NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes No"
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfer
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspection ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [:]No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facifi Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ff No 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 provide documentation of an actively certified operator in charge? Yes No 0 NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Vo ❑ 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
DNA ❑NE
❑NA ❑NE
Comments'(refer to 'questioi ,,#): Explain any YES ahswers and/or any additional recommends ti6ns;or: any other cotriine' h6i Use drawings of facility to` better ex' ;lawn .`situations,(use:.addidona[ pages as necessary).
I-JV)S IarrZYQS CD SDIJ
e C'0 l bl-'45 - /i RO Mtn s r�4 C w z 0 c
4_0 -1Zu4(ur4�.Oe_ PoSS;,b)i,4,1
Reviewer/Inspector Name:
4-o,r � -A4evl- :'6f5) P5 �- Iery
sir- C l vs�i�
Reviewer/Inspector Signature: 4 f
Page 3 of 3
Phone: `7 !�7 y2-V_0
Date: _ / -( —/
21412015

Type of Visit; UCo lance Inspection O Operation Review Q Structure Evaluation p Technical Assistance
Reason for Visit; Routine Q Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: Lk) 6.4je_Aa.4 -,,— Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator.,
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Design C*urgent
Wet Poultry Capacity Pop.
I 11-ayer
C*attle
Dairy Cow
Design C►urgent
Capacity Pop.
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
I
jNon-LaXer I
Dairy Calf
Design Current
D , P,ouitr, Ca aei P,o
Dairy Heifer
Dg Cow
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turke Poults
10ther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a, Was the conveyance man-made?
❑ Yes ZfNo ❑ NA ❑ NE
❑Yes 4>0
❑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)?
11,
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
2f,❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
9:�b NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[3 Yes
[] No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facilit Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes, No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes o 0 NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): `r a
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes No A
❑ 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 N ❑ 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
❑ 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):
60'k
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
No NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ YesVNNo❑
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
VNo ❑ 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 I" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Vacility Number: - Date of Inspection: jl,
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �_]
NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑Yes No NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ 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
CoM menu (reefer t6: uestidn°#) Explain any YES`answers`-and/or :anyradditlonal irecon mendations'o.r:4any other ca:mmentsst
Use_drawings.of facility to better egplainsitu$tions-. use additional pages as necessary).'
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
15
Phone:
Date: 11-1 ` / 7
21412015

r 2 '?—
Type of Visit: JO Co 'ance Inspection U Operation Review Q 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: Arrival Time: Departure Time: LPL./ u l County: Region:
Farm Name: &4e4a_ 0 _-_- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Wean to Finish
I Layer
I
I Dairy Cow
Wean to Feeder
Non -La erI
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
liDr. P It
Ca aci
P,o ,
Non-Dai
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
I
113eef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes 16 VNo
❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? %
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ZNNo
NA ❑ NE
Yes ❑ NA ❑ NE
❑ Yes❑ NA ❑ NE
Page I of 3 21412011 Continued

Facility Number: - Date of Inspection: 7
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ YesgNo
N ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z 0 %7 r`
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes YNo ❑ 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 environment hreat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes N ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ 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 E21 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below. ❑ Yes 2 XNo[:] NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
l2. Crop Type(s): is$ r M w j a--
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes
VIX.
❑ NA
❑ NE
Yes❑
NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
;X
o
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
0
gNo
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Other;
/
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ® No NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfer ❑ Weather Code
❑ Rainfall ❑Stocking ❑Crop Yield ❑ 120 Minute Inspections ❑Monthly and 1" Rainfall Inspection ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No [DNA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - Date of Inspection: — 27
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 ❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
[DNA
[]NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
[]No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or,'any other comments.T'
Use drawings of facility to.better explain situations. (use additional pages as necessary.).
Reviewer/Inspector Name:
Reviewer/Inspector Signature: 60az_k7— [
Page 3 of 3
PhoneA l l I R i V L-0 v
Date: `? - -,' % — 1 S
21412011

Type of Visit: �'Com ' nce Inspection U Operation Review Q Structure Evaluation 0 Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:/Z�/� Arrival Time: 6 Departure Time: County:
Farm Name: �+Get 0'to j/L Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Wean to Finish
I
I Layer I
I
I Dairy Cow
Wean to Feeder
I
INon-Layer I
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
D . P,o_ultr: Ca ad P,b P.
La ers
Dairy Heifer
D Cow
Non -Dairy
Beef Stocker
Gilts
Non -La ers
I Beef Feeder
Boars
Pullets
I Beef Brood Cow
Poults
Other
Region:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) [3Yes No C] NA 0 NE
c. What is the estimated volume that reached waters of the State (gallons)? 7
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes o ❑ 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 g No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facili Number: - 39 JDate of Inspection:
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
VNo❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): d 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?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t rest, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes entNo ❑ 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 Ai mlication
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
io NA
❑ NE
maintenance or improvement?
:No
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
[:]Yes
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift [] Application
Outside of Approved Area
12, Crop Type(s): tee Zmt, J 1a'
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑Yes
�_NN ❑ 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❑
VN9❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
o ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 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 ❑ fudge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes o ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility N{tmber: - Date of Ins ection: M3119
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 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 ❑ 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?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
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
DNA ❑NE
❑ NA ❑ NE
Comments (refer to question #) Explain any YES answers and/or any additional recommendations or any other, comments.
Usedeawings of facility to. better explain situations (use additional pages as necessary). 4
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
Phone: '? J'� — f{ Zd 0
Date: — Z 3 T r t
21412011

(Type of Visit: P Com ' e Inspection O Operation Review p Structure Evaluation O Technical Assistance I
Reason for Visit: Routine 0 Complaint O Follow-up O Referral O Emergency O Other Q Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: 1(3 /A" lvh a- l /V Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: I� Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude: .
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Design C•urr.ent Design Current
Swine Capacity Pap.
Wet Poultry Capacity Pap. Cattle Capacity Pop.
Wean to Finish
La er Dairy Cow
Wean to Feeder
F
INon-Layer Iry
Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
Dr. P,oultr. Caaei F.o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharges and Stream Imaacts
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 6NO ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) [3 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 FNo
A ❑ 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 ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21417011 Continued

Facili Number: jDate of Inspection:
j
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
F] Yes
No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
No ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): t t 20 �C
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
t rest, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑Yes
No NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
[:]Yes
o ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
ZfNo ❑ 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): %�p, f 411 h a[ f}-
13. Soil Type(s):
t4. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No ❑ NA
❑ NE
t 5. 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
PNo❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
[] Yes
No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
ENO ❑ NA
TT
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[] Yes
No ❑ NA
❑ NE
the a ro riate box
pp p
❑WUP El Checklists [3 Design [—]maps [:)Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes No ❑fNA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Weather Code
❑ Rainfall [3Stocking ❑ Crop Yield El120 Minute Inspections ❑ Monthly and V 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

ti
Facili Number: - Date of Inspection: 2 S/
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Zf No 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 2Z�o
A ❑ 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
and report mortality rates that were higher than normal?
24. At the time of the inspection did the facility pose an odor or air quality concern?
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 ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #): Explain anyYES answers and/or, any;. additional recoinmendations or'any-other,comments."'
Use drawings of facility to better explain situations,(use additional pages as necessary): _.
Reviewer/Inspector Name:
Phone
Reviewer/Inspector Signature: �� kt,1 -.c 1 Date
Page 3 of 3
?V --y Z o v
9(z_)-/ r_�?
21412011

.3— CJ _
V
Type of Visit Qf Comp ' e Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Q S d f? Departure Time: County:
Farm Name: ' T aO �! Ce '' � Owner Email:
/
Owner Name: V a''1 e A-4 1,9 iz-- Phone: _
Mailing Address:
Physical Address:
Facility Contact: 11 ++ Title:
Onsite Representative: t9� y � f" 1
Certified Operator: t`
Sack -up Operator:
Location of Farm:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o = 1 = l{ Longitude: = o = d =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
Design Current
C«attle City Populean
to Finish
❑ La er
❑ Dai Cowean
to Feeder
r
❑ Non -La er
❑ Dai Calfe
❑Dai heifer
❑ D Cow
❑Non
o Finish
DrPltr
rrow to Wean
rrow to Feeder
'-
❑ Layers
-Dairy
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Beef Stocker
El Non-Layers
❑ Pullets
❑ Turkeys
❑ Turke Poults
❑ Other
❑ Beef Feeder
❑Beef Brood Cow
Numructures:
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. 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 XfNo ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes [INA ❑ NE
ElYes o ❑ NA ❑ NE
El Yes No ❑ NA ❑ NE
Page 1 of 3 12128104 Continued

1
Facility Number:&
Date of Inspection M (Z2 f f
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): Observed Freeboard (in): �c �/ 36 1(
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
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
El Yes No NA' ❑ NE
El Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N ❑ 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) j3 e- k vt Y-4
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
7b,
[]NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ YesEl
NA
❑ NE
17. Does the facility lack adequate acreage for land application?
El Yes
❑ NA
El NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
.€.- .�..-a..i 1 ::....'rY25...'�'�Yt !1 �'ff�.��'�:$5.7�r b" +'i't �, �, 'y,•9 �,g x?
:.Comments refer to ueshon # . Ez lain an YES;answers and/or an recornmendattons or an other comments..S' '
_.. .r;. ��: q' .i,.:;'s�. .G.p- :,".sy��.a�x.t_ & �.. A,: a:tt w"i.:, , a,��+,--:_. Y ?... sjb;.
Use drawings of facthty to better explain s�tuahons.,(use addttto.nal pages as. necessary}. `tt
r,.i
✓ t_ CALA n gLad 1� arc -vet Firs : y� `i--t) icy n-. a_- p c.At Oil ..
Reviewer/Inspector Name';'"4 Phone: Zp p
Reviewer/Inspector Signature: 1_.y Date: -3/ Z 2 / f -0
Page 2 of 3 12128104 Continued

Facility Number: & V — 3 f Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes 4�1�NoNA ❑ 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 ❑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 1"
Rain Inspections ❑ eather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
N ❑ NA
❑ NE
23.
if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yesr
NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ YesNA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additionai Commnents anillor.'Drawings f g re,'. fi4,
Page 3 of 3 12128104
Page 3 of 3 12128104

,�5frsl0/
Type of Visit P'CoZutine
ce inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: 3 b Departure Time: County: Region:
Farm Name: �� �._ ��` ��� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Phone No:
Integrator:
Certified Operator: 64., k, l- ' w t ( Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: = o = 4 = Longitude: = ° = 1
Des€gn Current
Design Current
Design Current
Swine Capacity Population
Wet Poultry C*apaaccity Population
Cattle Capacity Population
❑ Wean to Finish
❑ La er
❑ Dairy Cow
❑ Wean to Feeder
n-La er
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ DEY Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ La ers
ElBeef Stacker
❑ Gilts
❑ Non -Layers
[I Beef Feeder
❑ Boars
Pullets
❑ Beef Brood Co
❑ Turkeys
Other
❑ Other
❑ Turkey Poults
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
NA
VNFN[JNA
[I NE
2. Is there evidence of a past discharge from any part of the operation?
El Yes
(INE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
ElYes
NA
❑ NE
other than from a discharge?
Page I of 3
12128104 Continued

Facility Number: G— 3 Date of Inspection f 2 0
Reuuired
Records & Documents
/
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes No ❑ NA
LINE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
El Yes No ❑ NA
❑ NE
the appropirate box, ❑ wup ❑ Checklists ❑ Design ❑Maps ❑ Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
As No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes No ❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes No ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
Yes ❑ No ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
es ❑, Noo 'NA
❑ NE
26.
Did the facilityfail to have an active] certified operator in charge?
Y p g
❑ Yes L�f No A
❑..NE
_
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes o ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30, At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33, Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additinna.L Comments ind/ar Dr rvrngs n.�" as d � , ` %. =t ' p � � ' . t :1 $kc �' &: as
Page 3 of 3 12128104

J-0 7.t a -
Facility Number: i — Date of Inspection li
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes �No❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): L < < tJ -
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 ZrNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No. ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes No . ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
4. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ,❑ NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El 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 ElEvidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) (3 R_r it h. jJ - , -) k­� l'q , - -j
13. Soil type(s)
W. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
r❑ NA
�Vj!�JNNq
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
,r❑ NA
[INE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[]Yes71�0/
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
El NA
El NE
18. Is there a lack of properly operating waste application equipment?
El Yes
❑ NA
❑ NE
� :-.'-a'. ,,
Reviewer/Inspector Name-��-- �v — Phone: 7 //r/
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

//)-A\';�
Type of Visit b C liance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint Q Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: l Departure Time: County:
Farm Name: %'i ��► G t f�
`� �,-_ owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: C1211Cf" f ` Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Phone:
/Phone No:
Integrator• 2L S
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: [= o = = Longitude: = ° 0
Swine
Design Current' Design Current
C•apaeity Population Wet Eoult �y Gapy Population
Design Current
Cattle Capacity Population
Wean to Finish
F
❑ La er
❑Non -La er
❑ Dai Cow
Wean to Feeder
❑ DairyCalf
❑ Feeder to Finish
❑ Farrow to Wean Dry Poultry
❑ Farrow to Feeder
❑ Farrow to Finish ❑ La erg
❑ Gilts ❑Non -La erg
❑ Pullets
❑ Boars
❑ Turkeys
Other ❑ Turkey Pou Its
❑Dai Heifer
❑ D Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
❑ Other ❑ Other
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes 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 discharge bypass the waste management system? (If yes, notify DWQ) ❑ yes FNo[:]
A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesA ❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ YesA ❑ NE
other than from a discharge?
Page 1 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? ElYes 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 o NA [I 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 environmenTNo
�,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit'? ❑ Yes -NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNI[:] NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
RINo ElNA
ElNE
15. Does the receiving crop and/or land application site need improvement?
ElYes
Z'No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Ycs
20No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
rNo
❑ NE
18. Is there a lack of properly operating waste application equipment?
ElYes
❑ NA
❑ NE
04��Y � i� '. > 3k{ I.11"W, 9 a [ R } �11'{ 1'i Y t '4 i ' C�j; . $b.�i �. Y'E$ a +�.'1,1V1�L`
lCammentsg(refer..'to,questi6h4) r Explain4gny V,ES.a■nswers'andlorlany recommendations or any other comments.
c'§: i l�F:� �,�2 $^SY��T.i,�'4 ¢.�' a
Usyye dr.hawingsf+facilityto beytteraexplain situations, (use udditiontalp�a}ges as�ge$ces$sary,).:
`
Iry
Reviewer/Inspector Name I --___ — -- -- phone:
Reviewer/Inspector Signature: u n -p'W e_ L { Date: �1
Page 2 of 3 12128104 Continued

I (11 ( 0"-?
Facility Number:(c( — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No NA El
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ ste Analysis El Soil Analysis El Waste Transfers ❑ Annual Certification
El Rainfall El Stocking El Crop Yield 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ W ther Code
22. Did the facility fail to install and maintain a rain gauge? E
lNA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge'? ❑ Yes A ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes No NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes ❑ No ❑ NA ❑ NE
General Permit? (ic/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Additional Comments and/or Drawings:
Page 3 of 3 12128104
Page 3 of 3 12128104

Facility [dumber
y
(f Division of Water Quality G/iv �07
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit of Co lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 1 D'J Arrival Time: F-IFFI-17-1 Departure Time: County: Region:
Farm Name: 1 �`n d p e — Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: �%A
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Title:
Phone:
Phone No:
Integrator• r7 7 5, -
Operator Certification Number:
Back-up Certification Number:
Latitude: 0 0 = 4 = Longitude: = ° = ` =
rf
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
1 10 Non -La er
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkez Points
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
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: F'
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)?
r
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 Z No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA [I NE
rNo
ElYesNA ElNE
ElYes NA ❑ NE
❑Yes NA ❑ NE
12128104 Continued

Facility Number: 6L — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus stone storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
❑ Yes ONo .❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 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 t at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 7No
El NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application ZZf;N�,4
10. Are there any required buffers, setbacks, or compliance alternatives that need ElYes NA ❑ NE
maintenance/improvement'?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12, Crop type(s) S v
13. Soil type(s) j
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
/No ❑ NA ❑ NE
EXN IN
❑NA El NE
No ❑ NA ❑ NE
❑ NA ❑ NE
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):
Sit, �0" s�,-�7 stews
��S -� �r1n �{r a 0 ✓ �n2h�"!�� lt.c�tc .,
AL
�e S(kd p1qt/
deJa-IcrQd c,,41t,n 10 0,q 1soi
Sk,f e- I 54f�v ��f -h
mA; (sev,vice Ce 44,24 C
r~e 4i L'��
Reviewer/Inspector Name
Phone: ' C
Reviewer/Inspector Signature:
Date:
12/28/U4 Continued

Facility Number: C — Date of Inspection !
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps [I Other
❑ Yes P<O ❑ NA ❑ NE
❑ Waste Transfers GKAnnual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ t20 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
❑ Yes N❑ NA [I NE
El Yes [ �O_ ❑ NA ❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
No ' ❑ NA
❑ NE
❑ Yes
P110 []NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
12128104

S, +
.t t�,u
b ivision of Water Quality
Fac4tyNltmber, �, O Division of'Soil and Water Conservatioi
O Other Agency _ 'x
Date of Visit: c7 Arrival Timer Departure Time: C] County: Region:
5 Farm Name: } �— r— Owner Email:
a ,a
M 'Orvner'-Name: Phone:
Mailing Address:
,Physical Address:
Facility Contact: Title: Phone No:
'Onsite Representative: Integrator:
Certified Operator: �'qr `� �' Operator Certification Number:
Back-up Operator: Back-up Certification, Number:
Location of Farm: Latitude: e Longitude: = ° = ,
A
3
Desrgn Current - ;Design CurrentDes�gn`;�Current���„
Swme2 Capacity, .Population' Wet Poultry Capacity Population' Cattle CapacityP�opulataon,
Wean to Finish
Wean to Feeder
Feeder to Finish
arrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
ier'
7
❑ Layer ❑ Dairy Cow
❑ on -Layer ❑ Dairy_Calf
❑ Dairy Heifei
Dry Poultry, El D Cow
71
❑ La ers
ElNon-Layers
ElPullets
[ITurkeys
❑ Turkey Poults
❑ Other
Non-Datry
❑ Beef Stocke
❑ Beef Feeder
❑ Beef Brood
.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?
r
I
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes Z No ❑ NA ❑ NE
❑ Yes NA ❑ NE
❑Yes o ❑NA [I NE
❑ YesVNo
NA El NE
ElYes NA El NE
El Yes NA ❑ NE,
12128104 Continued'
I

Facility Nuinli-er: _ 41 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Structure 2 Structure 3 Structure 4
❑ Yes ZI No NA ElNE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): l!( « t f
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ONo 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 �No[]]
NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks) � .
9. Does any part of the waste management system other than the waste structures require El,.,
Yes .(� No ❑ NA ❑ NE
maintenance or improvement?
Waste A lication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes !:E�o
NA ElNE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) T4 '*_ ✓ M
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
NA ❑ NE
V
❑NA ❑NE
A ❑ NE
o NA
a El NE
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)-,`
rlPt 1�� 0 r�q rE, d "+ti d +�'14 L 4-.� 14,4LL 4/iS�! � Ft rCQ n 44
4_
yV v v- r I^ yr o t, (,viq n . ,� (N.,p ajA k7 ail 6,4 �t
kAze C40 G r u u 0- J
Reviewer/Inspector Name _ Phone:
Reviewer/inspector Signature: G G Date:
Page 2 of 3 12128104 Continued

