640073_PERMIT FILE_20171231

F,
it � ( -L-.
F
Type of Visit: 0 ;?Routine
lance Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrivral Time: Departure Time: County:
Farm Name: 61�yr �1 It Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: C}—r � 4 H , r _ Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacity Pop.
La er
Design Current
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Design Current
Dr. F.ouitr.. Ca aci I;o
Layers
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
ML
Other
Other
'Curke s
'I'urke Points
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[]Yes No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
[:]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
❑ 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 ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

[Facility Number: - Date of Inspection:
Waste Collection & Treatment
No
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
0 ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
ErNo ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): (t
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
or environmental
hreat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
21 ❑ NA
FINE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Zo ❑ NA
't-'
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
[:]Yes
No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): &, -411 k d "I ^I S ► �? f , }'
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes �No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes VNo ❑ NA ❑ NE
nrre� rleterrninntinn?
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 rNo
�-
[:]Yes
❑ Yes
❑ Yes �J No
[] 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 I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes FT'N-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 ❑ 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
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
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer, to question ft Explain any YES answersand/or any additional recorn iiendatidns or any other.6.inments ,
Use drawings of facility to better explain situations (use additional pa es as necessary)
'7 d
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 7-1 / r t% Z-
�� U
Date: ���3
21412011

(Type of Visit: 0 Compliance Inspection O Operation Review P'Structure Evaluation p Technical Assistance I
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: t ` `, / 1 D1 Arrival Time:® Departure Time: County: Region:
Farm Name: r4p4t— Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: C;2� H, Integrator:
Certified Operator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design
Current
Design
Current
Design
Swine
��
Capacity
wIY>tr
Pop. :pp
W11et Poultry
IIr��
Capacity
P{{op.
Cattle:
.Current
14:
Capaetty
U
Pop,;
M19f
IY91w,ilA@I�4Wwr�
Ii�IIPi�a}l6lti v
9ImII�YIU11fil?
VS3AilioiHNi1161i1Lii�
d Ya€4
@IIHWI1NfIYlYME
11U.,JIiIA19 d
Rfih.'11f1
Wean to Finish
I Layer
Dairy Cow
Wean to Feeder
Nan -La er
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Des igu
ICurrent
Dry Cow
Farrow to Feeder
D . P,oult
Cavils i
Pow.
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Qther
:
Turkey Poults
Other
Other
I
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 ❑ No Ca'NN ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No NA NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No Vc]
'2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ No NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

F'acili ]!lumber: Ca-e7 5 1 Date of Ins ection: — z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? e 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): Z/< -
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 o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t eat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
o
❑ NA
❑ N
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?
f
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ No
❑ NA
N
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): 10,2Ai.#7 J49-
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
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
❑ No
❑ NA
E
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
Required Records & Documents
ZE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA Q 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 Co
❑ Rainfall ElStocking ❑ Crop Yield El120 Minute Inspections ElMonthly and I" Rainfall Inspections ❑ Sludge Su y
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 3 214,12015 Continued

[Facility Number: 6 41 - Date of Inspection: -
r
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA N
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
[:]Yes
❑ No
❑ NA NE
the appropriate box(es) below.
[]Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance;
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
[:]No
[3 NA NE
Outer Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[] Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
[] NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
3 1. 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 ReviewerlInspector 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
e-m� b,:�s--tea-�ow�![ ®v�cd�nr• 3o�/ ,— �,✓;.,y_-4
r �C V A
Reviewer/Inspector Name:
Reviewer/Inspector Signature: /e-,,U
Page 3 of 3
Phone: C� 19 7q I �Zba
Date: 9 — 2 S
21412015

' - 41 In- .71 -, 7
Type of Visit: SQ rRoutine
liance Inspection V Operation Review U Structure Evaluation U Technical Assistance
sit:
Reason for Vi0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: d fZ6 — Arrival Time: Departure Time: d Q County: Region:
Farm Name: _ (t _ ( - 4 am, Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: G61A7—A-� 1
Certified Operator:
Back-up Operator:
Phone:
Integrator:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
Design Current
Swine C►apacity Pop.
Wean to Finish
Wet Poultry
La er
Design
Capacity
Current
Pop.
Design Current
C*attle Capacity Pop.
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Farrow to Feeder
Dr, P.ouit�,
Design
Ca aci
Current
P.o
D Cow
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other IMLLother
7 urke s
Turkey Poults
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 No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DW R)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ NA
r��10
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
[] NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili Number: -2
2 IDate of Inspection: b '
6
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑ NA
gNo
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes:E:No
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 environFNo
reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): Q c t3dron + �L},---
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
N ❑ 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 7] N ❑ 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 T nsfers eather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facili Number: - Date of Inspection: b -
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Nj
NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No A ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [] Yes o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ 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;Y4ESE answers_ and/or any additional recommendations or=any other;comrnentsT " $ :' 3
Use drawingsE;of facility to'hetterexplain situations;(useaaddtttonal a eseas necessary)µ4
ReviewerlInspector Name:
Phone: *7 i - Y 20 0
Reviewer/Inspector Signature: �� S 1 j-1C L- C�
Page 3 of 3
Date: / D" 4/0 - ( 7
21412015

n
--i) -k5
Type of Visit: grComplTance Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: Routine O Complaint 0 Follow-up 0 Referral 0 Emergencv O Other O Denied Access
Date of Visit: _ Arrival Ti `me: d i pb Departure Time: County:
Farm Name: ��ta d ,,f r 1-k tme _ ���l+-` Owner Email:
t
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: j 1 _J T ' 1( Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design
Swine Capacity
Wean to Finish
Current
Pop.
Design Current
Wet Poultry Capacity Pop.
Layer
Design Current
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
Dr. P,oult . Ca acit P,o ,
Layers
Dairy Heifer
Dry Cow
Non-Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
turke s
ke Poultser
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ .NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
[:]Yes
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWQ)
❑ Yes
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
VNoE)
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: r,4i - 7 3 Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No NA ❑ NE
a. If yes, is waste level into the structural freeboard? [] Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Zltc_
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 ❑ 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 environmenta reat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes!No
o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesNo ❑ 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[] Yes
N ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA
❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
12. Crop Type(s): &_J1 AP7, j* . _,'rA7 i r LLn
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
U6NN ❑ 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
❑ YesVNo❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
" l�-r ❑ 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
❑ 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 El 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 Judge 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
No ❑ NA
[] NE
Page 2 of 3
21412011 Continued

a
Facili Number: - DateInspection: 7 —,%
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes V
❑ 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
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34, Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations6r any other cor6ments.,
Use drawings of facility to better explain situations (use additional pages as necessary)
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature: k3 h t i Date:
Page 3 of 3 21412011

t,
Type of Visit: (7Com nce Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance j
Reason for Visit: gRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access I
Date of Visit: d ?C1� Arrival Timer Departure Timer County: Region:
Farm Name: 14, 1 f 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:
Design Current
Swine Capacity Pop.
Wean to Finish
Wet Poultry
Layer
INan-Layer
Design
Capacity
I
I
Current
Pop.
I
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Wean to Feeder I
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
I)r P"oultr.
Layers
Design
C•.a aci
Current
l;o
D Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Pouits
Other
Discharns 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 No ❑ NA ❑ NE
❑ Yes [3 NA C] 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 [3 NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yesr�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 21412011 Continued

Facili Number: 1 - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
Z No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
o ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 96 d % •� �� '`
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 mana ement or closure Ian?
g p
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental reat, 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 o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes N
❑ NA
❑ NE
maintenance or improvement?
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): _ F2 .SCL'o L]? P-An �C
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 r
❑ 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
KNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ NA
❑ NE
Required Records &_Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
Yes
❑ NA
❑ 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 I" Rainfall Inspections udge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ YesWX
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Inspection:
C
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
NA
0 NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
VNo❑ 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
�N0 ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? [-]Yes ❑ No
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [:]No
❑ NA ❑ NE
❑ NA ❑ NE
0 NA ❑ NE
Comments(refer to question #): Explain any YES answers and/or any additional recommendations:or any other comments.
ks
Usedirawinigaof facility to better explain situations (use additional panes as necessary)._ , ..
Reviewer/Inspector Name:
Phone: /Ll ((Z t7d
Reviewer/Inspector Signature: �� .S e.1!�— t/� �
Page 3 of 3
Date: ip 2 - -,/ f/
21412011

9-2-6--0 I
iType of Visit: 0 Co ' nce Inspection O 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:
Farm Name: 16 y - Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
Onsite Representative: try c 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.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pap.
Wean to Finish
La er
DairyCow
Wean to Feeder
-Layer
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
Farrow to Finish
Gilts
D , PoWt .
La ers
Non -La ers
Cad aci
P.o .
Non -Dairy
Beef Stocker
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
U.ther
Turkey Poults
Other
Other
Discharges and Stream Impacts
I. 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 the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesFNo
NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: Date of Inspection: S'
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes L�[Ilqo NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ��o
NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): S/l
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes P14110
❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental th ,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes io e0 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 ;2"No [3 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 o ❑ 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): ( r t 1. 1A7 S�''� �°} ► r}- c ��
13. Soil Type(s): j
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
[3 NA
�<No
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
NA
❑ NE
l6. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
o ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
To ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
_ _ _ ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
N❑ 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 S ge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: 131 Y - Date of Inspection: Z$
1
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
o NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
o ❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any oth& comments.
Use drawings of facility to, better explain situations (use additional pages as; necessary)..,?;,
Reviewer/Inspector Name:
f/
Reviewer/Inspector Signature:�j [ �lJP✓
Page 3 of 3
Phone: ?I /— 7(zy o
Date: � &jZ /)
21412011

(Type of Visit: PCo iance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit: AD Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: O County: Region:
Farm Name: [4t rh Q_ lz-- Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
t
Certified Operator: �` t
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design
Swine CapacityWet
Wean to Finish
Current
I
L ANon-Layer
Design Current
Poultry C*apacity Pop.
I Layer
Design
C*attle Capacity
Dairy Cow
Current
Pop.
Wean to Feeder
I
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Design Current
D , P■ouitr, Ca aci P.o a.
Dairy Heifer
Dry Cow
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes ONo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes 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)? z
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes 0 ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Faeilit Number: & t - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑Yes
o ❑ NA
❑ NE
Structure l Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �l
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
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 eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑Yes o ❑ 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 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): *5 —.4 r e rs�'
--
t3. Soil Type(s):
14, Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
2� "N ❑ NA
✓1_J
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
1-4 ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
5No ❑ 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?
❑ YesV
❑ 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 El Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? [3 Yes No ❑ NA [] NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

FaCil ity Number: q - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes N NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes N[3 NA [3 NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ;,C_
❑ 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 [2/No ❑ NA [] NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes
❑No
❑NA
❑NE
❑Yes
[:]No
❑NA
❑NE
❑Yes
❑No
❑NA
❑NE
lComrnents#efer to questiono#) Fxplain,any YES answersand/or-any additional:recomm'endati its or_any other c`bnimcuts.' Ffl
use,4'rawin"gs of facility to better explain situations (use additional pages as necessary}.:.
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412011

Type of Visit t3 Colutine
li nspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit CO Complaint Q Follow up Q Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: Z2 I Arrival Time: Departure Time: County:
Farm Name: a M t7 r Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: LMr j� f-T I
Certified Operator: 15,1 to
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o = A =1 Longitude: = o = 1 a iI
00 DesignWrrent Design Current
Design C**urrent
Swine C►apac€ty Population Wet Poultry C•apac€ty Population
Catt€e C•apacity Population
❑ Wean to Finish
ID Layer I I
❑ Dairy Cow
❑ Wean to Feeder
10 Non -Layer I I
❑ Dairy Calf
❑ Fe ,to Finish
❑ Dairy Heifer
arrow to Wean D Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
El Non -Dairy
❑ Farrow to Finish ElLa Layers
❑ Beef Stocker
❑ Gilts ❑ Non -Layers
Beef Feeder
❑ Boars El Pullets
❑ Beef Brood Cowl
I
❑ Turke s
Other ❑Turke Poults
❑ Other ❑OtherI
Number of Structures:
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 No ❑ NA ❑ NE
❑ Yes No NA
❑ NE
ElYes;Neo o NA
❑ NE
❑ Yes NA
ElNE
NA
ElYesFNo
ElNE
❑ Yes NA
❑ NE
Page 1 of 3
12128104 Continued

L
Facility Number: Ll—
Date of Inspection 1112-21101
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): [ !
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
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No - NA El 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 INA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ YesVNo
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
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes No NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ 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) _ e O H^ j , m�4� 5,-, 4"/ ;,I �1,2r-mod
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
PNo ❑ NA
hIo ❑ NA
❑ NE
❑ NE
Ld NA
!!!
❑ NE
o PNA
❑ NE
El No El NA
❑NE
i efer fo question # I� X an YES?answers and/o ` :.
Comments.s
( q) p lain y rtany7ecom:mendati6ns or anyFother comments ,}} �
Use drawings of facility to better explain situations:;(use add�iwnal pages asjne"cessaryj';
�` 3stps� 5; .a; ei � 'g' a •ifl's. ��.�'!-! .,�iax M�, S 5.�::.s .ka��z:. '! £�N�!�+. � 18�'F,a3-7k :.�., t-��'s
i
Reviewer/Inspector Name F, TAU ef !.ia HIJ gder I AR NERMPhone-
Reviewer/Inspector Signature: I, 176 tJDate: 3l 2— 2-1 L o
Page 2 of 3 12128104 Continued

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

4 (134 1
L
Type of Visit A!�Com Hance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: '_ 1 / _ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: t i
Back-up Operator:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = o = 6 0 « Longitude: 0 ° = , =
Design Current Design Current Design Current
Wet Poultry Cattleap�a�c�yopuation
Cpacity Population Cap pity Population
n to Finish
r.F
❑ La er
❑ Dai Cow
n to Feeder ❑Non -La er
❑ Dai Calf
er to Finish
❑ DairyHeifer
El -farrow to Wean 943 Dry Poultry
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish ❑ La ers
❑ Beef Stocker
Gilts La ers
Beef Feeder
POBoars ❑Pullets
❑ Beef Brood Cow
❑ Turkeys
Other ❑ TurkeyPoints
❑ Other ❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
2No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
El Yes
o ❑ NA
[I NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
N NA
9No
ElNE
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 1 of 3
12128104 Continued
1:

Facility Number: t — � 3
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
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 2rNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes El 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 No INA ❑ 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 i0 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) 6le r — hPI A , 5-nq r 41 V >J
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�NrEOI
NqNA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'?[] Yes
NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
A
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
A
❑ NE
ominents (refer t o giieshon`#)� Expla :a y ES answersfundto.r any,re commeendattons or any other=commcnts. ,
Use drawings of,factlity to better explain,situations_:3(use�additional pages as necessary): p t
( Jeri4^
Reviewer/Inspector Name
'' 'I Phone: '751 -
Reviewer/Inspector Signature:
®'w Date: 3 / / Z
Page 2 of 3 12128104 Continued

I
Facility Number: (� i —
Date of Inspection j �2
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes dNo ❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes o ❑ NA
❑ NE
the appropirate box.
❑ WUP ❑Checklists ❑Design El Maps ❑Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes ONo ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I"
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes ONo ❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes 2<0 ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
es ❑ No ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
es ❑ No ❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes ��o[] NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes No ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32, Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Page 3 of 3 12128104