Facility Number: 4 cl — Date of Inspection
LO, A
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 ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 ° Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No . ElNA ElNE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ElYes No NA El 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 N ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes N NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
&i.;No
No - NA El NE
El Yes ❑ 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:
M" R 4,0-p 4� 09V ✓j 1 `�',J' l e 0
Page 3 of 3 12128104

Type of Visit Qom ance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: I(0/�la/h� l Arrival Time: Departure Time: County.
Farm Name: �r12 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: 6M'7 N� Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Pe'e'der to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Phone No:
Operator Certification Number:
Back-up Certification Number:
Region:
=o =1 g, =o=i �«
Latitude: Longitude:
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer I
�. , _ I' ❑ Non -La er
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?
Cattle
Design Current
Capacity Population
i
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes LkIVo NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o ❑ NA El NA
12128104 Continued

-
Facility Number: t( 3r
Date of Inspection ghm
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): e,
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA ❑ NE
El Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes Caj El NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? El 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 > i 0% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop IW-indow ❑ Evidence of Wind Drifl El Application Outside of Area
12. Crop type(s) 9- rA u.� 1 4► S ✓.:.-) I n S
13. Soil type(s) aj
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
[l No El NA
No
Id ❑ NA
❑ NA
No NA
No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Comments (refer�to questlan #)'Explain agy�YES answers�and/or anyHrecommendahons or -any other comm_epts.
Use drawengs of facil�ty.�`Eo better explain situations{use addttional pages�as necessary):
1�pf ! E� � i.1/1gcS�� � h /y1 it r � /a-k c� �'`} � O S -' PGI, N Q,G�1 �i✓�I S Q �q-.+n � � �� s'
l'A A77
Reviewer/inspector Name Phone:
Reviewer/Inspector Signature: e' Date:
12128104 Continued

- iz
Facility Number Date of Inspectionla/24Wofl
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑Checklists ❑ Desi n ❑ Ma s ❑Other
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
g p
21.
Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I"
Rain Inspections ❑]Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
�
E ?Ko
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
LJ ' A
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
M� A NE
25.
Did the facilityfail to conduct a sludge survey as required b the pen -nit?
g Y q Y p
❑ Yes
❑ No
NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
o
❑ 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? (icl 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
Additifln�l Cbinments.andLor Drawings ;E - e
12128104
12128104

(Type of Visit 0 Copfliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit O Routine Q Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
F 1lity Number Date or Visit: c Time: '�—"`,'
Q Not Operational Q Below Threshold
Permitted ©Certifi/ied 0 Conditionally Certified © Registered Date Last Operated or Above Threshold
FarmName: ..1..�..1.1............... P4.11. .... �` iL�.......................................... County......................................................................
OwnerName:........................................................................................................................... - Phone No:.......................................................................................
Mailing Address:
FacilityContact:.............................................................................. Title:................................................................ Phone No: ...................................................
OnstteRepresentative: ................................................................................... Integrator:... ...................................................
Y
Certified Operator: .......... ,,,,,74✓, Operator Certification Number:
..........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ` 4 " Longitude • 4 44
d u I y r;.n r �^ _ �€ ..;.. i wit
i t C.Urrent€ c } a r Dest I CL1rreRt' t 13 3i t,: tr , 7 gR Current
$wie a ICSl�;n !r( # r €€ y� i€�€'�ttli(t€ jet(€ !Irk¢ r De$1 r! i13e €.,'�,
ne �r i,. a act ?Po ulattonl t Pottlfry ' r..i €Ca iici Po Mahon:E Cattle _ L_,,.� Ca acr .'?1Po Mahon
❑ Wean to Feeder Layer '°' ❑ Dairy
❑Fee er to Finish ❑ Non Layer t�� ❑Non -Dairy '
arrow to Wean L ':; L a: E y �f s
�!!� ❑Other
ail .
❑ Farrow to Feeder
❑ Farrow to Finish
Gilts r , ;€ "r
t �n�1�r�r�it
Boars ��€t;,..! a t::,"t. , e- t TUtaleSSLWl�r
< r
e'i is �, NnRaber'ofrLagoaRs��s,'"�E€ €'ie�€8;€l�Idl E -i
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes No
❑ Yes 0 no
❑ Yes o
❑ Yes
❑ Yes FINgo/
El Yes
❑ Yes No
Structure 5
Identifier:
Freeboard (inches)
12112103
.............................................................................................I................................................... I ....... .......................
Continued

Facility Number: Cj� — Date of Inspection Z p
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 ❑ Yes No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes �No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level El Yes
elevation markings?
Waste Application
10. Are there an buffers that need maintenance/improvement? ovement? ❑ Yes L3 N
Y Pr
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type &Ken i,, J4, —Pt n 9 t- AI vi i. h 4 S_G-t ,,L_.
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 issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
liquid level of lagoon or storage pond with no agitation?
18, Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes
❑ Yes Ej No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
o
❑ Yes ❑ 0
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
,'€i�4 E�4 t�= A i Y:ee !', 'E[. a p a -'3 u•s�F. N , 4] ° � 1° <�) .,f:F ' !" "�j} � t'' e:�l e x,>a a!e F'! -1§(iW )3i=e6,% !2011,111111
1
�>'A*.sJ;;f3a�,=°:i .� "=C'..8if;••= itc'P , i,�,il..a. #P@:. ,.StPPI.#3" °x„�: "'"..i �. .!� ."t�l.ai<t41 i?�� • � �:> ieP1:J;'eiz`:A�f.; I6: 3:9xdd?•,"•.7itPiP°i€..3..9,1tF€:'�,.J€Hi2: �:'li,:i;leC. »i"';i:' .lt'#� 1'�!°,&.i;$J „'.:.'�', .,':lkil i<a¢:;€, , � ie` .i?i ,.,.� s`17 #����
:Comments,Creferto.questron#)�ExplainEsny FSawswersYawt�orany:rec�ommendatzon ,or;anyothe colmments':'„ 1,
:.N § ,p nt •: sw :h;. P ,.y 4F . o x fJffi°u-� 36> �- t �'thH+° EW x,u yr ! - u
Use "drsw>ings tof facility tp:tter explain stuations�sse,bddttronalpages as necessary)i` ❑Field COPY [] Final Notes,'',
t �p5e.. rJNt�.lff:�'��fr_- �"��x'i:Pf&fE`:&^.l'�it:P'4s'�-°%.L•s,'}Vi3 t�tN.'.v���:F�°$h �s'f1l9AB�I..��IL��Fil��_t��lYaY:lf�i"a[!II9j;��l�S�.i�;{j;�?��.'ieG ��Iii41:S9�t'•I�H�PEat:FF?Fi.�L,�Pt:tsa(�tFu6¢I4t5t"?I'N'.t":u��!�i'il.4�he(i€fl�.Yi;�zl�i€?GEF:`ImgsFili•F':i��^ifdit;)uiafR 3P3i£ laiY.:.n3tllb��nII��R
r•i^t- a^'r v ,�K ¢ t° h,,.�i. � {t'>JP` _ +� n! 1 r5C#^ ;� dzl -t�."J ' ° >_< !�i°7 J 7!S 't
Reviewer/inspector Name , ` ' ` g " , 7
J/� r. a a y ag.
Lt ...3:s�... .15....�,�. Tf7na�7`
Reviewer/Inspector Signature: Date:
12112103 Continued

• Facility Number: Date of Inspection
Required 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?
Oel 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?
❑ Yes eNo
❑ Yes Vo
El Yes
❑ Yes
❑ Yes �No
❑ Yes
❑ Yes
❑ Yes VNo,
El Yes
❑ Yes
❑ Ye ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After I" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Type of Visit 0 Compf ce Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit outine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
[)ate of Visit: 1J Time:
Facility Number
QZ= 9 Not O erational 0113clowThreshold
0 Permitted ©Certified ©Conditionally Certified [] Registered Date Last Operated or Above Threshold:
Farm Name: ( ►'tt i{ �JU�I M ev- 157A✓� yam„ County: )7111'#qf�
Owner Name:
Mailing Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Location of Farm:
Phone No:
Phone No:
Integrator:
r �� f
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' Imo° " Longitude • 1 064
Design Current
awrne
❑ Wean to Feeder
❑ Fgcder to Finish
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
HoldingPonds F
Design Current Design Current
Poultry CaDaCitV Population Cattle Capacitv Population
❑ Layer ❑Dai
❑ Non -Layer I I ILI Non-Dai
❑ Other
Total Design Capacity
Total SSLW
Subsurface Drains Present Ii❑ Lagoon Area J❑ Spray Field Area
No Liquid Waste Management S stem !;,`..
DischarU & Stream Inlnacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collegition A Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: P tN N
Freeboard (inches):
05103101
❑ Yes Io
❑ Yes : N
El yes No
❑ Yes
❑ Yes�Nq,
El Yes o
ElYe No
Structure G
Continued

N
Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Anmlication
III. Are there any buffers that need maintenance/improvement?
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop typeQ„r��.-
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?
(iel WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ic/ 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?
❑ Yes ZNo
❑ Yes 91540
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes :No
NElYes
❑ Yes
❑ Yes ��jGGGIII No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ N
El Yes No
❑ Yes ;No
❑ Yes No
❑ Yes o
❑ Yes o
ElYes Info
❑ Yes N
❑ YesjN9,"'
❑ Yes No /
25, Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 13X0
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments "i efer tq,:yuestion#) Explainmaiiy YEStan�wers'andlorany,recpmmenidatinnsJor anyotherKcomtnents
Use drawings of facility�tbetter explain situations :(use addtttonalpageslas necessary): ;fir; ❑Field Copy ❑Final Notes
7
Reviewer/Inspector Name ;. "
Reviewer/Inspector Signature: Date:
05103101 Continued

Type of visit
Reason for Visit
r w �tr�t�,��baet
Inspection Q Operation Review O Lagoon Evaluation
O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: 7 imc: Printed on: 7/21/200(
Facility Number L
Q Not Operational Q Below Threshold
il
Permitted 13 Certified ❑ Conditionally Certified [3Registered Date Last Operated or Above Threshold: ...............
....... yr
FarmName: ....�. Y.`;j......j! ?..�. I.............................................................................. county: ..................................... _....................... ..................
OwnerName: .................................................................................... Phone No. ......... _..................... ......... .......... ......................
FacilityContact: ..............................................................................Title:.....................................................:.......... Phone No: .............................................
MailingAddress:........................................................................................................ .............
OnsiteRepresentative:................................................. ........................................... ................ Integrator: .... .... ..... ........................ _........ ..........................
Certified Operator: ................................................... ............................................................. Operator Certification Number.................„..
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �` �E< Longitude �• C
Design Current Design Current Design Current
Swine Capacity population Poultry Capacity Population Cattle Capacity Population
fean to Feeder ❑ Layer ❑ Dairy
e er to Finish ❑ Non -Layer ❑ Non -Dairy arrow to Weanarrow to FeederOther
arrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons JEJ Subsurface Drains Present ❑ Lagn.n Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges etc 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 conveyanec man-made?
b. If discharge is observed. did it reach Water of the State? (if yes, notify DWQ)
❑ Yes
❑ Yes
❑ Yes
c. II' discharge is obscrvcd. what is the estimated Ilow in gal/ruin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes
2. Is there evidence of past discharge from any part of the operation? ❑ Yes
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure ll Str icWrc 2 Strucwrc
Identifier: ./ ('� .. ..!4 ...... ............................. ............................... .............
❑ Spillway ❑ Yes
Structure 4 StruCIUrc 5 Structure 6
Freeboard (incheti).

Facility Number: - Date of Inspection Printed on: 7/21/2000
5. Ai6 theft any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ yes
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes OI
CO
(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 maintenanceArnprovement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Tom✓ rtir. j el, Sr�1 iq r 4 , )_
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?
1.8. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ Wi1P, 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 ReviewerAnspector 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?
: No•yiol;atio0s o� 00ficjencie9 -*C-re noted•,Ooofig �hjs:visit; • You will•i-eeeiye pia #?itj ftr; ;
carresporidence. A'aut: this visit
❑ Yes
❑ Yes ;2�
❑ Yes o
❑ Yes No
❑ Yes o
❑ Yes 2<
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes o
❑ Yes �:O
❑ Yes ❑ No
❑ Yes , No
es ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
El11
Yes No
El Yes o
❑ Yes o
❑ Yes O
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):
►'l .Ge cI- e�-c7
r�1 i�-��Q
SG� � a- �! p t.�
✓ �. G d�-
►� C r as
�i S
1
Z✓ r-,. �' � !� ..� t '`1
a
Reviewer/inspector Name
Reviewer/Inspector Signature:
Date: __ _! � � . 5100

I:'I,I IE-':ff:', ,! h s liE E;: i t, I i t a 'I ,,i h E E 1 '!' I !_
I �sil kt ' I I ,+:� ¢iE s i.:�� - E. hfi l!'..l..� €f € ski h'0
.
I �I �E:jj. i " srl i; E,i i ik cE , +i P; E'f ;: +.. IEII€ 4 [ t� . , r Dl'V151ow o € kii:'QliERlltyc i i(,^ 3 i , ` i i ill i i:# 3 E?iE i ..,ti :.P is if , I i ,,::€!E ° ! !,€,
�i jriy, l Ef} 1 i E
S411-arid`Water.Conservatiod ! { aE p I I:I tk s: , I
,�°�: }.: il. ��' ¢ €h-.I_€j 11 'y,I:ii�,- i! �I3 E.. E�i.ri- ,¢:O 1ic, •ai h 6t 3 ri-i,:iE`!s: ik i.E, +i.,i I, i, �,.I hsi E4l.--r;c1,'I E¢11 c':�•sk
1 +� ° i EE Eaili,l f i! f i ,Ejf; E I di N€ i
Other Agency i € € i,i i f a,:€ • ` s if lfi' l }i; E : ' ; +{ !i !
!--
E
r
eof visit Compli a Inspection O Operation Review Q Lagoon Evaluation
ason for Visit outine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
1 y NumberEAD-1�9�9 Date of Visit:
Permitted 0 Certified 0 Conditionally Certified 0 Registered
Faun Name:...........�...L..(.......a.'.�r/`. r r rr�
.............I.........
S� Thne: E.MiD Printed on: 10/26/2000
O Not Operational Q Below Threshold
Date Last Operated or Above TI ric hold:
County:.r./;(.................................
Owner Name ......... (A4 r. `%...", 1,-I.................................. I...................................... Phone No:.....
FacilityContact: .............................................................................."l'itle:................................... ............ Phone No:
Mailing Address:
Onsite Representative: .................................................
Certified Operator: .....R".11.... '`, ,-
ly ......... .................. I......
Location of Farm:
Integrator: .........................................
,,,,.,,,,,, Operator Certification Number:
I
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude: �• �� ��� Longitude �• ��
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Fe r'to Finish ❑ Non -Layer JE1 Non -Dairy
arrow to Wean
[:]Farrow to Feeder JE1Other
[]Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons JE1 Subsurface Drains Present ❑ Lagoon Area
Holding Ponds 1 Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon [3 Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h, If discharge is observed, did it reach Water of the State? (If 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?
Spray Field Area
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
.f
❑ Yes �[j No
❑ Yes o
❑ Yes o
❑ Yes
[:]Yes PNo
❑ Yes
4. Is storage capacity freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Y No "
g P Y( P g 9
SLRICtUrC l Structure Structure 3 Structure 4 Structure 5 Structure 6
Identifier. ...........!.�........................�. L.I ..................4i �..1..
........ ............... ............................ .... I--..........................
.............................
Frechoard (inches):
5100 Continued on back

r
Facility'Number: & — Date of Inspection[ �r1 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 PNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 240
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available'!
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
iQ yiolaiios or 0 1dencies •were hotecl• d><rr'ing phis'visit' - Yoo wiii•receive 40 lfurtW -
corses ontience: about: this visit:
❑ Yes:No
No
El Yes
❑ Yes No
❑ Yes
❑ Yes No
❑ Yese12o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes jNo
No
ElYes
❑ Yes No
[-]Yes No
❑ Yes ON
❑ Yes
❑ YesPo
❑ Yes
❑ Yes j2 l`+o
❑ YesVNoZ,,
El Yes
❑ Yes No
Comments (refer to question, #). Explain any YES answers and/or any:recommendations or any other comments F l� 1,J
Use drawings of facility to;bettei• explain situations.(use additional pages as necessary) , !' E �: 3 AL
Reviewer/Inspector Name
Reviewer/Inspector Signature:
1�
Date: 5/00

Facility Number: — Date of Iuspection d^' 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
12N'
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
No
29.
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)
11"
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
o
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 cover?
❑ Yes
permanent/temporary
v
Additional Comments an or ravings: '1 r f
J
5/00

0 Division of Soil and Water Conservation Qperation3Review.
0°D1vis' of Soil and Water Conservation Compl�iince Inspection ;q t t77I}'
i i 3_ F j i,_; 3 r 4 :?3 i
Its 4 „E+ nr ybioof Water" QiiAhty CompliaeenInspection �� _ r I , _ r , ? 3 "f� gr , � � (-
r r. r,�ef ,_i ,f.d�P'�3421,�,!
C]°Other Agency.- Operation Rev�evv <� r, � t�� ;, ' �J ; a
�
Routine 0 Complaint Q Follow-u of DWQ inspection Q Follow -tip of DSWC review Q Other
Fa-lity-Number Date of Inspection 7 76
701
Time of Inspection �; 24 hr. (hh:mm)
Permitted © Certified © Conditionally Certified © Registered 113 Not O erational Date Last Operated:
Farm Name: .(... , S .d v r! Count .......................
...1............................................................................................. y:..,r�.."...................................
OwnerName: ..............................................................Phone No:.......................................................................................
.............................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
,Mailing Address: ...................................................................,..................................................,..............................................,.,................................... ..........................
OnsiteRepresentative: ........................................................................................................... Integrator:......................................................................................
IILL. ff
Certified Operator:.... ?. .��........ tT,r,,,1,r.............................. ... Operator Certification Number:.,........................................
Location of Farm:
i
.........................................................................................................................................................................................................................................................................
Latitude ' 4 �•� Longitude ' 6 44
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 2 No
Discharge originated iEt: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ElYes o
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Dues discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes No
P g
2. Is there evidence of past discharge from any part of the operation? [:]Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
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 6
Identifier: � 4 r ��
Freeboard (inches): f ............................. ......................................................................
�..5............ .............................. ........................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes o
seepage, etc.)
3/23/99 Continued on back
rA

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? ❑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 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
1. Is there evidence of over application? El Excessive Ponding ❑ PAN
El Yes
Vo
12. Crop type
13. Do the receiving crops differ ith those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
o14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
�O�
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
es ❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
[:-P O
Required Records cot Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
o
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Yiola�iQris'oi clgfic�er�gpe were pQtec3 dtrrit)tg this;visit: Y;oir WHI-feeeiye 4d fufth&. ;
cor,resPoric�ene . a�aut tliIs visit.. ... .. ....... ................ .
,
Cotntnents � (i•efer;to ,,quest
Reviewer/Inspector Name
❑ Yes
❑ Yes {d'la0
❑ Yes 0
❑ Yes (d'N0
El Yes o
El Yes ;d O
ElYes o
El Yes o
:• f i p g § s q , �
a�n situattons use additio6nal a es as necessary) �` *�
J
9 k C4.,f ,9S ;�ya, /,7j- der /e7e,- ,,f i
i�
Reviewer/Inspector Signature:
Date: --y Z
3/23/99

Facility Number:& 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?
�za77- 9
�3
IRMO
W-1 i 0 1 " " 2, 6"
❑ Yes No
❑ Yes No
❑ Yes No
Cl Yes No
❑ Yes
❑ Yes
❑ Yes No