91.sJ
►M
Type of Visit eCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit (DIVoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: F_Off�2 Departure Time. County:
Farm Name: r _�`� �. _ _It` Owner Email:
Owner Name: —
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: 1
Certified Operator:
Back-up Operator:
Location of Farm:
Design Current
;Swine Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Other
"Title:
Phone:
Phone No:
Integrator: _a_s
Operator Certification Number:
Region:
Back-up Certification Number:
Latitude: 0 0 = . = Longitude: = ° = 6 ❑
64
Design Current
Wet Poultry Capacity Population
❑ Layer
❑Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
Murkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
E]DryCow
❑
Non-Daity
❑
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 �JN El NA El NE
El Yes No ❑ NA ❑ NE
El Yes o . ❑ NA ❑ NE
El Yes 20 ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued rA

0
Facility Number: 10 �f l
Date of Inspection 7 I D
off ''
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):
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 ZNo❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No NA El
❑ Yes No ElNA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre -,-notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA [I NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes �NoCC
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 [I Yes 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 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) 0og rq1, o-ef S toj,
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
Z1 ❑ NA
El NE
No ❑ NA
❑ NE
�l�T ❑NA
El NE
❑ NA
❑ NE
No ❑ NA
❑ NE
fertoiqueshon #) Explain anyYES answers andlorf'any recommendations or any othe©f facilitto betterfxplain.sttuahons (use hildihonal:pages as nss;�r�'rW
Un
2 ,0 e C 14S t.,. �,�., � � � r� r p fit
Reviewer/Inspector Name _ ^� ° L. `"� f,r �z Phone:
Reviewer/Inspector Signature: Date: 7
12128104 Continued

�_ 1 f l
11 J
Facility Number: — 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 ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes �NoEOI
A ❑ NE
❑ Yes NA ❑ NE
es El No El NA El NE
❑ Waste Application ❑ Weekly FreeboY120aste Analysis El Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking [I Crop Yield Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes 47fNo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Zes �"No ❑ NA ❑ NE
� 'es ❑ No NA ❑ NE
El Yes o NA ❑ NE
El Yes No ❑ NA ❑ NE
El Yes El No El NA El NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Additional Comments and/or Drawings:
12128104
12128104

Facility Number
W Division of Water Quality
0 Division of Soil and Water Conservation
O Other Agency
k41a7
Type of Visit ;Zoutine
ljCe Inspection 0Operation Review Structure Evaluation Technical Assistance
Reason for Visit O Complaint O Fallow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: `""t—`"YJ Arrival Time: Departure Time: County:
i
Farm Name: a Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: — �2±q
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 No:
Integrator -
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = 0 0 . = Longitude: = n = 6 =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
r� ❑ La er
II ❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made`?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocket
❑
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 ZfNo ❑ NA ❑ NE
❑ Yes ZN
❑ NA [I NE
❑ Yes❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
❑ NA ❑ NE
o ❑ NA ❑ NE
No ❑ NA ❑ NE
12128104 Continued

� 1
Facility Number f —
Dale of Inspection 1=7o0
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:
❑ Yes ,E'J N ❑ NA El NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 0
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ YesN El NA El NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental th"r t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �`No
❑NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ONo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
LdN0
ElNA ElNE
maintenance/improvement?
1.
Is there evidence of incorrect application? If yes, check the appropriate box below. ElYes
No
❑ NA ❑ NI-
❑ 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 [IApplication Outside of Area
12.
Crop type(s) Fe J 4A x
13.
Soil type(s)
14.
Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
P
ElNA ElNE
15.
Does the receiving crop and/or land application site need improvement? ElYes
L No,
❑ NA ❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
❑ NA ❑ NE
17.
Does the facility lack adequate acreage for land application? ❑ YesPNo
❑NA ❑ NE
18.
Is there a lack of properly operating waste application equipment? ❑ Yes❑
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):
A,
Reviewer/Inspector Name Phone: 79�'�y24 p
Reviewer/inspector Signature: , Date:
12128104 Continued

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

Type of Visit 0 Co ante Inspection Q Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine 0 Complaint Q Follow up O Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: t Arrival Time: Departure Time: County:
Farm Name: j r LO M f ,, Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o = 1 = Longitude: = ° = 6 0
Design CUrrent Design
C+urrent
Design Current
Swine C*apacity Population Wet Poultry C►apacity
Population
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
❑ DairyCow
❑ Wean to Feeder
❑ Non -Layer
❑ DairyCalf
❑Feder to Finish
❑ DairyHeifer
Farrow to Wean Dry Poultry
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish ❑ Layers
❑ Beef Stocker
❑ Gilts ❑ Non -Layers
❑Beef Feeder
❑ Pullets
❑ Boars
❑ Beef Brood Cow
❑ Turkeys
Other ❑ Turkey Pouets
❑ Other ElOther
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
El Yes o ❑NA El NE
❑ Yes �.NA ❑ NE
❑ Yes o ❑ NA El
❑ Yes o A ❑ NE
❑ Yes o A ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued'

Facility Number-4 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 7
5. Are there any immediate threats to the integrity of any of the structures observed?
(ic/ 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 ZNo
fA El NE
El Yes NA ❑ NE
Structure 5 Structure 6
ElYes ONo A ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental) threat notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �NoZ
NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?❑ Yes NA El 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 [I NE
maintenance or improvement?
Waste Aj2plication �
10. Are there any required buffers, setbacks, or compliance alternatives that need El2 Yes 0 ❑ 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) Re— l ram,-" C�4 r $' rn
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 acre determination ? ❑ Yes 7No
<❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes E] NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ElYes I o❑ NA ❑ NE
Comments .(refer .to question #): Exp.lain.any YES.answers and/or.,any recommendatjons or any other comments
Use drawings of facility to better explain situations. (use addition al'p ages as necessary) .
T
ReviewerlInspector Name C - - f Phone:
Reviewer/Inspector Signature: Date: b,+o
Page 2 of 3 12128104 Continued

Facility Number: 6 � — '7 I Date of Inspection I' b
Required Records & Documents
19. Did the facility fail to have 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 El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Wa Analysis [I Soil Analysis El Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking [3 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?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes NA ❑ NE
❑ Yes 2rNo ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
❑ Yes �`N`o[:] NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
El Yes
El No
❑NA
El NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Additional Comments and/or Drawings:
vV pi L-4. r / v 5�'J ✓ 1 �r I .e Q ,
� 1 �C.. �t r � � Qr �i � L W �� � ✓1 S I 4 � � � iiL r I!'t �r J . � � O pig G r
i> U s s r w �� ,� t, -/ ��s -+ d ¢
Page 3 of 3 12128104

Type of Visit om nce Inspection Operation Review 0 Structure Evaluation Technical Assistance
Reason for Visit Routine O Complaint 0 Follow up O Referral O Emergency Q Other ❑ Denied Access
Date of Visit: 164WO 5- Arrival Time: Departure Time: County:
Farm Name:9r-2; �7h&,f %2Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = c = ; = Longitude: = ° 0 i
Design Current Design , Current
Capacity Population Wet Poultry Capacity Population
❑ Layer !
❑ Non -Laver
i
❑ Wean to Finish
❑ Wean to Feeder
❑ Fee_derto Finish
arrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
,.Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ TurkeyPoults
❑ Other
Discharges & Stream Impacts
. 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 I-leifej
❑
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 �o ❑ NA ❑ NE
❑ Yes 21 No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes VNo ❑ NA ❑ NE
❑ Yes L1 o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

Facility Number — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 11
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 QNo ❑ NA ❑ NE
❑ Yes h o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No 0
NA ❑ NE
❑ Yes:No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes VNo
NA [I NE
8. Do any of the stuctures lack adequate markers as required by the permit? El YesNA ❑ 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 ❑ o El NA [I NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 2rNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ErNo ❑ 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 ElEvidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) , j P e ^ JAI-, Sm 4 r�r i " _�r
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ZN ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'![] Yes
� N ❑ NA
El NE
17. Does the facility lack adequate acreage for land application?
El Yes
L'1 N NA
ElNE
18. Is there a lack of properly operating waste application equipment?
ElYes
No ❑ NA
❑ NE
recommendations or any other comments.
Comments (refertb question #) Explain any YES answers and/oranyrai
Use drawings of fa il�ty to better a%plgtn situattons, (useaddttlonalypages as necessarry):
,z.'May
Reviewer/Inspector Name
Phone:
Reviewer/Inspector Signature:
ortt Date:
12128104 Continued

..` -
Facility Number: (j [r - j Date of Inspection
Re ulred Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes 21No ❑ NA ❑ NE
20, Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes io ❑ NA ❑ NE
the approprrate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21.
Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes
VNo ❑ 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 <A
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ N ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
0 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 1QNA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ONo ❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No ❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30, At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No ❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No ❑ NA
❑ NE
General Permit'? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No ❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No ❑ NA
❑ NE
`Additional Commen'ts:andlbr.l)swings
12128104

(Type of Visit Q Compliance Inspection O Operation Review O Lagoon Evaluation
(Reason for Visit grRoutine O Complaint O Follow up O Emergency Notification O Other U Denied Access
Date of Visit:
Faci ' umber
Kerinitted O Certified 13 Conditionally Certified 13Registered
Farm Name: ? ` /'1—'rf--................................
.................................... ...... ........... .............
4 Time: D t}
Q Not O erational Q Below Threshold
Date Last Operated or Above Threshold: .........................
County:.....................................................................................
OwnerName:........................................................................................................................... Phone No:.......................................................................................
Mailing Address:
Facility Contact:
Title:
OnsiteRepresentative: ..................................................................................................
7
Certified Operator:� ',,7 ....
Location of Farris:
.................................. Phone No:.........
] r
Integrator: ........ 6 ... r�? :. ��.f .............................
Operator Certification Number: ..........................................
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' & fi° Longitude 0 • ' «
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 I Structure 2 Structure 3 Structure 4 Structure 5
[]Yes No
❑ Yes o
❑ Yes o
❑ Yes eN
❑ Yes ;0"'
oYes
❑ Yes o
Structure
Identifier:.......................................................................................... ...................................
Freeboard (inches): I�
12112103 {
i
Continued

Facility Number: [ — -Z j Date of Inspection
5. Are there any immediate threats to the integrity of any of thi 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 o
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 ZNNo
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 ❑ Yes No
elevation markings?
Waste Anylication
10. Are there any buffers that need maintenance/improvement? ❑ Yes
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes VNo
❑ Excessive Ponding�,,❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
in41
12. Crop type CAwl. !�`/t9 L+4 k r -' , P R 5 c4,4_ Q
13. Do the receiving crops differ with those designated in the Certi
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?
Animal Waste Management Plan (CAWMP)?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
ReviewerAnspector Name
Reviewer/Inspector Signature:
❑ Yes ,0 N
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑Yes El
❑ Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Field Copy ❑ Final Notes
Date:
12112103 Continued

acility Number: L 1 Date of Inspection d
Required Records & Documents
21.
Fail to have Certificate of Coverage &. General Permit or other Permit readily available?
❑ Yes
P No
22.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
No
23.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ 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?
❑ Yes
�No
25.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
26.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
27.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N
28.
Does facility require a follow-up visit by same agency?
❑ Yes
N
29.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
o
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes
o
3I.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes
❑ No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After I " Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103
4

r r . J4
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number ra 17 date of Visit: U Time: s
1. Not O erational 0 Below Threshold
Permitted 0 Certified 0 Conditionally Certified Q Registered Date last Operated or Above Threshold:
Farm Name: e- County:
Owner Name: Phone No:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Location of Farm:
Title: Phone No:
Integrator:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑Horse Latitude 0• 6 u Longitude • 1 66
Discharees & 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?
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?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Wa tg lI eti n & Treatment
4. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
05103101
❑ Yes No
❑ Yes No
El Yes Vo
❑ Yes
❑ Yes
❑ Yes No
ElYes o
Structure 6
Continued

4
Facility Number: "(. — Date of Inspection "'1"'t'
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Annlication
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 designate in the Certified Ani
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?
Waste Management Plan (CAWMP)?
16. Is there a lack of adequate waste application equipment?
Reauired Records & Documents
17, Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (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?
(ic/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes No
❑ Yes No
❑ Yes 0 N
❑ Yes No
❑ Yes No
ElYes o
ElYes No
❑ Ycs ICI
❑ Ycs/ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ N
❑ Yes No
❑ Yes No
❑ Yes o
ElYes o
❑ Yes o
El Yes go
❑ Yes Ld N
El Yes
❑ Ycs 1 0
❑ Yes No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
C mments reefer�.tfo uestion # l✓at Ieiii an yYES answers and/or an reca m d tlons or an n bother c mment's.. r
U�se�'drawings of facility to better,explain situations:'{use additional
pages`as necessary):. ❑Field Copy ❑ Final Notes
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
05103101 Continued

Inspection O Operation Review O Lagoon Evaluation
Routine Q Complaint O Follow up O Emergency Notification O Other
❑ Denied Access
Date of Visit: Z ime: O� %j Printed on: 7/21/200[
Z1Pacility Number `]
,_.�. O Not Operational O Below Threshold
AP p Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ....................
FarmName: ..64... -.,f....... ..I.......�� �''..:5..................................... County: ....................................................
OwnerName : ................................................... ......................................... ....................... ........ Phone No:...................................................
FacilitvContact: ..............................................................................Title:............................................. Phone No:
Nailing Address:
Onsite Representative:.....................................................................................I........I............ Integrator:....... ADS . ...............................
Certified Operator: ................................................... ................. .... ........................................ Operator Certification Number: .....................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude �• �C
Design Current
Swine Canarity Ponulatinn
❑ Wean to Feeder
❑ Fe.;der to Finish
arrow to Wean
C
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer I0 Non -Dairy j
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present IFO Lagslnn Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
hischarges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes
Discharge originated at: ❑ Lagoon [I Spray Field ❑ Other
a. if discharge is observed, was the conveyance marl -made? Cl Yes
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) El Yes
c. ll'disc;harge is observed, what is the estirnated flow in gal/ruin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes Ef
2. Is there evidence of past discharge from any pan of the operation? ❑ Yes
Er-
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 StrnLtUrc 2 Structure Structure 4 Slruclarc 5 Slrucsurc 6
Idcnti tier : .................tP..:......_......................_......................................
F'reehnarri (inches)

Iracluty tyumber: G '7 j Date of Inspection t Printed on: 7/21/2000 '
5. Are theft any immediate threats to the integrity of any of the structures observed? (lel trees, severe erosion, ❑ YeS ZNo
seepage, etc.)
6- Are then: structures on -site which are not properly addressed andfor managed through a waste management or
closure plan? ❑ Yes CfNo
(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
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste 024cation
10. Are then: any buffers that need maintenance/improvement? ❑ Yes No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
• 12. Crop type 6.0--r-m ,A ea , s n'% 4 r so- r '
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes E;Y&0
14. a) Does the facility lack adequate acreage for land application? ❑ Yes o
b) Does the facility need a wettable acre determination? es ❑ No
c) 71is facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes No
16. Is there a lack of adequate waste application equipment? ❑ Yes ldN0
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? es ❑ No
1.8. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
', (ie/ WUP, checklists, design, maps, etc.) ❑ Yes • o
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? El Yes
` 22. Fail to notify regional DWQ of emergency situations as required by General Permit?
1 Oe/ discharge, freeboard problems, over application) ❑ Yes N
23. Did Reviewer/Inspector fail to discuss reviewfinspection with on -site representative'? ❑ Yes N
24. Does facility require a follow-up visit by same agency? ❑ Yes so
15. -Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes o
in
r Nt}•Vi0 atio0s,0�- ftfjcjeni if 1VE`t ' 17Qt,8(3 (i i°ii�g this'vls1C • Yoti Will-te:p6Ve 46 futth[ r'
f
tirres oriden .abbot this visit.
l
A res
(es
yes
)mments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
e drawings of facility to better explain situations. (use additional pages as necessary):
t*
.r/Inspector Name der
1yes r/Inspector Signature:
Date: �� Z 5100

UrPermitted E3 Certified 0 Conditionally Certified 13 Registered
Farm Name: ........ .�..1...(......%.:. 2:'!:3................................................................
Owner Name:......l.Pt ... ..14 .1.1...................
Time: 0 b Printed on
Date Last Operated or Above Threshold: .........................
County: „..!/�5ij............................................................
PhoneNo: ........................................................
FacilityContact: ...............................................................................Fide:................. ...... .. Phone No:...................................................
MailingAddress:.............../....►................................................................................................................... ..........:.........................................................
Onsite Representative:.... l .- !' y / Integrator: ..........................................
Certified Operator:............ r '+ �� ................................................................. ... Operator Certification Number: ..........................................
.
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' & 46 Longitude 0 4 66
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feed "Finish ❑ Non -Layer ❑ Non -Dairy
arrow to Wean sd
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
El
Number of Lagoons
Holding Ponds / Solid Traps
❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
n No Liquid Waste Manaaement Svstem
Discharges & Stream Itnpacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge. is observed, was the conveyance man-made'?
h. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
El Yes o
❑ Yes No
ElYes tP o
c. ll' discharge is observed. what is the estinwa cd flow in gal/min?
d. Docs discharge bypass a lagoon system'? ([byes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 0
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ N
Struuturc l Structure 2 Structure 3 StruCtUrc 4 Structure 5 Structure
Identifier:...........723...1.1..........................................................................................:...................................................................................................
Freeboard (inches):
5100 Continued on back

Facility.Number: — Date of Inspection Printed on: 10/26/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes L?&o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes i�fNo
(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"N
8. Does any part of the waste management system other than waste structures require maintenance/improvement? El Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes 2rNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes /XO
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes
12. Crop type 13opr &,t. 0 A. S d",1 r,9",6r
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
14. a) Does the facility lack adequate acreage for land application? ❑ Yes
b) Does the facility need a wettable acre determination? ❑ Yes
c) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? ❑ Yes [I N '
16. Is there a lack of adequate waste application equipment`? ❑ Yes 7No
Rewired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes o '
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes o
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes N
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes o
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes
24. Does facility re . "a follow-up visit by same agency? ❑ Yes No /
25. Wer y additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ Ng/
.A61hti0gs ojr• deficiencies *ire ilafed during this'visit' .:Y:op WiiI-toive iio further
corres' ondence: about: this visit:
rl
V"
Reviewer/Inspector Name
Reviewer/Inspector Signature: 7 _ Date: (� _� _ 5/00

Facility Number: .441. — Date of Inspection MPrinted 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
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours? ❑ Yes o
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes';
N
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes o
Additional omments-an orDrawings:,.,.'a '
5100

Facility Number
Registered [3 Certified [3 Applied for Permit [3 Permitted
Farm Name: ...........1� ' i f 1 'el R A" ` _
..................................................................................................
OwnerName: .......0.......:a��..............................................................
Facility Contact: .............................................................................. Title:
Date of Inspection 76 p
Time of Inspection (3 an v 24 hr. (hh:mm)
0 Not O erational Date Last Operated:
County:.,.,., )4s%7L
Phone No:. .....................
............................ Phone No:...................................................
MailingAddress:.........................................................................
OnsiteRepresentative: .............................................................. ............................................ Integrator:......................................................................................
Certified Operator ;,-----.61f:n t( zl� �� .. Operator Certification Number,..
Location of Farm:
a
.................................................................................... ..................... ..........................................
Latitude ' =� 3 17 �� Longitude ®' F -9
"",Design Current
Design CurrentDestgn Current
Swine ,-'•„ :Capacity `Population
Poultry apacity. Population'Caftle Capacity, Population ,
❑ Wean to Feeder
❑ Layer
<.
❑ Dairy
El to Finish
>
❑Non -Layer
❑Non -Dairy
.
arrow to Wean
[I Farrow to Feeder
10 Other
❑ Farrow to Finish
r. Total Design Capacvty�
❑ Gilts
❑ Boars
Total SSLW
Numb% of La otitis / Holditi Ponds
S gk
❑Subsurface Drains Present
© Lagoon Area
❑Spray Field Area
hr}
d
❑ No Liquid Waste Management System.
_
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, -notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97 ol-3 11
❑ Yes ;5No
❑ Yes
❑ Yes No
❑ Yes 0 No
❑ Yes Xo'
❑ Yes
❑ YesiENo,/
El Yes/
❑ Yeso
❑ Yes No
Continued on back

Facility Number6 — �� Date of Inspection
o1
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
1 1..Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type A a r, , " GJ4 . <Ah
►fiff"
❑ Yes
No
❑ Yes ZN1
❑ Yes o
❑ Yes No
;/'❑ Yes �$o
❑ Yes
13. Do the receiving crops differ witli those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes L HIV
14. a) Does the facility lack adequate acreage for land application? El Yes sfO
b) Does the facility need a wettable acre determination? ❑ Yes
c) This facility is pendcd for a wettable acre determination? ❑ Yes VNo
15. Does the receiving crop need improvement? ❑ Yes I�f
16. Is there a lack of adequate waste application equipment? ❑ Yes No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes jNo
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) El Yes N
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes N
24. Does facility require a follow-up visit by same agency? ❑ Yes IN
25. Were additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes No
i'Vo ViOEatiOtis:ot. dgficjehdbs were n+ fed. i (Whig this. .v. sit, • 1'©tr wiil•teeeiye Rio; fpttiler. .
co rresV6fidence: abGu>� this :visit: :.....:::::::::............ .
3/23/99

r Facility Number: a — j Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
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?
lzo?ulk e
❑ Yes
P4O
❑ Yes
ElYes
N
jNo
❑ Yes
ZNo
❑ Yes
❑ Yes N
❑ Yes No

Division of So' and Water Conservation Operation
3
=
Divi ' Soit and Wait'' ' C" nse!t dakroni Compliance Inspect><on s
#
Q°}IJ� n1
�v>ision of Water uah Com ltance Ins ection
•: •
`
I 4S 3 i,.. 3�;
t
- '.:..�:3.^� i r.;r3,,
O'4ther A enc U eratiotxRev�ewiigsY
,. !,
�. Y. r p a ,G.
i
l
1012outine _Q Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number Date of Inspection 7 L7
Time of Inspection �a 24 hr. (hh:mm)
[j Permitted Certified © Conditionally Certified C] Registered 1E3 Not Opera io Date Last Operated:
Farm Name: �Q?!}T....!.�....!i,..r..... r�! Q.'...... County:...........................................................
Owner Name:...�d r. '...., Phone No: .................
Facility Contact: .....?^ ?'' ..'-.............................................Title:................. .... Phone No:........... ....
` L
Mailing Address: .Za.Y�!�s!9''.r.`�r�h��:....��"'� .....��........�..�..�`3..0........ ..........................
............. .............................................. ..................
1�
Onsite Representative: Ca'�9r `7.'..�� Integrator: ......................................................................................
......................
Certified Operator;...,�....................
0!9� „.„�/,.,.'.1 Operator Certification Number:......,,...
..............................
Location of Farm:
............... I ....................... ....... I ...........................
..................................................................................................................... ..
...........................................................,........................................ .:
Latitude 0 6 Longitude • 6 44
',._CDesign Current Desiurrent Design
gn
ulCattlCa Capacity Population y e Capacity Po ulaton, J
❑ Wean to Feeder ; ❑ Layer ❑ Dairy
❑ Feed to Finish ❑ Non -Layer ❑ Non -Dairy'
arrow to Wean
' ❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity !
7 ❑ Gilts
❑ Boars ='J , , , "Total SSLW
n
Number of Lag' . ❑ Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area ;
• Holdin Ponds' g! I Solid; Traps !; ❑ No Liquid Waste Management System„i
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge orininated 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? (Il' yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/ruin?
d. Does discharge bypass a lagoon system? (If ycs, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard(inches): ...... L.v..+........................................................................................................................................................... ....
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes No
El YesVNo
❑ Yes
❑ Yes
❑ Yes
? ❑ Yes No'
❑ Yes No ZZ
Structure 6
............I ..................
ElYes ❑ o
Continued on bacf

Fpcility Number: — Nate of Inspection
b. 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/improvemen(?
8. Does any part of the waste management system other than waste structures require maintenarice/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type )-,o 56a l'ie✓MN C" A?-
Z7
❑ Yes No
❑ Yes
❑ Yes No
❑ Yes No ZI
❑ Yes No
El Yes o
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes KO
14. a) Does the facility lack adequate acreage for land application? ❑ YesVNo,,"
b) Does the facility need a wettable acre determination? El Yes
c) This facility is pended for a wettable acre determination? ❑ Yes N
15. Does the receiving crop need improvement? ❑ Yes No
16. Is there a lack of adequate waste application equipment? ❑ Yes o
Reguir•ed Reeords & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.) ❑ Yes N
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes N
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes
v
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes o
24. Does Xfacifirequire a follow-up visit by same agency? ❑ Yes N
25. We any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
Ro vo1'afijns....en..pc�rihis;viset!oWlrbk*e ..Yuleilio fuftw
�curres• onden& about: tkris :visit. : :
'.,,{.. i § {<.
Comments (refer ito question #) Earplstrn any YES nsw®rs and/or any'recomrttendations or, any, othercnmments '` 'sr ' k'
Use drawirigs of facility to;bette'r.explam situations (use;additional pagesias necessary}
!' E,..! :§.si 9<>> =3ii-
3/23/9 i;

Faciliiy NAmber: Date of] nspection
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 o
28. Is there any evidence of wind drift during land.application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Ye/No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Ye
Y !� Pi i i i Eg d I jll;1�331E t
n t t oa ommen an r Drawings:,
� „, -,.o. n�a: � s- 3 f t �,� i ., • t�' ft a<' ,
fv
A6
T

• •� uS
.o�:•„t.zsN..,s.w-.,..<s4:a:d.b:}::::«„'4.,:,.;..:.x�;s3s�a;. "fa8'kS.��',< •B' "�"i
SWC Animal Feedlot Operation Review "
[]DWQ Animal Feedlot Operation Site Inspection',
outine.-.O Complaint, .0 Follow-up 6f DWQ.irispecti
Facility Number
-0.k'rillo%v:u :of DSWC review O Other
Date of Inspection
Tinie of Inspection ; 4 24 hr. (hh:mm)
Total Time (in traction of hours
Farm Status: Q Registered .[] Applied for Permit (ex:I.25 for l hr 15 min) Spent on Review 0
❑ Certified ❑ Permitted or Inspection (includes travel and processing)
Not Operational I Date Last Operated:.............................................................. .............
FarmName: .............. H............. r� - ...... County:..............................,.,....................................................
OwnerName: ........................................ .......... ..................... ..................................... Phone No:..............,......,.................................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
MailingAddreSs:.................. ................................................................................................... ..................................................................................... ..........................
q
OnsiteRepresentative:. ..... 1-.` ............... l.L..--r-r.........................I.......... Integrator:.......................................,.....,......................................
Certified Operator: .................................................. .............................................................. Operator Certification Number:........................
Location of Farm: _
Latitude Longitude 0• ����
of Operation
❑ Wean to Feeder
❑ Feeder to Finish
51 Farrow to Wean
El Farrow to Feeder
❑ Farrow to Finish
❑ Other
Layer
Non-1
Dairy
Non -I
C
Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at; ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance than -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 sal/mi0
d. Doe%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 lag)ons/holding ponds) require
maintenance/i n1provement?
4/30/97
❑ Yes i,4No
❑ Yes KNo
❑ Yes P I o
❑ Yes l No
❑ Yes
No
❑ Yes
V No
❑ Yes
li No
Cl Yes
No
Ontlinued on back

Facility Number: —
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
1 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,
INo
Structures(La oons and/or Holding Ponds)
1
9. Is storage capacity (freeboard plus storm storage) less than adequate?
ElYes
L! 1 No
Freeboard (ft): 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
~Sttruqure
.......................................... ........................................................... ..................................... . ......................................
................................
10, Is seepage observed from any of the structures?
❑ Yes
No
F
11. Is erosion, or any other threats to the integrity of any of the structures observed?
ElYes
(dNo
12. Do any of the structures need maintenance/improvement?
Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation Hoses
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
Write Application
A
14. Is there physical evidence of over application'?
❑ Yes
No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ....... ` - —.....................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
10 No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
C�No
18. Does the receiving crop need improvement?
❑ Yes
dNo
19. Is there a lack of available waste application equipment?
❑ Yes
dNo
20. Does facility require a follow-up visit by same agency?
❑ Yes
No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
{] No
For Certified Facilities Ouly
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
24. Does record keeping need improvement?
❑ Yes
❑ No
Reviewer/Inspector Name
Reviewer/Inspector Signatu
Date: l U/j 7
cc: Division of Water Quality, Water Quqfity Section, Facility Assessment Unit 4/30/97

E I 11�
State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
-n -
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
1:31.E: HNR
:! DIVISION OF WATER QUALITY
April 14, 1997
Mr. Gary Hill
6204 Pleasent Grove Church Road
Nashville, North Carolina 27856
Subject:
Dear Mr. Hill:
Compliance Evaluation Inspection -
Facility # 64-73
Gary -Hill Home Place Swine Farm
Nash County
.On April 8, 1997, Mr. Buster Towell from the Raleigh Regional
'--Office conducted a compliance inspection of the- subject animal
facility. This inspection is part of the Division's efforts to
determine compliance with the State's animal waste .nondischarge
rules.
The inspection determined that the Swine operation was not
discharging wastewater into waters of.the State and•that the
waste lagoon had the required amount of freeboard. As a result_ of
the inspection the facility was found to be in compliance with the
State's animal nondischarge regulations.
M
Effective wastewater treatment and facility maintenance are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in -order to protect the natural resources of
the State. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil
penalties and may also result in the loss'.of deemed permitted
status; -requiring immed,iat-e-"subm-iss�ion-�of•-a-waste-management,-,pl•an: -
This office would also like to take this opportunity to remind you
that you are required to have an approved animal waste management
plan by December 31, 1997. This plan must be Certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District office.
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, Forth Carolina 27609 N3*f C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/ 100k post -consumer paper

Mr. Gary Hill
Page 2
The General Assembly recently passed Senate Bill 1217 which will
require all animal waste management systems to,'designate an
"Operator in Charge". It shall be the responsibility of this
individual to oversee the operation and maintenance of the animal
waste management system and to have control over waste application
activities. Currently classes are being held for operators of swine
facilities and training is being developed specifically to address
dairy and liquid poultry operations. For more information please
call either your local Soil and Water Conservation District or
Cooperative Extension Service Office.
The Raleigh Regional Office appreciates your cooperation in this
matter. If you have any questions regarding this inspection please
call Mr. Buster Towell at [phone].
Sincerely,
A
Judy Garrett
0.v.-. Water Quality Section 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