101
Division and Water Conservation `Operation Review♦ i l' 4P49
ri€ i
}:; ' € El D on of Soil and Water,Conservahon Complianee inspecteon; , i „ , g €
Q ;, t3' Compliance Inspection r t Y i F,
h j. p r E. 6 i t F
1'V1510II•Dl Writer Mali
i'
D :Other Agency - OPeratlon'ReVieW,
Routine O Com Taint O Follow-up ofDWQ inspection O Follow-u of DSWC review O Other
Facility Number j [)late of Inspection 2
Time of Inspection pj 24 hr. (hh:mm)
0 Permitted Certified ❑ Conditionally Certified 13 Registered 113 Not O erational Date Last Operated:
Farm Name: rrr14!'. `/....... 1.11.......1.Z^....................................................... County:. M/w-�................................. .......................
Owner Name: / '
h•.
.............................................//........................................................................... Phone No:.............................,.........................................................
Facility Contact: .....�ol4r. '.../VI ... F.�................................Title: .... Phone No:...................................................
Mailing Address: .. �. Z.�...�f .....6n'.q -. E..6'e e- C,l,>>�.`.'•._C4 lZ ........%f//if 4 ✓. /../e- ........ A/L............ ..........................
OnsiteRepresentative:.. .`%'..f............ �....�./........................................................ Integrator: ......................................................... >.............................
Certified Operator:.....,.... . �.!Q?"y...H. IZY .............................................................. Operator Certification Number:.............,...... ...............•
Location of Farm: j" ,_ �f fl `rl�• • S sB� �J Cr
IL.......................................................................................................................................................................................................................................................... T
Latitude • Longitude ! �I • �� �'°
'Design Current „'„ E' Dest�Tn Current Design Current i
C . 4.
Swine Ca acity Population Fonit`ry`" �Ca acity Po nation Cattle` Capacity Po ulation:'
❑ Wean to Feeder
❑ Fe r to Finish
arrow to Wean
G �p
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
_; ❑Layer PR
DairyNon-Layer Non -Dairy 41,
; f
xTo
❑ Other
e Total Design Capacity
' ; Tota1:SSLW
Number of Lagoons �i `- ❑ Subsurface Drains Present JJEJ Lagoon Area ❑ Spray Field Area
Holding PoiWl,SoLd'Tra sJE1 No Liquid Waste Management S stem
Discharges & Stream Im acts
I. Is any discharge observed from any part of the operation? ❑ Yes M401
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes of
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ) ❑ Yes XJ No
c. If discharge is observed, what is the estimated flow in gal/ruin?
d. Dues discharge bypass a lagoon stem? If es, notify DW ❑ Yes �
b Yp' b Y� ( Y'�' Y Q) ;FN9
/
2. Is there evidence of past discharge from any part of the operation? ❑ Yes VNo
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
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ............. �.,.•.................... t..................... ................................. ................................... ...................
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 �% Z
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?
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 :kpplication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
. rn
13. Do the receiving crops differ4ith 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 Rev iewer/I rector fail to discuss review/inspection with on -site representative?
24. Does fa�i uC y require a follow-up visit by same agency?
25. )Kre any additional problems noted which cause noncompliance of the Certified AWMP?
V Rio yiolafiq>rjs:oT cle cier�cies mere p�t;ea . rring thjs;vesit: - :Y;oii witj •tee i*e 0 futthgr - : ;
carresnont�ence. abouf this Visit...... ... :: :: ; .. .. ;
❑ Yes Iyo
❑ Yes o
❑ Yes o lm <'
❑ Yes jN
❑ Yeso
❑ Yes No
❑ Yes
Yes
❑ Yes o
❑ Yes
❑ Yes . No
❑ Yes No /
❑ Yes
❑ Yes
❑ Yes
❑ Yes No
❑ Yes N
❑ Yes No/
❑ Yes G] N
❑ Yes No
3/23/99

..
Facility Number: — Date of Inspection Z'
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon -fail to discharge at/or below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
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)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes o
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 N
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
itio all.Comments all orD rawing$
i
3/23/99

13 D' ' ton of Soil and Water Conservation [] Other Agency
Division of Water Quality
lO Routine O Complaint O Follow-up of DWQ inspcvction O Follow-up of DSWC review O Other
��i i i rr.rrr ri�r�n . ir�r. ir�u.�rr
Date of Inspection
Facility Number
Time of Inspection EMZI'24 hr. (hh:mm)
© Registered LlCertified 0 Applied for Permit 0 Permitted [3 Not Operational Date Last Operated :..........................
FarmName: ... 61.'..1 ....... ..................................................................... County: .... Ae 1.&.............. .............. .......................
Owner Name: .........................`� F?..:.l.I Z r �... .. .......'.3.d �................
i4 2 Phone No: 2 7 .. lv
Facility Contact:..,,, 5 %±►.,,, G......................... Title. Phone No:
Mailing Address: �7iD %'iS'�r..� r G ,-d 2p . I1/ f%h v :l'l'e...... .......... ��6................
.............................. ........................................................................... ..............
Onsite Representative: ... t?... , ...........!. ...�1................ ..... Integrator: .... Cn.!:1e, V f..........................................
Certified Operator . ..........S !r].•! �............... Operator Certification Number .......................
Location of Farm: Ail 5'� dq4 K S� �� y c'- p s'-'
........................................... ............................................................... .................................................... ............................................................................................................
Latitude Longitude �• �' �"
❑ Wean to Feeder
❑ Fe to Finish
arrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
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 titan -made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7125/97
1
❑ Yes No
❑ Yes No
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes
❑Yes ;7N
El Yes No
❑ Yes L!J N
❑ Yes No

.0 V
Facility Number: — 3
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.Ilolding fonds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
.............................................................................................................................................
2
Freeboard(ft):................47.:.t�.....................�.1.:..J�..................:..................................................
10. is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenancelimprovement?
(If any of questions 9-I2 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes o
❑ Yes No
Structure C
.....................................................
❑ Yes :�:No
❑ Yes No
❑ Yes o
❑ Yes o
; �
❑ Yes o
15. Crop type^.....SG.... . .....................................................................................................................................
16. Do the receiving crops differ with those designated in the Anima! Waste Management Plan (AWMP)? ❑Yes o
17. Does the facility have a lack of adequate acreage for land application? ❑Yes o
18. Does the receiving crop need improvement? ❑Yes No
19.
Is there a lack of available waste application equipment?
❑ Yes
o
20.
Does facility require a follow-up visit by same agency?
ElYes
21.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N
22.
Does record keeping need improvement?
❑ Yes
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
N
24.
25.
Were any ad itional problems noted which cause noncompliance of the Certified AWMP?
We y additional problems noted which cause noncompliance of the Permit?
Cl Yes
ElYes
o
❑ No
No.violations or. delaciencie's.were-ntited•during this,visit.' Your ill re'cei've"n6-ftirtlier .
eprrespoiAeh& about lbis;visit

-Routine O Coni Wi t- O Fol1C)W'Vp orDWQ ins ection O Follow-up ofDSWC r6iew"O Other""
-_-�."K`.'.`Fr'.n«YSr.fiM�ilt.t."rei'siiu'ay�t:im�h �"R�.B�FtzYi:�45.=:t^.i�y1�Fi;:'^�:::,.'s:"�;.in.;:a:TJRx'diaNi.i..� �'T.r�:l?� ..r«e�. uer .��4v =x �a¢r�r:�:.�s�rrr +,-ia�r:"�. n^tx ...-+.e •.
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
Total Time fin fraction cif hours
?arm Status:- }Registered ❑ Applied for Permit (ex:.1.25 for'] hr 15 ruin)) Sp nt on Review
Certified ❑ Permitted or Inspection (includes travel and processing)
© Not U erational Date Last Operated:................................................................ ........ ..................................................................
Farm Name:.....- .........................................
pwnerName: .............................................. ..... ........................................................................ Phone No:....,............................................................................
FacilityContact:..................................................:...........................Title:.......,.........................................:.............. Phone No:.... .............................................
MailingAddress :.......................................................................................................................................................................................................... ....................
Onsite Representative: ...... 15d-6........... . ........... Integrator:. .................
Certified Operator: .................................................. .............................................................. Operator Certification Number:...................................
Location of Farm:
Latitude Longitude �• �0"
renet'al
1. Are there any buffers that need maintenance/improvement? ❑ Yes laNo
2. Is any discharge observed from any part of the operation? ❑ Yes ' Q'c
17ischarge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. Ii'discharge is observed, was the conveyance man-made? ❑ Yes Nc
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes Pc
c. It dischuge is observed, what is the estimated flow in gal/niin?
cf. 17oes discharge bypass a lagoon system? (If yes, notify DWQ) ❑Yes ONc.
3. Is there evidence of past discharge from any part of the operation? ❑ Yes
4. Were there any adverse impacts to the waters of the State other than from a discharge? 0 Yes ZNc

is tacttrty not to conipttance wmi airy appticaoie setback cracria in et test at tltc time or design? L_.E Yes J_ 'No
'Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
3. "Are`there lagoons or storage ponds -on -site which need to be properly closed? " ElYes No
!SX+13'� 1•Eii:,•"1 ...1� h "Si�L `y ",+w--W�>.c�-vc��';c�.: ,2. e;,'�:: �.?, :�':. ir".i.�' � ``s".' _":'�'•.Y:,"'. .......=3�P. , :...y %_.,.a. °:L'.s., iy'��-� _.
structures (laa�oons andlor HoldiffiLK A9 ."
Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ZNO
Freeboard (ft): S ucture� Structure / Structure 3 Structure 4 Structure 5 Structure
...........7 A............ ..........................................................................................................................................................
0. Is seepage observed from any of the structures? ❑ Yes qNo
1. Is erosion, or any other threats to the integrity of an f the structures observed? C ij 5 ❑ Yes dNo
wN-Lc: � Nurf�d �Tu� -ram U
.2. Do any of the structures need maintenance/improvement? O135 �!" - Yes ❑ No
r .(If any of questions 9-12 was answered ,yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
3. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes- No
Yaste Application
.4. Is there physical evidence of over application`? ❑ Yes i No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
5. Crop type .��.�....................................................................................................................................................................................
6. Do the receiving crops differ with those designated jn,th e�A�nrEA&aste Management Plan (AWMP)? ❑Yes _EYNo
X_
:7. Does the facility have a lack of adequate acreage for land application? ❑ Yes 0 No
.8.
Does the receiving crop need improvement?
❑ Yes
V No
9.
Is there a lack of available waste application equipment?
❑ Yes
'.0.
Does facility require a follow-up visit by same agency?
ElLI Yes
_R(Na
No
'' L
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes /6No
For Certified Facilities Only
2
Does the facility fail to have a copy of the Animal Waste Management PIan readily available?
❑ Yes
❑ No
3.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
El Yes
❑ No
A. Does record keeping need improvement? ❑ Yes . ❑ No
Comment trefertogestian#)xplaun anyS ui rs Anilfor any reC endaons:o any gther mrnents
Use drawings al' facthty to Setter explam,situatians (use additronai gages as,necessary
Oi a
&e&e- 1 S pe1 Nw IRAIAAVI Po'—A)A Ald
Yh'�k} U E�-9L_77?'-17,gA I IE 5 T`b5A-� S t f U jE_G-E Tfi-?7&1) aA /vQlGjS_
/L v `� • T2 -_-, aAu 2 .6
�� �' �iTr 4./A �-tvl� ��uO/ 6Gu1Nt 'CTt IV G- PIOL-�
AJ � (L N s,M0C1 F!
Reviewer/Ins ector Name
P � �-

'J- �zb€ i tr T' s.a--5,*�, z •aa'
z
❑
DSWC Animal Feedlot Operation Re�Iew:
DWQ Animal Feedlot Operation Site Inspection �'�`���:5
zrrmy n. !.M, . ........ i., =11'. W�� n:� .....
O Routine O Cam faint O Follow-up of DW ins ection O Follow-up of DSWC review O Other
Date of Inspection O-7- 97
Facility Number y 3 4
Time of Inspection 1 Z % 515 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ® Registered ❑ Appiied for Permit (ex:1.25 for i hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection (includes travel and processing)
0 Not Operational Date L pgrat(43: ........ ...................... ' ` .`......................................................................................................
FarmName, ....... ......................... ` ..........:.... �QQ ... `S `-}bounty:..../11P f4...............................................................
Owner Name:...... t't4..... L11............................ .........................�...1pf e No: ..... �.9..�....115 q......6.1At ........
Facility Contact: ...... Gs�t.� N................................... IG 10N ....O 11 ....................... Phone No:..�C ...a� - ..i7 9-a„J0 ....
Mailing Address: .....&Re . .. %L4S0..s7�'... IOlrr Oue CkZ4, J� /� : ' .. /aGs.4rJr��G....NC 27e..5d ..
_. Onsite Representative:... lqd.o,n ......... .�1. i rt.............................I............. . Integrator*.......Ca.....................................................
Certified Certified Operator:. Ciar�c ....H;!l...... .........'-............................................... Operator Certification Number:........ ............................
Location of Farm:
:...>5,........_r.Qat�:."..M..a!,s:..r.'.(ly ,.si. ...3.�gn .. tfia.#.,sr�...::..T...1.7-.....:..:...
_
Latitudes ' 33 • 5__, �;'`;` ~; I:iirigitudc F77 • '$% 0�j : _ _
Type of Operation ; Design ; C
�wene G, j �., �:apac�[y,.ropuu;uon
❑ Wean to Feeder
❑ Feeder to Finish.
® Farrow to Wean.'
4J,Sb'
7S-
❑ Farrow to Feeder
.
❑ Farrow. to Finish;
❑ Other.
Design _ Current
KPoultry a '�=°Capacity.;,Population
❑ Layer
❑ Non -Layer
6t
Total Desjgn Capacity
.. eTotal SSLW
J0 Siibsu"rface Drains Prase
Design:} Cn
'attle.:..: apac ty.r Popi
] Dairy
] Non -Dairy ,
ru �
.t ag' n
?field. Area:
I. Are there any buffers that need maintenance/improvement) ❑ Yes.., .
2." Is any, discharge observed from any part of the operation?:' ❑ Yes . 151 No
1)ischarLe originated at: ❑Lagoon='; ❑Spray Field []Other
a a. If dischar=e is observed,'wiis the conveyance man-made'? ❑ Yes- [I No
3 b A If d�scttarge is observed, did it reach Surface Water? (if y ce; notify DWQ),. --',-..[]Yes.,,, r❑ No•. ,
c It discharee is observed what is the estimated flow in gal/atin M ,y
4 re....`=» ; x "'S!<} a �y " a a FY s .. r ..., am .yx '•+r'h�+t;i'r4i.$ aisw'" ° �'�i'h-'-":u'Wy,"`'r'' ��h.rwa�a� n".ry,....«. r m. q. w w.. ,w.«.q ri$'°'wh
y y i fir. !:.• E rw1�S� ayt '_ 71, i,. �{
d I)oes discharge bypass a lagrion sysieinl (If yes iicittfy DWQ) ? T o -, ..c.. �aaa '•�f.•.t',akrri=.; Yes
N']�v;§.''tix ❑
.r, r , h .. -�-''' r a.¢ = St xT it•r.� ""} �F -..,,y fL 3la i kk o-' <.5i er # -� Y" i r � '� ti r °.' n � ,r 4+ i,Y -y ..
3 Is there evidence of past`discharge from any part of the operation?� �x� 4 ; 4 k ,� El Yes a No
ii. rer �' Ir r�4k -.1.a K A! a:.f- t f•t ,� F l raa _fir
. � U '^ �'fr �.�,'�"; '� +. ��, �Jice. f � • n , .
Were there any adverse iriipacts to the waters of the State other"than from a discharge's ❑Yes :. ®No 4
.�' S r -'r -.t :r ,J•,t , . .. vA, A Ew.i 1,3. ^_�':
,r
5. art Does any pof the waste managementrsystem_{other"than lagoons holding ponds) -require ::' • _ W Yes, ❑ No
� , •;1� .. via +• Y y n,'_ y .y.'f l.t .;. '
maintenan.ce/improvement'?.

Facility Number: —
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ® No
7, Did the facility fail to have a certified operator in responsible charge?
❑ Yes ❑ No
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes 0 No
Structures (Lagoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes ❑ No
Freeboard (ft): Structure I Structure 2 Structure 3 Structure 4` Structure 5
Structure 6
I....b.......... ..... ........... .0........................•.:.-.6..........................................................................................
.....................................
10. Is seepage observed from any of the structures? -
❑ Yes ® No
1 h, Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes ® No
12. Do -any of the structures need maintenance/improvement?
® Yes ❑ 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
haste AUplication,
- 14. Is there physical evidence of over application? -
❑ Yes ' ® No
- - ' (If in excess of W IP, or runoff entering waters of the State, notify DWQ)
n
15. Crop type ...c4:.....,�..�...fescue.....................................................:................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?Ne p1a.,.
❑ Yes ,. ❑ No
- _ : YC
- t _ IT, Does the facility have a lack of adequate 'acreage for land "application? ' ` -' ' " '�
❑Yes' ❑ No—"-"'
18.-, Does the receiving crop need improvement?
® Yes ❑ No •
19. Is there•a lack of available waste application equipment?
❑ Yes ® No
20: Does facility require a follow-up visit by same agency?
[ Yes ❑ No
2 f. Did Reviewer/Inspector fail to discuss reviewrnspection with on -site representative?
❑ Yes Ef No
For Certified Facilities Only
22. Does the facilityfail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes ❑ No
23.' We're'any additional problems noted which cause noncompliance of the Certified'AWMP?
❑ Yes ❑ No
24 Does record keeping need improvements ❑ El No ,, „� _ Yes:' ,,.
, r nry Yi � + `.t �
+q
ar` .. . :��... }t,.v r�. i.�.w`4t1 a nr• Y .�4 �' ^ 1rrc-4Z.
'#9i,v L (J . 0. b �'sl�p4 "+ ve �j c %aft o". i:' a./dsi; af.`;o
qqdf ! 4rta5 011.4 i(ie-u¢' ree►J11d 'bcew'oP•stuv,/j,pd. �.,. Y
!iZ #12�"-Ex+erler'and er.'o,r f�pP s. one ee�, /NO W#'�8'd re-Movet
S.Kdll {gees,
.. _ ._r... .t... �. .. _.. �... �.: or.. ,..rG- ._ .�. ... ems•'-.-n,..:_ .`.i r.�'v-.�.f•�.-.iaf-�.. .f`e+4h1 i�'-i• r,l
-,-, nt .r.,iy�?,. �vs -a+, sr:a c r.a-��Mwn! r•*yr , r. r '�' s P% i+ �a-N fw ri ��'„i`y. -ti-
- - �' . i�'rG, .,i-�.3y.�,;�.;rs�.h,a.'�:r,�a,� �+ w.�.,� �"��c�,�6 , . � "S,+�s p_ ,. , +Hrr r� .m R�+1 .� '.;•:�^�.'�G �7F�'i �"�,,.:...w�. *a�.3 s."7��Fy#K,tu"""mr r, ,oz,°+"'a't,1Pah;?
`. �+"�> �r•"1";d i31 .'.''..,�.+. t�'r1"y..k„�1,``n+. i'y, a,:. , s3', FS ►. F'�' r: t �:Ai7 °;Y�tl .iiu.'., y^.i'��A
q
x �,• �. i " t
, f, .4:'�.� fuw :•r �.1»� m., r� � Cy .� �- .a-� ./';y.+ �� x3., �. L.R :.Jx� � �h,_w t;'_r *. 'r- tsN r, '..e"' w, '�?, �i "�� ♦ �.
rk _ u' - v - - . -t nrx xr m n - 7 s 4 S".�, r 1 •�,C - .x .G r- w :5:.,. ' w -
r.
Reviewer/Inspector 5igna'ture:� ` � - ... �" Date ., l9�/7� 9 %� "�

LCi 1 WM I =M ULJ"", I I JCL I i LA, I u
a
Site Requires Lmmcdiate A rten d -)r.1 •
Facility No. I��
DIVISION OF ENVIRONMENTAL MANAGEMENT
AN MA_L FEEDLOT'OPERATI0gS SrM VISITATION RECORD
Farm Name/Owner-
Mailing Addrnes:
County:-
Ttztegza.tar_
Oil. Site Re-oresentative:
Physical Address/Location:
Phone:
Phone:.
7f Sp) E�GR t>uC
Type of Operation: Swine Poultry _ Cattle
Design Capacity: _ Number of Animals on Site:
DEM Cerdfication Number: ACE. DENT Certification Number- AC -
NEW -Latitude-" Longitude: _ ' ", Elevation: Feet
Circle Yea or No
Doles the .Ami.mai Waste Lagoon have sufficient freeboard or 1 Foot + s year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes oE Aii
Actual Freeboard: �F>. V�\ inches
Was any seepage observed from the lagoou(s)? Yes or 0Was any =sion observed? Yes or(5
Is -adequate land available for spray'? Yes or Nol. is the cover crop adequate? �r No `/ .
Crop(s) being utilized:
Does the facility meet SCS minimum setback cziteria'? 200 Feet from Dwellings? Yes or�o
100 Feet from Wells? (Y4 or No Sf
te. animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No = k`
a.iimal waste land applied or spray irrigated within 25 Feet of a USGS. Map Blue Line'? Yes `tom
'; animal- waste discharged into waters of the state by man-made ditch, llusbing system, or other-
'i7T^lid_T• I713t]-t7lcttl� Ctc'1'iC? Yes ok No if yes. Please E-cplairl. .
)i ,c5 ttic Facility trtaintaln adequate waste tnarxagcrncnt Cecurds (volumes of manure, land applicd.
spray irrigared on spccific acreage with cover crop )'? Yes o1G
cc: Faciiiry Assessment Unit Use Attachments if Needed.
TOTAL. P.02

Environmental
Quu t ily
January 12, 2018
William B. and Kimberly R. Colbert
Ed Batchelor Cabin Path Lane Farm
1176 Tyson Loop Road
Spring Hope, NC 27882
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Permit No. AW1640039
Ed Batchelor Cabin Path Lane Farms
Animal Waste Management System
Nash County
Dear William B. and Kimberly R. Colbert:
In accordance with your application received January 9, 2018 we are hereby forwarding to you this
Permit issued to William B. and Kimberly R. Colbertauthorizing the operation of the subject animal waste
management system. You had indicated the animal population at this facility to be zero until such time as
the waste storage lagoon at this facility is properly closed.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the Ed Batchelor Cabin Path Lane Farms, with an annual capacity of no
greater than an annual average of zero (0) Swine.
The Permit shall be effective from the date of issuance until December 31, 2022 and replaces the COC
No. AW1660009 issued to this facility on December 12, 2014. 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.
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 MRCS 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.
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 143-21 S.6A through 143-215.6C, the
Clean Water Act, and 40 CPR 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.
State of North Carolina ( Environmental Quality j Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center I Raleigh, l forth Carolina 27699-1636
919.707-9129

In accordance with Condition I1.17 of this Permit, waste application shall cease within four (4) hours of
the time that the National Weather Service issues a Hurricane Warning, Tropical Storm Warning, or a
Flood. Watch associated with a tropical system for the county in which the facility is located, You may
land detailed watch/warming information for your county by calling the Raleigh, NC National Weather
Service office at [phone], or by visiting their website at: www.weather.gov/rah/ .
This Permit is not automatically transferable. A name/owncrship change application must be submitted to
the Division prior to a name change or change in ownership.
This facility is 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 Permit, please contact the
Animal reeding Operations Program staff at [phone],
Sincerely,
.,fir Linda Culpepper
Interim 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
Permit rile AW1640039
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
INDIVIDUAL SWINE 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
William B. and Kimberly R. Colbert
Nash County
FOR TIME
operation and maintenance of an animal waste management system for the Ed Batchelor Cabin Path Lane
Farms, located in Nash County, consisting of zero (0) Swine 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 December 31, 2022 and shall be subject to
the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
I . 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 in violation of this Permit, as long as the Facility is in
compliance with its CAWMP and this Perniit.
2. 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 Pemut. 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. 1OB (1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.

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.
IL OPERATION AND MAINTENANCE RF. UIREME S
I . 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.
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.
S. 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.
]I. 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 -patty 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 and shall
document the weather conditions at the time of land application on fortes supplied by or
approved by the Division.
Land application of waste shall cease within four (4) hours of the time that the National
Weather Service issues a Hurricane Warning, Tropical Storm Warning, or a Flood Watch
associated with a tropical system including a hurricane, tropical storm, or tropical
depression for the county in which the permitted facility is located. Watches and
warnings are posted on the National Weather Service's website located at:
www,weather.gov. More detailed website information can be found on Page 2 of this
Permit. Watch and warning information can also be obtained by calling the local
National Weather Service Office that serves the respective county, which can be found on
Page 2 of this Permit.
The Director may require any permittee to install, operate and maintain devices on all
irrigation pumps/equipment designed to automatically stop irrigation activities during
precipitation. This decision will be based on the facility's compliance history for
irrigation events.
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 [he, 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
1. 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.
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 -Mowing 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.
4. 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
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.
6. 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. 10. 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. Cf 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. 4,
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 .
9. 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.
10. 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:
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 wet]ands.
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.
7

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.
In the event the waste level in a lagoon/storage pond is found to be within the designed
structural freeboard, the Permittee shall file a written report to the appropriate Division
Regional Office within two (2) calendar days following first knowledge of the
occurrence. This report shall outline actions taken or proposed to be taken to reduce
waste levels below the designed structural freeboard within five (5) calendar days of first
knowledge of the occurrence.
11. 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.
12. 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 %II 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 farther 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 Departtnent 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 11I.11.
13. 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
The Penmittee 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;
e. 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 assuring permit compliance, any
substances or parameters at any location.
V. GENERAL CONDITIONS
I . The issuance of this Permit shall not relieve the Penmittee 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 (NRCS) North Carolina Standard for Closure of
Waste Impoundments, April 20I2 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 of24 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 (1.5) 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 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 Notifrcalion 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.
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.
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 to maintain compliance with
the conditions of this Permit.
This Permit issued the l2th day of January 2018,
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,,for Linda Culpepper, Interim Direc r
North Carolina Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number AW.I640039
10

r
Environmental
Quality
January 12, 2018
William B. and Kimberly R. Colbert
Ed Batchelor Cabin Path Lane Farm
1176 Tyson Loop Road
Spring Hope, NC 27882
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
NC Dept 0fULPEPPER
UVJW W9 Pl Quality
,BAH 18 2018
Raleigh Regional Office
Subject: Permit No. AW1640039
Ed Batchelor Cabin Path Lane Farms
Animal Waste Management System
Nash County
Dear William B. and Kimberly R. Colbert:
In accordance with your application received January 9, 2018 we are hereby forwarding to you this
Permit issued to William B. and Kimberly R. Colbertauthorizing the operation of the subject animal waste
management system. You had indicated the animal population at this facility to be zero until such time as
the waste storage lagoon at this facility is properly closed.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the Ed Batchelor Cabin Path Lane Farms, with an annual capacity of no
greater than an annual average of zero (0) Swine.
The Permit shall be effective from the date of issuance until December 31, 2022 and replaces the COC
No. AW1660009 issued to this facility on December 12, 2014. 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.
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.
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.
State of North Carolina j Environmental Quality I Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center I Raleigh, North Carolina 27699-1636
919-707-9129

u w
In accordance with Condition I1.17 of this Permit, waste application shall cease within four (4) hours of
the time that the National Weather Service issues a Hurricane Warning, Tropical Storm Warning, or a
Flood Watch associated with a tropical system for the county in which the facility is located. You may
find detailed watch/warning information for your county by calling the Raleigh, NC National Weather
Service office at [phone], or by visiting their website at: www.weather.lzov/rah/.
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 in a county covered by our Raleigh Regional Office. The Regional Office Staff may be
reached at [phone]. If you need additional information concerning this Permit, please contact the
Animal Feeding Operations Program staff at [phone].
Sincerely,
0 &, - 3 L' T': t�:�'
for Linda Culpepper
Interim 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
Permit File AW1640039
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
INDIVIDUAL SWINE 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
William B. and Kimberly R. Colbert
Nash County
FOR THE
operation and maintenance of an animal waste management system for the Ed Batchelor Cabin Path Lane
Farms, located in Nash County, consisting of zero (0) Swine 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 December 31, 2022 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 (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 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 I5A, 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) 143-215.1OB (1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.
3

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.
11. 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.
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.
4

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 and shall
document the weather conditions at the time of land application on forms supplied by or
approved by the Division.
Land application of waste shall cease within four (4) hours of the time that the National
Weather Service issues a Hurricane Warning, Tropical Storm Warning, or a Flood Watch
associated with a tropical system including a hurricane, tropical storm, or tropical
depression -for the county in which the permitted facility is located. Watches and
warnings are posted on the National Weather Service's website located at:
www.weather.gov. More detailed website information can be found on Page 2 of this
Permit. Watch and warning information can also be obtained by calling the local
National Weather Service Office that serves the respective county, which can be found on
Page 2 of this Permit.
The Director may require any permittee to install, operate and maintain devices on all
irrigation pumps/equipment designed to automatically stop irrigation activities during
precipitation. This decision will be based on the facility's compliance history for
irrigation events.
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).

in +
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
1. 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.
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.
4. 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
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.
6. 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. 10. 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.4.
7. 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.
S. 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.
9. 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.
to. 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.
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.
7

w
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.
In the event the waste level in a lagoon/storage pond is found to be within the designed
structural freeboard, the Permittee shall file a written report to the appropriate Division
Regional Office within two (2) calendar days following first knowledge of the
occurrence. This report shall outline actions taken or proposed to be taken to reduce
waste levels below the designed structural freeboard within five (5) calendar days of first
knowledge of the occurrence.
11. 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.
12. 1n the event of 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 III 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 I11.11.
13. 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.

C1
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:
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 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, April 2012 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.
E

M
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 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.
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.
VI. PENALTIES
Failure to abide by the conditions and limitations contained in this Pen -nit; 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 to maintain compliance with
the conditions of this Permit.
This Permit issued the 12th day of January 2018,
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
&�� -� - UIJ4
for Linda Culpepper, Interim Direc r
North Carolina Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number AWI640039
10

y.
DEC 16 2014
NCDENR NC DENR Raleigh Regional Oft&
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
December 12, 2014
Edwin Batchelor
Hill Farms (Joyner)
4283 South N.C. 58
Nashville, NC 27856
Subject: Permit No. AWI640039
Hill Farms (Joyner)
Animal Waste Management System
Nash County
Dear Edwin Batchelor:
John E. Skvarla, III
Secretary
In accordance with your notification received December 8, 2014 and upon recommendation from the
Division's Raleigh Regional Office, we are hereby forwarding to you this Permit issued to Edwin
Batchelor authorizing the operation of the subject animal waste management system. You had indicated
that the animal population at this facility has dropped 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 swine farm.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the Hill Farms (Joyner), with an annual capacity of no greater than an
annual average of zero (0) Swine .
The Permit shall be effective from the date of issuance until November 30, 2019 and replaces the COC
No. AWS540078 dated October 8, 2009. You arc 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 Natural Resources Conservation Service
(MRCS) 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, Forth Carolina 27699-1636
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

In accordance with Condition 11.17 of this Pennit, waste application shall cease within four (4) hours of
the time that the National -Weather Service issues a Hurricane Warning, Tropical Stonn Warning, or a
Flood Watch associated with a tropical system for the county in which the facility is located. You may
find detailed watch/warning information for your county by calling the Raleigh, NC National Weather
Service office at [phone], or by visiting their website at: http://www.weather.aov/rah/
Please be advised that any violation of the terms and conditions specified in this Pen -nit 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 Penn -it after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
This Pemut 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 [phone]. If you need additional information concerning this Permit, please
contact the Animal Feeding Operations Program staff at [phone].
Sincerely,
a.JU'1�5
for Thomas A. Reeder
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 Central Files (AWI640039)
AFO Notebooks
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
INDIVIDUAL SWINE 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
Edwin Batchelor
Nash County
FOR THE
continued operation and maintenance of an animal waste management system for the Hill Farms (Joyner),
located in Nash County, consisting of zero (0) Swine 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 November 30, 2019 and shall be subject to
the following specified conditions and limitations:
L 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 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.
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) 143-215.1013(l) 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
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.
3. 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, or prior to the
next rainfall event, whichever occurs first. 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 1 SA 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.
4

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.
Land application of waste shall cease within four (4) hours of the time that the National
Weather Service issues a Hurricane Warning, Tropical Storm Warning, or a Flood Watch
associated with a tropical system including a hurricane, tropical storm, or tropical
depression for the county in which the permitted facility is located. Watches and
warnings are posted on the National Weather Service's website located at:
www.weather.Qov. More detailed website information can be found on Page 2 of this
Permit. Watch and warning information can also be obtained by calling the local
National Weather Service Office that serves the respective county, which can be found on
Page 2 of this Permit.
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.

Ill. MONITORING AND REPORTING RE;OUIREMENTS
I . 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.
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 once
every three (3) years.
4. 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
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 II1. 10. 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. 4.
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.
10. 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. Failure of any component of the animal waste management system resulting in a
discharge to ditches, surface waters, or wetlands.
b. Any failure of the waste treatment and disposal system that renders the facility
incapable of adequately receiving, treating, or storing the waste and/or sludge.
C. A spill or discharge from a vehicle transporting waste or sludge to the land
application field which results in a discharge -to ditches, surface waters, or wetlands
or an event that poses a serious threat to surface waters, wetlands, or human health
and safety.
d. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
e. Failure to maintain storage capacity in a lagoon/storage pond greater than or equal
to that required in Condition V.2. of this Permit.
f. Failure to maintain waste level in a lagoon/storage pond below that of the designed
structural freeboard (twelve (12) inches from top of dam or as specified in
lagoon/storage pond design). Note that this notification is in addition to the report
required by Condition III.I O.e above:
7

g. An application of waste either in excess of the limits set out in the CAWMP or
where runoff enters ditches, surface waters, or wetlands.
h. Any discharge to ditches, surface waters, or wetlands or any discharge that poses a
serious threat to the environment or human health or safety.
For any emergency which requires immediate reporting alder normal business hours,
contact must be made with the Division of Emergency Manage)nent 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. In the event of storage capacity violations as
described in Condition III.1 O.e, the written report shall outline the actions proposed to be
taken to restore compliance within thirty (30) calendar days. The requirement to file a
written report may not be waived by the Division Regional Office.
In the event the waste level in a lagoon/storage pond is found to be within the designed
structural freeboard, the Permittee shall rile a written report to the appropriate Division
Regional Office within two (2) calendar days following first knowledge of the
occurrence. This report shall outline actions taken or proposed to be taken to reduce
waste levels below the designed structural freeboard within five (5) calendar days of first
knowledge of the occurrence.
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;
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
The issuance of this Permit shall not relieve the Pcnnittee of the responsibility for
compliance with all applicable surface water, wetlands, ground water and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.

M
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
NRCS NC Conservation Practice Standard No. 360 "Closure of Waste Impoundments ",
February 2008 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 this Permit.
5. This Permit is not transferable. 1n the event there is a desire for the Facility to change
ownership, or there is a name change of the Pennittee, 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 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.
Vl. 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.
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 12th day of December, 2014.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
o- J.
for Thomas A. Reeder, Director
North Carolina Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number AW1640039
10

Pat McCrory
Governor
A�t"A
NCDENR
North Carolina Department of Environment and Natural Resources
November 17, 2014
CERTIFIED MAIL 7010 0780 0001 7057 4764
RETURN RECEIPT REQUESTED
Edwin Batchelor
Hill Farms (Joyner)
4283 S NC 58
Nashville, NC 27856
Dear Edwin Batchelor:
John E. Skvarla, III
Secretary
r.-•
j
NC DENR R a!ei9111 Regional Office
Re: Notice of Deficiency- NOD-2014-OP-0018
Failure to Apply for Renewal of Expiring State General Permit
Permit #: AWS640039
Nash County
Your facility was approved for operation under one of the Animal Waste Operation State Non -Discharge
General Permits, which expired on September 30, 2014.
The State Nan -Discharge General Permit, Condition V.9 states:
`.lf the Permittee wishes to continue an activity regulated by this General Permit after the
expiration date of this General'Permit, the Permittee must apply for and obtain a new COC.
Renewal applications must be filed at least 180 days prior to the expiration of the General
Permit.'
In order to assure your continued coverage under the State Non -Discharge General Permits, the Division
of Water Resources (DWR) sent you a reminder to submit an application for permit coverage to the
Division in a letter written on March 3, 2014. However, our records indicate that the Division has; not
received an application form from your facility. The fora► was due April 1, 2014. To avoid possible
enforcement action for a violation of your permit, please submit your application 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]
Enclosed you will find a "Request for Certificate of Coverage Facility Currently Covered by an Expiring
State Non -Discharge General Permit." The application form must be completed, signed and returned to
DWR with one (1) copy of your most recent Waste Utilization Plan along with the field maps.
1 636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] \ Internet: htt :llwww,ncdenr. ov/
An Equal Opporlunity 1 Affirmative Action Enployer— Made in part by recycled paper

1. If your facility was never built, please indicate so on the application and request to be removed
from the permitted list.
2. If your facility is depopulated and you are waiting to close the lagoon, please send a separate
letter requesting a "zero animals" permit until such time as the lagoons are properly closed
according to the NRCS standards and the permit is rescinded.
Failure to request renewal of your coverage under a general permit within the time period specified may
result in a civil penalty. Operation of your facility without coverage under a valid general permit would
constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to
$25,000 per day.
If you have any questions about the State Non -Discharge General Permits, the enclosed application, or
any related matter please feel free to contact the Animal Feeding Operations Program staff at 919-807-
6464.
Sincerely,
10,
Debra Watts
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 - AWS640039

ANIMAL WASTE UTILIZATION; PLAOR _ 9
�47n
Producer: GARY HILL
Location: 6204 PLEASANT GROVE CHURCH ROAD
NASHVILLE NC 27856
Telephone: [phone]
Type Operation: Existing Farrow to Weanling Swine
Number of Animals: 450.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
w-'31
WMMIDENR/awa
A0UIFrR-PRnTFr.Tint4 sFCTION
APR 0 3 7nng
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.)
450 sows x 6.1 tons waste/sows/year = 2745 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
450 sows x 5.4 lbs PAN/sows/year = 2430 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
905
A
NAC
BG
5.5
206.25
0.0
1.0
206.25
I
APR-SEPT
905
1 -A
JNAC
905
1 B
I NAC
905
1-13
1 NAC
905
1 C
NAC
905
I-C
I NAC
905
2
1 NAC
905
�_2
1 NAC
905
3,4
NAC
905
1 D
NAC
905
1 -D
NAC
SG
50.0
I
I
�50
�0.0
11.0
�50
SEPT-MAR
BG
5.5
I
1
�206.2510.0
12.5
�515.625
APR-SEPT
SG
50.0
I
150
10.0
�2.5
11.25
SEPT-MAR
BG
5.5
I
�20G.2510.0
�1.8
�371.25
APR-SEPT
SG
50.0
I
I
�50
�0.0
11.8
190
SEPT-MAR
BG
5.5
I
I
�206.2510.0
11.1
1226.875
APR-SEPT
SG
50.0
I
I
150
�0.0
11.1
�55
SEPT-MAR
FG
4.5
Z
I
1168.7510.0
11.7
1286.875
SEPT-NOV
BG
5.5
I
I
�206.2510.0
12.2
1453.75
APR-SEPT
SG
50.0
�50
10.0
12.2
�110
I
SEPT-MAR
I
TOTAL12490.62
Page: 3

ANIMAL WASTE UTILIZATION PLAN
- 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

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
- Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
In interplanted fields (i.e. small grain, etc, interseeded
in bermudagrass), forage must be removed through grazing,
hay and/or silage. Where grazing, plants should be grazed
when they reach a height of six to nine inches. Cattle
should be removed when plants are grazed to a height of four
inches. In fields where small grain, etc, is to be removed
for hay or silage, care should be exercised not to .let small
grain to reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too
high and this will definitely interfere with stand of
bermudagrass. This loss of stand will result in reduced
yields and less nitrogen being utilized. Rather than
cutting small grain for hay or silage just before heading as
is the normal situation, you are encouraged to cut the small
grain earlier. You may want to consider harvesting hay or
silage two to three times during the season, depending on
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late
September or early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or mowed to a
height of about two inches before drilling for best results.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
BG
BERMUDAGRASS - GRAZED
TONS
37.5
FG
FESCUE - GRAZED
TONS
37.5
SG
SMALL GRAIN OVERSEEDED
BU
1.0
TABLE 1
TABLE 2
TOTAL
**
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
10.3
2490.625
0
0
10.3
2490.625
* BALANCE
-60.625
*** 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 396 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 1980
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 6.6 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 15.84 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25o 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)
905
2
NAC
BG
0.50
*1.00
905
3,4
NAC
FG
0.50
*1.00
905
A
NAC
BG
0.50
*1.00
905
B
NAC
BG
0.50
*1.00
905
C
NAC
BG
0.50
*1.00
905
D
NAC
BG
0.50
*1.00
905
NAC
SG
0.50
*1.00
905
"A
NAC
SG
0.50
*1.00
905
NAC
SG
0.50
*1.00
905
NAC
SG
0.50
*1.00
905
NAC
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
Page: 8

ANIMAL WASTE UTILIZATION PLAN
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:HILL FARMS
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: GARY HILL
(Please print)
Signature: Date: l2 // � / 9 ?
Name of Manager( f 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):
Signature:
Room 107 Ag. Center Drive
Nashville NC 27856
Date: / 2//e/,f
Page: 13

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1

C�
UNITED STATES DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
SOIL LEGEND
Soil map symbols and map unit names are alphabetical. The first Letter,
always a Capital, is the initial letter o1 the soil name. The second
letter is a small letter. The third letter, if used, is always.a capital
and indicates slope. Symbois without slope letters are those of
miscellaneous areas or nearly level soils.
SYMBOL
NAME
AaA
Altavista sandy loam, 0 to 3 percent stapes. rarely flooded
AbA
Altavista -Urban lend complex, 0 to 3 percent slopes
AuB
Autryville loamy sand, 0 to 6 percent slopes
Bb
Bibb loam, frequently flooded
Bn8
Blanton loamy sand, 0 to 6 percent slopes
BCB
Bonneou loamy sand, 0 to 4 percent slopes
Co
Congaree fine sandy loam, frequently flooded
DoA
Oothan loamy send, 0 m 3 percent slopes
FaB
Faceville loamy sand, 1 to 6 percent slopes
GeB
Georgeville loam, 2 to 6 percent slopes
GeC
Georgevifle loam, 6 to 10 percent slopes
GeE
GoorgeviHa loam, 10 to 25 percent slopes
GgB
Georgeville gravelly loam, 2 to 6 percent slopes
GgC
Georgaville gravelly loam, 6 to 10 percent slopes
GSE
Georgeville gravelly loam, 10 to 25 percent slopes
GUS
Gaorgevible•Urban land Complex, 0 to 6 percent slopes
GoA
Goldsboro fine sandy loam, 0 to 2 percent slopes
GrB
Gritney sandy loam, 2 to 6 percent slopes
GrC
Grlbtey sandy loam, 6 to 10 percent slopes
Has Helena Coarse sandy loam, 2 to 6 percent slopes
Me Monett loom, frequently flooded
NaC
Nankin sandy loam, 2 to 10 percent slopes
NnB
Notion loam, 2 to 6 percent slopes
NnC
Nason loom, 6 to 10 percent slopes
NOA
Norfolk loamy sand, 0 to 2 percent slopes
Nob
Norfolk loamy send, 2 to 6 percent stains
NpB
Norfolk -Wedowee complex, 2 to 6 percent slopes
NrB
Norfolk, Georgavills, and Foonviha soils, 2 to 8 percent sktpes
NUB
Norfolk -Urban land complex, 0 to 6 percent slopes
Re
Reins fine sandy loam,
Rh
Rains -Urban land complex
To
Tomotley fine sandYtIoam
Ud
Udorthents, loamy 1/
Ur
Urban land
was
Wedowee mere sandy hem, 2 to 6 percent slopes
WeC
Wedowee coarse sandy loom, 6 to 10 percent slopes
Wh
Wshadkee Iwm, frequently flooded
WkA
Wickham fine sandy loam, 0 to 3 percent slopes, rarely flooded
WoA
Worsham loam, 0 to 2 percent slopes
1/ Each area on the soil map sheete in addition to being Identified by the
symbol Ud are further identified with one of four labels on the map. Those
labels are Quarry Spoil, Borrow Pit or BP, Landfill or LF, and Cut and Fill
or CBF.
MASH

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coieen H, Sullins aalljo1euoi6aag6laleu Dee Freeman
Governor DirectorON Secretary
December 7, 2010 OIOZ 6 - 030
Edwin V. Batchelor
Hill Farms (Joyner) a3AI303H
4283 South N.C. 58
Nashville, NC 27856
Subject: Certificate of Coverage No. AWS640039
Hill Farms (Joyner)
Swine Waste Collection, Treatment..
Storage and Application System
Nash County
Dear Edwin V. Batchelor:
In accordance with your Notification of Change of Ownership received December 3, 2010, we are hereby
forwarding to you this Certificate of Coverage (COC) issued to Edwin V. Batchelor, authorizing the
operation of the subject animal waste management system in accordance with General Permit
AW G 100000.
This approval shall consist of the operation of this system including, but not limited to, themanagement
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Hill Farms (Joyner), located in Nash County, with a swine animal capacity of no
greater than the following annual averages:
Wean to Finish:
Feeder to Finish:
Boar/Stud:
Wean to Feeder:
Farrow to Wean: 450
Gilts:
Farrow to Finish:
Farrow to Feeder:
Other:
If this is a Farrow to Wean or Farrow to Feeder operation, there may be one boar for each 15 sows. Where
boars are unnecessary, they may be replaced by an equivalent number of sows. Any of the sows may be
replaced by gilts at a rate of 4 gilts for every 3 sows.
The COC shall be effective from the date of issuance until September 30, 2014, and shall hereby void
Certificate of Coverage Number AR'S640039 dated October 1, 2009. Pursuant to this COC, you are
authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Please pav careful attention to the
record keeping and monitoring; conditions in this pen -nit. Record keeping forms are unchanged with this
General Permit. Please continue to use the same record keeping. forms.
1636 Mail Service Center, Raleigh. North Carolina 27699-1636
Location: 2728 Capital Blvd., Raleigh, North Carolina 27504 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 North Qwo [inn
Imemet: www.ncwatera,uality.arg 'jE '}�tt��t� /�
An rUua! GFn�rtuoity 1 Aff rmalive '.cPnri M;gnlnye F/ I f `

If your Waste Utilization Plan (WUP) has been developed based on site -specific information, careful
evaluation of future samples is necessary. Should your records show that the current WUP is inaccurate
you will need to have a new WUP developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state. and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Per 15A NCAC 2T .0105(h) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including; civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, then an application for renewal tnust be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the Animal Feeding Operations Unit for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
In accordance with Condition I1.22 of the General Permit, waste application shall cease within four (4)
hours of the time that the National Weather Service issues a Hurricane Warning:, Tropical Storm Warning,
or a Flood Watch associated with a tropical system for the county in which the facility is located. You
may find detailed watch/warning information for your county by calling the Raleigh, NC National
Weather Service office at [phone], or by visiting their website at: www.erh.noaa.gov/er/rah/
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
Enclosure (General Permit AWG 10 000 0)
cc: (Certificate of Coverage only for all ccs)
Raleigh Regional Office, Aquifer Protection Section
Nash County Health Department
Nash County Soil and Water Conservation District
APS Central Piles (Permit No. AWS640039)
AFO Notebooks

..
o�0 w A rc-;,Q�
0 1411W-,c
Gary Hill
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Dear Gary Hill:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
May 1, 2003
Subject: Certificate of Coverage No. AWS640039
Hill Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration -date of the Swine • Waste Operation General
Permit AWG100000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on March 12, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Gary Hill,
authorizing the operation of the subject animal waste collection, treatment, storage and land application
system in accordance with General Permit AWG100000. The issuance of this COC supersedes and
terminates your previous COC Number AWS640039 which expired on April 30, 2003.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Hill Farms, located in Nash County, -with an animal capacity of no greater than
an annual average of 450 Farrow to Wean swine and the application to land as specified in the facility's
Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or Farrow to Feeder
operation, there may also. be one boar for each 15 sows. Where boars are unneccessary, they may be
replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a rate of 4 gilts
for every 3 sows
The COC shall be effective from the date of issuance until October 1, 2004. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property. MENUR
Non-Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Customer Service Center
An Equal Opportunity Action Employer
Internet httpJ/h2o.enr.state.nc.us1ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/ 10°/6 post -consumer paper

Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or Iimitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this COC
or the General Permit, please contact Michelle Barnett at [phone] ext. 544.
Sincerely,
-a
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Water Quality Section
Nash County Health Department
Nash County Soil and Water Conservation District
Permit File AWS640039
NDPU Files

ANIMAL WASTE UTILIZATION PLAN
Producer: GARY HILL
Location: 6204 PLEASANT GROVE CHURCH ROAD
NASHVILLE NC, 27856
Telephone: [phone]
Type Operation: Existing Farrow to Weanling Swine
Number of Animals: 450.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the 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, tong, etc.)
450 sows x 6.1 tons waste/saws/year = 2745 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
450 sows x 5.4 lbs PAN/sows/year = 2430 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
206.25
905
A
NAC
BG
5.5
206.25
0.0
1.0
Z
APR-SEPT
905
905
905
905
905
905
905
905
905
UT
-A INAC
B NAC
_B NAC
C NAC
-C NAC
2 NAC
-2 NAC
3,4
D
NAC
SG
I
BG
z
SG
I
BG
I
SG
T
BG
I
SG
I
FG
I
BG
I
SG
I
I
50.0 150 10.0
5.5 1206.2510.0
50.0 150 10.0
5.5 �206.25�0.0
50.0 �50 10.0
5.5 1206.2510.0
50.0 150 10.0
4.5 1168.7510 0
5.5 �206.25�0.0
50.0 150 10.0
1.0
2.5
50
SEPT-MAR
1515.625
APR-SEPT
2.5
125
SEPT-MAR
1.8
371.25
APR-SEPT
1.8
90
SEPT-MAR
1.1
1226.875
APR-SEPT
1.1
�55
SEPT-MAR
1.7
1286.875
SEPT-NOV
2.2
453.75
APR-SEPT
2.2
�110
SEPT-MAR
TOTALI2490.62
Page: 3

ANIMAL WASTE UTILIZATION PLAN
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

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
LES
COMM N
**
* LES
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
In interplanted fields (i.e. small grain, etc, interseeded
in bermudagrass), forage must be removed through grazing,
hay and/or silage. Where grazing, plants should be grazed
when they reach a height of six to nine inches. Cattle
should be removed when plants are grazed to a height of four
inches. In fields where small grain, etc, is to be removed
for hay or silage, care should be exercised not to let small
grain to reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too
high and this will definitely interfere with stand of
bermudagrass. This loss of stand will result in reduced
yields and less nitrogen being utilized. Rather than
cutting small grain for hay or silage just before heading as
is the normal situation, you are encouraged to cut the small
grain earlier. - You may want to consider harvesting hay or
silage two to three times during the season, depending on
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late
September or early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or mowed to a
height of about two inches before drilling for best results.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
37.5
BG
BERMUDAGRASS - GRAZED
TONS
FG
FESCUE - GRAZED
TONS
37.5
SG
SMALL GRAIN OVERSEEDED
BU
1.0
TABLE 1
TABLE 2
TOTAL
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
10.3
2490.625
0
0
10.3
2490.625
* BALANCE
-60.625
*** 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 396 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 1980
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 6.6 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 15.84 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25s 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)
905
2
NAC
BG
0.50
*1.00
905
3,4
NAC
FG
0.50
*1.00
905
A
NAC
BG
0.50
*1.00
905
B
NAC
BG
0.50
*1.00
905
C
NAC
BG
0.50
*1.00
905
D
NAC
BG
0.50
*1.00
905
�2
NAC
SG
0.50
*1.00
905
�A
NAC
SG
0.50
*1.00
905
B
NAC
SG
0.50
*1.00
905
NAC
SG
0.50
*1.00
905
"D
NAC
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
Page: 8

ANIMAL WASTE UTILIZATION PLAN
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:HILL FARMS
Owxmer/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: GARY HILL
(Please print)
Signature: 't 0Date:
Name of Manager( f different from owner):
Signature:
Date:
/2 //�,/9 %
Name of Person Preparing Plan: (Please print)J. Edward Long
Affiliation:Nash Soil and Water Conservation District
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Signature:
Nashville NC 27856
�r G
Phone
Date: / ;
Page: 13

I
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1, T -..v
n�g

� f
UNITED STATES DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
NASF
SOIL LEGEND
Soil map symbols and map unit names art alphabetical. The first letter,
always a capital, is the initial letter of the soil name. The $Owed
letter is a small letter. The third letter, if used, is always a capitai
and indicates slope. Symbols without slope letters are those of
miscellaneoua areas or nearly level soils.
SYMBOL NAME
AAA
Altavista sandy loam, 0 to 3 percent slopes. rarely flooded
AbA
Altavista-Urt)an land complex, 0 to 3 percent slopes
Aye
Autryville loamy sand, 0 to 6 percent slopes
Bb
Bibb loam, frequently flooded
One
Blanton loamy sand, 0 to 6 percent slopes
BOB
Bonneau loamy sand, 0 to 4 percent slopes
Co Congaree fine sandy loam, frequenty flooded
DoA Dothan loamy sand, 0 to 3 percent slopes
Fee Faceville loamy send, 1 tO 5 percent slopes
GOB
Georgeville loam, 2 to 6 percent slopes
GOC
Georgeville loam, 6 to 10 percent slopes
GeE
Georgeville loam, 10 to 25 percent slopes
GOB
Georgeville gravely loam, 2 to 6 percent slopes
GgC
Georgeville gravely loam, 6 to 10 percent slopes
GSE
Georgeville gravelly loam, 10 to 25 percent slopes
GuB
Georgeville-Urban land complex, 0 to 6 percent slopes
GOA
Goldsboro line sandy loam, 0 to 2 percent slopes
GrB
Gritney sandy loam, 2 to 6 percent slopes
GrC
Gritney sandy loam, 6 to 10 percent slopes
HOB Helena coarse sandy loam, 2 to 6 percent slopes
Me Meggett toam, frequently flooded
NeC
Nankin sandy loam, 2 to 10 percent slopes
NnB
Nason loam, 2 to 6 percent slopes
NnC
Nason loam, 5 to 10 percent %loon
NoA
Norfolk loamy sand, 0 to 2 percent slopes
Noe
Norfolk loamy send, 2 to 6 percent slope
NpB
Norlolk•Wedawes oomplax, 2 to 6 percent dopes
NrB
Norfolk, Georgaville, and Faceville soils, 2 to B percent slopes
NUB
Norfolk -Urban land complex, 0 to 6 percent slopes
Re
Rains fine sandy loam,
Rb
Rains -Urban land complex
To
Tomodey fine sandyloam
Ud
Udarthents, loamy 1/
Ur
Urban land
Wee
Wedowee coarse sandy lam, 2 to 6 percent slopes
Woc
Wedowee coarse sandy lam, 6 to 10 percent slopes
Will
Wahedkes ham, frequently flooded
WkA
Wickham fine sandy lam, 0 to 3 percent slopes, rarely flooded
WoA
Worsham lam, 0 to 2 percent slopes
1/ Each area on the soil map sheets in addition to being Identified by the
symbol Ud are further idonbfied with one of four labels on the map. These
labels are Quarry Spoil, Borrow Pit or BP, Landfill or LF, and Cut and Fill
or CdF.

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a.""'y!: fl �y c. l,ir�� i,� \�'Fiyi•�' �' �Y' �—' {� Y'.{�,tR.tr"r"fr , ` �
4
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k
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pal.
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YL
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� i _ , � C , � y _ '�'•`j a°^'^ �: � Yip � �� l � " � � �[ .��w, J •+,
AIT
�LI`f �li ►�� � _ Ste•'.., � �. ;;� 1�.��
ly
Ulf
�;i +�tdi�' } '^��. ,<� ��r' � 'r �^•- { �i '� ,+ rTC1,�1�a�,�ai3r'3 tom• C-4' " ��.