Facility Number
Farm Status: ...:" I ...w.. _......r....
........»
Date of Inspection -
Time of Inspection offj Use 24 hr. time
Total Time On hours) Spent onReview s �
or Inspection (includes travel and processing}
Farm Name:, r, t j J (✓µn C 1�f .. ,.._...... _ ... county:
Owner Name: __:. ... »..,...,.. Phone No:
MailingAddress:
Onsite representative: _�ftll14 • 1�..­—­------Integrator: � rG_..I �......_ ........ _ _._ ..
Certified Operator Name: ..LJ..i7L*_� = . ._............. _. ».._.. �.». _. _» _...._. ._» ..._ ... _ .... ......._m.__.. .
Location of Farm: S'!Z 6 07
�YYWYYppYY�YA�YYRW��Y/YI�YW W/.YYYtlaWaYyI�YWA1fY•YIdoYYYYWY
Latitude
Longitude • •
❑ Not Operational j Date Last Operated: ............ . ...... . ».......- _ ._ -_ . _-...�....._...._ . ................. _..... »....... _
of uperanon anti uesign capacity
Swine Number " Poultry Number Cattle
❑ Wean to Feeder
❑ er to Finish
Farrow to Wean
c1
Farrow jQ Feeder
IM Farrow to Einish
La ': ❑ Dairy
Non -La er Beef
...,.
❑ Other Type of Livestock
Number ` goo /Jloldin Poods .. _ [3 Subsurface Drains Present
f La oon 113 Spray Field Area
era
I. 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)
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 managemenf system (other than lagoons/holding ponds) require
❑ Yes C1, 0
❑ Yes 0'No
❑ Yes 2
❑ Yes o
❑ Yes LQNo
❑ Yes
❑ Yes 7No,
❑ Yes 0

6. , facility not in compliance with any applicable setback criteria? ❑ Yes o
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1197)? ❑ Yes . 'u
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes { o
Structures (Lagoons and/or Holding Ponds)
r
9. Is structural freeboard less than adequate? ❑ Yes No
Freeboard (ft): Lagoon 1 / 4 Lagoon 2 Lagoon 3 Lagoon 4
10. Is seepage observed from any of the structures? ❑ Yes 7" A"
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes L o
12. Do any of the structures need maintenancelimprovement? ❑ Yes
(If any of questions 9-12 was answered yes, and the situation poses an
Immediate public health or environmental threat, notify DWQ)
1
13. DQ any of the st�r ctures la k adqquate markers to identify start and stop pumping levels?C H, A,4
Yes
❑ No
WJrI_ ^ w1f� 0,-5 "-, ,F
Waste Application
14. Is there physical evidence of over application?
❑ Yes
�o
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
L
16. Do the active crops differ with those designated in the Animal Waste Management Plan? �i0���0r- `/ .1('
❑ Yes
❑No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
Q 0No
18. Does the cover crop need improvement?
❑ Yes
0-90
I9. Is there a lack of available irrigation equipment?
❑ Yes
idrv0
For Certifed Facilities Only
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
❑ Yes
❑ No
22. Does record keeping need improvement?
❑ Yes
❑ No
23. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
24. Did Reviewer/Inspector fail to discuss reviewlinspection with owner or operator in charge?
❑ Yes
❑ No
Comments (refer to question #): Explain. any. YES answers and/or any recommendations or any other comments.
Use drawing's of facility "ttgr explain situations: (use'additionia'pages as necessary}
&rJ7u� � ��� A t�.r��� b pS&rvG� ov, � v� ��,�. af.�lc. �� 1j:
a
Reviewer/InspectorName
Reviwer/Inspector Signature: Date:
cc. Division of Water Oaaliev. Water Ouality Section, Facilitv Assessment Unit 1 1/14/96

/6 C-*A rr 20
D' : on of Soil and Water Conservation ❑ Other Agency
tvision of Water Quality
12 Routine O Cum taint O Follow-up of DWQ ins cation O Follow-up of DSWC review O Other
Facility Number Date of Inspection
Time of Inspection Q 24 hr. (hh:mm)
[3 Registered Certified © Applied for Permit 13 Permitted 113 Not Opera Date Last Operated:..........
FarmName: County: 1..'�� (..5 .... ...................................................................................... y:.......K"... ..rl...... ......
Owner Name ....... ,0. ..' .........1. .'., .d........... ..... Phone No: Z...�..{1r.......................d.1.....................
-�3
Faculty Contact: ...,. ff .....e.......... ..... Title: .. Phone No: .....
.........................................................................................................................................
Mailing Address: .Il,?...�p. tl........l l .�z1 y..�11�............ s�: �rC ......'...!t... C 7.7—S-Z
Onsite Representative:.,&/t. ... Integra#or:.... / r L r.. .(....................................................
Certified Operator ,.....!�.`r!(,l(.s ............. Operator Certification Number.....................................................................................
Location of Farm: l� GGl Ar a'- 27> , Sn 1-5 n o 4 6 0 --Q
Latitude Longitude �• �' �"
�T "Design - Current,
N
�.
Design" Current ..; "; Design Current
$wyine 3r Capacity Population
Poultry
Capacity Population Cattle Cacit ap Po unn,
Y P. laEi
❑ Wean to Feeder
❑ Layer
❑Dairy
❑ F er to Finish
i,
❑Non -Layer
' ❑Non-Dairy
�.
arrow to Wean
'a
y
❑ Farrow to Feeder
❑Other
r '
❑ Farrow to Finish
3
Total Design Capacity
❑ Gilts'.
SSL.W
El Boars
JW
.............$Total
..�.._
Nuuo agoo / tng Ponds
Ri
rn
❑Subsurface Drains Present
❑Lagoon Area
© spray Field Area
❑ No Liquid Waste Management System
_
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes ed No
❑ Yes No
❑ Yes L� N
❑ Yes No
❑ Yes 040,
❑ Yes No
❑ Yes 01 N
El Yes No
ElYes o
❑Y ❑No

.( L
~ Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed? Cl Yes 2<0
Structures (Lagoons.flolding Ponds, Flash -Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ONo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (ft): ....... ......0...I..................
............................. ................................... .................................... .................................... ........... ........
.................
10. is seepage observed from any of the structures? ❑ Yes I No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12. Do any of the structures need maintenance/improvement? ❑ Yes No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes No
Waste Application
14. Is there physical evidence of over application? ❑ Yes No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .erll !: -2 _?`!? ? C�4.!.. r ............................................................................................................... .........
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes 1
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes
18. Does the receiving crop need improvement? ❑ Yes WNo
o
19. Is there a lack of available waste application equipment? ❑ Yes
20. Does -facility require a follow-up visit by same agency? ❑ Yes
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. ;Were a dditional problems noted which cause noncompliance of the Certified AWMP? ElYes N
25.e any additional problems noted which cause noncompliance of the Permit? ❑ Yes o
No.vialations-or deficiencies. were; noted, during this" visit., :You will receive,no•furtlt:er
e0r6pbadekO about -this: visit: - _ : .
7/25/97
Reviewer/Inspector Name l `e 11&1 , .-I' ..Aug
Reviewer/Inspector Signature: Date:

JUL--14-1995 15:26 FROM DEM WATER QUALITY SECTION TO
RRO P.02/02
Site Requires Immediate Attentior:
Facility No. _
`.,/ r ✓ DIVISION OF ENVIRONMENTAL MANAGEMENT - '
V ANIMAL FEEDLOT OPERATIONS . VISITATION RECORD
✓/ DATE: Z� 1995.,_
7Y'"1 Time: ,..
Farm Narne/Owner: �GG`� �
MailingAddress: 4f-, f- m
County:._ T_.- . A/ta--5�
✓ f //d _ Ale
e
Integrator: Phone:
On' Site Representative: Phone. _ '� �c% _ f -31::�
Physical Address/Location: �• . ✓'� •' G`... /'~ %!'�
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Site. IVrs
DEM Certification Number: ACE DEM C&rdficarion.Number: ACNEW
Latitude: �G ' �$" Longirude: Elevation: 2 `�O_ Feet
Circle Yes or No
Does the Animal Waste Lagoon have sulfcienr freeboard of I Foot +- 25year 224CC
es hour st rm event
(approximately 1 Foot + 7 inches) or No Actual Freeboard: C. Inches
Was any seepage observed from the la oon(s)? Yes or Fo Was any erosion observed? Yes o6
Is adequate land available for spray? e Is the cover crop adequate? -e or No
Crap(s) being utilized:
Does the facility meet SCS nui.nimum setback criteria'? - 200'Feet'from'Dwellings? se or No
100 Feet from Wells? lie or No
lie animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes. or&
_: ari seal waste land applied or spray irrigated within 25 Feet of a USGS' Map Blue Line's Yes or uo
7s animal waste discharged into waters of the state by tnan-trade ditch, flushing sysmin, or other
-;im lat• man-made devices? Yes o No If Yts. Please Explain.
' )r,c5 t6c f:ic:ility wa main adequate waste ruariagernent records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes of 60
cc: Facility Assessment Unit Use Attachinents if Needed.
I
TOTAL P.02

ti
DIVISION OF ENVIRONMENTAL MANAGEMENT
October 4, 1995
Mr. Gary Hill
Rt. 6, Box 63
Nashville NC 27856
Subject: Compliance Inspection
Swine Operation
SR 1308
Nash County
Dear Mr. Hill:
On August 25, 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. As a result, your facility was found to be in
compliance during this visit.
Effective wastewater treatment and facility stewardship are a
responsibility of all animal facilities. The Division of
Environmental Management is required to enforce water quality
regulations in order to protect the natural resources of the State.
Accordingly, illegal discharges of wastewater to surface waters of
the State are subject to the assessment of civil penalties of up to
$10,000 per day, and may also result in the loss of deemed
permitted status, requiring immediate, submission of a waste
management plan.
This office would also like to take this opportunity to remind
you that you are required to have an approved animal waste
man�ement plan by December 1997. This plan must be Certified by
a designated technical specialist or a professional engineer. For
a listing of certified technical specialists or assistance with
your waste management plan you should contact your local Soil and
Water Conservation District.

1
State of North Carolina
Department of Environment,
Health and Natural Resources
MrRaIU Regional Office
Page -2ova
-
James B. Hunt, Jr„ Governor
Jona n 8aI;&il*, 6RJtjkI Office apprecia es n
t dbAA �idsoni fZeMh&V@n d
r questions regarding ing your inspection
please call Danny Smith at 919) 571-4700.
Sincerely,
Kenneth Schuster, P. E.
Regional Supervisor
/ds
H:\animdnl3
cc: Nash County Health Department
Nash County Soil and Water Conservation District
Steve Bennett - Regional Coordinator, Division of Soil and
Water Conservation
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% past -consumer paper

Water Resources
Environmental Quality
March 13, 2017
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Gary Hill
Hill Farms 2
6204 Pleasant Grove Church Rd
Nashville, NC27856-7856
Subject: Notice of Deficiency
Hill Farms 2
Permit Number AWS640073
Nash County
Dear Permittee,
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
As of this date, our records indicate that the above -referenced permit issued to your facility has
overdue fees. It is both a condition of your pen -nit and required by Rule 15A NCAC 2T .0105(e) (2) to pay
the annual administering and compliance fee within thirty (30) days of being billed by this Division.
The following invoices are outstanding:
Invoice Number
Due Date
Outstandin Fee $
2016PR004045
6/5/20167
180
Failure to pay the fee accordingly may result in the Division initiating enforcement actions, to
include the assessment of civil penalties. Failure to comply with conditions in a permit may result in a
recommendation of enforcement action, to the Director of the Division of Water Resources who may issue
a civil penalty assessment of not more that twenty-five thousand ($25,000) dollars against any "person"
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit under
authority of G.S. 143-215.6A. Therefore, it is imperative that you submit the appropriate fee as requested
within thirty (30) days of this Notice of Deficiency.
Please remit the payment, made payable to the North Carolina Department of Environmental
Quality (NCDEQ), in the above amount. Please include Permit Number on your check and mail this
payment to:
Division of Water Resources — Budget Office
Attn: Teresa Revis
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
-t:ontd-
->—Nothlnq CC3iT3pare.s' �-,....,r
State of North Carolina I 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

If you have any questions concerning this Notice, please contact Animal Feeding Operations
Program staff at [phone].
Sincerely,
J
j� ,
Debra J. Watts, Supervisor
Animal Feeding Operation, and
Ground Water Protection Branch
cc: Raleigh Regional Office, Water Quality Regional Operations Section
WQROS Central File (Permit No AWS640073)

Water Resources
Environmental Quality
June 1, 2017
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Gary Hill
Hill Farms 2
6204 Pleasant Grove Church Rd
Nashville, NC27856-7856
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
NC Dept of Environmental Quality
'UN -52011
Raleigh Regional Off -lee
Subject: Notice of Violation/Notice of Intent to Enforce
Hill Farms 2
Permit Number: AWS640073
Nash County
Dear Permittee,
You are hereby notified that, having been permitted to have an animal waste management system
permit pursuant to NCGS 143-215.1 and Section 402 of the Clean Water Act, you have been found to be
in violation of your permit. It is both a condition of your permit and required by Rule 15A NCAC 2T
.0105(e) (2) to pay the annual administering and compliance fee within thirty (30) days of being billed by
the Division of Water Resources (Division). The Division sent you a Notice of Deficiency by a letter dated
March 13, 2017. As of this date, our records indicate that the above -referenced permit issued to your facility
has overdue fees.
The following invoices are outstanding:
Invoice Number
Due Date
Outstanding Fee $
2016PR004045
6/5/2016
180
Be advised that this office is considering recommending assessment of civil penalties to the
Director of the Division of Water Resources if you fail to pay the appropriate fee as requested within thirty
(30) days of this Notice of Violation. The Division has the authority to levy a civil penalty of not more
than $25,000 per day per violation against any "person" who violates or fails to act in accordance with the
terms, conditions, or requirements of a permit under authority of G.S. 143-215.6A. Therefore, it is
imperative that you submit the appropriate fee as requested within thirty (30) days of this Notice of
Violation.
Please remit the payment, made payable to the North Carolina Department of Environmental
Quality (NCDEQ), in the above amount. Please include Permit Number on your check and mail this
payment to:
Division of Water Resources — Budget Office
Attn: Teresa Revis
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
-contL-
-' �--Nothing Compares -,--
State of North Carolina I 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

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 Statue or permitting
requirements. If you have any questions concerning this Notice, please contact the Animal Feeding
Operations Program staff at [phone].
Sincerely,
0,4&4", J . CjA-"
Debra J. Watts, Supervisor
Animal Feeding Operations, and
Ground Water Protection Branch
cc: Raleigh Regional Office, Water Quality Regional Operations Section
WQROS Central File (Permit No. AWS640073)

WASTE UTILIZATION PLAN �...
APR
ANIMAL WASTE UTILIZATION AGREEMENT; tt;
(Needed only if additional land has to .be leased, etc.)
I� hereby give
i
permission to app y animal waste from his Wa to Utilization System
on acres of my land for the duration of time shown below.
The field(s) on which waste can be applied are shown on the
attached map_
I understand that this waste contains nitrogen, phosphorous,
potassium, and other trace elements and when properly applied
should not harm my Land or crops. I also understand that the use
of waste will reduce my need for commercial fertilizer.
Adjacent Landowner: ��" �•
r,
,� -
Date :
0
Waste Producer:
Date:
Technical Representati e :
-r�,'�- /.��!'.�-r��
Date:
SWCD Representative:
Date:
Term of Agreement: ",.A
, 19_ to
(Minimum
of Ten rears on Cost Shared
Items)
(See Reguired
Specification No. 2.)
Page: 11

'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.