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
April 24, 2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Gary Hill
6204 Pleasant Grove Church Road
Nashville, North Carolina 27856
Dear Mr. Hill:
f
N - CDENR�
NoRTM CAROLINA DEPARTMENT op
EP4VIRONMENT AND NAWLRiAL RESOURCES
Subject: Notice of Deficiency
Gary Hill Farm
COC AWS640039
Nash County
On April 22, 2002, Mr. Buster Towell of the Raleigh Regional Office conducted an inspection
at the subject swine facility. The inspection. revealed the following deficiencies of your General
Permit and Certified Waste Management Plan:
Record keeping at your facility needs some improvement. An inspection of your land application
records revealed that you used the total acres shown on your ASCS map instead of the acres that
were allocated in the Waste Management Plan. Please note that there is the potential to over
apply nitrogen -if the wrong acreage is used in the formula when figuring the nitrogen balance on
the IRR-2 forms.
Also note that records from the Waste Water Training and Certification Unit still have Mr. Bill
Brantley Listed as the Operator In Charge for this facility. Earlier Mr. Brantley has stated that he
had himself removed from the OIC designation for this facility. Please call Ms. Beth Buffington
with the WWTP Training and Certification Unit at [phone] to clarify this situation.
If you have any questions regarding this Notice you should call Buster Towell at [phone].
Sincerely,
Kenneth Schuster, P.E.
Regional Water Quality Supervisor
cc: Nash Health Department
Mr. Terry Best, Nash Soil & Water Conservation District
DWQ Nondischarge Compliance Group
RRO Files
1628 Mail Service Center, Raleigh, NC 27699-1625 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled110% 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
Gary Hill
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Dear Gary Hill:
IT1 �TkWj
J•
;L
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL _RESOURCEs
December 30, 1999
�._ I ►mil
r PiI;L 'C. VALL OFF,
f
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number,§A�2D
Nash 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 I, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRR1, 1RR2, DRY1, DRY2, DRYS, 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.
U/
cc: Raleigh Regional Office
Nash County Soil and Water Conservation District
Facility File
Sincerely,
Kerr T. Stevens, Director
Division of Water Quality
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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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
April 22, 1999
Hill Farms
6204 Pleasant Grove Church Rd,
Nashville NC 27856
Attn: Gary Hill
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Application No. AW946639
Additional Information Request
Hill Farms
Animal Waste Operation
Nash County
Dear Gary Hill:
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 May 22, 1999:
We have received your permit application form, however, there are additional items necessary in order to
complete our review. Please see the enclosed page for a list of additional items.
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 May 22, 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 364.
Sincerely,
P$��s
Dianne Thomas
Soil Scientist
Non -Discharge Permitting Unit
cc: iRaleigh Regional_Office, Water_Quality ' V,9X�r
Permit File
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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State of North Carolina
Department of Environment
WXA
and Natural Resources 0 • [�
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 24, 1999 #
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
a i _
Hill Farms
6204 Pleasant Grove Church Rd.
i ":�
Nashville NC 27856 -_�D,
Farm Number: 64 - 39 Dear Gary Hill:-----
You are hereby notified that Hill Farms, in accordance with G.S. 143-215.10C; must-applyafor-
coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has
six 60 days to submit the attached application and all supporting documentation. In accordance
with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any owner or
operator who fails to submit an application by the date specified by the Department SHALL NOT
OPERATE the animal waste system after the specified date. Your application must be returned
within sixty (60) days of receipt of this letter. Failure to submit the application as required may also
subject your facility to a civil penalty and other enforcement actions for each day the facility is operated
following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non. -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Susan Cauley at [phone]
extension 546 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely,
r
for A. Pres o war , J .,
cc: Permit File (w/o encl.)
Raleigh=Reg ion a].Office:(w/o:enci=)=:v
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
June 25, 1999
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Attn: Gary Hill
0&1 ! 0 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWS640039
Hill Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
Dear Gary Hill:
In accordance with your application received on April 14, 1999, we are forwarding this Certificate of
Coverage (COC) issued to Gary Hill, authorizing the operation of the subject animal waste collection,
treatment, storage and land application system in accordance with General Permit AWG100000. This
approval shall consist of the operation of this system including, but not limited to, the management of
animal waste from Hill Farms, located in Nash County, with an animal capacity of no greater than 450
Farrow to Wean and the application to land as specified in the Certified Animal Waste Management
Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This request
shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the DWQ prior to a name change or change in ownership.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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Certificate of Coverage AWS640039
Hill Farms
Page 2
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual non -discharge permit by contacting the engineer listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality Staff
may be reached at [phone]. If you need additional information concerning this COC or the
General Permit, please contact Dianne Thomas at [phone] ext. 364.
Sincerely, ' r
r-- --'Kerr 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
NDPU Files 11 IN

I
0
State of North Carolina
Department of Environment and Natural Resources
Division of Water QualityNon-DischarR
(THIS FORM IAY BE PHOTOCOPIED e Permit USE Application AN ORIGINAL) fir )) SECT!
General Permit - Existing Liquid Animal Waste Op vq o1v
The following questions have been completed utilizing information on fE%njQhe Division. Please
review the information for completeness and make any corrections which are ap€p te. 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: Hill Farms
1.2 Print Land Owner's name: Gary Hill
1.3 Mailing address: 6204 Pleasant Grove Church Rd.
City, State: Nashville NC Zip: 27856
Telephone Number (include area code): 919-459-6301
1.4 County where facility is located: Nash
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): 58 S. about 4 miles S. of Nashville on right 59=8 if
headed S. on 58 M sign says T.B.T. Construction. Farm is 1 /2 mile off 58 Hwy.
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: 01/01/88
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: _64_ (county number); �9 (facility number).
2.2 Operation Description: Swine operation
mow to Wean
450- Certified Design Capacity
Is the above information correct? = yes; no. if no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum number for which the waste management structures were designed.
Type of Swine
0 Wean to Feeder
0 Feeder to Finish
0 Farrow to Wean (# sow)
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
N.-). of Animals
Other Type of Livestock on the farm:
FORM: AWO-G-E 5/28/98
Type of Pijultry No. of Animals Type of Cattle No. of Animals
0 Layer 0 Dairy
0 Non -Layer 0 Beef_
0 Turkey
No. of Animals:
Page 1 of 4 64 - 39

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Facility Number: 64 - 39
Facility Name: Hill Farms
4. APPLICANT'S CERTIFICATION:
}
RECEIVED
WATER 0UAL i1)'SECT10N
APR 1 4 i999
tVo7-Discila;ge Pemlitting
(Land Owner's name listed in question 1.2), attest that
this application/for VL,L C (Facility name listed in question I.l )
has been reviewed by me and is accurate an -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 qL
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
I, (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. 1 understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned 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 - 39

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
�a
system): 13 ;Required Acreage (as listed in the AWMP): 10.3 errs �
yly�^'�
14 Number of lagoons/ storage ponds (circle which is applicable): 'Wi
2.5 Are subsurface drains present within 100' of any of the application e ds? YES or NO (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? 'YES or NO (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
V� t�l One completed and signed original and one copy of the application for General Permit - Animal
" ��.. Waste Operations; A +
1,2 Two copies of a general location map indicating the location of the animal waste facilities and
L� 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 CA WMP, 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.J.A 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.
3.3.1 1 Emergency Action Plan.
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). 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 = 39_ .

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2 b 1999
TAX MAP No.
OPERATION PERMIT NO.
INTENSIVE LIVESTOCK OPERATION PERMIT
In accordance with the
Regulations GoverningProvisions of the Nash County. Health Department
other a Intensive Livestock Operations as amended, and
Intensive llivestock.exist
o tang State Laws
perations Rules and Regulations governing
permission is hereby granted to:
for the Un in ear:- d oA tI�� of an existin operation and animal waste collection,'treatme located at: nt, and disposal system
pursuant to the Nash County Health Department Regulations Governing
Intensive Livestock. Qperations as amended and in with the
operation permit and other supporting data subsequently filed and
approved by the Nash County Health Department and considered a part of
this permit.
System to serve a: Q
The animal waste collection, treatment and disposal system consists of:
A. LAGOON (Primary Anaerobic Treatment System)

5. Diversion"of or by. passing of the untreated wastewater from the
system is expressly prohibited.
6. The issuance of this permit shall not relieve the owner -of. the
responsibility for damages to surface or groundwaters resulting
from the operation of' this system. Neither does the issuance of.
this permit exempt.the owner from complying with any and all
statues, -rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have
Jurisdiction.
7. No addition, expansion,' alteration or other repairs shall be made
to the animal waste system without first obtaining a permit from
the Nash County Health. Department in accordance with Nash County.
Health Department Regulations Governing Intensive Livestock
Operations.
S. The owner shall report by telephone to the Nash County Health
Department,.Phone No. 459-9829 as soon as possible, but in no case
more than 24 hours upon finding the animal waste system is
malfunctioning by the discharging or backup of effluent, directly
into groundwater or surface water, or when repairs are needed in
accordance with the Nash County Health Department Regulations
Governing Intensive Livestock Operations.
9. Failure to abide by the conditions and limitations contained in
'this permit may -subject the owner to an enforcement action in
accordance with North Carolina General Statues.
130A-180 130A-22C, 130A-23, and/or 130A-25.
The owner shall be the operator in responsible charge and the
following maintenance shall be performed by the owner/agent as
specified by this operation permit.

OPERATION AND MAINTENANCE SCHEDULE
SYSTEM NENT E CY QF
(i) ANIMAL HOUSING/CONFINEMENT FACILITIES: When occupied:
The owner shall keep the facilities in good repair and eliminate
the excessive build up of. animal waste and by-products on the
floors, walls, and ceilings.
Keep excessive levels of dust and particulate matter to minimum
levels.
Keep the ventilation system in good working order.
(2) LAGOONS: As nteded:
The owner shall have the sludge removed when.the lagoon's designed
storage and retention capacity reaches greater than 85%.
Keep lagoons free of floating objects and debris.
Keep the sides of lagoon steeply sloped and free of brush and
excessive vegetation.
Keep inlet pipes in good working order.
Maintain freeboard greater than 19 inches.
(4) OPERATIONS: At all times;
The solid waste shall be kept in containers.
Animal feeding operations are maintained to avoid excessive
spillage and dust.
Dead animals are properly disposed of on-site.or stored in closed
containers for off -site removal and disposal.
Biological/putrescible waste and by-products are properly
collected, stored.and disposed of.
(4) SPRAY IRRIGATION OF LIQUID WASTE TO SOILS: While in use;
The pipes and hoses are fitted and joined in a manner to control

Irrigation system is configured and equipment is calibrated to
prevent ponding and run off of effluent.
(5)' ADDITIONAL REQUIREMENTS:
(See Attached Animal Waste Management Plan)
Permit issued this the JY4 day of 19
Nash County Health Department
.Environmental Health Division
f
y
.As.the owner. of the above intensive livestock operation; I agree_ to the
conditions and -requirements of this Operations Permit.
Signed:
Date:
•i
i
eopilo.doc (�-15-96)
rev.(4-16-96)

r.
'ANIMAL WASTE UTILIZATION PLA14
Producer: GARY HILL
Location: 6204 PLEASANT GROVE CHURCH ROAD
NASHVILLE NC 27856
Telephone:, 919-459-6301
Type Operation: Existing Farrow to Weanling Swine
Number of Animals: 450.00 sows
(Aaaign Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order'to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the 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.
K
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.)
450 sows x 6.1 tons waste/sows/year = 2745 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
450 sows x 5.4 lbs PAN/sows/year = 2430 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
905
A
NAC
BG
5.5
206.25
0.0
1.0
206.25
SI
i
APR-SEPT
905I-A
INAC
SG
50.0
0.0
11.0
I
I
150
I
�50
SEPT-MAR
905
JB
BG
5.5
INAC
I
1206.25�0.0
12.5
�515.625
APR-SEPT
905
]-B
JSG
150.0
50
0.0
2.5
INAC
II
1
1 I
1125
SEPT-MAR
905
IC
INAC
BG
5.5
I
1206.2510.0
11.8
1371.25
APR-SEPT
905
SG
50.0
I-C
INAC
I
I
150 10.0
11.8
190
SEPT-MAR
905
2
BG
5.5
206.25
0.0
1.1
�NAC
I
I
I I.
I
1226.875
APR-SEPT
905
SG
SO.G
0.0
1-2
INAC
I
�50
11.1
155
SEPT-MAR
905
3,4
FG
1.7
INAC
I
14.5
1168.75�0.0
1
1286.875
SEPT-NOV
905
BG
5.5
1206.25
0.0
12.2
453.75
11)
INAC
-
I
i
-1 -
APR-SEPT
905
SG
50.0
0.0.
J-D
INAC
I
I
150
12.2
1110
SEPT-MAR.
TEND
I !
TOTAL12490.62
Page: 3

ANIMAL WASTE UTILIZATION PLAN
- 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

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
FIELDi
SOIL TYPE & CLASS-
CROP
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
JYIELD
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL 10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annualG.
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
Jess any commercial nitrogen (COMM N) supplied.
The following legend explains Ghe crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
37.5
BG
BERMUDAGRASS - GRAZED
TONS
FG
1 FESCUE -- GRAZED
TONS
37.5
SG
I SMALL GRAIN OVERSEEDED
BU
1.0
TABLE 1
TABLE 2
TOTAL
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
10.3
2490.625
I 0
0
10.3
2490.625
* BALANCE
-60.625
-------------------
*** 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 M1
; tf
jr�f,y 2 i s
*** This number must be less than or equal t&C.-DDr,;ir order to fully
utilize the animal waste N produced. �~r`=��}Fr;;���
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 lard
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 396 pounds of plant available nitrogen per year in the
sludge.
if you remove the sludge every 5 years, you will have approximately 1980
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 6.6 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 15.84 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements.could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The -irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 7

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing.application
rates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
905
2
NAC
BG
0.50
*1.00
905
3,4
NAC
FG
0.50
i
*1.00
905
A
NAC
BG
0.50
*1-00
905
B
NAC
BG
0.50
I
*1.00
905
I C
NAC
BG
0.50
*1.00
905
D
NAC
BG
0.50
*1.00
905
'2
NAC
SG
0.50
*1.00
905
'A
NAC
SG
0.50
*1.00
905
'B
NAC
SG
0.50
*1.00
905
"C
NAC
SG
_ 0.50
*1.00
905
'D
NAC
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
Pages 8

ANIMAL WASTE UTILIZATION PLAN
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 OPERATIO
Pages 9

'-4
CHART44
MINUTES REQUIRED TO WATER ONE (1) ACRE
PRECIPITATION
RATE ( ACRE INCHES)
GFIN 1
0.10"
0.20"
0.30"
0.40"
0.50"
0.75"
1.00"
1.25"
1.5(
80
34
68
102
136
170
255
339
424
50,
90
30
6D
9I
121
15]
22b
302
377
45;
100
27
54
81
109
136
204
272
339
40'
110
25
49
74
99
123
185
247
309
37;
120
23
45
68
91
113
170
226
283
3;L
130
21
42
63
84
104
157
209
261
140
19
39
58
78
97-
145
194
242
29
150
18
36
54
72
9 ) -
136
181
226
27:
160
17
34
51
68
85
127
170
212
25:
170
16
32
48
64
8
- -- 1.20
160
200
24r
180
15
30
45
60
75
113
151
I89
2211
190
14
29
43
57
71
107
143
179
21-
14
27
41
54
68
102
136
170
20-
CHART #5
RETRIEVE RATE
( INCHES PER MINUTE)
LANE SPACING (FEET)
ACRE
100
125
150
175
200
225
250
275
30(
20
_*"'.::::::;;•
:: '"`
174
149
131
116
105
95
81
25
`."'R:'•'
167
139
119
105
93
84
76
70
30
174
139
116
100
87
77
70
63
58
35
149
119
100
85
75
66
60
54
50
40
131
105
87
75
65
58
52
48
44
45
116
93
77
66
58
52
46
42
34
50
105
84
70
60
52
46
42
38
33
60
87
70
58
50
44
39
35
32
29
70
75
60
50
43
37
33
30
27
25
80
65
52
44
37
33
29
26
24
22
90.
58
46
39
33
29
26
23
21
19
IQO
52
42
35
30
26
23
21
19
17
125
on
42
33
28
24
>'<;.;2 =;;'::.
19
17
15
_14
150
35
28
23
20
17
15
-14
13
12
175
30
24
20
17
15
13
12
11
10
200
26
21
17
15
13
12
I 0
10
250
21
17
14
12
10
.
ww*
300
17
14
12
10
350
15
12
10
1
400
10
500
1 o
:. •.....::

Actachment B
Page 3 a= 3
IZ. SAMPLE PHF2AAA2ION AM TRA1MM
A. Place samples into an axpandabls container that can be sealed. Rinsa
residues from container with clean water bur do not use disinfectants,
soaps, or treat in any other way.
B. Pack sample in ice, refr{garats, freeze, or transfer_Fo 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 taps.
E. Commercial sample containers and mailers are also available. Contacts:
i . AEI. Easza= Agrieml-tural Lab. Inc. LU . Po lyf oam Packars Corp.
7621 Sihitapine Road 2320 S. Fosear Avenua
Richmond, VA 23237 Wheeling, IL 60090
Ph: [phone] Fh: [phone]
.;.;. Fizher Scientific Co.
3313 Vint= Road
Raleigh, NC 27604
Ph: [phone]
iv. US CO
901 Janesville Avenue
Fort Aticiasoa, 71 .33538
Ph: [phone]
F. Private analytical labs are available, but: sample analyses are costly.
C. The NCU, provides this service for North Carolina residents.
i. Address: North Carolina Daparzmant of Agricalt:ucs
Agronomic Division
PZaat/Vasta/Solsatiou A Tisvey Section
Blue Ridge Road Center
P.O. Sox 27647
Salaigh, NC 27611
Ph: [phone]
Attu: Dr. Ray Campbell
U. Forward $4 along with the sample. -
iii. Include the following ident:ificat:iaa information with sample:
a. Livestock species.(dairy, swine, C=kay, etc.)
b. Livestock usage (swine -nursery, finishing; turkay-brasders,
brood&rhmsee, grower, number flocks grown on lict:er; etc.)
c. Vast& type (dairy -lot scraped aanura, liquid slurry; swine -pit
slurry, lagoon liquid. slu4s; broiler -house litzar, stockpile
iv. Routine analyses parformed on all samples: N. P, L, Ca. Mg. ft,
S , Fa . Nit. ta, Cm, B
v. Additional analyses performed upon request: DR. No. Cd, Ni, Pb

Attachment B
Page 1 of 3
-ter. Caro::na Agricultural Extension Service
'-aste Management
'kc'.... T11
. i•R[.�r[.• Z .S. r j ..C� ir�bSM&TLTi� N./ & CO*= Ste.+ Lbzi�y
WASTE UXM�, ANAZ.T= AM
Z ZMW C . I&Tk=—
. 21:d —' r
b. Sz;mi-.UL" Loz 1==m
+ , S==P&d cUredly ` !at in= Spreader
�. Pram d xprasder, collect aborsr 2 lbs of =&urea
d' rerrxtt lazatia w us:.ng nomareLAT"a collactars .
' 4 PrCm sturas
�. Collazz a'aa=z ? lhs of === a -aa =Wlar the ss:_.a,Ce cyst
ave:,dl={ bedding matar�-a? s and using ano=mta? I't cni lec=ors .
- . t-=Ld A===s S =.:—,
L. floor pi_
a. Extand a 1/20 ==stallic tomtit open on both gads iazo
e to pit floor.
C . Seal steer and of cand=i: (a • g. , by plat=ai a over gad
of caoduit) zzMlzg that bas =zarad - lower and, ramovo
=d wwty- slu=-- intc plastic buzkat or x3o�ataliic caatsinas.
c . Take s ubsasplas 'om 3 or more locations or a.= laasz l quart.
d. Xtx and add about 3/4 pint to ao=eatailia smpla c=zxiner.
4 A. lxzartor starage basin or tank
a. Males sarr aa=a bays been well misad rizb a liquid zm=xra
Ch ppez-agirator pump cr propellar agi ator.
b. Take subs:zq�las f—= about 3 pic -loeatious, f:vm agitator pump
or -0:raet a=ara spraadar and plaee is a plas=c buckat.
+� y�`aasnr azd x:aaran Specialf,_st, B_olog:aal and a1 Eagireering
I3cr--.b Scats 'Universi--7, Raleigh, Sc.

• 'i �'r q r
a •` .err.. , ry•�; �$''�'-��,�• .i, �.��. i '
'� y � � �+ � • W MY+ fi r'� 1 �/ �'r` • Y'' �_ t�i5 �' � - f 'ST..
'rr ti. "K�4tr• r,,,,t r7,f L �
i; _?�,:. : � �. ,�P.4' "�:.�'•: is P '`''� .fir ,.
y'•y�,. FrFi�; .'•f. .:;'�1,, .�' *t .. -
77
77,
a j r A L
Ws.
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wi fi •tsfC �t'..igr J'1'i'�+;'F!Z'N.; s+ +t,
��,SF tW,ik4;4; ��'ydxA+•fir, rt _ ry. � ',•'.