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 214 .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.

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
900
6882
A
GEE
BG
4.0
150
0.0
6.0
I
APR-SEPT
6682 -A GEE
SG 50.0 150
I
10.0 16.0 1300.
SEPT-MAR
6882 1 INRB
BG 4.0 1150
I
10.0 11.4 121Q
APR-SEPT
6882 1-1 JNRB
SG 50.0 150
I
10.0 11.4 170
SEPT-MAR
END
I
TOTAL11480
- 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.

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
6713
A
NRB
BG
4.0
150
0.0
0.8
120
APR-SEPT
6713 -A NRB
I
ISG I50.0 150 10.0 10.80140 SEPT MAR
3033 1 NRB
FG 3.5 131.25 0.0
F
IS.3 1695.625
1 1 SEPT-NOV
3033 2 NRB
FG 3.5 90 118.125
1
r�
1131.2510.0 10. .
SEPT-NOV
END
TOTAL 973.75
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.

ANIMAL WASTE UTILIZATION PLAN
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.
** 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
7.4
1480
7 '
973.75
14.4
2453.75
* BALANCE
-23.75
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.

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 1.5.84 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

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
Appliccttion Rate
(in/hr)
Applic. Amount
(inches)
3033
1
NRB
FG
0.40.
*1.00
3033
2
NRB
FG
0.40
*1.00
6713
A
NRB
BG
0.40
*1-00
6713
�A
NRB
SG
0.40
*1.00
6882
1
NRB
BG
0.40
*1.00
6882
A
GEB
BG
0.40
*1.00
6882
,882
r
`1
NRB
SG
0.40
*1.00
"A
GEB
SG
0.40
*1.00
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 6.00
months. In no instance should the volume of the waste be stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and'2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
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.

ANIMAL WASTE UTILIZATION PLAN
NARRATIVE OF OPERATION

WASTE UTILIZATION PLAN
REQUIRED _ S P E CIF I CA.T I ONS
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 Flan 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.

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, aai'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.

WASTE UTILIZATION PLAN
REQQIRED 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.

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGRBEbffENT
Name of IParm: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
-a ' lities w4 ll require a new certification to be submitted to the
y ty?� Carolina Divis_ori o1 fpWaterQuality (NCDWQ)) before the new yr
a nnimial►s are atoCKeG. 1 'we) also ua' dero"ita.,.C� ti t there i^.L'st be nc
discharge of anirtlal waste from this system to surface Waters of the
State from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be tiled on -site at the farm office
and at the office of the local. Soil, and Water Conservation District
and will l be aura i l Mb1 e for rP17i p_w by N%iiWQ ii-oc ! re4xiest .
Name of Facility Owner: GARY HILL
(Please orint)
{K
Signature: ' � \! f �} � Date: 1 Z / 3 /
Name of Manager (If d fferent from owner) :
SIgnature:
Date.
Dame. of Person Preparing flan: (Flease print1J. Edward Long
Affiliation:Nash Soil and Water Conservation District
No. 919-459-41.15
Address (Agency) : Room 107 Ag. Center Drive
Nashville 14C 27856
Signature; Date: /2-/3f / 7 7
Phone

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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:
I �W;W'A
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Subject. Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 64473
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 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI,'IRR2, DRY I, DRY2, DRY3, SLURI, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincerely,
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Nash County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
June 25, 1999
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Attn: Gary Hill
OWL
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWS640073
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]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS640073
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 Regiona
may be reached at [phone]. If you need additional information
General Permit, please contact Dianne Thomas at [phone] ext. 364.
Sincerely,
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
I Office Water Quality Staff
concerning this COC or the

An. alWaste Management Plan C .ification
Pleuse type or mint all information that does not reouife a signature
SjngX.jWformation:
Name of Farm: H;11 Paemg Facility No: b y' - 73
Owner(s) Name: Ga.r Phone No: I - Y - 6.3 0
Mailing Address: 610Y PIeajanf Groje Ckurck koox(
Farm Location: County Farm is located in:. Alo-j k
Latitude and Longitude: 3° S? ' 37' 178 0 o3` 54 " Integrator:
Please attach a copy of a county road map with Iocation identified and describe below (Be specific: road
dames, directions, milepost, etc.): o, sB_mafl �t,Q•, sR r3oo� sRi3og
Operation Descrigtion•
Type of Swine No. of Animals
0 Wean to Feeder
❑ Feeder to Finish
® Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
O Gilts
0 Boars
Type of Poultry
O Layer
• Pullets
No. of Animals
Type of Carte No. of Animals
0 Dairy
❑ Beef
Other Type of Livestock Number of Animals:
Acreage Available for Application:I $. 0 r Required Acreage: / 'G Y
Number of Lagoons / Storage Ponds: I Total Capacity: q 70, 3 y8. ? Cubic Feat (ft3)
Are subsurface drains present on the farm: YES or (9) (please circle one)
U YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
*F*M#R#M*##+Rah*M*+h*hFA*�t##�kh##M#+h*##MM+klf#M#*####W#F##Rt*#*M*#*#*#hM+kMMMiM*kMARMhMrk#rhfr
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation
and maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are" stocked. I (we) understand that there must be no discharge of
animal waste from the storage or application system to surface waters of the state either directly through a man-made
conveyance or from a storm event less severe than the 25-year, 24-hour storm and there trust not be run-off fmm the
application of animal waste. I (we) understand that ran -off of pollutants from lounging and heavy use area must be
minimized using technical standards developed by the Natural Resottrces Conservation Service. The approved plan will be
filed at the farm and at the office of the local Soil and Water Conservation District. I (we) lmow that any modification
must be approved by a techmcal specialist and submitted to the Soil and 'Water Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new certification (if the approved
plan is changed) within 60 days of a title transfer.
Name of Land Owner: Gal
Signature;
Date:_ i z / 3I / f7
Name of Manager(if different from owner):
Signature: Date:
AWC — August I, 1997

Q
rl-ehnical Specialist Certi..zation
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6F .0005, 1 certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management
(DEM) as specified in 15A NCAC 2110217 and the USDA -Natural Resou=s Conservation Service (MRCS) 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 sign each certification (SD, SL WUP, RC, 1). the technical specialist should only certify parts for which they are
technically competent.
IL Certft ation of Design
A) Collection, Storage, TreLtm&nt System
Chuck the appropriate box
(SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
❑ New. expanded qr mMaf Ud facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print):_ i-. Bc,sf
Affiliation &&51 Rego.-_c rvei; Seep, Date Work Completed:_ z 3 / /17
Address (AgenPhone No. y�t/S
B) Land Application Si (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management: hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): J, cd
Affiliation f W o*a, Date Work Completed: -1 Z /3/ /9 7
Address (Agency) • dw roe cr- , er o,; 1- g, r le. AIc z, Phone No.: 5 t y -Y.fy -Y&S
Civnatnrp• `�� �� Date, /2/J//97
C) Runoff Controlsfrom Foerior Lots
Check the appropriate box
M Facility without exteriol IgIs (SD or WUP or RC)
This facility does not contain any exterior lots.
a FagjLty adih utcLjgLj= (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by MRCS.
Name of Technical Spedalist (Please Print):- .7 1-* --g _
Affiliation N,..<< s,,: l 4._y,14.e Cory arga.4;0_. &S fi�sl- _ Pate Work Completed:
F.M.-i _
Signature
AWC '-- A
No. 9I1-ff7-L-111
// -/t96 _

D). Applicition-and Hant ZJ.LUlipment
Check the upprophare 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 can be maintained and calibration and adjustment guidance are contained as pan of
the plan).
v (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rages not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
Contained as part of the plan).
Q New, ex2anded, or ffxis�ng facility without exisgno ZMgtC g2RIiCafi= eguipMent for land s=adWg QQt using
1>=1'.irriandon, (WUP cr 1)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary to
accommodate the waste tttanagemeat plan; (proposed application equipment can cover the area required by the
plats at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for liming of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Name of Technical Spec!" (Please Print): `7. �!
Affiliation AA .Sa / d Date Work Completed: I R - h- q ?
Address (Agency): nix ro7 A G �'�[ I A< z?Y Phone No.: f/I -V.5 V/4.5
Signature_ Q_ Date: I z-19 -9 7
E) Odor Control, Umd Control, Mortality Management and Emereencv Action Plan (SD,
SI. WUP, RC or D
'ne waste management plan for this facility includes a Waste Management Odor Control Checklist. an Insect
Control Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of bout odors and
insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical SpedalW (Please Print): T. Ed....,&.-ct Lo,,g -
Affiliation w.+« P. fe. Date Work Completed:
Address (Agency): Ron ) 07 A% c.emixr _ r;uc Na kL,.)la NC_ ;L-7 J - - -- -Phone No.: ?Ir - Yf 9-yll5
F) Written c w wine F rm
T'he following signature block Is only to be used for new or expanding swine farms that begin construction after June
21,19%. If the facWty was built before June 21,1996, when was it constructed or last
expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, stint, or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified is
attached.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: —Date:
AWC - August 1, 1997 3

- III. Certification of Installation
A) f Wlect:12n,, Storage, Treatment Installation
NCw. expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facitfties without retro, a, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
B) I amiAgplication Site (WUP)
Check the appropriate box
0 The cropping system is in place on all land as specified in the animal waste management plan.
❑ Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system
as specified in the waste utilization plan has not been established and the owner has committed to establish the
vegetation as specified in the plan by (month/day/year); the proposed cover crop is
appropriate for compliance with the wasteutiliaation plan.
❑ Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleated 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): T. Eolw a.a( Lam .,..,_.,_.. ___ ._....�...
AffiiiationA�,g kse, I j Wa#« Date Work Completed:
Ai
Si
This following signature block is only to be used
above has been checked.
No.: ;P if VIIS
when the box for conditional approval in M. B
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan,
- and if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion
from a Technical Specialist: within 13 calendar days following the date specified in the conditional certification- I (we)
realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an
enforcement action from DIEM.
Name of Land Owner.
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1"7 4

?joff ConwWs tMM " —',e r Lo (RC)
WHIM wiih.otAnu. -lots
Methods to minimize the run off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
For facilihies without exterior lots, no ceMflcadon is necessary.
Name of Technical Specialist (Please print):
Affiliation Date Work Completed:
Address (Agency): 'Phone No.:
Signature: Date:
D} ARRlig-2tion and Handling E uiprnent Installation (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 adjustment materials have been provided to the owners and are contained as part of the plan.
❑ Animal waste application and handling equipment specified in the plan has not been installed but the owner
bas proposed leasing or third party application and has provided a signed contract; equipment spedfied in
the contract agrees with the requirements of the plan; required buffers can be maintained, calibration and
adjustment guidance have been provided to the owners and are contained as part of the plan.
. ❑ Conditional approval: Animal waste application and handling equipment specified in the plan has
been pumbased and wM be on site and installed by (month/day/year); there is adequate.
storage to bold the waste until the equipment is installed and until the waste can be land applied in
accordance with the cropping system contained in the pian; and calibration and adjustment guidance have
been provided to tie owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): IT, 4+4—med 1.0,
Affiliation /f�s 5p.'/ ¢ !f e°' Date Work Completed: z -/9 -9 7
Address (Agency): s- to7 dt Ce-ic, ",t/e .ex Z 7s? t Phone No.: 9 /9-'ys 9 y//.S
Siznature: /% v�.�---�-� �-- Date
The following signature block is orily to be used when the box for conditional approval in M D
above has been checked.
I (we) cettify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste managem=t plan and will submit to DEM a verification of delivery and installation
from a Technical Specialist within L5 calendar days following the date specified in the conditional certification. I
(we) realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us) to an enforcement action fi;om DEM.
Name of Land Owner.
Signature: - - Date: -
Name of Manager (if different from owner):
Signature: Date:
E} 0&1 Cgla=l,i a e or
Methods to control odors and it:s= as specified in the Plan have been installed and are operational. The
mortality man%, ement system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): X. , Ed-aw4 zo-3 -• --
Affiliation I wa.'w• Cep+ ... % f Date Work Completed: -
Address (Age ): . i f Ale C_ Phone No.: r--frf/-Q/�f . .
Signature: Date:1-/ z26 _
AWC -- Kugust 1, 1997 5

' Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Non -Discharge Branch, Compliance unit
P.O. Box 29535
Raleigh, NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files with your Animal Waste Management Plan.
AWC .. August 1, 1997 6

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-ANIMAL WASTE UTILIZATION PLAN
Producer: �`-
Location:
Telephone��`'h
Type Operation.
Number of Animaii:
(Design Capacity)
STORAGE STRUCTURE:
APPLICATION METHOD:
GARY HILL
6204 PLEASANT GROVE CHURCH ROAD
NASHVILLE NC 27856
919-459-6301
Existing Farrow to Weanling Swine
450.00 sows
Anaerobic Waste Treatment Lagoon
Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and'to
ensure that it is applied in an environmentally safe manner:!
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize_
2. Soil types are important as they have different infiltration
rates,'leaching potentials, cation exchange capacities, and
available water.holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
"4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
5_ 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, tone, 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 PANT/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
6882
A
GEB -
BG
4.0
150
0.0
6.0
900
II
APR-SEPT
6882
-A GEB
SG
50.0
I
�50 �0.0 16,0 1300.
SEPT-MAR
6882
BG
4.0 150 0.0 1.4
11. JNRB
I
121Q
APR-SEPT
6882
SG
50.0 150 10.0 11.4 70
1-1 JNRB
I
I SEPT-MAR
END
I
�
TOTAL11480
-
- Indicates that this
field is being
overseeded (i.e. interplarted)
or winter annuals follow
summer annuals.
DOTE:
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 addressee nitrogen.
Page: 3

ANIMAL WASTE ZTTILIZATION 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
DETERIMINING PFI.SE
CODE
AW M
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
6713
A
NRB
BG
4.0
150 10.0
0.8
120
APR-SEPT
6713 -A NRB
SG 150.0 50
4d_
I I
jo-A
I
j0.80
-MAR
3033 1 NRB
FG 3.5 131.25 0.0
15.3
�� +`
I I I
16.95.625.
i SEPT-NOV
3033 2 NRB
FG 3.5 131.25 0.0
�r r
f'
i
-T—-- -- -
10.90 1118.125
SEPT-NOV
END
—�-
r
TOTAL 973.75
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
bermudaarass. 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.
Page: 4

ANIMAL WASTE UTILIZATION PLAN
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.
** 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 expi-ains the crop codes used in tables I 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
- *4
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
7.4
1480
7
973.75
14.4
2453.75
* BALANCE
-23.75
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

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 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: 6

ANIMALS 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)
3033
1
NRB�
FG
0.40 1
*1.00
3033
2
NRB
FG
0.40
*1.00
6713
A
NRB
BG
0.40
*1.00
I6713
161181
NRB
SG
0.40
*1.00
1
NRB
BG
0.40
*1.00
6882
A
GEB
BG
0.40
*1.00
6882
rl
NRB
SG
0.40
*1.00
6882
GEB
SG -
0.40
I *1.00
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown.cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is -designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 6.00-_
months.. In no instance should the volume of the waste be -stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid. ,
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.
Page: 7

ANIMAL WASTE UTILIZATION PLAN
HA M TIVE OF OPERATION
Page: 8

WASTE UTILIZATION PLAN
RSQUIR—ED 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 regulaticns 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's for guidance.)
-7. Liquid -waste shall -be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 9

WASTR UTILIZATION PLAN
R20UIRED-SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops or. soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be -at least. 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes'no runoff or drift from
the site.
15. Domestic and industrial waste from washdown facilities,
showers, toilets-, sinks., etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 10

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 preplar_t with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to *nark 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 50 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five ( 5 ) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 11

ANIMAL WASTE UTILIZATION PLAN
W STE 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:
Name of Manager(If fferent from owner):
Signature:' Date:
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 -
Nashville NC 27856
Signature: Date:
12-131177
Phone
Page: 12

ANIMAL WASTE UTILIZATION AN
(Needed only If additional land has to be leased, etc.)
I, J n hereby give 4 1 4,,
permission to appl animal waste from his was a Utilization System
on �� acres of my land for the duration of time shown below.
The field(s) on which waste can be applied are shown on the
attached map.
I understand that this waste contains nitrogen, phosphorous,
potassium, and other trace elements and when properly applied
should not harm my land or crops. I also understand that the use
of waste will reduce my need for commercial fertilizer.
Adjacent Landowner: Date: }�
Waste Producer: Dater-_�
Technical Representative Date:'
SWCD Representative: Date: f - 3 ! - 9
Term of Agreement: ,15 to o D
of Tan Yearn an Cost Shared I ema)
(Boa 8egnired Specification No., 2.)
Page: 12

ANIMAL PASTE UTILIZATION rLAN
STATE OF NORTH CAROLINA
COUNTY OF d
I
Public of said County, do hereby certify that
A:�A- tJA42 r( IrA eiJ At ! AICr A. 1 CC a A
a Notary
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this 3 day of
c} t :C th b D-�-- , 19 97
My commission expires I -- / y-
Notary Public.
(SEAL)
Page: 13

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UNITED STATES DEPA,n^TMF.NT W AGRICULTURE
SOIL CONSERVATION SEUVICE
�SOIL LEGEND
Sou map symbers and map unrt norrvr wo aiprtatis . 'ha :i-at w,,W
always a capital. bs this irritfd lofar ai re new me1M. I1a satdd
intr is a small letler. The third law it usd, is atw■n+ mars+
and indicAtn slope. Symbols without sktos tatters art Toss Or
mtscaliameaus arts or nearly level earls
SYMBOL
NAME
AaA
All■wsa sandy loom, 0 In 3 PWMrrt vows.,. —el, 9oru.a
AbA
Aatavtsta-Ur bon land carrrplas 0 b 3 pernM flrtoe!
Aae
Autryvi0a koemy *and. 0 10 6 "now sow"
Bb
Bibb faun, frnom ny fla0dnd
Bne
alonlon loamy sand, z to 6 ow -cant sUgfa
Boa
aonneew Won- sand. 0 rp a PONce I slop.t
co
C.aiparee time NnW loam, ff04"W tktnlo0
OoA
Do"r, loamy und. 0 110 3 owcor 1 woofs
Foe
Fapvills Wmy sand, 1 to 6 percew sio0as
ass
Goor6wnoe Kam, 2 to 6 osavnt s+araa
W
Gowea mile lerR, 6 to 10 prcaM slow
W
GOWN"'Rit loom, 10 to 25 Mviso sham
OtfB
0aorwrim a it ovofy loom. 2 to 6 Pornorit rimas
Q1rC
Gearvavills RawMy loom 6 to l0 parwrtl oboes
W
a4gr9W$W Rr11i loom, 10 to 25 porcont moon
ova
Coorl"lledlrtion Vnd rrisilskm 0 so 6 of 8mtr giros
GoA
Goldsboro tine land, atrm, 0 bo 2 p.rar t sa;wl
Ora
0rlbly sandy loom. 2 to E peroant oboes
are
Grltnay sandy loam 6 in 16 oorCrrr sma"
Mae
Nolan mets,e Bendy loam, 2 to 6 pwnant sb0ea
...
. ..Ind'..
Msaaee born, trepnwrdy ft0oded
NBC
Manson sand, imam. 2 in 10 saraarit sarro�
Mrs
Meson kum, 2 so 6 onpnt slopes
MnC
Mason loam, E to 10 orcyrt tlooss
NaA
14m it loamy send, 0 to 2 Drum sloWa
MOB
Nafwk loamy sand. 2 to 6 Dw cut t siom
' Noe
Norfolk -Wedowee ompl az. 2 to 6 oVvrt shoos
Mrs
pow! it. Gaorpvirle, am Facenlb soils, 2 b 6 Do -am aiopas
NOB
Norfolk -Urban land a mpiet 0 t0 6 —m- umn
118
pains line randy berm
pb
Rak eWrlun land mrwles
To
Tamod" tins se+xlypsm
Ud
Lidurdisntt loan v 1 /
Ur
Urban lard
VMS
s Vedoweo eoern sandy loam. 2 b 6 carant slops
- - w0c
tlYednrl/ae morn awtdy loom, 6 t 10 Parcenl s opas
Wh _
Wohodlan Ism, freauori* tbnI
WkA
Wkkhwm fats sandy learn. 0 to 3 Verernt slopes, rarely floeded
W"
Worsham loam, 0 to 2 Pat o , slogs
t / Each etas an the Boll moo srwta n e WMW to beat klenti ied by the
wrolssl A are lurfhW KWWM d wrot wo of four labels on taro mao. Thom
IabsM srA 9wr•y !Dail. ewraw y": a %P. Landfill or LP, and Cut and Fill
or C&F.
NAS,

Nu;
No
Cef?

61 ArE OF NORTH CART" INA
DEPARTMENT OF NATURAL Rh. —jURCE8
AND COMMUNITY DEVELOPMENT
RALEIGH, NORTH CAROLINA
5' 164 f �c�11 a 166 2'30" 'f8
cem
_ ram} •a,h• '�,• � 2ptl• •. _ 1'
71
If
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it
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Al
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te
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574
tv
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• _ _s.•:.�,• 's'�5 yrl r �^ + r iw r r .�; )'t} I�. I I _ I _ x 3 I � .
{ 1 G ,a >• �• v •, r S 4,f'ir.1N++11�:�•{ f'-' 9r� +� ;`ll&tl i
,,�4: + a-`, � 1 ar•wl „v...,r. . i � s v� I .� ,.aL f�i'�'rrel�,y'�1�'viF M-_�! :
�; X.? I�0` `� �ifl � '����, + +rlr;.. t' �+ � � ..F �h stir S �r i .�: •
..R _, �4.µi��PFi'ir�14.� .. s. � ?�•��, .�G 1..L�t•�'��"!�'4 L ,,�! r �1. a. ..���;�Lv ♦�: v..
' l� f.'.�� «� -ly,., r, ' • ''G• ,.li,tlY T ''�:xr
u r. 110.

t CHART #a
MINUTES REQUIRED
TO WATER ONE (1) ACRE
___
PRE_C1P[TAT[C1N RATE ( ACRE INCHES)
GPM
0.10"
20"
Y_0.30
0,40"
0.50" 0.75"
1.00"
=.25
80
90
34
{0
6)
1
91
136
!2i
170 255
151 22b
339
;3"'12
100
27
's
54
_ s'3
8,0
13
lOri
99
_
T 136 W 204
«= 185
_
277
_377
ice_. _..._...{,.1_.
20
130
23
� '1
��
42
6;t
Cti
91
84
! 1 + 170
itj4 `s57
_.
226-
2:9
h -----;
::bi
=
240
ISO
19
18
;Ci
36
58
54
7 1
72
47 114`
91 136
194
181
_
226
;2
160
170
17
16
34
32
51
48
68.
64 -
85 12'7
80 :;;121} :'ri:
170
1160
-12
20,:
sar:
ISO
190
15
:4
30
29
45
43
60
57
75 113
71 107
;1
143
1R9
1"9
200
_
14
27
41
54
68 102
1.,6 F—
170
rfia
CHART #5
RETRIEVE RATE
( INCHES PER MLNUTE )
SIN
LANE SPACING ( FEET)
ACRE
[-100
125
150
175
400 225
250
—7
-
'fl
*s*...*
' •
174
149
13 i 116
i{)5
25
:*'*
157
139
119
105 93
84
76
?,s
30
1 ?s
9
116
100
8? 77
35
14,:,
119
1G7
33
;S e6
50
---
4
--------„�
-
4�3
i31 �
105 -
87 �
75
65 cg
c2
��
�
1 i6
93
77
66
58 52
46
^45
fi
; 05
°4
7(s
60
S i 45
6Q
97
70
58 :
'i0
44 39
_
'0 :
75
dis
5
43
37-
44 '
37 '
33 ' 29
2b
74
_._.
90
58
_`.2
46
39
33
29 26
23
100
32
42
35
30
26 23
21
143
l2c
s2
- a3
2g
?a
3 : 1.9
17
i fo
15
ZR
23
20
- 17 15-
14
_ 13
___...;
175
30
::4
20
17
15 i3
200
26
21
17
15
13 12
1G
250
21
1^
14
12
l o +
•�»
.,.«
x
300
17
14
12
;k
-
'r+e
350
15
12
l0
+*•s#
ssr
*w
*tom
100
1U
.:. ��*
t�►�
#+* ;M+
rya
x�•t
��.,
_
5[x1
L'

r
NELSON 100 SERIES BBC; (AIN" 24"'i RAJI47011V
NOZZLE
0.71"
RING
0.77"
RING
0.8I"
RING
0.86"
RING
0.89"
RING
0.93"
RING
0.96"
RING
PSI
GPM
DIA.
GPSI
DIA,
GPM
DIA.
CI'M
DIA.
CPM
DIA.
C PM
DIA.
GPM
DIA.
40
66
208
78
212
t11
215
103
224
119
235
134
238
152
242
50
74
221)
88
225
1(H)
230
115
240
129
250
151)
255
167
260
6(1
81
235
96
240
110
245
125
260
141
270
164
275
183
280
70
88
245
IN
250
118
261)
135
�1.15
275
152
290
177
295
198
300
80
94
255
111
265
127
275
285
103
300
189
'105
211
315
90
99
265
117
275
134
285
-154
295
173:-
310
201
315
224
325
100
105
270
1124
280
142
295
162
L.170
305
192
326
212
325
236
335
110
110
275
130
290
149
305
315
191
325
222
335
248
345
NOZZLE
0.6"
TAPER .
0.65"
TAPER
0.70" TAPIR
0.75" TAPER
(1.80'!
TAPER
0.85" TAPER
0.90"
TAPER
PSI
GPM
DIA.
GPM
DIA.
GPM
DIA.
GPM
DIA.
GPM
DIA.
GPM
DIA.
GPM
DIA.
40
66
213
78
222
91
230
103
240
118
250
134
256
lag
262
50
74
225
87
235
100
245
115
256
130
265
150
273
165
280
60
81
240
96
250
110
260
126
270
143
280
164
298
182
29.5
70
88
250
103
263
120
275
136
283
155
295
177
302
197
310
80
94
260
110
273
128
285
146
295
165
305
189
314
210
325
90
100
270
117
283
135
295
155
306
175
315
201
326
223
335
100
106
280
123
293
143
305
163
316
185
325
212
336
235
343
110
111
290
129
303
150
315
.171
324
195
335
222
344
247
355
The diameter of throw is approximately 3% less for the 21" traiectory angle and 6% less for the 19" lraicxtory angle.
The NELSON BIG GUN'' performance data has been ohlaincd tinder idea lust conditions and may he riffccled I)v wind, poor hydraulic entrance
conditions or other factors. Nelson Irrigation Corporal ion makes no represea+lation regarding droplet condition, tmiforinih or application rate.

N'
Insect Control Checklist for Animal Operations
Soon* Cava BHft to Cott" Lasals Site spank Practices
Flush Gutters • Accumulation of solids
ff� Flash system is designed and operated
sufficiently to remove accumulated Solids from
gutter as de s*ned.
C1 Remove bridging of socumulded solids at
L,agooas and Pits • Crusted Solids
WMaintainelagoons. sealing basks and pits where - -
pest bncding is apparent to minimize the
crusting of solids to a depth of no more than 6 -
8 inches over more than 30 K of surface.
Excessive: Vegetative • Denying vegetation
f] Maintain vegetative control along banks of
Growth
lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along waters edge on impoundment's perimeter.
Feeders + Feed Spillage 0' Design, operate and maintain fad systems (e_g.,
bunkers and troughs) to minimize the
� accumulation of decaying wastage..
q/6kan up spillage on a routine basis (e.g., I - 10
day interval during summer, 15-30 day interval
during winter).
Feed Storage • AcWtnulatio s; of feed residues Reduce moisture accumulation within and
around immediate perimeter of feed storage
areas by insuring drainage away from site
and/or providing adequate containment (e.g.,
7ois
red bin fur brewers grain and similar high
ture grain products).
Inspect for and remove or break up accumulated
solids in filter strips around feed storage as
needed.
AMIC - November 11, 1996, Page l

i
Source
Canse
BMPs to Control Insects. Site SpeSpecificPraclioes
Holding Animal
g Areas
+ Accumulatsoos of animal wastes
17
Eliminate low areas that trap moisture along
and food wastage
fences and other locations where waste
accumulates and disturban m by animals is
minimal.
0
Maintain fence rows and filter strips around
animal bolding areas to minimize
accumulations of wastes (i.e., inspect for and
remove or break up accumulated solids as
needed).
Dry Manure Handling
+ Accumulations of animal wastes
0
Remove spillage on a routine basis (e.g., 7 - 10
system
,
day interval during summer, 15-30 day interval
during winter) where manure is loaded for land
application or disposal.
O
Provide for adequate drainage around manure
stockpiles.
0
Inspect for and remove or break up accumulated
wastes in Cher strips around skw#iks and
manure handling areas as needed
For more information cot<tact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University,
Raleigh, NC, 27695-7613.
AMIC - November 11. 1996, Page 2

•
aaoc�
•
F.g
IL
•
cc
I
m

See M Cam O MlPtt to MYimke Odor - 811a S�eel�t Prttetitrs
Endo[ etrairspipea at • Agivtion dW tg rraYewater O Bxksad disdge point of pipes wndaraaai
lagoon conveyance 4�goa4 avid lave!
atisfaca • Volatile gaa mink ; B:r= lopm DPW t',apadty;
• Biologhw muting laEooa da"procedina;
• Ag H inim m` sMfaee a e"CO-VOMM ratio•
Minimum agitation wlrenpumping;
D Medial amatiw
D Proven biobgiad additives
lrrigtttioa sprini�kr • High pressrrre agitation; D Irrigate ou'dry dap wild"or no wind;
nozxies • Wind drift 0 Minhnran recommended openting presstre;
D Pump intake am lagoon Ikluid suffice;
D Ptnnp from snood -stage lagoon
Storage tart or basin • Partial micsobia! deoompositiort; D Bottom or mkkvcl loading;
surface • Mixing while filling; 19 Tank covers; •
• Agbotba when =ram D Basin surface mats of solids;
Cl
Proven biological additives or oxidant
Sealing basin surface •
Partial microbial demiposition;
D
Exted drainpipe ocNim underneath liquid
•
Mixing while fiiikm
wben
level;
M
•
Agitation emptying
Remove settled solids regularly
Manure, Any or sledge •
Agkodon wbet gx=Wing;
D
Soil injection of slurrylsbrdges;
spreader outlets •
Volatile gas emissions
D
Waoh residual manure from spreader after use;
D
Proven biological additives or oxidants
Uncovered manure. •
Volatile gas emissions while
D
Soil injection of slurry/sludges
slurry or sludge on field
drying
D
Soil incorporation within 48 hats.;
surfaces
Li
Spread in thin uniform layers for rapid drying;
D Pr
9ven biological additives or oxidants
Dead animals 6 Carcass decomposition W Proper disposition of carcasses
Dead animal disposal • Carcass decomposition Complete covering of carcasses in burial pits;
pits 1YProper location/construction of disposal pits
Ineincraw" • Incomplete combustion O Secondary stack burims
AMOC -November 11. 1996, Page 4