NELSON loll S1RIES fill: G11W 24" 'i'ltAJE(:T011Y
NOZZLE
0.71"
RING
0 77"
ICING
0.81"
R1N(;
0.86"
RING
0 89"
RING
0 93"
RING
0.96"
RUNG
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DIA.
GPM
DIA.
GPA7
1)1A.
GPI17
DIA.
CPNI
DIA.
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DIA.
GPM
DIA.
411
fife
208
78
? I ?
'� I
215
103
224
1 18
23.5
134
239
152
242
541
74
220
H8
225
1011
230
115
240
129
250
1511
255
167
260
60
81
235
96
?40
110
�4.5
125
260
I'll
270
�104
275
183
280
70
88
245
104 _
2541
118
260
135
275
152
290_
177
295
198
300
80
94
255
111
265
127
275
145
285
1(5
3t)0
181)
305
211
315
_ 90
99
265
117
124
274,_
281)
134
285
154
295
173
310
201
315
224
325
100
105 270
142 29i
162 305
182 320
�?12 325
236
335
110
IM
275
130
2911
149
305
170
315
191
325
222
335
248
345
NOZZLE
0.6"
TAI'L"•R
0.65" TAPU-R
0.70" TAPFR
0.75" TAPER
0.80"
TAPIR
0.85"'FAPFR
0.90"
TAPER
PSI
CPM
DIA.
•GPM
DIA.
GPM
DIA.
GI'M
DIA.
GU'M
DIA.
GPM
DIA.
GPM
DIA.
40
66
213
78
222
91
230
103
240
118
250
134
256
152
262
50
74
225
87
235
100
245
115
256
130
265
I50
273
165
280
_
60
81
240
96
250
110
260
126'
270
1.13
280
164
288
182
295
70
88
250
103
263
120
275
136
283
155
295
177
302
197
310
80
94
260
110
273
128
285
146
295
105
305
189
314
210
325
90
100
270
117
283
135
295
155
306
175
315
201
326
223
335
00
106
280
123
293
1,13
305
163
316
185
325
212
336
233
345�
110
111
290
129
303
150
315
171
324
195
335
222
3,14
247
355
llle diameter of throw is approximately 3`;1, Icss for the 210 traFcctory ariLde and 6%o less fir the 19" trajectory angle
'llie NELSON BIG GUN"' perfor111ance data has been obtained under idea test conditions and may be n1'fccted by wind,poor livdraUlic entrance
conditions or other factors. Nelson Irrivation Corporation makes no representation FC1�ar[Iirl� dtO1)ICt Gondil'011, unif6rinitJ or application rate.

A-ftachment B
Page 2 of 3
c- M,ix and add 3/4 pint to a nonmetallic sample container.
C. IAgoon LigsLid
L. COII*ct about 3/4 pint of recycled lagoon liquid from inflow pipe
to flush =sake in a aoamstallic ssaVle container.
ii. From lagoon
a. Place a small battle (1/2 pint or less) an and of 10-15' pole.
b. Eztend bottle 10-I5' sway frog bank edge.
c. Brush away floating scum or debris.
d. Submerge bottle vitbin V of liquid surface.
e. Empty into a plastic bucket, repeat about 3 cities around
lagoon, mix, and add 3/4 pint to nonmetallic sa=pls container.
D. Broiler or Turkey Litter
L. House litter
a. Visually inspect litter for areas of varying quality, a--g.
areas around fa:dare and vaterarz, and estimate percent of
floor surface in each area-
b. Take about 5 litter subsamples at locations proportionate to
its= a. E.S., if 20• of litter of similar visual quality is
around feeders and vaterers. take 1 subsample Isere and the
other 4 subsamples from resainiiar of floor surface.
c. At ear.3i 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 Ibs litter to a nonmetallic sample container- such as
a I -gallon freezer bag and seal.
U. From stockpile
a. 'take subsamples from about 5 locations at least law L=to pile.
b. Mix, add 2-3 lbs to no=wtallic sample container and seal.
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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 :feeds for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level cf 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. (Sea FOTG Standard 393 -Filter Strip)
5. -Odors car, 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 -was te"shall be applied at rates -not to exceed the soil' _
infiltration rate such that runoff does not occur offsite or to
surface waters andin 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 nct 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 3PECIPICATI¢NS
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 scils 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 P&&H AGRZXbfENT
Name of Farm:HILL FARMS
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: GARY BILL
(Plersee print)
Signature: X, Date: /Z /W 9 7
Name of Manager( f different from owner):
Signature: Date:
Name of Person. Preparing Plan: (Phase prinoJ. Edward Long
Affiliation:Naah Soil and Water Conservation District Phone
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Nashville NC 27856
Signature. Date:
Page: 13

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THIS DESIGN IS FOR A TWO -STAGE LAGOON
CLIENTS NAME
COUNTY
TODAYS DATE
DISTANCE TO NEAREST NONFARM RESIDENCE
NUMBER OF PIGS WEANLING TO FEEDER
NUMBER OF PIGS FEEDER TO FINISH
NUMBER OF SOWS FARROW TO WEANLING
NUMBER OF SOWS FARROW TO FEEDER
NUMBER OF SOWS FARROW TO FINISH
DEGREE OF ODOR CONTROL
(minimum 1.0 cu. ft. per lb sslw)
(maximum 3.0 cu. ft. per lb sslw)
NUMBER OF YEARS OF SLUDGE ACCUMULATION
GARY HILL
NASH COUNTY, NORTH
MARCH 19, 1997
1000 FEET
0
0
450
0
0
1.0
TOP LENGTH AT NORMAL WATER LEVEL =---_--_--__>
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION
LAGOON BOTTOM ELEVATION
-Death of Permanent Water 10.3
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
FIRST STAGE SIDESLOPES
FIRST STAGE FREEBOARD
Permanent'Volume Required 194850.0
Permanent Volume Provided 197857.0
0.0 YEARS
325.2
FEET
83.2
FEET
95.8
FEET
85.5
FEET
feet
2.0.1
1.2 FEET
cubic feet
cubic feet
First Stage Top of Dam Elevation= 97.0 feet
Inside Dimensions of Lagoon at Top of Dam
Length = 330.0 feet Width = 88.0 feet
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=______---------_-_�
LENGTH AT TOP OF ALL TEMPORARY STORAGE
WIDTH AT TOP OF ALL TEMPORARY STORAGE
TEMPORARY STORAGE LIQUID SURFACE ELEV.
-SECOND-STAGE BOTTOM ELEVATION
SEASONAL, HIGH WATER TABLE ELEVATION=----_�-�
Depth of Temporary Storage = 3.3
SECOND STAGE SIDESLOPES
SECOND STAGE FREEBOARD
Temporary Storage Required 125595.9
Temporary Storage Provided 225669.4
Second Stage Top of Darn Elevation =
Inside Dimensions of Lagoon at Top of
Length = 235.0 feet Width =
Begin Pumping Elevation is
Stop Pumping Elevation is
Volume to be pumped =
feet
CAROLINA
0 SQUARE FEET
180
DAYS
0
GALLONS
7.7
INCHES
6.6
INCHEa
230.0 FEET
150.0 FEET
99.0 FEET
90.7-FEET
0 . 0- FEET
2.5:1
1.0 FEET
cubic feet
cubic feet
100.0 feet
Dam
155.0 feet
95.1 feet
90.7 feet
89590 cubic feet

1.
STEADY STATE LIVE WEIGHT
0 head weanling-to-feeder x 30 lbs. - 0
lbs.
0 head feeder -to -finish x 135 lbs. - 0
lbs.
450 sows farrow-to-weanling x 433 lbs. = 194850
lbs.
0 sows farrow -to -feeder x 522 lbs. = 0
lbs.
0 sows farrow -to -finish x 1417 lbs = 0
lbs.
TOTAL STEADY STATE LIVE WEIGHT (SSLW) = 194850
lbs.
2.
SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.080 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in swine.
Years of sludge accumulation in design? 0.0
Sludge Volume = 0.0 cubic feet
3.
REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft. per pound SSLW
Total Volume = (SSLW * Design factor) + Sludge Volume
Total Volume = 194850.0 cubic feet
4.
NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 95.8
feet
Construct lagoon bottom elevation 85.5 feet
Lagoon size for normal lagoon liquid volume using prismodial
formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
2.0 2.0 2.0 2.0 10.3
AREA OF TOP
LENGTH * WIDTH = - -
325.2 83.2 27056.6 (AREA OF TOP)
AREA OF BOTTOM
Lb * Wb -
284.0 42.0 11928.0 (AREA OF BOTTOM)
AREA OF MIDSECTION
(Lm * Wm)
304.6 62.6 19068.0 (AREA OF MIDSECTION)
CU. YD. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] *
DEPTH/6
27056.6 76271.8 11928.0
1.717
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL = 197857.0
CU. FT.

VOLUME NEEDED = 194850.0 CU. FT.
THE INSIDE EDGE DIMENSIONS OF THE FIRST STAGE AT THE
TOP OF DIKE ELEVATION ARE:
ARE 330.0 FEET BY 88.0 FEET
5. DIKE
Place spoil as a continuous dike to elevation .97.0 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA -
first stage lagoon (top of dike)
Length * Width =
330.0 88.0 29040 square feet
second stage lagoon (top of dike)
Length *.Width .
235.0 155.0 36425 square feet
Additional Drainage Area
0 square feet
TOTAL DA 65465 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume = 194850 SSLW * 0.0101481 gallon/lb. SSLW/day * 180
days in the pumping cycle / 7.48 gallons per cu. ft.
Volume = 47583.5'cubic feet
6B. Volume of wash water
This . is the amount of fresh water used for washing floors or
volume of fresh water used for a -flush system. Flush systems
that recycle the lagoon water are accounted for in 6A. -
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.
Volume = 7.7 in * DA / 12 inches ner foot
Volume = 42006.7 cubic feet

7.
6D. Volume of 25 year - 24 hour storm
Volume = 6.6 inches / 12 inches per foot * DA
Volume = 36005:7 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A. 47583.5 cubic feet
6B. 0.0 cubic feet
6C. 42006.7 cubic feet
6D. 36005.7 cubic feet
TOTAL 125595.9 cubic feet
SECOND STAGE DESIGN
SS/END1 SS/END2
2.5 2.5
AREA OF TOP (BELOW FREEBOARD)
LENGTH * WIDTH =
230.0 150.0
AREA OF BOTTOM
Lb * Wb =
188.5 108.5
AREA OF MIDSECTION
SS/SIDEI SS/SIDE2
2.5 2.5
34500.0 (AREA OF TOP)
20452.2 (AREA OF BOTTOM)
DEPTH
8.3
(Lm * Wm) =
209.2 129.2 27045.6 (AREA OF MIDSECTION)
CU. YD. = [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
34500.0 108182.2 20452.2 1.383
VOLUME OF SECOND STAGE BELOW FREEBOARD = 225669.4 CU. FT.
VOLUME NEEDED = 125595.9 CU. FT.
THE SECOND STAGE FREEBOARD IS = 1.0 FEET
THE INSIDE EDGE OF THE SECOND STAGE AT ELEVATION 100.0 FEET
ARE - 235.0 FEET LONG BY -155.0 FEET WIDE
8. BEGIN PUMPING ELEVATION
TOTAL REQUIRED TEMPORARY STORAGE
6A. 47583.5 cubic feet
6B. 0.0 cubic feet
6C. 42006.7 cubic feet
TOTAL PUMPED VOLUME 89590.2 cubic feet
DEPTH OF WASTE = TOTAL PUMPED VOLUME / SURFACE AREA AT
TOP OF SECOND STAGE
DEPTH = 89590.2 CU. FT. / 20452.2 SQ. FT

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Distance from last point to first point........
Length
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point..
Total
perimeter of the boundary ................
Total
area within the
boundary............
Total
area within the
boundary..................
i0i ik).%'i 77
0.o
feet
786.3
feet
786.3
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39,72i.i
5q.ft.
0.9
acres

raQe i rioiied
iv
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Gary Hill i
SCALE: E i inch = bU feet �
7 .1 LDp 7tiY
1
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x
EOMPL(ted overall length = yi i ft
ii

Producer: Gary Hill
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 permanence.
A. Maintenance
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 1998 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
1

B. operation
Your animal waste management facility was designed for a total
of 450 sows/animals (_farrow to wean ). The lagoon
contains bath 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 one
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 _95.1as marked by permanent markers. Stop
pump -out when the fluid_ level reaches elevation _90.7_.
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

Anir.--al Waste ;:Management Plan Cern.acation
(Please type or print all irfomation that does not require a signature)
ti or New or Expanded Apleasecircle one)
Name of Farm: H; lI Fars Facility No:--
Ownt'.r(s) Name: !; II Phone No: 9/ 9- y sY- 6301�
Mailing Address: 6 D V Pleasa-7t 6roue Qktt Rd. A16- /► l A/C
Farm Location: 'County Farm is located in: Mia s k
latitude and Longitude: 35 ° S3 16 " I 77 ° 57 -&L' .
Please attach a copy of a county road map with location identified and describe below (Be specific: mad
names, directions, milepost, etc.): M,,r I/e or
Cs pow ' far..• +'s �/ wa�It H.�
Qoeration Descries
Tipe ofSnine No. of Animals Type ofPo&dM No. ofAninrals Type of Carrie No. ofAnimais
0 Wean to Feeder 0 Layer O Dairy
3 Feeder to Finish D Pullets D Beef • .
m Farrow to Wan
Farrow to Feeder
M Farrow to Finish Other T%pe of Livesrock: Nrwnrber of Animals:
EarpRaiff" Operadex Wy
Previous Design Capacity: Additional D,s*Vt :Capacity
Total De.ri n Cc acih•:'`` "}A
Acreage Available for Application: 13.0 Rewired Acreage: D.1
Number of Lagoons / Storage Ponds .� Total Capacity: y ;L 3) 52t • y Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or ® (please circle one)
If ITS: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
.+n�aMswws*�**�*�*s*****�s*.*r�s•s*rtw*wwwr**ewe**w**+r.sw**as*ws*war*�k**w.*s*ass*s**•«*.*.
Ommer I 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 wane treatment and
storage system or construction of new facilities will require a am ccnification to be submitted to. the Division of
Environm=W Slanagement before the new animals am stocked. I (we) understand that Bare must be an discharge of imimal
waste from the storage or application system to surface waters of the state either directly through a nun -made conveyance or
from a storm event less severe than the 25-year. Zz-hour storm and thm must not be run-off from the appliation of animal
waste. I (war) understand that run-off of pollutants from lounging and heavy use areas most be minimized using techaicai
standards developed by the Natural'Resources Conservation Service. The approved plan will be fled at the farm and at the
office of the local Soil and Water Conservation District. I (we) Drew that any modification must be approved by a wimical
.specialist and submtted to the Soil and Water Conservation District prior to itupleromtation. A change in land ownership
requires written notification to DENT or a now certification (if the approved plan is changed). within bo days of a title transfer.
Name of Land Owner : �!
Signature:
Date: I a. - 3 / - 97, --
Fame of Manager(i(different from owner):
Signature: Date:-
AtrC -- January 1. l"7

TL ..inical Specialist Certif ~ lion
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 gueeds standards and specifications of the Division of Environmental Management (DEM)
as specified in 15A NCAC 2IF0217 and the USDA -Natural Resources Conservation Service (NRCS) and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-.0005. The
following elements are included in the plan as applicable. While each category designates a technical specialist who may
saga each certification (SD, SI, WUP, RC,1), the technical specialist should only certify pans for which they are technically
competent.
A Certification of Design
.A)
Check the appraoprime box
® ExiAting facility without phi (SD or WUP)
Storage volume is adequate for -operation capacity; storage capability consistent with waste utilization
requirements.
D SM. expanded or retrofitted facility (SD)
Animal waste storage and tre mnnt structutes. such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and.specific4tions.
Name of Technical Specialist (Please Print); rjffffx L, 80-9t
Affiliation:....---
Address(Agency): m 4o7 a% _�,tg� o-, gW1,,1i1jC .vc ,�78;st Phone No.:_9L9-
H) Land Application Site(VVW)
The plan provides for rnitamum separations (buffers); adequate amount of Land for waste utilization; chosen crop is
suitable for wane management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): Z E -xc( Leas ...._
Aff liation:
No.: flf-y3f -y//s
/2//7/!%
Check the apprvpriatt box
(SD or WUP or RQ
This facility does not contWO any exterior lots.
with (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with tedwicW standards developed by NRCS.
Tame of Technical Specialist (Please Print): I. CA�' ­d Z-a.,� �
Affiliation: d6L4Se6/ ¢' 400-
Addrcss(AgcAcy): It —
,,Al l- 4vc hone No.:
Signature,,
Signature:,
ANVC -- January 1,1"7 2
� (9

D)• ARR11cation and Handl" ' FquipmInt
Check the appropriate box
® (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 an be maintained and calibration and adjustment guidance are contained as part of
the plate). 9
❑ A, W
Animal waste application ap mesat specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment an cover the area required by the
plant at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has bean established; required buffers can be maintained; calibration and adjustment guidance are,
contained as part of the plan).
s reading not uljnsapMy iffigAtio, (WUP or )
Animal waste application cggipmmt specified in the plan has been selected to apply waste as necessary to
accotnrnodate the waste manapumt 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 SpeclaIlst (PIease Print): s, 4 o-
Affiliation: ; V6-sk So,'! f GJ*,#e;'
Address(Agency):B�r. �07.l cam• d•.:�e �14s��.%/c .vr zf. __ Phone No.:9/9-Y.5�-t��%S
Signature;
E)
The waste numgmtent plan for this facility includes a Waste Management Odor Control Checkliit, 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 Minimise Odors and Best
Management Practices to Coati I Insecu have been selected and included in the waste management plan. Both the
Mortality 11lanagermt Plan and the Ettoergeacy Action Plan are complete and can be implemented by this hw.Wty.
Name of Technical Specialist (Please -Print); ,?, Uw d moon!s —
Affiliation:,Md.14 Soil 1F �•!afer Co•�ser<+��•'o %%,sfi;ct .__.
Addttss(Arencv):RK .ta7 .A, caLgr D,-,'og &C_ lariz Phone No.:
MOT
F) Written New SIr Fdx1aanding :jIj*In_e
The following signature biotic Is only to be used for new or expanding swine fasts that begin construction after June
21,19%. V the facility was bulk before June 21,19%, when was it constructed or last expanded
I (%%v) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property ownas
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 106-905. A copy of the notice and a list of the property owners notified is
attached.
Dame of Land Owner :
Signature: Date:
Name of Alarnager(if different from owner):
Signature Da e.
AWC -- Januan' 1, I997 3

HL Certi ftcation. of Installation
A)
New_e3paildgd or mtrofitted_facility (Sl)
,Animal waste storage and trtsautietat struc ores, 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 facflities without retrofits, no cerhf:cation is necessary.
Name of Technical Specialist (Pit = Print):_..
(affiliation:
Address(Agency): Phone No.:
Signature: Date:
B) Land Ag2lication Sit (WUP)
Check the appropriate box
iB The cropping system is in place on all land as specified in the animal waste management plan.
3 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 wasteutiliudon plan.
Also check this box if appropriate
if the cropping system as specified in the plan can riot be established an newly cleared land within 30 days
of this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print):
Affiliation:,�/+.s
Address (Agency): a,'-j / NC 17iff s' Phone No.:2/9-V4'-YZLL
/,I 'oo /`_ .— hart.. 1 Z. // 71 rl 7
This folioAng signature block is only to be used when the box for conditional approval in M. B
above has been checked.
I (we) certify that I (we) have conttniued 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 subunit 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
faifure to submit this veriftccattion 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 i1'lanager(if different from owner):
Signature: Date;
A%1'C — January 1. 1997 4

`9LLo (R
w. C) -
exted2r
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 tots, no eeWf cation is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address(Agency): Phone No.:
Signature: Date:_
-D) ApRIIntion and H2ndlfna EquiRMent L09211ation (WUP or n
Check the appropriate block
Animal waste application and handling equipment specified in the plan is on site and ready for use; calibration
and adjustmmt 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 ow=
has proposed leasing or third parry 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.
3 Conditional approval: Animal waste application and handling equipment specified in the plan bas been
purchased and will been site wd 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 adjusunent guidance have been provided to the
o%mw and are coniained as pats of the plan.
Name of Technical Specialist (Please Print):, 7,_aid �•a• a — —•--
Affiliation: ALi A. o0Lam_ Wafer-
): &m 102 & Q-Jte pP:,je .yC z;z&:U Phone No. / -E/i
Signature:
The foll611ng signature block is onl ffCbe used when the box for conditional approval in III D
above has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plats and will submit to DEM a vesfication of delivery and installation
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. 1
(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 DElt+l.
Name of Land Om ner :
Signature: - - Date:
Name of Manager(if different from owner): -
Signature: Date:
E) Oft.Control, en (SD. 5L ti'I M RC or I)
Methods to control odors and insects as specified in the Plan have been installed and arc operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Tame of Technical Specialist (Please Print): E4_&t%a 6:fta
Affiliation:, Mao Jo; t i wet+•
Address(Agency): 10749 calm Dei'M N.skv; l4 Nc -LIat -- Phone No.:, 719-y1y-W0 - --
Signature: Date: /-r,�. `18
A WC » ]an rY 1.1997 �

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I
EMERGENCY ACTION PLAN
PHONE NUMBERS
DWQ 919 571- 4700
EMERGENCY MANAGEMENT SYSTEM 919-459- 7376
SWCD 919-459-4115
NRCS 919- 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. ould be 200t6d 1A AR Acc2x5ib16
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.

s
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 sidevall of lagoon. Often
this is seepage as opposed to flooring 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 teach 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
919571-4700. 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 enters surface 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 MRCS
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:
5: Contact the technical specialist who certified the
lagoon (MRCS, Consulting Engineer, etc.)
a. Name: RCS SWCD
b. Phone: (9,19) 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.
r

Mortality Management Methods
• (check which method(s) are being implemented)
Q/ Burial three feet beneath the surface of the ground within 24 hours after
knowledge of the death. The burial must be at Imt 300 feet from any flowing
stream or .public body of water.
❑ Rendering at a rendering plant licensed under G.S. 106-168.7
❑ Complete incineration
O 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 must be
attached)
December 18. 1996

. , .
e
Insect -Control Checklist for Animal Operations
Sliurcc C'_anse UMPS to Coalrol lasccls
_ old S stems
fhub (;pours Accutnulation of solids flush system is designer! MA „pe alid
sufocieady to remove acewaulwed solids flan
gunaz as designed-
0 Remove bridging of accumulated solids a
i___JL____
Crusted Solids Maintain la oars. setilhi e
#.agdulirs alld Pits g g basins and pits where
pest breeding is Apparent to ntlnirniZe the
crusting of solids to a dgrtb of no more than 6 -
iucims over nsorc than 3(We of surface.
I:kccSsive Vcgelalive • Ikcaying vegctatirin Gr Mairnain vegetative control along hanks of
t uu►vth lagoons and atller inipariulnienls In prrvcnl
accaulnletion of decaying vegetative platter
along watees edge on hupou"dt tent's paiinctxr.
9 nru KwCeems
...l�l'Ltti'I i
Fcell Siwace
• F 1 Spillage
a Accunsulaliuns of feed resa#res
Design. operatc mid nrainlaiis fried sysbasss (c.C.,
blinkers and troughs) to minimize tine
/ accumulation of decaying wastage.
t2! C;lem up spillage on a routine basis (e.g.. 7 - 10
day inlaval during surnuser: 15-30 day interval
daring Willi").
Rclhsce nsoisturd: nccnlrnrlaliosr whhin and
ensiuu# irnurufiinc perielleter of leed storugr
areas by insiuinb drainage away frdnn silo
and/or pravitlirrg aLkdlnate contai illIC1il (e.g..
cuvcrcd bin fix brewces grails arsd sisnilur 1"Ok
moisture brain priKbsels).
Inspecl Air and reniuvc 4w 1we"k dip rrcrinnn#alcdl
soliils.iis liltur strips around feed shlr•.rge as
needed.
i
AMIC - Novcnther 11. 1996. rage I

l
Srrurre
Aniutal I lofditag Areaz
Cause
1iM1's la Cottlral laiseelsi Site S >eciiie {'ractfcci!
a Accuntulatiam! ofanimal wastes
p lElimhaate low areas that trap moisture ab>sag
and feed wastage
fences acrid ether Mcaliams where waste
accumulates wW disturbance by animals is
minimal.
O Maintain fans rows and fitter strips wound
anitttal bolding area to minimize
acciumtlalions of wastes (Le., inspect for and
rentove or break up accu nulated solids as
my plutIII rc Ilraarllin b
}'StL'inS
.�
Accumulations of anintal wastes
-
i - 10
Q RCnVC tOspillage on a rine basis (r ,—
out -
day interval duringsummer,15-ail day Interval
daring winter) where manure is loaded for latid
application or disposal.
C3 Provide ror adequate drainage around manure
stockpiles.
17 inspect far and remove at break up accumulated
warsies in filler strips around mockpiks wid
manure handling areas as needed.
frtr nature inI4nn4tiao contact
R aWa i, NC, 27695,7613.
die Cooperative Extenslan Service, Department of Entomology. Box 7613, North Carolina State I InlversilY,
1
AAII' - N..v.—A..... s I .. -

. , , X
Swine Farm Waste Management Odor Control -Checklist
ssmrs so wsrrrrarae %"or,
•, swore prvaucuau u vegeowve or wom= Mule";
GeRwA=weoded best mmagement practices;
Of Good judgment and common sense
du
Animal body sudwvs Dirty �nure-oovard animalsDry (leers
Floor surfaces Wet manure -covered floors iv Slotted floors;
13 Waterers located over slotted floors-, {
C11 Feeders at high and ofsolid floors;
f Scrape manure buildup from floors;
O underfloor ventilation for drying
µaawa awction pits • Urine; W Frequent manure removal by hush, pitrecharge, .
• Partial microbial decomposition or scrape;
0 Underfloor ventilation
Ventilation exhaust fans • Vohttilegases: F maintetanu: .
Dust mr FAcient air movement
Indoor • Dust Or Washdown between groups of animals;
0 Feed additives;
O Feeder covers;
f] Feed delivery downspout extatders to feeder
covers
Flush tanks • Agitation of recycled lagoon 13 Flush tank covers;
liquid while tanks are filling 0 Extend fill lines to near boam of larks with
!i siphon vents
•
wastewater 13 Underfloor [lush with underfloor ventilation
conveys=
Pit recharge Points • Agitation of mcycW lagoon [3 Extend recharge lines to near bottom of pits
liww while pits are filling with anti -siphon vents I
Lift Isiom Agitation during sump tank 17 Sump tank covers
filling and dmwdown I
L
• AelUbm durinit wastewater 0 Box covers
or junction boxes conveyance
AMOC - November 11, 19%, Page 3

Source Cause BMPa to Mini aloe Odor Ske Spank Practices
End of drainpipes at • Agitation during wastewater
lag000 conveyance
Ag000 surfaces • Volatile gas emissi
• Biological mixing;
• Agitation
Extend discharge point of pipes undennads
lagoon BpW level
C(Awer lagoon Uud cvwq;
I(/ Correct lagoon startup procedures;
0 Minimum surface ares4o-volume ratio;
I/Minimum egitation whea-pumping;
Cl Mechanical aeration;
O Proven biological ad
Irrigation sprinkler • High prassnne agitation; O Irrigate on dry days with little or no wind;
nozzles • Wind drift Cl Minimum raotumended operating pressure;
Cl Pump intake near kgaon liquid surface;
0 Pump from seem -stage lagoon
Storage tank or basin • Partial microbial decomposition; 0 Bottom or midlevel loading:
surface • Mixing while filling; 0 Tank covets; '
• Agitation when emptying p Basin surface mats of solids;
1
0 Proven biological additives or oxidants
Settling basin surface • Partial microbial decomposition; 0 Extend drainpipe outlets underneath liquid
• Mixing while filling; JLevel;
• Agitation when emptying © Remove settled solids regularly
Manure, slurry or sludge • Agitation when spreading; 0 Soil injection of slurry/sludges;
spreader out • Volatile gas anisskm 0 Wash residual manure from spreader after use;
0 Proven biological additives or oxidants 1
Uncovered manure, . Volatile gas emissions while � ❑ Soil injection of slurYj7&Iudges � T -
slurry or sludge on field drying ❑ Soil incorporation within 48 hrs.;
surfaces
❑ Spread in thin uni(orm layers for rapid drying;
❑ )Proven biological additives or oxidants ---- r
Dead animals • Carcass decomposition Of Proper disposition of carcasses
Dead animal disposal. • Carcass decomposition Cwnplete covering of canmms in burial pits;
pi Gi Proper location/construction of disposal pits .
Incinaatbrs • Incomplete combustion 17 Secondary stack burocrs
AMOC - November 11, 19%. Page 4

Soma Cane am to M Inim Odor Site Spame Praetica
Standing water wound • lmpaper drainage; O tirade and bodKWo such did water drains - --
faedities • Microbial decompashim of away Svan ILeilities
- — - organic matter
Manure tracked onto • Poorly maiotamed access roads Farm access road maintenance
public roads Gem farm
access
Additional Information: Available From:
Swine Manure Mdnegeatetn ; 0200 RuWBMP Packet NCSU, Cow" Extension Center
Swine Prom Form Potential Odor Sources and Remedies; EBAE Fact Sheet NCSU - BAE
Swine Production Facility Manure Management: Pit Redprge - Lagoon Treatment; EBAE 12t1-11g NCSU - BAE
Swine Production Facility Manure Management: Underfloor Fhtsh -Lagoon Treatment ; EBAE 120-88 NCSU - BAE
Lagoon Design and Management for Livestock Manure Treatment atd Storage ; EBAE 103-83 NCSU - BAE
Calibration of Manure and Wastewater Appiiauion Equipment; EBAE Fact Shed NCSU - BAE
Controlling Odors from Swine Buildings; PIH-33 NCSU - Swine Extension
Environmental Assurance Program ; NPPC Manual ' HC Pork Producers Assoc
Options for Managing Odor; a report from the Swine Odor Task Force NCSU Agri Communications
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO 107, 1995 Conference Proceedings Florida Cooperative Extension
AMOC - November 11, 1996, Page 5

State of North Carolina .
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B, Hunt, Jr., Governor
Jonathan B, Howes, Secretary
A. Preston Howard, Jr., P.E., Din
Gary Hill
Hill Farms
Rt 2 Box 63-A
Nashville NC 27856
, 11;i ::%
Dear Mr. Hill:
e�a
nEHNR
of Violation
13asignation of Operator in Charge
Hill Farms
Facility Number 64--39
Nash County
You were notified by letter dated November 12, 1996, that you were required to designate a
certified animal waste management system operator as Operator in Charge for the subject facility by
January 1, 1997, Enclosed with that letter was an Operator in Charge Designation Form for your
facility. Our records indicate that this completed Form has not yet been returned to our office.
For your convenience we are sending you another Operator in Charge Designation Form for your
facility. Please return this completed Form to this office as soon as possible but in no case later
than April 25, 1997. This office maintains a list of certified operators in your area if you need
assistance in locating a certified operator.
Please note that failure to designate an Operator in Charge of your animal waste management
system, is a violation of N.C.G.S. 90A-47.2 and you will be assessed a civil penalty unless an
appropriately certified operator is designated. Please be advised that nothing in this letter should be
taken as absolving you of the responsibility and liability for any past or future violations for your
failure to designate an appropriate Operator in Charge by January 1, 1997.
If you have questions concerning this matter, please contact our Technical Assistance and
Certification Group at [phone].
Sincerely,
I X,? .�
for' Steve W. Tedder, Chief
Water Quality Section
bb/awdeslet 1
cc: Raleigh Regional Office
Facility File
Enclosure
P.O. Box 29535. ��y6 FAX [phone]
Raleigh, North Carolina 27626-0535 NTof An Equal Opportunity/Affirmative Action Employer
Telephone [phone]% recycles/100/a post -consumer paper

r
State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
IDEHNR
Division of Water Quality
MAY 231 1997
Mr. Gary Hill
6204 Pleasent Grove Church Road
Nashville, North Carolina 27856
Subject: Notice of Deficiency
Hill Farms
Facility # 64-39
Nash County
Dear Mr. Hill:
On April 2, 1997, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
operation. This inspection is a part of the Division's effort to
determine compliance with the State's Animal Waste Management
Regulations.
Mr. Towell's site visit determined that wastewater from your
facility was not actively discharging to the surface waters of the
State, nor were any manmade pipes, ditches, or other prohibited
conveyances (for the purpose of willfully discharging wastewater)
observed. However, as a result of the inspection, the following
deficiency was observed:
One of your waste lagoons had only 12 inches of freeboard which
is less than the amount required. Animal waste lagoons are required
to maintain enough freeboard so that no discharge of wastewater
will occur to waters of the State during any rainfall event less
severe than a 25 year\24 hour storm.
This matter should be addressed to prevent the possibility of an
illegal discharge. Please respond to this Notice within 30 days of
receipt. You should include in your response the actions that you
will take to address this deficiency.
i
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, North Carolina 27609 NI C An Equal Opportunity Affirmative Action.Employer
Voice 919-571-4700 500/0 recycled/10% post -consumer paper

Mr. Gary Hill
Page 2
Effective wastewater treatment and facility maintenance are a
responsibility of all animal facilities. The Division of Water
Quality is required to enforce water quality regulations in order
to protect the natural resources of the State. Accordingly, illegal
discharges to surface waters of the State are subject to civil
penalties of up to $ 10,000.00 per day, per violation.
This office would like to remind you that you are required to
submit an approved animal waste management plan by December 31,
1997, or you may choose to submit a closure plan for this facility.
These plans must be Certified by a Designated Technical Specialist
or a licensed 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.
The Raleigh Regional Office appreciates your cooperation in this
matter. If you have any questions regarding this inspection please
call Buster Towell at [phone].
Sincerely,
V-, 0, a )z
Kenneth Schuster, P.E.
Regional Supervisor
cc: Mr. Patrick Rogers, Nash County Health Department
Mr. Terry Best, Nash Soil and Water
Conservation District
Ms. Margaret O'Keefe, DSWC--RRO
DWQ Compliance Group
RRO Files

t; ❑ DSWC Annnal Feedlot Operation Revkw
CIRWQ P ,.. spection
Animal Feedlot U era#ion Site' In
I Routine 13 Complaint ❑ State employee call E3 Follow-up of DWQ inspection 0 Follow-up of DSWC review
Facility Number
Farm Status:
IDate of Inspection (_ _V- 2 - y7 I
Time of Inspection Use 24 hr. time
Total Time (in hours) Spent onReAew
or Inspection (includes travel and processing)
Farm Name: (�' .�� ,S6i/! h C �p 24., _ _. County: 15ajA...
Owner Name:Phone No:..7
Mailing Address: ZO (-( e�W4,4-, t , ,e- C_ *-!e ?►.._ IZD ..1ig541 W e_ d1V ,C_ 7 ...___
Onsite representative: � e l �.. ._, _ ._. , .__ .., Integmtor: ..-(2: t-L_.._...:.._
Certified Operator Name:
Location of Farm: [} P 4-tJ S ? .SV A, /,-S .S tt9Or
Latitude Longitude �• ���
10 Not Operational Date Last Operated:
Type of Operation and Design Capacity
Swine "Number Poultry Number'
Wean to Feeder ❑ La er
e er to Finish Y ❑ Non -La er 'S
ElTarrow to Wean
O
I�.
Farrow to Feeder
Farrow to Finish ❑ Other Type of Livestock
.
I�Irtmber ipfFagoons olding Ponds:. r E3 Subsurface Drains Present
0 La oon Area Spray Field Area
- C.ederal
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? Of yes, notify DWQ)
r 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. Was 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
maintrflarirj-/im"—vPwn 9
❑ Yes d o
❑ Yes ;/�'
❑ Yes7NO
,
❑ Yes
❑ Yes
❑ Yes o
Yes I�
❑ yes o

❑ Yes - o
6.1,1a6Uty not in compliance with any applicable setback criteria?
7. Did the facility fail to have a terrified operator in responsible charge (if inspection after 1/1/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures a oohs and/or Holdin Ponds
9. Is structural freeboard less than adequate?
Freeboard (R): L.a on / Lagoon2 Lagoon 3
0 _r
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
Immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type � fir- t. —/ 60
16. Do the active crops differ with those designated in the Animal Waste Management Plan? yt/ 0 P/g^ r
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities 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 reviewrmspection with owner or operator in charge?
❑ Yes ❑ No
❑ Yes
❑ Yes ❑ No
Lagoon 4
Comments {refer to question ft . Explain any YES answers and/or any recommendations or any other comments.
Use drawingof facility'to.better ex lain situations. us "additional es as nec
. .. P ( pa essarY)
Reviewer/Inspector, Name
Reviwer/Inspector Signature:
❑ Yes 0150
❑ Yes Ld<O
❑ Yes 0
Yes ❑ No
❑ Yes bNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑'l o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Date: — -I . 9 7
cc. Division of Water Oualitv. Water,Oaelity Section. Facility Assessment Unit 11/14/96

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
Gary Hill
Hill Farms
Rt 2 Box 63-A
Nashville NC 27856
SUBJECT: Operator In Charge Designation
Facility: Hill Farms
Facility ID#: 64-39
Nash County
Dear Mr. Hill:
11"MOVIAM101M ;j
1DEHNR
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincerely,
A. Preston Howard, Jr., �.E�.,Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
IMT
P.O, Box 27687,
An Equal Opportunity/Affirmative Action Employer
Raleigh, North Carolina 27611-7687 "of
Voice 919-715-4100 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
71A
EDEHNR
DIVISION OF ENVIRONMENTAL MANAGEMENT
October 31, 1995-
Gary Hill
Hill Farms
Route 2, Box 63 A
Nashville, North Carolina 27856
Subject: Management Deficiency
Swine Operation
North Carolina Highway
Nash County
Facility No. 64-39
Dear Mr. Hill:
Notification
58
On October 16, 1995, Mr. Danny Smith from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is part of the Division's efforts to
determine potential problems associated with liquid waste disposal
systems.
Mr. Smith's site visit determined that wastewater from your
facility was not discharging to the surface waters of the state. In
addition, no manmade pipes, ditches, or other prohibited
conveyances (for the purpose of willfully discharging wastewater)
were observed.
However, as a result of the inspection, the following
deficiencies were observed:
-Your lagoon had insufficient freeboard levels, as little as
12 inches in some places. This problem should receive prompt
attention. Properly functioning lagoons should have at least
19 inches of freeboard in your area.
In addition to continued waste facility management, these
deficiencies must be immediately addressed to help prevent the
possibility of an illegal discharge. Please provide a'written
response to these aforementioned issues to The Raleigh Regional
Office within 30 days of receipt of this letter. You should
specifically address how you plan to correct these problems and
submit a schedule (with dates) stating when these management
deficiencies will be corrected.
3800 Barrett Drive, Suite 101, Raleigh, Forth Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10% post -consumer paper