-- Sawree Cswe WAh M bNobidxe Oder Sib Spedlk rraedces
Standing waver nod • hmpolm draiaaa 13 01-& and lesderaps wdr brat whet dn&A
fadiities . Mivabid deoongroRitiaa of aw■�► lima hdlidss
Mamk. Marva .
Manus tj AI F onto • Poorly mdp4ind access rode Fars wom rod maiommooe
pabik rods am fro•
access
Addkbm!
Available From
Swine Msom Min geareat ; 02W RobfBMP Packot NCSU. C Ndy Bslemiew Cad
Swine Pi a dlodian Fork Potential Odor Soatces and Remodles ; EBAE Fact Stied NCSU - BAB
Swtae Pro & d m FadNty Mamma himogniew Pit Redp le+ - I.Agow Tweaonew ; EBAB I" NCSU - BAB
Swine Pradadian Fatuity Mamee MrWrgemeat Uderllaar F1oi -lagoon Treshoco; EBAB 129-88 NCSU - BAB
t0000n Dash p and klowIrsewt far LJveog& Mom Treatrseet and SkwW ; EBAB It13-i3 - NCSU - BAB
Cal*nom of Msnve and Wsorwdw Applicstias Egn%o oent ; ERA B Fad Shoat NCSU - BAE
Coat Uft Odors li M Swine Baildinp ; , M33 NCSU - Swine Ex�an
Envkonmeatai A=NNft ho jp ; NPPC Mwnd NC lark Producers Asaoc
Options for Managing Odor; a repot from the Swine Odor Tack Force NCSU Agri Commoo odons
Naisanee Coneam is Animal I I ----a Mmagusew Odors cad F11os ; PRO W.19" Confcreaee Pwaodlop Florida Coogwatl" Extension
AMOC - November 11. 1996. Page 5 f

EMERGENCY. ACTION PLAN
PHONE NUMBERS
DWQ 919 571- 4700
EMERGENCY.MANAGEMENT SYSTEM 919-459- 7376
SWCD 919-- 459-4115
NRCS 9i9- 459-4115
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. 's o c
location o • The following
are some action items you should take. .
1. Stop the release of wastes. Depending on the
situation, this may or may not be possible. Suggested
responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of -dam.
b. Pump wastes to fields at an acceptable rate.
C. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B: Runoff from waste application field -actions
include:
a. Immediately stop waste application.
b.. Create a temporary diversion to contain waste.
C. Incorporate waste to reduce runoff.
- d'. _ Evaluate and-eliminate_the reason(s) that
caused the runoff.
e. Evaluate the application rates for the fields
where runoff occurred.
C: Leakage from the waste pipes and sprinklers -action
include:
a. Stop recycle pump.
b. Stop irrigation pump.
C. Close valves to eliminate further discharge.

d. Repair all leaks prior to restarting pumps.
D: Leakage from flush systems, houses, solid
separators -action include:
a: Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or
solid separators.
e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often
this is seepage as opposed to flowing leaks -
possible action:
a. Dig a small well or ditch to catch all seepage,
put in a submersible pump, and pump back to
lagoon.
b. If holes are caused by burrowing animals, trap
or remove animals and fill holes and compact
with a clay type soil.
C. Have a professional evaluate the condition of
the side walls and lagoon bottom as soon as
possible.
2. Assess the extent of the spill and note any obvious
damages.
a. Did the waste reach any surface waters?
b. Approximately how much was released and for what
duration?
c. Any damage noted, such as employee injury, fish
kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface
waters?
f. Could a future rain event cause the spill to reach
surface waters?
g. Are -potable water wells in danger (either on or off
of the property)?
h. How much reached surface waters?
3: Contact appropriate agencies.
a. During normal business hours, call your DWQ
(Division of Water Quality) regional office; Phone
919 571--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 -9810 , local SWCD
office phone number 919-459— 4114 and local MRCS
office for advice/technical assistance phone number
919— 459- 4115.
ir
4: If none of the above works call 911 or the Sheriff"s
Department and explain your problem to them and ask
that person to contact the proper agencies for you.
5: contact the contractor of your choice to begin repair
of problem to minimize off —site damage.
a. Contractors Name:
b. Contractors Address:
C. Contractors Phone:
6: Contact the technical specialist who certified the
. lagoon (MRCS, Consulting Engineer, etc.)
a. Name:_ MRCS/SWCD _
b. Phone:_t919 )_ 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.
Womdad"
OW „.9.

Mortality Management Methods
(check which method(s) are being implemented)
Burial three feet beneath the surface of the ground within 24 hours after
knowledge of the death. The burial must be at least 300.feet from any flowing
stream or public body of water.
❑ Rendering at a rendering plant licensed under G.S. 106-168.7
❑ Complete incineration
❑ in the case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture
3 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

`Attachment S
Page 1 of 3
North Carolina Agricultural Extension Service
Ag-ri-Waste ement
Narfh Carvi .r.
_ ions C. 3irkas*
_ . CS7T r+Te
L. Semi -Solid I= Zn=a
i . Sc.-sped 44 racrly ftroa lot i== spreader
a. Pray loaded spraader, collect about 2 Ibs of mamsrs --am
dLIoraat locations u-4—-aaanaraLic callac=ors.
Li. lram stems
a. Collect sba 2 ibs of am==a ft= aadar -.be suc:.aca t
awial=g badding metarials sad nsia; =o tal:ic tollac==s .
a. Zigaid jj�e SZUZ!ry
i. Qade=-slotzad-floor pit
a. Lz=and a La* wmatallic caiftir. open as bac'h ands' into
man=% = pit floor.
b . Seal upper and of coadait (a. s. + by per= a tbm=b oar and
of coWult) tamping am==* that bas entered laver and, remove
cad awc7 sl=-7 into plastic buckat or aossrsllic container.
a. 2a)Ca sobaaaplas 4aa S or more locations or at least l qu& =.
d. ffIz sad add sbau:t 3/4 pia= to nomataLic sample caataiaar.
L. zzzsrlar storage basin cc cash
a. Mid= awe srm=ft has been Wall m#sad Irish a liquid am=&
chapper-agira=r pump or prnpallar agitator.
b. Sake subsamplas tram about S pit locations, ftaa agitator pump
or frog a=se spraadar and plaaa in a plasmic buLckst.
* ProFassor and lwc-ewioa Spec a3,ist, Diclogical and Eag:Lneer��g
Depar=anc. North Carolina State Daivarsi--y. Aalsiah. RC.

c.ac:uaea r B
2 of 3
c. Mac and add 3/4 aint to a nonmatallic sample ccntainmx.
C. Lagoon Liquid
L. Collect about 3/4 pi z of recycled lagoon Liquid from inflow pip*
to flush ranks in a aanmerallic sample e==Jjwr.
ii. From lagoon
a.
Plane a small
boctta
(1/2 pint or less) an and of 10-15' pals.
b .
Extend boccie
10-15'
tray frog bank edge.'
c. Brush sway floating scut or debris.
d. Submerge battle within 1' of Liquid surface.
a. Empty into a plastic bucket, repeat aft 5 clans around
lagoon, mix, and add 3/4 pint to =w==allic sample container.
D. BraSlez or Tarkay Litter
L. Souse Litter
a. Visually inspect litter for areas of guying quality► e.g.,
areas around feeders and ratarars, and estimate paresnt of
floor surface in each area.
b. Takm about 5 litter subsaapias at locations proporzianste to
item a. E. g. , if 204 of litter of similar rrisisal quality is
around feeders sad caterers, take 1 subsample there and the
other 4 subsaaplas frost rnwLt aler of floor surf=*.
c. At each location, collact litrar from a 6' by 6" araa down to
earr.h floor and plats in a plastic bucket.
d. After 5 subs- 1" have been added to the bucket, mix, and add
about 2-3 Labs litter to a no=mtallie sample container such as
a I -gallon freezer -bag sad seal. -
U. From stockpile
a.
Take
subsamples
from about 5 locations
at Iaas= 18'
into pile.
h.
Mix.
add 2-3 IbSL
to ao:Mta133c sample
coauiaar and
seal.

T �� accacnment n
Page 3 of 3
II. SAM Z PBEPABATI03S AM TRANSFIX
A. Place sample into an expandable container that am be sealed. Rim
residues from container with clean avatar but do not use disinfectants,
soaps, or.treat in any other way.
B.. Pack sample in ice, :refrigerate, freeze, or transfer _po lab quickly.
C. Hand -del. is most raliAble way of sample =szssfer.
D. If mailed, protect sample container with packing material such as
nawspapar, , box or package with wrapping paper, and r_apa .
E. Commercial sample containers and mailers are also available. Contacts:
i. A&L Eastern Agricultural !Ab, Inc. iii. Polyfoam Packars Corp.
7621 Qhitepine Road 2320 S. Foster Avw=e
Richmond, VA 23237 - ii'healing, IL 60090
Ph: [phone] Ph: [phone].
U. Fisher Scientific Co.
33LS gin= a Road
Raleigh, VC 27604
Ph: [phone]
iv. NASCG'
901 Janesville Avenue
Fart Atkinson, WX 53538
Ph: [phone]
F. Private analytical labs are available, but sample snalyaas are costly.
G. The NCDA provides this service for North Carolina rasidants.
i. Address: North- Carolina.Dapa--=at of Agrietslt=e
Agronomic Divisiaa
P1amt/'irasta/Salucian Advisory Section
Blue Ridge Road Canter
P.B. Sox 27647
Raleigh, SC 27611
Ph: [phone]
Atrn: Dr. Rey Campbell
U. Forward $4 along with the sampia.
iii. Iizclude the following identification information with sample: -
a. Livestock species (dairy, swine, Berkey, acc.)
b. Livestock usage (:nine-nursary, finishing; turkay-breedem
broodarhouse, grower, =:mbar flocks ;roan on litter; atc.)
C. Rasta type (dairy -lot scraped ===a, Liquid slurry, swine -pit
slurry, Lagoon liquid, sludge; broiler -house litter, stockpile
iv. lour-ina analyses performed an all samples: 1. P , L, Ca. 1g, 3a ,
s, Fa, Ka, za, cc, a
v. Additional analyses performed upon request: DX, No, Cd: Ni. Pb

THIS DESIGN IS FOR A SINGLE 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 CAROLINA
FEBUARY 24, 1997
600+ FEET
0
0
450
0
0
1.0
0.0 YEARS
TOP LENGTH AT NORMAL WATER LEVEL 262.5 FEET
TOP WIDTH AT NORMAL WATER LEVEL =- _=> 162.5 FEET
NORMAL WATER LEVEL ELEVATION ==========> 41.3 FEET
SEASONAL HIGH WATER TABLE ELEVATION 0.0 FEET
LAGOON BOTTOM ELEVATION 29.0 FEET
Depth of Permanent Water 12.3 feet
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
SIDE SLOPES =-________________________=> 2.5:1
Permanent Volume Required 194850.0 cubic feet
Permanent Volume Provided 379433.5 cubic 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
FREEBOARD
ESTIMATED TOP OF DAM ELEVATION ========>
Temporary Storage Volume 107643.5
Top of Dam Elevation =
Inside Dimensions of Lagoon at
Length = 280.0 feet Width
Begin Pumping Elevation =
Stop Pumping Elevation =
Volume To Be Pumped =
44.8
Top of Dam
180.0
43.2
41.3
79923.5
0 SQUARE FEET
180 DAYS
0 GALLONS
7.7 INCHES
6.6 INCHES
1.0 FEET
44.8 FEET
cubic feet
f eet
feet -
feet
feet
cubic feet

1. STEADY STATE LIVE WEIGHT
0
head
weanling
to feeder
x 30 lbs. =
0
lbs
0
head
feeder
to
finishing
x 135 lbs. =
0
lbs
450
sows
farrow
to
weanling
x 433 lbs. -
194850
lbs
0
sows
farrow
to
feeder x
522 lbs. W
0
The
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 41.3 feet
Construct lagoon bottom elevation 29.0 feet
Lagoon size for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
2.5 2.5 2.5 2.5 12.3
AREA OF TOP
LENGTH *WIDTH =
252.5 162.E
AREA OF BOTTOM
Lb * Wb
201.0 101.0
AREA OF MIDSECTION
(Lm * Wm ) -
231.8 131.8
42656.2 (AREA OF TOP)
20301.0 (AREA OF BOTTOM)
30533.1 (AREA OF MIDSECTION)
CU. YD. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
42656.2 122132.2 20301.0 2.050
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL=379433.5 CU. FT.

VOLUME NEEDED = 194850.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 262.5 FEET LONG BY 162.5 FEET WIDE
5. DIKE
Place spoil as a continuous dike to elevation 44.8 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE. AREA:
Lagoon (top of dike)
Length * Width =
280.0 180.0 50400 square feet
Additional Drainage Area
0 square feet
TOTAL DA 50400 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume = 194850 SSLW * 0.0101481 gallon/lb. SSLW/day
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 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.
Excess rainfall (difference) = 7.7 inches
Volume = 7.7 inches * DA / 12 inches per foot
Volume = 32340.0 cubic feet

6D. Volume of 25 year - 24 hour storm
Volume = 6.6 inches * DA / 12 inches per foot
Volume = 27720.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
GA. 47583.5 cubic feet
63. 0.0 cubic feet
6C. 32340.0 cubic feet
6D. 27720.0 cubic feet
TOTAL TEMPORARY STORAGE 107643.5 cubic feet
7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
Depth required = Volume of temporary storage divided by surface
area of lagoon.
Depth required = 107643 cu.ft. / 42656 sq. ft.
Depth required = 2.5 feet
Normal lagoon liquid elevation = 41.3 feet
Depth required = 2.5 feet
Freeboard - 1.0 feet
Top of Dam = 44.8 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 44.8
ARE 280.0 FEET BY 180.0 FEET
8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
GA. 47583.5 cubic feet
6B. .0.0 cubic feet
6C. 32340.0 cubic feet
TOTAL PUMPED VOLUME = 79923.5 cubic feet
Depth required = Volume of pumped storage divided by surface
area of Lagoon at' normal water level
Depth required = 79923.5 cu.ft. / 42656.2 sq. ft.
Depth required = 1.9 feet
DESIGNED BY: APPROVED BY:
DATE: DATE:

i1B-Ver 3.0
page 1
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2
3
4
5
6
7
9
9
10
11
12
13
14
15
36
17
18
19
20
21
22
2.3
H 3. 1. 1
in
Nash County, North Carolina
12/15;/97
B5 III " F5
ELEL
Di ST
ACLE
C4.^C` EM :
4.32 54.32
50.00
8
0.00
TBK-NW earner concrete at junction box
1.90
52.4
307
272.00
6.90
47.4
2D0
268.04
9.10
45.2
84
249.00
9.30
45.0
76
239.00
9.50
44.8
80
236.00
top pipe
11.56
42.8
81
235 A
liquid level
9.40
44.9
77
228.00
9.B0
44.5
99-
211.00
10.20
44.1
150
203.00
9.60
44.7
209
198,00
9.20
45.1
220
198.00
9.40
44.9
227
201.00
8.80
45.5
265
221.00
9.80
44.5
372
243.00
9.40
44.9
381
243.00
9.10
45.2
375
245.00
7.70
46.6
352
253.00
7.10
47.2
392
259.00
9.90
44.4
335
262.00
Bottoa of Spillway
5.90
48.4
330
266.00
2.90
51.4
321
271.00
4.32
50.00
8
0.00
End TBA

OH-Ver 3.0
Gary Hill
Job Number .. 027
Point No.
2
3
4
5
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
2
x Coord.
-306.81
-199.88
-78.42
-65.14
-57.22
-50.99
-58.61
-64.59
-67.98
-81.35
-173.86
-325.36
-339.47
-339.87
-336.62
-335.72
-331.74
-329.20
--320 . 95
-306.81
Y Coord.
10.71
-6.98
-30.10
-39.14
-51.52
-84.86
-138.08
-198.77
--209.23
-211.92
-200.00
-180.35
-172.97
-158.48
102.91
-65.26
-46.62
-23.02
5.60
10.71
Distance from last point to first point........
Length of path from first point to last point..
Total perimeter of the boundary ................
Total area within the boundary............
Total area within the boundary. ................
12/15/97
0.0
feet
893.5.feet
893'.5
feet
51,722.8
Sq.ft.
1.2
acres

rate I Flatted 1x�15��'i
v 3.0
fee
223 ft.
Cam���.ed length
averail
X

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. Maintenaace
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and
side slopes: FES= is
being established on these areas. Beginning in 1998 and
each year thereafter, the embankment should be fertilized
with 600 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 both permanent and temporary storage. The'permanent
storage is not to be pumped in order to ensure that anaerobic
action will occur. The design includes permanent storage of 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 43.2 as marked by permanent markers. Stop
pump -out when the fluid level reaches elevation _41.3—
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.
It is strongly recommended that the treatment lagoon be pre -
charged to i/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 -ail times.
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

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 25, 2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Gary Hill
6204 Pleasant Grove Church Road
Nashville, North Carolina 27856
Dear Mr. Hill
&V ON
NCDENFt
NC*WrH CAROUNA DEPARTMENT OR
ENMRONMENT AND NAnJRAL RESOURCES
Subject: Notice of Deficiency
Gary Hill Home Farm
COC AWS640073
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 Animal Waste Management Plan:.
No Certificate of Coverage (COC) or General Permit was available for review during the
inspection. Please note that the General Permit requires that these documents be kept on site and
ready for inspection.
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. Brantly has stated that he
had himself removed from the OIC designation for this facility. To correct this situation so that
you are listed as the OIC, you should contact Ms. Beth Buffington at [phone]. Please note
that failure to have a designated OIC for your facility is also a violation of the General Permit.
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 Aest, Nash Soil & Water Conservation District
DWQ Nondischarge Compliance Group
RRO Files
1628 Mail Service Center, Raleigh, NC 27699-1628 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
"TUHN RE EIPT REQUESTED
Gary I i
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Farm Number: 64 - 73
Dear Gary Hill:
c-e
NCDEN
NORTH CAROLINA DEPARTMEN'OF R,'\
ENVIRONMENT AND NATURAL RESOURCES
February 24. 1999'
You are hereby notified that Hill Farms, in accordance with G.S. 143-215.1 OC, must apply for
coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has
six 60 days to submit the attached application and all supporting documentation. In accordance
with 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].
for
cc: Permit File (w/o encl.)
Raleigh-Regional=Off ce=(w/o=encl.)-
Sincerely, ,
A. Preston Howard, Jr., P.E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 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
1 " •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Application No. f1WS640073-1
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:
I. We have received your permit application, however, there 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.
l--
If you have any questions regarding this request, please call me at [phone], extension 364. - —1
rn,
Sincerely,
p
Dianne Thomas c�I
CD
Soil Scientist c
:,
Non -Discharge Permitting Unit ` -! Ca_
�n
cc: (RaleigIfRegional Office,-Wa reQ Ii
Fit -
Perm Flle VLP—__-
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor'
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Gary Hill
Hill Farms
Rt 2 Box 63-A
Nashville NC 27856
Dear Mr. Hill:
4/1
,�-
Ah'' �►
[DaHNF;Z
April 4, 1997
APR 1119gT
a r7�_ '�iR RALEIGii uf-hlCE
SUBJECT: Notice of Violation
Designation of Operator in Charge
Hill Farms
Facility Number 64--73
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,
-#.'M-4,0"
for Steve W. Tedder, Chief
Water Quality Section
bb/awdesletl
cc: Raleigh Regional Office
Facility File
Enclosure
P.O. Box 29535, 'ekAw. FAX [phone]
Raleigh, North Carolina 27626-0535 N"Wfc An Equal Opportunity/Affirmative Action Employer
Telephone [phone] recycles110% past -consumer paper

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
October 1, 2004
Gary Hill
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Subject: Certificate of Coverage No. AWS640073
Hill Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
Dear Gary Hill:
On June 11, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General
Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill
733 (Session Law 2003-28).
In accordance with your application received on 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 supercedes and
terminates your previous COC Number AWS640073 which expires October 1, 2004.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the 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 September 30, 2009. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Since this is a revised State
General Permit, it contains new requirements in addition to most of the conditions contained in the
previous State General Permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay careful attention to the record keening
and monitorinp_ conditions in this permit.
Aquifer Protection Section — Animal Feeding Operations Unit
1636 Mail Service Center, Raleigh, North Carolina 27699-1638 One
NorthCarolina
Phone: [phone] I FAX: [phone] Internet: h2o,enr.state.nc.us �atllrjr��l� J
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper `II��

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary, Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per MRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this COC
or the General Permit, please contact Duane Leith at [phone].
Sincerely,
1:5
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all ec's)
Raleigh Regional Office, Aquifer Protection Section
Nash County Health Department
Nash County Soil and Water Conservation District
Permit File AWS640073
APS Central Files

O� WA9 Michael F. Easley, Governor
Q ' William G. Ross Jr., Secretary
AA co g
North Carolina Department of Environment and Natural Resources
j r Alan W. Klimek, P. E., Director
Q `C
Division of Water Quality
October 1, 2004
Gary Hill
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Subject: Certificate of Coverage No. AWS640039
Hill Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
Dear Gary Hill:
On June 11, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General
Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill
733 (Session Law 2003-28).
In accordance with your application received on 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 supercedes and
terminates your previous COC Number AWS640039 which expires October 1, 2004.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the 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 September 30, 2009. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Since this is a revised State
General Permit, it contains new requirements in addition to most of the conditions contained in the
previous State General Permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay careful attention to the record keeping
and monitoring conditions in this permit.
Aquifer Protection Section - Animal Feeding Operations Unit
1636 Mail Service Center, Raleigh, North Carolina 27699-1638
Phone: [phone] FAX: [phone] Internet: h2o.enr,state.nc.us
An Equal Opportunity/Affirmative Action Employer- 50% Recycled110% Post Consumer Paper
NorthCarolina
,Natmiallry

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this COC
or the General Permit, please contact Duane Leith at [phone].
Sincerely,
-d
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Aquifer Protection Section
Nash County Health Department
Nash County Soil and Water Conservation District
Permit File AWS640039
APS Central Files

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 25, 2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Gary Hill
6204 Pleasant Grove Church Road
Nashville, North Carolina 27856
Dear Mr. Hill
NCDENFt
NORTH C.AROUNA QEPARTMENT OF
ENVIRONMENT AND NAWRAL REsouRCEs
Subject: Notice of Deficiency
Gary Hill Home Farm
COC AWS640073
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 Animal Waste Management Plan:
No Certificate of Coverage (COC) or General Permit was available for review during the
inspection. Please note that the General Permit requires that these documents be kept on site and
ready for inspection.
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. Brantly has stated that he
had himself removed from the OIC designation for this facility. To correct this situation so that
you are listed as the OIC, you should contact Ms. Beth Buffington at [phone]. Please note
that failure to have a designated OIC for your facility is also a violation of the General Permit.
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 27699-1628 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
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:
Yf
NCDENR
Now CAROUNA CNUmARTmew of
ENVIRONMENT Iwo NArLnIAL. 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 27699.1628
An Equal Opportunity Affirmative Action Empioyer
f ..
Telephone-[phone] FAX [phone]
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Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff 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,
v
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 AWS640073
NDPU Files

OF VJ A TF9 Michael F. Easley, Governor
Q William G. Ross Jr., Secretary 000 DU C North Carolina Department of Environment and Natural Resources
j [ Alan W. Klimek, P, E., Director
0 Division of Water Quality
May 1, 2003
Gary Hill
Hill Farms
6204 Pleasant Grove Church Rd.
Nashville NC 27856
Subject: Certificate of Coverage No. AWS640073
Hill Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
Dear Gary Hill:
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 supercedes and
terminates your previous COC Number AWS640073 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. T*
iMENUR
Non -Discharge Permitting Unit Internet httpJ/h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Ralelgh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
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ANIMAL WASTE UTILIZATION PLAN
Producer: GARY HILL
Location: 6204 PLEASANT GROVE CHURCH ROAD
NASHVILLE NC 27856
Telephone: [phone]
Type Operation: Existing Farrow t 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 1.5A 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
6882
A
GEB
BG
4.0
150
0.0
6.0
900
I
APR-SEPT
6882 -A
SG 50.0
JGEB
I
150
1I I
I0.0 16.0 1300
SEPT MAR
6882 1
BG 4.0 150
JNRB
I I
10.0 11.4- 1210
APR-SEPT
6882 NRS
SG 5 0. 01-50
70
1-1 1
I
10.0 11.4
SEPT-MAR
END
I
TOTAL11480
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 3 .

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS--
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
IRESID.
APPLIC
METH
N
TIME
6713
A
NRB
BG
4.0
150
0.0
0.8
120
APR-SEPT
6713 -A NRB I SG I50.0 f50 J0-_6___J0-80_JF4SE0PT-MAR
3033 1 JNRB FG 3.5 1131.2510.0 15.3 1695.625
SEPT-NOV
3033 �2 INRB 1FG �3.5 1131.2510.0 I0.90 �118.125
SEPT-NOV
END
TOTAL1973.75
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.
Page: 4

ANIMAL WASTE UTILIZATION PLAN
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.
** 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
SG
BERMUDAGRASS - GRAZED
TONS
37.5
PG
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
7.4
1480
7
973.75
14.4
2453.75
* BALANCE
-23.75
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

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 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: 6

ti
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)
3033
1
NRB
FG
0.40
*1.00
3033
2
NRB
FG
0.40
*1.00
6713
A
NRB
BG
0.40
*1.00
6713
NRB
SG
0.40
*1.00
6882
1
NRB
BG
0.40
*1.00
6882
A
GEB
BG
0.40
*1.00
6882
Y1
NRB
SG
0.40
*1.00
6882
GEB
SG
0.40
*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 I and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
Page: 7

ANIMAL WASTE UTILIZATION PLAN
NARRATIVE OF OPERATION
Page:

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)
S. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. -Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 9

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.
1.3. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface.waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste.may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and.accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 10

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

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: 12- 1 3111
Name of Manager(If d'fferent from owner):
Signature:
Date:
Name of Person. Preparing Plan: (Please pr.int)J. Edward Long
Affiliation:Nash Soil and Water Conservation District
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Nashville NC 27856
Signature: Date:
0
Phone
Page: 12

WASTE UTILIZATION PLAN
W
ANIMAL WASTE UTILIZATION AGREEMENT
(Needed only if additional land has to be leased, etc.)
I , Edcsarc( /Oan'linA hereby give &oL,d 14;11
permission to apply animal waste from his Waste Utilization System
on 9.y acres of my land for the duration of time shown below.
The field(s) on which waste can be applied are shown on the
attached map. T- 6713 Feld R
T- 3033 F,GId i)
I understand that this waste contains nitrogen, phosphorous,
potassium, and other trace elements and when properly applied
should not harm my land or crops. I also understand that the use
of waste will reduce my need for commercial fertilizer.
Adjacent Landow
Waste Producer:
Technical Repre
SWCD Representa
Term of Agreement:
Date : 03
Date:
Date:
/ Date: 3-/0— 03
to
(Minimum of Ten Years on Cost Shared Items)
(See Required Specification No. 2.)
Page: 11

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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 of the acd name. The second
letter is a small letter. The third letter, if used, is always a capital
and indicates slope. Symbols without slope letters are pose at
miscetlaneaus areas Or nearly level soils.
SYMBOL
NAME
AaA
Altavista sandy loam, 0 to 3 percent slopes, rarely flooded
AbA
Altavista -Urban land complex, 0 to 3 percent slopes
AuB
Autryville loamy sand, 0 to 6 percent slopes
Bb
Bibb loom, frequently flooded
Brie
Blanton loamy sand, 0 to 6 percent slopes
BOB
Bonnaau loamy sand, 0 to 4 percent slopes
Cc
Congaree line sandy loam, frequently flooded
DoA
Dothan loamy sand, 0 to 3 percent slopes
FaB
Faceville loamy sand, 1 to 6 percent slopes
GeB
Georyeville loam, 2 to 6 percent slopes
GOC
Georgeville loam, 6 to 10 percent slopes
GeE
Georgeville loam, 10 to 25 percent slopes
GgB
Georgoville gravelly loam, 2 to 6 percent slopes
GgC
Georseville gravelly loam, 6 to 10 percent slop"
GeE
Georgeville gravelly loam, 10 to 25 percent slopes
GuB
Georgeville-Urban land complet, 0 to 6 percent slopes
GOA
Goldsboro fine sandy lam, 0 to 2 Percent slopes
GrB
Griblay sandy lam, 2 to 6 percent slopes
GrC
Grltney sandy loam, 6 to 10 percent slopes
HeB Helena coarse sandy lam, 2 to 6 percent slopes
Me Meggett lam, trequently, flooded
NaC
Nankin sandy lam, 2 to 10 percent slopes
lens
Mason loam, 2 to 6 percent slopes
NnC
Mason Loam, 6 to 10 percent slopes
NoA
Norfolk Loamy send, 0 to 2 percent slopes
NOB
Norfolk loamy send, 2 to 6 percent slopes
Np8
Norlolk•Wedowes complex, 2 to 6 percent slopes
NrB
Norfolk, Georgevilte, and Fauville 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
Tomottay fine sandyrloam
Ud
Udorthents, loamy 1/
Ur
Urban land
WeB Wedowee coarse sandy lam, 2 to 6 percent slopes
Woc Wedowee coarse sandy lam, 6 to 10 percent slopes
Wh Wehadkae loam, frequently flooded
WxA Wickham fine sandy lam, 0 to 3 percent slopes, rarely flooded
WoA Worsham loam, 0 to 2 percent slopes
1/ Each area on the soil map shoots in addition to being identified by the
symbol Ud are further identified with ana of four labels on the map. These
labels are Quarry Spoil, Borrow Pit or BP, Landfill or LF, and Cut and Fill
or C&F.
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ST-ATE OF NORTH CAP'" ANA
DEPARTMENT OF NATURAL R- OURCES
AND COMMUNITY DEVELOPMENT
RALE10H, NORTH CAROLINA
5m # SE 166 2'30'
'62 51 1 64 fCASTAUA)
1,10 1.. 1.rj. �MA
ik
2001A-
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